International Aeromedical Evacuation

Teichman, Peter G.; Donchin, Yoel; Kot, Raphael J.

doi:10.1056/nejmra063651

Cited by 77 publications

(41 citation statements)

References 34 publications

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“…These include collection and proper use of cultures, administration of antibiotics within 3 hours of injury, a goal of initial evaluation by a surgeon within 6 hours of injury, use of cefazolin in most cases of extremity injury, use of lowpressure lavage, termination of perioperative antibiotics within 24 to 72 hours after surgery, and guidelines for external and internal fixation. Other priorities for research include the optimal timing for débridement and stabilization, complications that may arise from lengthy air transport, such as hypoxia and anatomic trapped gas that expands at higher altitudes [9,134], management of segmental bone defects, and multidisciplinary guidelines for treatment of amputees [111].…”

Section: Discussionmentioning

confidence: 99%

Treatment of War Wounds: A Historical Review

Manring

Hawk

Calhoun

et al. 2009

Clinical Orthopaedics &Amp; Related Research

142

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The treatment of war wounds is an ancient art, constantly refined to reflect improvements in weapons technology, transportation, antiseptic practices, and surgical techniques. Throughout most of the history of warfare, more soldiers died from disease than combat wounds, and misconceptions regarding the best timing and mode of treatment for injuries often resulted in more harm than good. Since the 19th century, mortality from war wounds steadily decreased as surgeons on all sides of conflicts developed systems for rapidly moving the wounded from the battlefield to frontline hospitals where surgical care is delivered. We review the most important trends in US and Western military trauma management over two centuries, including the shift from primary to delayed closure in wound management, refinement of amputation techniques, advances in evacuation philosophy and technology, the development of antiseptic practices, and the use of antibiotics. We also discuss how the lessons of history are reflected in contemporary US practices in Iraq and Afghanistan.

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Section: Discussionmentioning

confidence: 99%

Treatment of War Wounds: A Historical Review

Manring

Hawk

Calhoun

et al. 2009

Clinical Orthopaedics &Amp; Related Research

142

View full text Add to dashboard Cite

show abstract

“…This step is common to all patient transfers whether within a hospital for a procedure or for a transoceanic flight. A recent re-view discussed this step in detail and provided a sample preflight checklist (15). It is easier and safer to perform needed procedures on the ground preflight than within the cabin of an aircraft in flight.…”

Section: Critical Care Air Transport Team Operationsmentioning

confidence: 99%

The critical care air transport program

Beninati

Meyer

Carter

2008

Critical Care Medicine

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“…Compared with ground evacuation, the patients ' survival rate obviously increased with AE ( 11 ). However, AE after the Yushu earthquake was signifi cantly different from generally recognized international aeromedical evacuation ( 16 ). This was mainly because many factors that contribute to improving the prognosis of patients did not exist in our AE, including experienced AE teams, improved equipment, and transport-related processes.…”

Section: Discussionmentioning

confidence: 76%

“…I T IS WELL ACCEPTED that when the needs of injured or ill patients exceed what local clinics and hospitals can provide, urgent evacuation by air to the nearest city with a well-equipped critical care facility becomes the key to preserving function and saving lives ( 16 ). In the earthquake in Soviet Armenia in 1988 and the earthquake in Kobe, Japan, in 1995, military aircraft and helicopters were used to evacuate the injured ( 13 ).…”

mentioning

confidence: 99%