Lessons Learned from Modern Military Surgery

Document Outline

• Lessons Learned from Modern Military Surgery
  • Prehospital devices, dressings, and drugs
    • Improved helmets and body armor
    • Tourniquets
    • Hemostatic dressings
    • Needle thoracostomy
    • Intraosseous access
    • Pain medications and antibiotics by medics
    • Hextend
    • Hypothermia prevention
  • Prehospital concepts
    • Prehospital provider triage guidelines
    • Permissive hypotension (in prehospital setting)
    • Casualty evacuation
  • Hospital care: concepts
    • Triage and evaluation of casualties at the level of surgical care
    • Treatment of truncal injuries: damage control
    • Treatment of vascular injury in the field: damage control
    • Shunts
    • Fasciotomy
    • Massive transfusion, use of fresh whole blood, and hemostatic resuscitation
    • Critical care aeromedical transport
  • Training
  • Summary
  • References