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Vascular Repair in Wartime Casualties.
J Spec Oper Med
October 2024
F. Edward Hebert School of Medicine at the Uniformed Services University, Bethesda, MD.
In the third installment of the "Lest We Forget" series, the authors discuss a critical advance-vascular repair, pioneered by Dr. Carl Hughes-in the care of the war-wounded during the Korean War. This article reviews the management of large vessel injuries in wartime, the challenges and advances in military medicine during the Korean War, and the application of these lessons to current practices.
View Article and Find Full Text PDFSurgical removal of the largest transgastric migrated gossypiboma: A case report.
Medicine (Baltimore)
August 2024
Department of General Surgery, Faculty of Medicine, Aleppo University Hospital, Aleppo, Syria.
Article Synopsis
- Gossypiboma refers to the accidental retention of surgical gauze after operations, with a rare case of a 90 cm x 90 cm towel migrating into the gastric cavity being reported in this paper.* -
- A 33-year-old woman experienced recurrent epigastric pain after a cholecystectomy performed 11 years prior, leading to the discovery of a foreign body in her stomach, initially misdiagnosed as malignancy or bezoar.* -
- The successful removal of the retained surgical towel through open surgery highlighted the importance of early detection and meticulous sponge counting to prevent serious complications from gossypiboma.*
The Israeli Trauma system during wartime - policy and management.
Isr J Health Policy Res
July 2024
Department of Health System Management, School of Health Sciences, Ariel University, Ariel, Israel.
On October 7, 2023, Hamas terrorists attacked people in their homes, fields, and at a music festival in Israeli communities near the border with Gaza. More than 1,145 men, women, and children were killed, about 1,800 wounded were evacuated to hospitals in the country, and 253 infants, children, women, elderly, and men were abducted. This mass casualty incident (MCI) was the start of a war that is still ongoing.
View Article and Find Full Text PDFThe thin red line: Blood planning factors and the enduring need for a robust military blood system to support combat operations.
J Trauma Acute Care Surg
August 2024
From the Joint Trauma System (J.M.G., J.-M.V.G., J.D.S.), Defense Health Agency, Joint Base San Antonio-Fort, Sam Houston; US Army Institute of Surgical Research (J.M.G., A.P.C.), Fort Sam Houston, San Antonio, Texas; Department of Surgery, Trauma and Acute Care University of Alabama Medical Center (J.B.H.), Birmingham, Alabama; The Geneva Foundation at U.S. Army Institute of Surgical Research (A.M.S.), 3698 Chambers Pass, Joint Base San Antonio-Fort Sam Houston, Texas; Department of Surgery (M.D.T.), Naval Medical Center, San Diego; 1st Medical Battalion (M.D.T.), 1st Marine Logistics Group, Camp Pendleton, California; Director of Combat Casualty Care Research Program (T.M.P.), Medical Research and Development Command, Ft. Deetrick, MD; Armed Service Blood Program (C.D., M.A.S., L.E.R.), Falls Church, Virginia; Medical Capability Development Integration Directorate (J.B.C.), JBSA Fort Sam Houston, Texas; Donald D. Trunkey Center for Civilian and Combat Casualty Care (M.A.S.), Oregon Health & Science University, Portland, Oregon; Trauma and Acute Care Surgery, Faculty of Medicine (A.B.), St. Michael's Hospital, University of Toronto, Toronto; Canadian Forces Health Services (A.B.), Ottawa, Ontario, Canada; Defense Health Agency (S.A.S.), US Air Force Academy (S.A.S.), Colorado Springs, Colorado; and Department of Surgery (M.J.M.), Keck School of Medicine, University of Southern California, Los Angelos, California.
Battlefield lessons learned are forgotten; the current name for this is the Walker Dip. Blood transfusion and the need for a Department of Defense Blood Program are lessons that have cycled through being learned during wartime, forgotten, and then relearned during the next war. The military will always need a blood program to support combat and contingency operations.
View Article and Find Full Text PDFWartime penetrating skull base trauma with unpredictable internal fragment ricochet and migration: illustrative case.
J Neurosurg Case Lessons
July 2024
Endovascular Center, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine.
Background: Transnasal transsphenoidal penetrating craniocerebral injury is very rare even in wartime. Cases with good outcomes are even less common.
Observations: A 20-year-old male sustained multiple fragment wounds to his head and face from a landmine explosion.
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