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Author: Charles C. Engel
Publisher:
Published: 2020-08-15
Total Pages: 66
ISBN-13: 9781977405111
DOWNLOAD EBOOKAdvances in medicine, protective equipment, and surgical reconstruction have led to questions about when to emphasize limb salvage over amputation for individuals with severe blast injuries. The authors summarize recent research on the topic.
Author: Tepring Piquado
Publisher:
Published: 2020
Total Pages: 62
ISBN-13:
DOWNLOAD EBOOKDuring the conflicts in Iraq and Afghanistan, there have been changes in the mechanism, severity, and complexity of injuries from improvised explosive devices-changes that have resulted in a higher incidence of combat-related traumatic injuries. Battlefield medical advances and improvements in protective equipment have resulted in a greater proportion of blast-exposed service members surviving their severe injuries, and progress in surgical reconstruction and rehabilitation has resulted in an increased medical capacity to salvage limbs despite the severe injuries. Collectively, these developments have led to important questions about when to emphasize limb salvage over other treatment options, most notably amputation, for individuals with severe blast-related limb injuries. To address these questions, the Eighth Department of Defense State-of-the-Science Meeting (SoSM) on Blast Injury Research was held in March 2019 at the RAND Corporation's office in Arlington, Virginia. The topic of the meeting was "Limb Salvage and Recovery After Blast-Related Injury." Participants and presenters included scientists, clinicians, and policymakers from DoD, including the Departments of the Army, Navy, and Air Force; the Marine Corps; the National Institutes of Health; and the U.S. Department of Veterans Affairs; as well as representatives from academia, industry, and a number of different countries. These conference proceedings summarize the presentations and the findings, conclusions, and recommendations that have emerged from SoSM expert-led working groups.
Author: Joseph M. Galante
Publisher: Springer
Published: 2018-04-11
Total Pages: 299
ISBN-13: 3319746723
DOWNLOAD EBOOKThis text is designed to present a comprehensive and state-of the-art approach to dismounted complex blast injuries. Sections address care of these patients from the point of injury through rehabilitation. The specific areas addressed include blast mechanics, stabilization and hemorrhage control at the point of injury, early resuscitation at local hospitals, a systematic approach to surgical care, and finally reconstruction and rehabilitation. Specific chapters focus on operative management of pelvic, abdominal, genitourinary, orthopedic, neurological and thoracic injuries. The authors of each chapter, are experts in treating DCBIs that have had direct hands-on experience through military deployments in Iraq and Afghanistan. Each chapter describes patient presentation and an algorithm outlining treatment with support from the literature. The text will conclude with three chapters. The first explores new advances in care that can be applied to these injuries. The second highlights the organization and team approach to care of these patients. Finally, the last chapter describes an actual case, cared for by the editors, that encompasses points from the chapters in the text. Extensive illustrations and flow diagrams are used throughout the text. This text is specifically designed to be a “how to” guide for inexperienced military and civilian providers. The chapters are organized in a step-wise fashion that mirrors the patient’s course from point of injury through their hospital course. Combining authors’ experience with illustrations and algorithm diagrams creates a text that is easy to use as a reference text or basis of training for future military and civilian surgeons.
Author: Anthony M. J. Bull
Publisher: Springer Nature
Published: 2023-01-01
Total Pages: 515
ISBN-13: 3031103556
DOWNLOAD EBOOKThis heavily revised second edition provides a comprehensive multi-disciplinary resource on blast injuries. It features detailed information on the basic science, engineering, and medicine associated with blast injuries. Clear, easy to understand descriptions of the basic science are accompanied by case studies of a variety of clinical problems including heterotopic ossification, hearing damage, and traumatic brain injury, enabling the reader to develop a deep understanding of how to appropriately apply the relevant science into their clinical practice. The use of prosthetics, orthotics and osseointegration in rehabilitation is also covered. Blast Injury Science and Engineering: A Guide for Clinicians and Researchers is a valuable interdisciplinary text primarily focused towards clinical medical professionals and trainees seeking to develop a thorough understanding of injury mechanisms, and the latest treatment techniques. In addition, this resource is of use to individuals in other fields whose work centres around blast injury science such as injury mitigation researchers, military scientists and engineers.
Author: James P. Kennedy
Publisher:
Published: 1992
Total Pages: 398
ISBN-13:
DOWNLOAD EBOOKAuthor: Paul F. Pasquina
Publisher: Government Printing Office
Published: 2009
Total Pages: 824
ISBN-13: 9780160840777
DOWNLOAD EBOOKThis resource addresses all aspects of combat amputee care ranging from surgical techniques to long-term care, polytrauma and comorbidities such as traumatic brain injury and burns, pain management, psychological issues, physical and occupational therapy, VA benefits, prosthetics and adaptive technologies, sports and recreational opportunities, and return to duty and vocational rehabilitation.
Author:
Publisher:
Published: 2011
Total Pages: 87
ISBN-13:
DOWNLOAD EBOOK"Dismounted Complex Blast Injury" (DCBI) is an explosion-induced battle injury sustained by a warfighter on foot patrol that produces a specific pattern of wounds. In particular, it involves traumatic amputation of at least one leg, a minimum of severe injury to another extremity, and pelvic, abdominal, or urogenital wounding. The US Army Surgeon General (SG) appointed a task force to study the causation, prevention, protection, treatment, and long-term care options of this BI pattern. This report will look at current candidates for "best practice" designation for prevention, mitigation, or treatment of dismounted complex blast injuries. It will address opportunities for intervention from the POI to long-term rehabilitation. The Task Force will address a systematic approach to this problem set from a medical perspective, using the Doctrine, Organization, Training, Materiel, Leadership, Personnel, Facilities and Contracting (DOTMLPF-C) approach, followed by specific recommendations for the way forward.
Author: Simon Eccles
Publisher: Oxford University Press
Published: 2020
Total Pages: 257
ISBN-13: 0198849362
DOWNLOAD EBOOKStandards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focussing on lower limb injuries. It builds on and expands the NICE Guidelines to provide a practical approach with supporting evidence. The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with the bone and soft tissue injures, complications such as infection, and patient rehabilitation and psychological care. The book is primarily aimed at trainee plastic, orthopaedic and trauma surgeons (particularly for expanding knowledge and examination revision) but would also appeal to established surgeons to improve patient care. Standards for the Management of Open Fractures is an open access title. It is available to read and download as a free PDF version on Oxford Medicine Online. It has been made available under a Creative Commons Attribution-Non Commercial No Derivatives 4.0 International licence.
Author: Emily Hoch
Publisher:
Published: 2021-02-15
Total Pages: 0
ISBN-13: 9781977406187
DOWNLOAD EBOOKBlast-related burns, which accounted for most burns suffered by service members in the recent conflict in Afghanistan, are difficult to treat. These conference proceedings describe a meeting held at RAND to identify gaps in blast-injury research.
Author: Raymond A. Pensy
Publisher: Springer Nature
Published: 2021-01-20
Total Pages: 297
ISBN-13: 3319566482
DOWNLOAD EBOOKThis practical and generously illustrated text presents the current concepts regarding the management of the mangled extremity, including microsurgery, vascular surgery, free tissue, nerve, hand, and replantation surgery. Since the advent of microsurgical reconstruction, significant progress has been made in the areas of replantation, free tissue transfer, as well as the refinement of skeletal fixation techniques. The scope will encompass the initial triage of a patient with a mangled upper or lower extremity, the initial and subsequent reconstructive efforts, to include skeletal fixation, vascular and soft tissue reconstruction, muscle and tendon transfers, psychological impact, therapy requirements, amputation considerations, and current data on salvage versus amputation in these scenarios. Case examples will be included to add further depth and context to the techniques and recommendations provided. Presenting these surgical challenges in detail, The Mangled Extremity will be an ideal resource for orthopedic and trauma surgeons, residents and fellows, as well as emergency surgeons facing these intense, traumatic injuries.
