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The treatment of war wounds has been an ancient art, constantly refined and adapted to reflect improvements in warfare strategies, weapons technology, transportation and damage control surgical practices. Throughout history, 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 developed systems for rapidly moving the wounded from the battlefield to frontline hospitals. This article reviews the trends in military trauma management including triage, evacuation and field hospital setup in the Armed Forces. MJAFI2010; 66:304-308

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No abstract

Vascular injuries as a part of combat injuries have been recorded since times immemorial. Respo~sible for d~th due to exsanguination, the management of vascular injuries was ligation or amputation till the landmark Vlet~am eJ:pen~ce: The present day lI1BI1Bl!ement has evolved with advances in modern teehnology and ~ay start at the ha~efield WIth ~e applicatton of a tourniquet with the definitive treatment continuing heyond the combat operation theatres. A basic understandmg of both blunt and penetrating vascular injuries will help minimize mortality and morbidity.