Emergency War Surgery

Second United States Revision of The Emergency War Surgery NATO Handbook
United States Department of Defense

1. General Considerations of Forward Surgery

Part I. Types of Wounds and Injuries

2. Missile-Caused Wounds
3.Burn Injury
4. Cold Injury
5. Blast Injuries
6. Chemical Injury
7. Mass Casualties in Thermonuclear Warfare
8. Multiple Injuries

Part II. Response of the Body to Wounding

9. Shock and Resuscitation
10. Compensatory and Pathophysiological Responses to Trauma
11. Infection

Part III. General Considerations of Wound Management

12. Sorting of Casualties
13. Aeromedical Evacuation
14. War Surgery Within the Division
15. Anesthesia and Analgesia
16. Wounds and Injuries of the Soft Tissues
17. Crush Injury
18. Vascular Injuries
19. Wounds and Injuries of Bones and Joints
20. Wounds and Injuries of Peripheral Nerves
21. Amputations

Part IV. Regional Wounds and Injuries

22. Craniocerebral Injury
23. Maxillofacial Wounds and Injuries
24. Wounds and Injuries of the Eye
25. Laser Injury of the Eye
26. Wounds and Injuries of the Ear
27. Wounds and Injuries of the Neck
28. Wounds and Injuries of the Chest
29. Wounds of the Abdomen
30. Reoperative Abdominal Surgery
31. Wounds and Injuries of the Genitourinary Tract
32. Wounds and Injuries of the Hand
33. Wounds and Injuries of the Spinal Column and Cord

Appendixes

A. Glossary of Drugs with National Nomenclatures
B. Useful Tables

Illustrations

1. Generic organization of combat casualty care
2. Wound Profile - Vetterli projectile, circa 1870-1890
3. The sonic shock wave and temporary cavity
4. Wound Profile - .45 Automatic
5. Wound Profile - .22 Long Rifle
6. Wound Profile - .38 Special
7. Wound Profile - 7.62 NATO FMC
8. Wound Profile - AK 47
9. Wound Profile - AK 74
10. Wound Profile - 357 Magnum
11. Wound Profile - 7.62 Soft Point
12. Wound Profile - M-16 M-193 round
13. Wound Profile - .224 Soft Point
14. Wound Profile - 12 gauge shotgun, #4 buckshot
15. Rule of nines for use in determining percentage of burns
16. Sites for escharotomy incisions
17. Pressure-Time representation of an air explosion
18. Human tolerance to blast waves
19. Fallout decay with time after detonation
20. Postradiation syndrome dose and time relationships
21. Proposed scheme for mass casualty flow
22. Casualty care decision tree at the division level
23. A technique for cricothyroidotomy
24. Technique of debridement in soft-tissue wounds
25. External fixation of fractures
26. Immobilization of the upper extremity
27. Technique of open circular amputation
28. Self-contained plaster-incorporated traction device
29. Technique for debridement of head wounds
30. Technique of archbar application to maxillary and mandibular teeth
31. Closure by layers of lid lacerations
32. Technique of tracheostomy
33. Control of bleeding from caval and hepatic vein injuries
34. Drainage of the abdomen
35. Single layer technique for closure of small intestine
36. Exteriorization of colon wounds
37. The end colostomy and matured ileostomy
38. Technique of presacral drainage
39. Immobilization of the injured hand and forearm
40. Sensory Dermatomes
41. Cervical Immobilization using a Short Board
42. Spinal Immobilization using a Long Board
43. Two Man Arm Carry
44. Field Expedient Litter
45. Gardner-Wells Tongs

Tables

1. Diagnosis of burn depth
2. Formula for estimating fluid requirements in burn patients
3. Chemical warfare agent classification
4. Time of onset with chemical agents
5. Early signs and symptoms of chemical exposure
6. Estimated fluid and blood requirements
7. Choice, mode of action, spectrum, and dosage of antibiotic agents
8. Anatomical distribution of battle wounds
9. Local anesthetic agents
10. Arterial wound and associated injuries, Vietnam, 1965-1970
11. Classification of craniocerebral injuries
12. Mechanism and pathophysiology of craniocerebral injuries
13. Glasgow Coma Scale
14. Typical lasers and their wavelengths
15. Support of the Spinal Column
16. Assessment of Spinal Cord Injuries
17. Extraction techniques for suspected spinal column injuries
18. Application of Gardner-Wells Cranial tongs

1988
United States Government Printing Office
Washington, D.C.

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

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