Emergency War Surgery NATO Handbook: Part III: General Considerations of Wound
Management: Chapter XV: Anesthesia and Analgesia
Mass Casualty Management
United States Department of Defense
Anesthesia personnel should prepare for mass casualty situations by becoming involved
in the planning for such functions as staffing, organization, and logistical support for
the triage/preoperative area. Attention to details such as adequate electrical and oxygen
outlets, suction devices, emergency airways, and supplies of intravenous fluids is
mandatory. When the initial influx of patients begins, anesthetists may assist in fluid
resuscitation, airway management, ventilatory support, and other critical measures. Once
these procedures are in progress, they must usually dedicate themselves to their areas of
primary responsibility, the operating and recovery rooms.
The anesthesiologist must serve as a continuous resource and consultant to assure safe
pre-, intra-, and postoperative care. A theater consultant in anesthesiology with on-site
knowledge of patient care, who is informed by periodic reports specifically related to
anesthesia problems, will make valuable contributions to the quality of care given.
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Operational Medicine 2001
Health Care in Military Settings
Bureau of Medicine and Surgery
Department of the Navy
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Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
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