A Golden Opportunity

Furste, Wesley

doi:10.1097/00005373-199806000-00033

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Cases of tetanus decreased from nine per 1000 wounded in September 1914 to 1.4 per 1000 wounded by December 1914 [46]. By the end of World War II, the toxin and its administration were improved to a point that of more than 2.7 million hospital admissions for patients with wounds, only a dozen cases of tetanus were reported [88].…”

Section: Infection and Antibioticsmentioning

confidence: 99%

Treatment of War Wounds: A Historical Review

Manring

Hawk

Calhoun

et al. 2009

Clinical Orthopaedics &Amp; Related Research

144

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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: Infection and Antibioticsmentioning

confidence: 99%

Treatment of War Wounds: A Historical Review

Manring

Hawk

Calhoun

et al. 2009

Clinical Orthopaedics &Amp; Related Research

144

View full text Add to dashboard Cite

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“…In WW I wounds were irrigated with Carrel and Dakin's solution, this however fell into disfavour after the war. The equine anti-tetanus toxin discovered in 1890 was distributed in large scale by 1914 decreasing the cases of tetanus [27]. In WW II sulpha powder was initially used in wounds but fell out of practice by 1944.…”

Section: Infection and Antibioticsmentioning

confidence: 99%

Warfare Injuries: History, Triage, Transport and Field Hospital Setup in the Armed Forces

Katoch

Rajagopalan

2010

Medical Journal Armed Forces India

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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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“…During the First World War rates fell from 9 cases per 1000 in 1914 to 1.4 cases per 1000 by 1918. In World War 2 there were only 12 cases in 2,734,819 hospital admissions [4].…”

Section: Historical Evolution Of War Wound Bacteriologymentioning

confidence: 99%

Infection in Wounds of Conflict – Old Lessons and New Challenges

Hutley

Green²

2009

J R Army Med Corps

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Infection is an important consideration in war wounds. Improvements in survival and use of increasingly broad-spectrum antibiotics have led to new challenges with novel pathogens and conventional pathogens with multiple drug resistance patterns.. learnt in conflicts centuries ago. The cornerstone remains early, appropriate and repeated surgery. Antimicrobial agents contribute a very minor part to overall patient outcome, but prudent use of antibiotics and good infection control is essential to prevent establishment and spread of hospital-acquired infections. Research in progress will provide an evidence base for antibiotic and infection control policies and baseline data for research into novel wound management strategies.

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A Golden Opportunity

Cited by 5 publications

References 6 publications

Treatment of War Wounds: A Historical Review

Treatment of War Wounds: A Historical Review

Warfare Injuries: History, Triage, Transport and Field Hospital Setup in the Armed Forces

Infection in Wounds of Conflict – Old Lessons and New Challenges

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