This is the 2014 update to the 2004 version.
Information in this edition reflects lessons learned from
American involvement in Iraq and Afghanistan, and represents
state-of-the-art principles and practices of forward trauma
surgery. This publication is not a first aid manual and is intended
for physicians, physician assistants, and advanced practice medics
and corpsmen involved in providing emergency medical and trauma
care near the battle space. This publication expertly addresses the
appropriate medical management of blast wounds, burns, multiple
penetrating injuries, as well as other battle and non-battle
injuries.
Specific chapters cover the following topics: Weapons Effects
and War Wounds-Treat the wound, not the weapon, explosive injuries,
and ballistics injuries including 5.56mm and 7.62mm.Mass Casualty
and Triage-Triage categories and decision making and emergency
treatment area setup.Airway/Breathing-Initial airway management,
ventilation, intubation, difficult airways, and surgical
crichothyrotomy.Hemorrhage Control-Bleeding control, tourniquets,
pressure points, dressings, bandages, hemostatic agents, and
controlled hypotension.Shock, Resuscitation, and Vascular
Access-Treatment of hypovolemic shock, vascular access, subclavian
vein access, internal jugular venipuncture, saphenous vein cut
downs, and intraosseous infusion.Anesthesia-Indications, rapid
sequence intubation, indications and dosing recommendations for
narcotics and muscle relaxants.Soft Tissue and Open Joint
Injuries-Pre-surgical care, surgical wound management, and wound
care.Infections-Diagnosis of a wound infection, common
microorganisms causing battlefield infections, recommendations to
prevent infections associated with combat related injuries,
antimicrobial agent selection including preferred agents and
alternate agents with appropriate administration and dosing
guidelines.Critical Care-Shock resuscitation, fluid and electrolyte
management, treatment of acute coronary syndrome, congestive heart
failure, unstable angina, and other acute medical conditions.Damage
Control Surgery-Pre-hospital and emergency resuscitation and
critical care.Face and Neck Injuries-Immediate management of face
and neck injuries and facial bone fractures.Ocular
Injuries-Immediate treatment, treatment of chemical injuries,
corneal abrasions, and foreign bodies.Thoracic Injuries-Tension
pneumothorax, hemothorax, open pneumothorax (sucking chest wound),
flail chest, chest tube placement, and emergency
thoracotomy.Gynecologic Trauma and Emergencies-Emergency delivery
and emergency Cesarean section and neonatal resuscitation.Extremity
Fractures-Wound managementBurns-Point of injury care, primary
survey, estimation of fluid resuscitation needs, burn
resuscitation, burn and wound care.Environmental Injuries-Trench
foot and frostbite, field and medical facility treatment,
hypothermia treatment, heat injury and heat stroke, altitude
illness and acute mountain sickness, high altitude pulmonary and
cerebral edema, Radiological Injuries-Treatment of injuries and
illnesses from conventional nuclear weapons and radiological
dispersal devices (dirty bombs.)Biological Warfare
Agents-Hemorrhagic fever, Hanta, Ebola, Lassa, Rift Valley,
botulinum, ricin, anthrax, plague, cholera, and tularemia
treatment.Chemical Injuries-Treatment of nerve agents, vesicants,
and choking agents.Pediatric Care-Fluid, caloric, and protein
requirements for children, normal vital signs, pediatric
resuscitation equipment and supplies, commonly used drugs and
dosages, surgical managementBattlefield TransfusionsEmergency Whole
Blood CollectionProduct Manufacturers
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