The Textbooks of Military Medicine
Emergency War Surgery
3rd Edition
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Foreward
"All the circumstances of war surgery thus do violence to civilian concepts of traumatic surgery. The equality of organizational and professional management is the first basic difference.
The second is the time lag introduced by the military necessity of evacuation.
The third is the necessity for constant movement of the wounded man, and the fourth — treatment by a number of different surgeons at different places instead of by a single surgeon in one place — is inherent in the third.
These are all undesirable factors, and on the surface they seem to militate against good surgical care. Indeed, when the over-all circumstances of warfare are added to them, they appear to make more ideal surgical treatment impossible.
Yet this was not true in the war we have just finished fighting, nor need it ever be true. Short cuts and measures of expediency are frequently necessary in military surgery, but compromises with surgical adequacy are not.”
—Michael E. DeBakey, MD Presented at Massachusetts General Hospital Boston, October 1946
Contents
Chapter 1: Weapons Effects and Parachute Injuries
Chapter 2: Levels of Medical Care
Chapter 3: Triage
Chapter 4: Aeromedical Evacuation
Chapter 5: Airway/Breathing
Chapter 6: Hemorrhage Control
Chapter 7: Shock and Resuscitation
Chapter 8: Vascular Access
Chapter 9: Anesthesia
Chapter 10: Infections
Chapter 11: Critical Care
Chapter 12: Damage Control Surgery
Chapter 13: Face and Neck Injuries
Chapter 14: Ocular Injuries
Chapter 15: Head Injuries
Chapter 16: Thoracic Injuries
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Chapter 17: Abdominal Injuries Indication
for Laparotomy 17.2 Diagnostic
Adjuncts 17.2 Abdominal
Ultrasound 17.3 Diagnostic
Peritoneal Lavage 17.7 CT Scan 17.7 Wound
Exploration 17.8 Stomach
Injuries 17.9 Duodenum
Injuries 17.9 Pancreas
Injuries 17.10 Liver
Injuries 17.11 Spleen
Injuries 17.12 Colon
Injuries 17.12 Rectum
Injuries 17.14
Retroperitoneal Injuries 17.15 Abdominal
Closure 17.16
Chapter 18: Genitourinary
Tract Injuries Renal
Injuries 18.1 Ureteral
Injuries 18.6 Bladder
Injuries 18.9 Urethral
Injuries 18.10 External
Genitalia 18.11 Chapter 19:
Gynecologic Trauma and Emergencies Vulva
Injuries 19.1 Vagina
Injuries 19.2
Uterus/Cervix Injuries 19.3 Emergent
Total Abdominal Hysterectomy
19.4 Adnexa 19.5
Retroperitoneal Hematoma 19.6
Gynecologic/Obstetric Emergencies 19.7 Vaginal
Hemorrhage: Not Pregnant 19.7 Vaginal
Hemorrhage: Pregnancy 19.8 Precipitous
Vaginal Delivery 19.9 Emergency
Cesarean Section 19.11 Neonatal
Resuscitation 19.15 Chapter 20:
Wounds and Injuries of the Spinal Column and Cord
Classification 20.1
Pathophysiology 20.2 Transport
20.4 Cervical
Spine 20.5 Halo
Immobilization 20.6 Thoracic and
Lumbar Spine 20.8 Emergent
Surgery 20.9
Pharmacologic Treatment 20.9 General
Management 20.10 Chapter 21:
Pelvic Injuries Blunt
Injuries 21.1 Penetrating
Injuries 21.3 Chapter 22:
Soft-Tissue Injuries Presurgical
22.1 Wound Care
22.2 Crush
Syndrome 22.6 Compartment
Syndrome 22.9 Fasciotomy
22.10
Chapter 23:
Extremity Fractures Introduction
23.1
Transportation Casts 23.4
Shoulder/Humerus 23.8
Elbow/Forearm 23.8 External
Fixation 23.10 Skeletal
Traction 23.19 Chapter 24:
Open-Joint Injuries Signs 24.1 Treatment
24.2 Joint
Infection 24.5 Hip Wounds
24.5 Shoulder
Wounds 24.8 Chapter 25:
Amputations Indications
25.1 Technique
25.3
Postoperative Management 25.5
Transportation Casts 25.6 Chapter 26:
Injuries to the Hands and Feet Types of
Injuries 26.1 Hand 26.1 Foot 26.5 Chapter 27:
Vascular Injuries Evaluation
and Diagnosis 27.1 Management
27.3 Shunt
Placement 27.6 Compartment
Syndrome 27.8 Chapter 28:
Burns Point of
Injury Care 28.1 Escharotomy
28.3 Estimation
of Fluid Resuscitation 28.4 Rule of
Nines 28.4 Management
28.6 Wound Care
28.7 Extremity
Care, Escharotomy 28.9 Electrical
Injury 28.10 Chemical
Burns 28.11 Grafting:
“How I Do It” 28.12 Chapter 29:
Environmental Injuries Cold Injury
29.1 Hypothermia
29.7 Heat Injury
29.11 Altitude
Illness 29.22 Chapter 30:
Radiological Injuries Introduction
30.1 Triage 30.2
Decontamination 30.6 Chapter 31:
Biological Warfare Detection,
Diagnosis 31.1
Decontamination 31.2 Evacuation
Precautions 31.3 Bacterial
Agents 31.5 Viral Agents
31.5 Toxins 31.6 Chapter 32:
Chemical Injuries Protection
32.1 Nerve Agents
32.2 Vesicants
32.3 Cyanogens
32.4 Surgical
Treatment 32.6
Chapter 33:
Pediatric care Anatomic and
Physiologic
Considerations 33.1 Pulmonary
33.2
Cardiovascular 33.2 Burns 33.3
Gastrointestinal 33.3 Hematology
33.4 Renal 33.4 Modified
Glasgow Coma Scale 33.5 Rapid
Sequence Intubation 33.6 Equipment,
Age and Weight Matched
Sizes 33.7 Commonly
Used Drugs 33.7 Surgical
Management 33.8 Chapter 34:
Care of Enemy Prisoners of War/Internees UN and
Geneva Convention 34.1 What
Healthcare Providers Should Do 34.2 What
Healthcare Providers Should Not Do 34.3 Recusal 34.3 Planning
34.6 Medical
Photography 34.9 Security
34.10
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