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Abdominal Injuries
Published in Mansoor Khan, David Nott, Fundamentals of Frontline Surgery, 2021
Frontline surgery is typically deployed in resource-limited settings. A Role 2 medical treatment facility (MTF) is deployed in tents/improvised settings and is aimed towards providing resuscitative and damage control surgery. Surgery is usually performed by a forward surgical team consisting of a group of skilled healthcare professionals including surgeons and nurses with no narrowed specialists available. At this level of care, only limited equipment and diagnostic tools (i.e. portable X-Ray and ultrasound machines) are used.
Telescopes for Inner Space: Fiber Optics and Endoscopes
Published in Suzanne Amador Kane, Boris A. Gelman, Introduction to Physics in Modern Medicine, 2020
Suzanne Amador Kane, Boris A. Gelman
Even so, the practice of medicine in the military is being revolutionized by the advent of these new technologies. On the scene of conflict, laptop personal computers can access special satellite communications links with remote military hospitals. This allows physicians to consult with one another, or with patients, including allowing specialists to consult on cases in forward surgical units located one step removed from combat. Images taken as the soldier/patients are in transit can be sent ahead to allow advanced planning. The communications system allows the coordination of a multi-stage military medical team involving small forward surgical teams.
The Use of Temporary Vascular Shunts as a Damage Control Adjunct in the Management of Wartime Vascular Injury
Published in Stephen M Cohn, Ara J. Feinstein, 50 Landmark Papers every Trauma Surgeon Should Know, 2019
TE Rasmussen, WD Clouse, DH Jenkins, MA Peck, JL Eliason, DL. Smith, J Trauma
System/Registry (JTTS/JTTR) was maturing, and the proof of Forward Surgical Team (FST; level II care) strategic viability was burgeoning. Our approach to vascular injury management needed definition. Specifically, compared to World War II and the Vietnam War, the last two major conflicts involving the United States, early, forward arterial and venous injury delineation was now possible but definitive reconstruction impractical.
Analysis of Prehospital Administration of Blood Products to Pediatric Casualties in Iraq and Afghanistan
Published in Prehospital Emergency Care, 2021
Ryann S. Lauby, Sarah A. Johnson, Matthew A. Borgman, James Bynum, Guyon J. Hill, Steven G. Schauer
The Department of Defense Trauma Registry (DODTR) was queried for all pediatric (age <18 years) encounters from January 2007 and January 2016. The DODTR, formerly known as the Joint Theater Trauma Registry (JTTR), is the data repository for DOD trauma-related injuries (13–18). The DODTR includes documentation regarding demographics, injury-producing incidents, diagnoses, treatments and outcomes of injuries sustained by U.S./non-U.S. military and U.S./non-U.S. civilian personnel in wartime and peacetime from the point of injury to final disposition. The DODTR comprises all patients admitted to a Role 3 (fixed-facility) or forward surgical team (FST) with an injury diagnosis using the International Classification of Disease 9th Edition (ICD-9) between 800 and 959.9, near-drowning/drowning with associated injury (ICD-9 994.1) or inhalational injury (ICD-9 987.9) and trauma occurring within 72 hours from presentation. This study comprises a retrospective review of prospectively collected data within the registry. All available documentation of prehospital care and fixed-facility-based care was requested.
Trends in Prehospital Analgesia Administration by US Forces From 2007 Through 2016
Published in Prehospital Emergency Care, 2019
Steven G. Schauer, Jason F. Naylor, Joseph K. Maddry, Carmen Hinojosa-Laborde, Michael D. April
The DODTR, formerly known as the Joint Theater Trauma Registry (JTTR), is the data repository for Department of Defense (DoD) trauma-related injuries (15, 16). The DODTR includes documentation regarding demographics, injury-producing incidents, diagnoses, treatments, and outcomes of injuries sustained by US/non-US military and US/non-US civilian personnel in wartime and peacetime from the point of injury to final disposition up to 30 days. The DODTR comprises all patients admitted to a Role 3 (fixed-facility) or forward surgical team (FST) with an injury diagnosis using the International Classification of Disease Ninth Edition (ICD-9) between 800 and 959.9, near-drowning/drowning with associated injury (ICD-9 994.1) or inhalational injury (ICD-9 987.9) and trauma occurring within 72 hours from presentation. We defined the prehospital setting as any location prior to reaching a forward surgical team (FST) or a combat support hospital (CSH) to include the Role 1 (point of injury, casualty collection point, battalion aid station) and Role 2 (temporary limited-capability forward-positioned hospital inside combat zone without surgical support).
Prehospital Interventions Performed on Pediatric Trauma Patients in Iraq and Afghanistan
Published in Prehospital Emergency Care, 2018
Steven G. Schauer, Michael D. April, Guyon J. Hill, Jason F. Naylor, Matthew A. Borgman, Robert A. De Lorenzo
The DODTR, formerly known as the Joint Theater Trauma Registry (JTTR), is the data repository for DoD trauma-related injuries (16, 17). The DODTR includes documentation regarding demographics, injury-producing incidents, diagnoses, treatments, and outcomes of injuries sustained by US/non-US military and US/non-US civilian personnel in wartime and peacetime from the point of injury to final disposition. The DODTR comprises all patients admitted to a US military Role 3 (fixed-facility) or US military forward surgical team (FST, to include split FSTs and non-doctrinal surgical support teams) with an injury diagnosis using the International Classification of Disease 9th Edition (ICD-9) between 800 and 959.9, near-drowning/drowning with associated injury (ICD-9 994.1) or inhalational injury (ICD-9 987.9) and trauma occurred within 72 hours of arrival. The DODTR considers the prehospital environment to comprise of any location prior to reaching a FST or a combat support hospital (CSH, role 3). Subjects are captured in the registry so long as they arrive to the Role 3 ED or FST with on-going interventions, even if the providers at these locations subsequently declare them dead on arrival (DOA).