By Thomas E. Bowen
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Additional resources for Emergency War Surgery
Uncontrolled bleeding. ♦ Shock. ◊ Systolic BP < 90 mm Hg. ◊ Decreased mental status without head injury. ♦ Unstable penetrating or blunt injuries of the trunk, neck, head, and pelvis. ♦ Threatened loss of limb or eyesight. ♦ Multiple long-bone fractures. Nonemergent: This category was historically divided between Delayed (would require intervention, however, could stand significant delay) and Minimal. This is the group of patients that, although injured and may require surgery, does not require the attention of the emergent group and lacks significant potential for loss of life, limb, or eyesight.
10 Levels of Medical Care National Disaster Medical System, patients overflowing DoD and DVA hospitals will be cared for in designated civilian hospitals. 12 Triage Chapter 3 Triage Introduction Modern combat casualty evacuation has become so immediate and efficient that it can result in a mass casualty situation at military treatment facilities (MTFs) within the military medical care system. Consequently, a method of dealing with the conflicting factors of severity of injury, the tactical situation, the mission, and the resources available for treatment and evacuation is essential.
Unless a projectile hits an intermediate target, the amount of yaw in flight is insignificant. This is untrue and has no bearing on surgical care. Exit wounds are always greater than entrance wounds. Full metal-jacketed bullets do not fragment, except in unusual circumstances. All projectile tracts must be fully explored, due to the effects of the temporary cavity. The M-193 bullet of the M-16A1 rifle reliably fragments at the level of the cannulure after traversing about 12 cm of tissue in soft tissue only.
Emergency War Surgery by Thomas E. Bowen