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

Katoch, R; Rajagopalan, S

doi:10.1016/s0377-1237(10)80003-6

Cited by 50 publications

(3 citation statements)

References 20 publications

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“…At the same time, this may not be completely out of step when placed in the context of the development of the practice of triage. The originating context of triage is one of the military medical practices, and the originating use of the term has been traced back to Dominique Jean Larrey, who was a prominent figure in the armed forces of Napoleon (Baker & Strosberg, 1992, p. 103; also see Childress, 1983, p. 548; Edwards, 2009, p. 1515; Frykberg, 2005, p. 272; Gross, 2006, p. 18; Iserson & Moskop, 2007, p. 277; Katoch & Rajagopalan, 2010, p. 304). Larrey's practice of triage was focused on providing priority of treatment to those soldiers who had the most pressing medical need due to their injuries sustained on the battlefield (Iserson & Moskop, 2007, p. 277).…”

Section: Principle Of Salvagementioning

confidence: 99%

The principle of salvage in the context of COVID‐19

Kearns

2020

Nursing Inquiry

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The prioritisation of scarce resources has a particular urgency within the context of the COVID‐19 pandemic crisis. This paper sets out a hypothetical case of Patient X (who is a nurse) and Patient Y (who is a non‐health care worker). They are both in need of a ventilator due to COVID‐19 with the same clinical situation and expected outcomes. However, there is only one ventilator available. In addressing the question of who should get priority, the proposal is made that the answer may lie in how the pandemic is metaphorically described using military terms. If nursing is understood to take place at the ‘frontline’ in the ‘battle’ against COVID‐19, a principle of military medical ethics—namely the principle of salvage—can offer guidance on how to prioritise access to a life‐saving resource in such a situation. This principle of salvage purports a moral direction to return wounded soldiers back to duty on the battlefield. Applying this principle to the hypothetical case, this paper proposes that Patient X (who is a nurse) should get priority of access to the ventilator so that he/she can return to the ‘frontline’ in the fight against COVID‐19.

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Section: Principle Of Salvagementioning

confidence: 99%

The principle of salvage in the context of COVID‐19

Kearns

2020

Nursing Inquiry

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“…In case of a battle casualty or a disaster, a patient is first moved to the primary care facility that is a Field Hospital and primary care is given. If the patient is critically ill, or needs ICU support, he/she has to be transported to the Core Level Hospital [6] . Transportation by air is fastest and with the availability of critical care air transport team it gets proficient.…”

Section: An Overview Of Hospital Setup In Armed Forcesmentioning

confidence: 99%

Critical care air transport: Experiences of a decade

Vijai¹,

Ravi²,

Pathania³

2018

J. Med. Res.

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Advances in critical care medicine in recent times has led to favourable outcomes of critical patients, although at a high cost. Military operations along with natural or manmade disasters are two scenarios where critical patients are left in austere environment. Providing advanced ICU facilities in the austere environment may not prove to be economical or sustainable, hence the need arose for mobile ICU or the CCAT for immediate air transport of critical patients to advanced ICU centres. Firstly, by doing this the critical patient is not denied the best available post resuscitation care and secondly the burden on medical resources at the periphery is reduced and they can concentrate on managing the less critical patients. Aeromedical transport has its own challenges and constraints. This requires proper planning and prior training of the CCAT. Although optimal strategy are not formulated, endeavour is to integrate initial resuscitation of critical causalities at the peripheral medical set up with optimal post resuscitation care at advanced ICUs. Critical care air transport has evolved considerably over the past one decade since its inception in the IAF. The current paper can be useful in getting an overview of this new field. Meanwhile, the reader also gets to know the basic aspects to keep in mind, the technical details and important considerations before carrying out such missions.

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“…That reason forced the development of synthetic solutions over research on natural solutions. In the next 20 years, more than 25 antibiotics were discovered, and they dominated for the next decades [ 6 , 7 ]. Figure 1 shows the timeline and development of antibiotics in comparison to natural solutions.…”

Section: Introductionmentioning

confidence: 99%

In Vitro Evaluation of Antimicrobial Effect of Phytobiotics Mixture on Salmonella spp. Isolated from Chicken Broiler

Iwiński

Wódz²,

Chodkowska³

et al. 2022

Antibiotics

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Background: The identification of natural antibacterial agents from various sources that can act effectively against disease-causing foodborne bacteria is one of the major concerns throughout the world. In the present study, a unique phytobiotics mixture containing thymol, menthol, linalool, trans-anethole, methyl salicylate, 1,8-cineole, and p-cymene was evaluated for antibacterial activity against selected strains of Salmonella spp. Results: The phytobiotics mixture was effective against Salmonella enterica subsp. enterica serovars Enteritidis, Typhimurium, and Kentucky. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) values of this unique mixture for these three pathogens were 1:256. Among these three strains, one S. Kentucky presented the most extensive resistance profiles to 18 antibiotics belonging to 5 classes of antibiotics. One of S. Typhimurium presents extensive resistance profiles to 14 antibiotics belonging to 5 classes of antibiotics. Conclusions: The results suggest that the phytobiotics mixture used in the experiment can be used as a strong natural antibacterial agent against Gram-negative foodborne pathogens such as S. Typhimurium, S. Kentucky, and S. Enteritidis. This is a preliminary analysis of the effectiveness of a phytobiotic product in an in vitro model, which may be the starting point for further studies, including in vivo animal models.

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

Cited by 50 publications

References 20 publications

The principle of salvage in the context of COVID‐19

The principle of salvage in the context of COVID‐19

Critical care air transport: Experiences of a decade

In Vitro Evaluation of Antimicrobial Effect of Phytobiotics Mixture on Salmonella spp. Isolated from Chicken Broiler

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