Prehospital Lessons From the War in Ukraine: Damage Control Resuscitation and Surgery Experiences From Point of Injury to Role 2

急诊分诊台 医学 医疗急救 紧急医疗服务 军事医学 复苏 重症监护医学 急诊医学 政治学 法学
作者
John Quinn,S. І. Panasenko,Yaroslav Leshchenko,К. В. Гуменюк,Anna Onderková,David Stewart,A J Gimpelson,Mykola Buriachyk,Manuel Martı́nez,T. A. Parnell,Leonid Brain,Luke Sciulli,John B. Holcomb
出处
期刊:Military Medicine [Oxford University Press]
卷期号:189 (1-2): 17-29 被引量:18
标识
DOI:10.1093/milmed/usad253
摘要

ABSTRACT The ongoing war in Ukraine presents unique challenges to prehospital medical care for wounded combatants and civilians. The purpose of this article is to identify, describe, and address gaps in prehospital care, casualty evacuation, and medical evacuation throughout Ukraine to share lessons for other providers. Observations and experiences of medical personnel were collected and analyzed, focusing on pain management, antibiotic use, patient assessment, mass casualty triage, blood loss, hypothermia, transport immobilization, and clinical governance. Gaps identified include limited access to pain management, lack of antibiotic guidance, inadequate patient assessment and triage, access to damage control resuscitation and blood, challenged transport immobilization practices, and challenges with clinical governance for both local and foreign providers. Improved prehospital care and casualty and medical evacuation in Ukraine are required, through increased use of empiric pain management, focused antibiotic guidance, enhanced patient assessment and triage in the form of training, access to prehospital blood, and better transport immobilization practices. A robust and active lessons learned program, trauma data capture, and quality improvement process is needed to reduce preventable morbidity and mortality in the war zone. The recommendations presented in this article serve as a starting point for improvements in prehospital care in Ukraine with potential to change prehospital training for the NATO alliance and other organizations operating in similar areas of conflict. Graphical Abstract
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
倪笙继发布了新的文献求助10
1秒前
Ava应助RR采纳,获得10
2秒前
2秒前
万能图书馆应助HAN采纳,获得10
2秒前
Echo完成签到,获得积分0
2秒前
Anastasia完成签到 ,获得积分10
5秒前
renpp822发布了新的文献求助10
6秒前
6秒前
7秒前
7秒前
8秒前
8秒前
如意闭月完成签到,获得积分10
8秒前
10秒前
10秒前
DQ发布了新的文献求助10
12秒前
笑弯了眼发布了新的文献求助10
12秒前
腾总发布了新的文献求助10
12秒前
科研通AI5应助沉静晓丝采纳,获得10
12秒前
dz发布了新的文献求助10
12秒前
456发布了新的文献求助10
13秒前
14秒前
何浏亮完成签到,获得积分10
14秒前
长青发布了新的文献求助10
14秒前
16秒前
丘比特应助zxc采纳,获得10
16秒前
CodeCraft应助dzll采纳,获得10
17秒前
婷婷发布了新的文献求助10
18秒前
Jupiter完成签到,获得积分10
18秒前
18秒前
meena完成签到,获得积分20
19秒前
科研通AI5应助明理的绿柏采纳,获得10
20秒前
21秒前
狂野的锦程完成签到,获得积分10
22秒前
momo发布了新的文献求助10
22秒前
23秒前
23秒前
RR发布了新的文献求助10
23秒前
24秒前
科研通AI5应助小夏饭桶采纳,获得10
24秒前
高分求助中
Production Logging: Theoretical and Interpretive Elements 2700
Ophthalmic Equipment Market 1500
Neuromuscular and Electrodiagnostic Medicine Board Review 1000
こんなに痛いのにどうして「なんでもない」と医者にいわれてしまうのでしょうか 510
いちばんやさしい生化学 500
The First Nuclear Era: The Life and Times of a Technological Fixer 500
Unusual formation of 4-diazo-3-nitriminopyrazoles upon acid nitration of pyrazolo[3,4-d][1,2,3]triazoles 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3672461
求助须知:如何正确求助?哪些是违规求助? 3228752
关于积分的说明 9781866
捐赠科研通 2939164
什么是DOI,文献DOI怎么找? 1610648
邀请新用户注册赠送积分活动 760696
科研通“疑难数据库(出版商)”最低求助积分说明 736174