Emergency War Surgery NATO Handbook: Part III: General Considerations of Wound
Management: Chapter XIX: Wounds and Injuries of Bones and Joints
Management by Field Medical Personnel
United States Department of Defense
The combat medic's main objective in the initial management of the casualty is to do no
further harm and to evacuate the patient rapidly to a definitive treatment center. Wounds
are covered with sterile dressings and hemorrhage is controlled by local compression.
Rarely, a tourniquet may be necessary but normally should be avoided. If used, the
tourniquet should not be released before arrival at a definitive surgical facility.
Extremities with fractures should be gently aligned and splinted; no attempt should be
made to reduce these injuries. Fluid replacement should be initiated.
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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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