Foreward
"All the
circumstances of war surgery thus do violence to civilian concepts of
traumatic surgery. The equality of organizational and professional
management is the first basic difference.
The second is
the time lag introduced by the military necessity of evacuation.
The third is
the necessity for constant movement of the wounded man, and the fourth
— treatment by a number of different surgeons at different places
instead of by a single surgeon in one place — is inherent in the
third.
These are all
undesirable factors, and on the surface they seem to militate against
good surgical care. Indeed, when the over-all circumstances of warfare
are added to them, they appear to make more ideal surgical treatment
impossible.
Yet this was
not true in the war we have just finished fighting, nor need it ever
be true. Short cuts and measures of expediency are frequently
necessary in military surgery, but
compromises
with surgical adequacy are not.”
—Michael E.
DeBakey, MD
Presented at
Massachusetts General Hospital
Boston,
October 1946
Contents
Chapter 1:
Weapons Effects and Parachute Injuries
Chapter 2:
Levels of Medical Care
Chapter 3:
Triage
-
Categories
3.2
-
Special
Categories 3.4
-
Combat
Stress 3.4
-
Triage
Decision Making 3.8
-
Setup,
Staffing, and Operation of Triage System 3.10
Chapter 4:
Aeromedical Evacuation
-
Medical
Considerations/Requirements 4.2
-
Medical
Evacuation Precedences 4.5
-
Phone
Numbers 4.7
-
Critical
Care Air Transport Teams (CCATT) 4.9
Chapter 5:
Airway/Breathing
-
Initial
Management 5.1
-
Orotracheal
Intubation 5.3
-
Rapid
Sequence Intubation (RSI) 5.3
-
Difficult
Airway 5.5
-
Surgical
Cricothyrotomy 5.6
-
Blind
Intubation 5.8
Chapter 6:
Hemorrhage Control
-
Stop the
Bleeding 6.1
-
Tourniquet
6.3
-
Internal
Bleeding 6.5
-
Hemostatic
Agents 6.6
Chapter 7:
Shock and Resuscitation
Chapter 8:
Vascular Access
Chapter 9:
Anesthesia
Chapter 10:
Infections
-
Diagnosis
10.1
-
Common
Microorganisms 10.2
-
Treatment
10.3
-
Empiric
Coverage 10.5
-
Soft Tissue
Infections 10.6
-
Intraabdominal Infections 10.7
-
Pulmonary
Infections 10.7
-
Sepsis 10.8
-
Dosages
10.11
Chapter 11:
Critical Care
-
Damage
Control 11.1
-
Resuscitation From Shock 11.2
-
Traumatic
Brain Injury 11.3
-
Pulmonary
System and Ventilators 11.5
-
Cardiovascular System 11.7
-
Renal System
and Electrolytes 11.9
-
Hematologic
System 11.10
-
Gastrointestinal System and Nutrition 11.10
-
Immune
System and Infections 11.14
-
Endocrine
System 11.14
-
Musculoskeletal System 11.15
-
Preparation
for Evacuation 11.15
Chapter 12:
Damage Control Surgery
Chapter 13:
Face and Neck Injuries
-
Airway 13.1
-
Bleeding
13.2
-
Fracture
Management 13.3
-
Soft Tissue
Injuries 13.9
-
Penetrating
Neck Trauma 13.12
-
Specific
Face and Neck Injuries 13.14
-
Vertebral
Artery 13.15
-
Internal
Carotid Artery 13.15
-
Internal
Jugular Vein 13.15
-
Trachea
13.16
-
Esophagus
13.16
-
Otologic
Injury 13.19
Chapter 14:
Ocular Injuries
-
Triage 14.1
-
Open Globe
14.2
-
Anterior
Segment Injuries 14.3
-
Cornea
Chemical Injuries 14.3
-
Corneal
Abrasions 14.4
-
Corneal
Ulcer and Keratitis 14.5
-
Foreign
Bodies 14.6
-
Hyphema 14.7
-
Retrobulbar
Hemorrhage 14.7
-
Lateral
Canthotomy 14.8
-
Orbital
Floor (Blowout) Fractures 14.9
-
Lid
Lacerations 14.10
-
Laser Eye
Injuries 14.12
-
Enucleation
14.13
Chapter 15:
Head Injuries
Chapter 16:
Thoracic Injuries