Initial Assessment and Resuscitation of the Battlefield Casualty—an Overview

Current Trauma Reports - Tập 6 - Trang 194-206 - 2020
William J. Butler1,2, Jason E. Smith3,4, Matthew D. Tadlock2,5, Matthew J. Martin2,6
11st Medical Battalion, Oceanside, USA
2Uniformed Services University of the Health Sciences, Bethesda, USA
3Derriford Hospital, Plymouth, UK
4Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK
5Naval Medical Center San Diego, San Diego, USA
6Scripps Mercy Hospital, San Diego, USA

Tóm tắt

This review focuses on the recent evolution of the initial resuscitation of combat-injured personnel. It summarizes the recommendations of TCCC and makes recommendations based on literature review and author experience. Over nearly 20 years, the experience in caring for combat casualties in the global war on terror has led to significant changes within military trauma care. Evolution of pre-hospital care, utilization of tourniquets and TXA for hemorrhage control, and use of whole blood as the preferred resuscitative fluid have significantly reduced mortality. Additionally, the collective wisdom of experienced trauma surgeons serves as an invaluable guide for managing setup and flow within the various levels of the military trauma system. This review article highlights recommended practices for the initial resuscitation of personnel injured in combat along with providing proven methods for trauma team preparation and management that can and should be used by any surgeon preparing to deploy.

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