The First Aid and Hospital Treatment of Gunshot and Blast Injuries

Franke, Axel; Bieler, Dan; Friemert, Benedikt; Schwab, Robert; Kollig, E.; Güsgen, Christoph

doi:10.3238/arztebl.2017.0237

Cited by 38 publications

(24 citation statements)

References 55 publications

(27 reference statements)

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“…According to the AIS and ISS score, most of the peacekeepers suffered minor injuries. Some papers found people taking protective measures that had a lower risk of serious injury 13–16. Masses of minor injuries may be associated with the compulsory use of helmets, shrapnel protection jackets and armoured vehicles for peacekeepers who carried out a task outside.…”

Section: Discussionmentioning

confidence: 99%

Peacekeepers suffered combat-related injuries in Mali: a retrospective, descriptive study

et al. 2018

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PurposeTo describe the combat-related injuries cured by Chinese Level 2 medical treatment facility (CHN L2) in Mali from 1 March 2016 to 1 March 2018, including type of weapon, mortality, nature of injuries, degree and location of injuries and surgical procedures.Methods A retrospective, descriptive study of 176 injured cases that met the terrorist attacks was conducted. The medical data were collected by an electronic database system. All collected data were entered into an Excel spreadsheet for calculation.ResultsWe found that improvised explosive devices (114/176, 65%) were the most commonly used weapons of attack in Mali. 68.75% of the injuries (121/176) were classified as 'minor injuries according to Abbreviated Injury Scale score. As one patient may suffer multiple injuries, each location and nature of injuries was counted separately. Surface injuries were the top (116/197, 58.88%), followed by orthopaedic injuries (52/197, 26.39%) and internal injuries (29/197, 14.72%). The extremities were the most frequently injured body parts (144/197, 73.09%). We operated 175 surgeries to deal with the 176 combat-related injuries, which accounted for 40.05% of all 437 surgeries. The surgical debridement to remove fragments of explosive was the most frequently performed surgery. We also admitted 20 cases (18/176, 34%) into intensive care unit and transferred 40 cases to Level 3 medical facility.Conclusion Peacekeepers taking protective measures for head and trunk frequently got surface injuries. And their unprotected extremities often got injured. The fragment removal was the top surgery and the damage control surgery was the highly technical nature surgery we performed. Chinese military should offer advanced surgical training course to military surgeons who carry out overseas operations.

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Section: Discussionmentioning

confidence: 99%

Peacekeepers suffered combat-related injuries in Mali: a retrospective, descriptive study

et al. 2018

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“…Prehospital care can be provided by a team of rescuers who are aware of the rules in this area or by a medical team that is trained in this task. Jakubowski et al [6–8], in these studies, enact the chain of care. Although we saved the child, adequate prehospital management was lacking in our patient, admitted to the hospital in a nonmedical vehicle.…”

Section: Discussionmentioning

confidence: 99%

Historical Case of Cervical Penetrating Wound: From First Aid to Surgical Intervention

Issa¹,

Amadou²,

Siaka³

et al. 2017

Case Reports in Otolaryngology

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Objective We report a case of cervical penetrating wound by posing the problem of its support and by analyzing the chain of survival of a patient to human sacrifice. Case Report It was an 11-year-old boy admitted to the hosting service of cervical penetrating wound emergency occurring in a context of human sacrifice by weapon (knife). On admission, the conscious patient had a left cervical hematoma at the level of the cervical zone II and severe signs of acute anemia. The exploratory cervicotomy, carried out 12 hours after the trauma under transfusion, allowed us to highlight a section of the front edge of the sternocleidomastoid and previous jugular muscles under hyoid. We noted the presence of a linear wound of 1 cm at the level of the left internal jugular vein. The wound of the internal jugular vein has been repaired with the Prolene 4.O. The outcome was good, allowing the exit 10 days after cervicotomy. Conclusion The causal circumstances of cervical penetrating wounds are diverse. Their importance or their severity depends on the causative circumstances dominated by aggression and attempts to autolysis. Human sacrifice, with use of the weapon, is an exceptional circumstance.

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“…Erreichbaren führen. So können die äußeren Bedingungen des Terroranschlags eine ansonsten schnellstmögliche Rückkehr zur Individualmedizin im MANV verzögern und andere Priorisierungen erfordern [5].…”

Section: Besonderheit Terroranschlagtraumaunclassified