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Medical Education Division |
Operational Medicine 2001
Emergency War Surgery
Second United States Revision of The Emergency War Surgery NATO
Handbook
United States Department of Defense
Emergency War Surgery
Second United States Revision of The Emergency War Surgery NATO Handbook
United States Department of Defense
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Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter XXVIII: Wounds and Injuries of the Chest Anatomical and Physiological PathologyUnited States Department of Defense Shock and hypoxia, the pathophysiological derangements by which chest trauma kills, result from decreased venous return or inadequate alveolar gas exchange. Decreased venous return is usually a manifestation of exsanguination, thus the paramount importance of controlling bleeding. Inadequate alveolar gas exchange can result from such factors as loss of the usual negative intrapleural pressure, leading to collapse of the lung, and obstruction of the smaller air passages by secretions or blood. The therapeutic goal is to restore normal physiology and thereby to restore cardiac and pulmonary function. Thus is true not only in the immediate post-injury phase, but also later in the course when the surgeon is faced by such chronic complications as trapped lung or the need to reconstruct the chest wall. Salient aspects of common battlefield thoracic problems are considered below.
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
This web version is provided by The Brookside Associates Medical Education Division. It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. |