Extremity and Orthopaedic Injuries

Vk, Sinha; Anand, Sunil

doi:10.1016/s0377-1237(10)80014-0

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…A PTU is basically a 'stretcher-trolley' combination where 'patient management can be sustained for 8 hrs at a stretch tethered to various lifesaving equipment thus making most of the Golden Hour [19] .…”

Section: (H)patient Transfer Unitmentioning

confidence: 99%

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Overview of Management of Combat Casualties in Mountains: Challenges and Improvements

2022

JCBSC

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Combat casualties are those casualties which are due to either direct enemy action or those sustained due to any combat related mission. The grading of the casualty varies from mild to serious to life threatening. The damage gets compounded due to the prevailing conditions and field conditions which make timely evacuation difficult. Management of casualties has to be done maintaining the Golden Hour which becomes challenging due to varied factors ranging from terrain to Op logistics. Especially in mountains where the weather and evacuation channels play a major role. Due to the changing management protocols and rapid advancement in technology, the scenario of managing combat casualties has vastly improved. However, the scope of the present article will be restricted to combat casualty management in mountainous terrain. Recommendations are made for improved modes of casualty care and evacuation. A comprehensive search of the relevant literature was done from major scientific database. Assessment of relevant articles was done and compilation was carried out. Articles were studied from Medline, Google Scholar and Cochrane Library. Online consultation was done with various agencies dealing with casualty care especially in mountainous terrain. Modern Combat casualty evacuation has become immediate and efficient. The ultimate goal of combat care is return of the greatest possible number of soldiers to combat and preservation of life and limb. This with the added change in battle scenario of conventional war which will be fought under nuclear umbrella. Timely administration of medical care by adequately trained personnel and well-equipped medical echelons will go long way in reducing mortality rate.The last few decades Overview of … Brig Poninder and Col Satish.

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Section: (H)patient Transfer Unitmentioning

confidence: 99%

“…This should include feedback from the battlefield and data from clinical research. That would require augmentation of the medical setup to keep in consonance with the casualties [16][17][18][19][20] .…”

Section: (K) Communicationmentioning

confidence: 99%

Overview of Management of Combat Casualties in Mountains: Challenges and Improvements

2022

JCBSC

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A guideline to efficiently treating traumatic brachial artery injury

Steinke¹,

Grosel²

2013

Journal of the American Academy of Physician Assistants

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Antibiotic Prophylaxis in the Management of Open Fractures

Chang¹,

Bhandari²,

Zhu³

et al. 2019

JBJS Rev

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Background: Evidence with regard to antibiotic prophylaxis for patients with open fractures of the extremities is limited. We therefore conducted a systematic survey addressing current practice and recommendations. Methods: We included publications from January 2007 to June 2017. We searched Embase, MEDLINE, CINAHL, the Cochrane Central Registry of Controlled Trials (CENTRAL), and the Cochrane Database of Systematic Reviews for clinical studies and surveys of surgeons; WorldCat for textbooks; and web sites for guidelines and institutional protocols. Results: We identified 223 eligible publications that reported 100 clinical practice patterns and 276 recommendations with regard to systemic antibiotic administration, and 3 recommendations regarding local antibiotic administration alone. Most publications of clinical practice patterns used regimens with both gram-positive and gram-negative coverage and continued the administration for 2 to 3 days. Most publications recommended prophylactic systemic antibiotics. Most recommendations suggested gram-positive coverage for less severe injuries and administration duration of 3 days or less. For more severe injuries, most recommendations suggested broad antimicrobial coverage continued for 2 to 3 days. Most publications reported intravenous administration of antibiotics immediately. Conclusions: Current practice and recommendations strongly support early systemic antibiotic prophylaxis for patients with open fractures of the extremities. Differences in antibiotic regimens, doses, and durations of administration remain in both practice and recommendations. Consensus with regard to optimal practice will likely require well-designed randomized controlled trials. Clinical Relevance: The current survey of literature systematically provides surgeons’ practice and the available expert recommendations from 2007 to 2017 on the use of prophylactic antibiotics in the management of open fractures of extremities.

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Extremity and Orthopaedic Injuries

Cited by 3 publications

References 21 publications

Overview of Management of Combat Casualties in Mountains: Challenges and Improvements

Overview of Management of Combat Casualties in Mountains: Challenges and Improvements

A guideline to efficiently treating traumatic brachial artery injury

Antibiotic Prophylaxis in the Management of Open Fractures

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