Management of War-Related Ballistic Craniocerebral Injuries in a French Role 3 Hospital During the Afghan Campaign

Dagain, Arnaud; Aoun, Olivier; Bordes, Julien; Roqueplo, Cédric; Joubert, Christophe; Esnault, Pierre; Sellier, Aurore; Delmas, Julien; Desse, Nicolas; Fouet, Mathilde; Pernot, Philippe; Renaud, Dulou

doi:10.1016/j.wneu.2017.02.097

Cited by 25 publications

(24 citation statements)

References 22 publications

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“…19 Neurosurgical damage control aims at controlling cerebral bleeding and/or edema-related intracranial hypertension. 9 The first surgical step is decompressive craniectomy. 8,17 Damage control is part of a multidisciplinary approach to maintain and/or restore a satisfying cerebral perfusion pressure without increasing the infection risk.…”

Section: Principlesmentioning

confidence: 99%

“…8,17 Damage control is part of a multidisciplinary approach to maintain and/or restore a satisfying cerebral perfusion pressure without increasing the infection risk. 9 This procedure can be associated with another damage control surgical act. 6,9 Neurosurgical damage control guarantees a medevac as safe as can be expected between the conflict zone and a homeland hospital.…”

Section: Principlesmentioning

confidence: 99%

“…Following the increasing number of head injuries in 2009, neurosurgeons were deployed to Afghanistan at the Kabul International Airport role 3 hospital starting in March 2010. 9,15 French casualties would be treated in role 1 medical outposts and/or directly referred to the Kabul International Airport role 3 hospital. As a consequence, role 2 tactical surgical field hospitals were not deployed.…”

mentioning

confidence: 99%

“…5 Onethird of these patients died during care (killed in action, at the emergency room, or postoperatively). 9 Since 2014, France has been engaged in the war on terrorism in the Sahelo-Saharan band, also called Opération Barkhane in French (Operation Barkhan). A "barchan" or "barkhan" means "a moving crescent-shaped sand dune" in Kazakh.…”

mentioning

confidence: 99%

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Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Dagain

Aoun²,

Sellier

et al. 2018

Neurosurgical Focus

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This article aims to describe the French concept regarding combat casualty neurosurgical care from the theater of operations to a homeland hospital. French military neurosurgeons are not routinely deployed to all combat zones. As a consequence, general surgeons initially treat neurosurgical wounds. The principle of this medical support is based on damage control. It is aimed at controlling intracranial hypertension spikes when neuromonitoring is lacking in resource-limited settings. Neurosurgical damage control permits a medevac that is as safe as can be expected from a conflict zone to a homeland medical treatment facility. French military neurosurgeons can occasionally be deployed within an airborne team to treat a military casualty or to complete a neurosurgical procedure performed by a general surgeon in theaters of operation. All surgeons regardless of their specialty must know neurosurgical damage control. General surgeons must undergo the required training in order for them to perform this neurosurgical technique.

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Section: Principlesmentioning

confidence: 99%

Section: Principlesmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Dagain

Aoun²,

Sellier

et al. 2018

Neurosurgical Focus

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“…Examples include neurosurgery capacity development during military operations in Iraq and Afghanistan. 4,5,11,30 There are likely many more of these efforts that do not make it into the public sphere of academic knowledge.…”

Section: Surgical Camps (Provide Surgery To Those In Need)mentioning

confidence: 99%

Global neurosurgery: innovators, strategies, and the way forward

Haglund

Fuller

2019

Journal of Neurosurgery

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Around the world today, low- and middle-income countries (LMICs) have not benefited from advancements in neurosurgery; most have minimal or even no neurosurgical capacity in their entire country. In this paper, the authors examine in broad strokes the different ways in which individuals, organizations, and universities engage in global neurosurgery to address the global challenges faced in many LMICs. Key strategies include surgical camps, educational programs, training programs, health system strengthening projects, health policy changes/development, and advocacy. Global neurosurgery has begun coalescing with large strides taken to develop a coherent voice for this work. This large-scale collaboration via multilateral, multinational engagement is the only true solution to the issues we face in global neurosurgery. Key players have begun to come together toward this ultimate solution, and the future of global neurosurgery is bright.

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Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury

et al. 2019

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Background Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach. Methods The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries. Results The invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval. Conclusions In this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.

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Management of War-Related Ballistic Craniocerebral Injuries in a French Role 3 Hospital During the Afghan Campaign

Cited by 25 publications

References 22 publications

Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Global neurosurgery: innovators, strategies, and the way forward

Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury

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