Extremity vascular injuries on the battlefield: tips for surgeons deploying to war

The Journal of Trauma
Benjamin W StarnesRobert M Rush

Abstract

Recent events have refocused attention on certain principles regarding the surgical management of casualties on the battlefield. Extremity vascular injuries predominate, representing 50 to 70% of all injuries treated during Operation Iraqi Freedom, and exsanguination from extremity wounds is the leading cause of preventable death on the modern battlefield. Recent advances in military medicine have translated into a greater percentage of wounded soldiers surviving during Operations Enduring and Iraqi Freedom than in any other previous American conflict. The combat-experienced military surgeon, a fraction of those in uniform until recently, rarely has had the opportunity to convey lessons learned to the newly indoctrinated war surgeon. The purpose of this review is to do exactly that. We collectively reviewed the experience and opinions of five U.S. Army surgeons with regard to management of extremity vascular injuries in a combat zone The modern battlefield has a staunch reputation of being unclean, noisy, and lacking of valuable resources. High-kinetic energy injuries such as those resulting from high explosives, munitions, and high-velocity missiles often cause soft-tissue destruction that is not routinely seen in civilian set...Continue Reading

References

Sep 1, 1992·World Journal of Surgery·R R MartinR J Richardson
May 1, 1990·The Journal of Trauma·K JohansenS T Hansen
Aug 1, 1988·The Surgical Clinics of North America·N M Rich
Nov 1, 1971·Archives of Surgery·G S LavensonD E Strandness
Apr 1, 1971·Archives of Surgery·P M LevinJ E Hutton
Feb 1, 1969·Archives of Surgery·J F Gorman
Feb 22, 2001·American Journal of Surgery·T GranchiM Wall
Jun 22, 2002·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·N M Rich, A Leppäniemi
Mar 5, 2003·World Journal of Surgery·Joseph NanobashviliGeorgi Nazvlishvili
May 12, 2004·American Journal of Surgery·Alec C Beekley, David M Watts
Dec 14, 2004·The New England Journal of Medicine·Atul Gawande
May 6, 2005·Journal of Vascular Surgery·Charles J FoxNorman M Rich
Mar 1, 1946·Bulletin of the U.S. Army Medical Department·M E DeBAKEY, F A SIMEONE

❮ Previous
Next ❯

Citations

Sep 20, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C WillyM Engelhardt
Mar 16, 2013·Biomedical Microdevices·Christian N Kotanen, Anthony Guiseppi-Elie
Jul 9, 2013·Journal of Clinical Monitoring and Computing·Michael BodoStephen W Rothwell
Feb 3, 2011·Seminars in Plastic Surgery·Ltc Charles J Fox, Maj Peter Kreishman
May 13, 2008·The Journal of Trauma·Todd E RasmussenDonald H Jenkins
Aug 5, 2010·The Journal of Trauma·Chitra N SambasivanMartin A Schreiber
Jul 27, 2007·Emergency Medicine Journal : EMJ·C LeeT J Hodgetts
Jul 3, 2013·World Journal of Emergency Surgery : WJES·Ali JawasFikri M Abu-Zidan
May 10, 2011·PloS One·Hongzhe LiPeter S Steyger
Oct 16, 2007·Primary Care Companion to the Journal of Clinical Psychiatry·Chaya G BhuvaneswarTheodore A Stern
Jul 20, 2011·Journal of Emergencies, Trauma, and Shock·Fikri M Abu-Zidan
Nov 19, 2011·International Journal of Critical Illness and Injury Science·Jeremy M Hsu, Tam N Pham
Feb 1, 2013·Emergency Medicine International·Samy S NiteckiAaron Hoffman
Mar 4, 2014·Annales Françaises D'anesthèsie Et De Rèanimation·S Paul, B Debien
Apr 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A RatnayakeM Bala
Apr 2, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Gerard S Doyle, Peter P Taillac
Jun 21, 2007·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Shahram Vaezy, Vesna Zderic
Nov 7, 2008·Cutaneous and Ocular Toxicology·James V RogersJohn S Graham
Jan 28, 2014·Journal of Vascular Surgery·Anahita DuaCharles J Fox
Jan 29, 2013·Anesthesiology Clinics·Samuel M Galvagno, Colin F Mackenzie
Aug 28, 2012·The Journal of Surgical Research·Michael J DugganDavid R King
Feb 22, 2012·Ultrasound in Medicine & Biology·Aaron S WangCharles A Taylor
Mar 2, 2010·The Journal of Emergency Medicine·Wenbo LuoShahram Vaezy
Mar 2, 2010·Foot and Ankle Clinics·Ryan K LehmannNiten Singh
Mar 10, 2016·Journal of Vascular Surgery·Victoria S McDonaldKevin M Casey
Jan 13, 2009·Injury·L M G GeeraedtsJ P M Frölke
Nov 30, 2007·Injury·A G AngoulesP V Giannoudis
Oct 16, 2007·The Surgical Clinics of North America·Charles J Fox, Benjamin W Starnes
May 1, 2007·Ultrasound in Medicine & Biology·Robyn GreabyShahram Vaezy
Mar 11, 2011·Journal of Biochemical and Molecular Toxicology·James V RogersJohn S Graham
Oct 7, 2009·Current Problems in Surgery·Robert M RushRandy J Kjorstad
Jul 20, 2010·IEEE Transactions on Bio-medical Engineering·Aaron S WangDavid H Liang
Oct 16, 2007·Current Problems in Surgery·Gidon Almogy, Avraham I Rivkind
Sep 22, 2015·Journal of Therapeutic Ultrasound·K Michael SekinsLawrence A Crum
May 26, 2015·Annals of Vascular Surgery·Jacob F QuailKevin M Casey
Aug 1, 2015·Journal of Emergencies, Trauma, and Shock·Pushpa SharmaMike Bodo
Apr 15, 2008·Journal of Vascular Surgery·E Baylor WoodwardTodd E Rasmussen
Feb 21, 2018·The Journal of Trauma and Acute Care Surgery·Caryn A TurnerJennifer M Gurney
Jul 17, 2010·Genetic Testing and Molecular Biomarkers·Theodore LialiarisKonstantinos Natsis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.