TY  - CHAP
M1  - Book, Section
TI  - Modern Combat Casualty Care
A1  - Van, Philbert Y.
A1  - Gurney, Jennifer M.
A1  - Schreiber, Martin A.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
Y1  - 2020
N1  - 
T2  - Trauma, 9e
AB  - KEY  POINTSThe  Joint  Trauma  System  (JTS)  has  been  identified  by  Congress  in  the  National  Defense  Authorization  Act  for  Fiscal  Year  2017  as  the  reference  body  for  trauma  care  in  the  Department  of  Defense.Died  of  wounds  is  the  term  used  for  mortality  of  casualties  who  arrive  at  a  medical  treatment  facility  alive  and  succumb  to  their  injuries.The  case  fatality  rate  historically  has  trended  with  percent  killed  in  action.The  transition  from  gunshot  wounds  to  blast  injuries  such  as  from  the  improvised  explosive  devices  used  in  Iraq  and  Afghanistan  has  been  in  evolution  since  the  US  Civil  War.Almost  90%  of  combat  casualties  who  succumb  to  their  wounds  do  so  before  they  arrive  at  a  medical  treatment  facility.Combat  units  that  have  trained  all  of  their  unit  members,  not  just  medics,  in  tactical  combat  casualty  care  have  achieved  the  lowest  incidence  of  preventable  death  on  the  battlefield  in  the  history  of  modern  warfare.In  military  roles  of  care,  role  2  is  the  first  level  of  care  that  has  surgical  capability,  such  as  the  forward  surgical  teams  used  by  the  US  Army  in  the  recent  conflicts.A  Critical  Care  Air  Transport  Team  refers  to  the  augmented  aeromedical  evacuation-type  platform  with  specific  capabilities  for  intensive  care  unit  care.For  transfusion  of  whole  blood  to  military  casualties,  only  group  O  whole  blood  donors  with  low  titers  of  anti-A  and  anti-B  antibodies  are  used.Kaolin-based  dressings  like  Combat  Gauze  work  by  accelerating  clotting  pathways.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175135866
ER  -