Some Forgotten Contributions of Naval Surgeons

Watt, J. C.

doi:10.1177/014107688507800911

Cited by 6 publications

(3 citation statements)

References 22 publications

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“…This led to the introduction of training for "steady men" in the practical application of direct pressure and use of tourniquets. 5 The use of this system and the development of triage by Wilson in 1827 may have done much to reduce early mortality in casualties faced by ships surgeons at the time. 6 Lancelot Haire recognized that leaving sutures long following vessel ligation, as was the practice of the time, increased the risk of infective complications, and he advocated cutting sutures short.…”

Section: Historical Advances In Vascular Trauma Management From the Umentioning

confidence: 99%

Vascular Injury in the United Kingdom

Stannard¹,

Brohi²,

Tai³

2011

Perspectives in Vascular Surgery and Endovascular Therapy

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Surgeons working within the United Kingdom's National Health Service have an established history of clinical innovation, research, and development in the field of vascular surgery but lack a unified trauma system to deliver optimal care for patients with vascular injury. The low incidence of vascular trauma, combined with lack of regional trauma systems, works against optimal delivery of care to the polytrauma patient. Providing care, robust data capture, and opportunities for training and education in vascular injury lag behind other elective domains of vascular practice. The challenge is to define ideal care pathways, referral networks, and standards of practice and to integrate the care of such patients. In 2010, a trauma system for London was introduced; it has provided vascular surgeons with a unique opportunity to study and advance the care of patients with vascular injury. This article discusses developing trauma network issues, particularly the organization and evolution of vascular trauma services in the United Kingdom.

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Section: Historical Advances In Vascular Trauma Management From the Umentioning

confidence: 99%

Vascular Injury in the United Kingdom

Stannard¹,

Brohi²,

Tai³

2011

Perspectives in Vascular Surgery and Endovascular Therapy

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“…In addition, based on injury pattern recognition, the Royal Navy introduced anti-flash clothing or "flash gear" consisting of flame-resistant hoods and gloves to be worn during high-risk naval operations (Figure 1). By World War II (WWII), the use of clothing to protect from thermal injury was standard practice [5,6,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

War at Sea: Burn Care Challenges—Past, Present and Future

Tadlock,

Edson,

Cancio

et al. 2023

EBJ

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Throughout history, seafarers have been exposed to potential thermal injuries during naval warfare; however, injury prevention, including advances in personal protective equipment, has saved lives. Thankfully, burn injuries have decreased over time, which has resulted in a significant clinical skills gap. Ships with only Role 1 (no surgical capability) assets have worse outcomes after burn injury compared to those with Role 2 (surgical capability) assets. To prepare for future burn care challenges during a war at sea, Military Medicine must re-learn the lessons of World War I and World War II. Burn injuries do not occur in isolation during war and are associated with concomitant traumatic injuries. To care for burn casualties at sea, there is an urgent need to increase the availability of whole blood and dried plasma, resuscitation fluids that were ubiquitous throughout the naval force during World War II for both hemorrhagic and burn shock resuscitation. Furthermore, those providing trauma care at sea require formal burn care training and skills sustainment experiences in the clinical management of Burn, Trauma, and Critical Care patients. While burn education, training, and experience must be improved, modern high-energy weapons systems and anti-ship ballistic missiles necessitate concurrent investments in prevention, countermeasures, and personal protective equipment to decrease the likelihood of burn injury and damage resulting from these attacks.

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“…Scurvy rapidly ceased to appear in sick returns and was eradicated from sickness reports by 1825. His life was dedicated to improving health and the delivery of healthcare and his impact on the health of the Royal Navy (RN) and beyond is still felt today 1. He is widely regarded as an occupational health pioneer and the father of naval medical science.…”

Section: Introductionmentioning

confidence: 99%

Sir Gilbert Blane: the father of naval medical science

Shirley¹

2013

J R Army Med Corps

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Some Forgotten Contributions of Naval Surgeons

Cited by 6 publications

References 22 publications

Vascular Injury in the United Kingdom

Vascular Injury in the United Kingdom

War at Sea: Burn Care Challenges—Past, Present and Future

Sir Gilbert Blane: the father of naval medical science

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