Discrepancies In Treatment Outcomes For Lower Extremity Trauma Between Military And Civilian Personnel

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Discrepancies in Treatment Outcomes for Lower Extremity Trauma Between Military and Civilian Personnel

Author : Andrew T. Gardner
Publisher :
ISBN 13 :
Total Pages : 58 pages
Book Rating : 4.:/5 (111 download)

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Book Synopsis Discrepancies in Treatment Outcomes for Lower Extremity Trauma Between Military and Civilian Personnel by : Andrew T. Gardner

Download or read book Discrepancies in Treatment Outcomes for Lower Extremity Trauma Between Military and Civilian Personnel written by Andrew T. Gardner and published by . This book was released on 2015 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: Treatment methods of lower extremity trauma include primary amputation and limb salvage. To date there is much controversy about which treatment option is appropriate for any given patient. Although many algorithms have been established in efforts to predict appropriate treatment, none have been overwhelmingly successful. A majority of the data collected is from the military population, with significant outcome discrepancies observed when compared to civilian populations who have undergone similar treatment. Methods: The Weill Cornell Medical College Library was used for access to PubMed, UpToDate, and data within the National Trauma Database. Studies retrieved for this literature review included prospective, retrospective, observational, and review based articles. These articles were limited to human studies, no greater than ten years since publication, unilateral, lower extremity injuries. Results: PubMed yielded a total of 27 publications. Of these 27 articles, 25 met the inclusion criteria. The remaining two articles were excluded for reasons such as bilateral injuries, multi-system trauma, and treatment of invasive tumors. Two additional background articles were found using uptodate.com and trauma.org. Conclusions: The long-term outcome discrepancy found between the civilian and military populations highlights the necessity to determine the potential causative factors. Understanding the variables that lead to the improved outcomes, in either treatment group, will allow for the production of better post-treatment guidelines in an effort to determine appropriate standards of care.

A National Trauma Care System

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309442850
Total Pages : 531 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis A National Trauma Care System by : National Academies of Sciences, Engineering, and Medicine

Download or read book A National Trauma Care System written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-12 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

Civilian Vascular Trauma

Author : D. Preston Flanigan
Publisher :
ISBN 13 :
Total Pages : 520 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Civilian Vascular Trauma by : D. Preston Flanigan

Download or read book Civilian Vascular Trauma written by D. Preston Flanigan and published by . This book was released on 1992 with total page 520 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Understanding Low Back Pain

Author : Mario A. Gutierrez M. D.
Publisher : iUniverse
ISBN 13 : 0595341179
Total Pages : 250 pages
Book Rating : 4.5/5 (953 download)

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Book Synopsis Understanding Low Back Pain by : Mario A. Gutierrez M. D.

Download or read book Understanding Low Back Pain written by Mario A. Gutierrez M. D. and published by iUniverse. This book was released on 2005-05 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you one of the millions of people who suffer from low back pain? While it is important that patients with low back pain educate themselves about the lower back, the information available is often more confusing than it is helpful. A single source of information should not be taken as the only truth, as this can lead to misconceptions and misunderstandings in the diagnosis and treatment of low back pain. According to author Mario A. Gutierrez, MD, not all patients with low back pain are the same, and not all back conditions have a common cause. Dr. Gutierrez draws on more than twenty years of neurosurgery experience and direct patient contact to guide back pain sufferers in their quest for reliable information and diagnosis with topics such as: Causes of low back pain Current treatments for low back pain Low back surgery options Treatment myths Rehabilitation Health insurance/disability Prevention Whether you're a patient seeking answers, an aspiring medical professional, or a practicing physician, Understanding Low Back Pain is a must-have reference, complete with medical terminology, a short medical glossary, and frequently used medical abbreviations.

Trauma Induced Coagulopathy

Author : Hunter B. Moore
Publisher : Springer Nature
ISBN 13 : 3030536068
Total Pages : 802 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Trauma Induced Coagulopathy by : Hunter B. Moore

Download or read book Trauma Induced Coagulopathy written by Hunter B. Moore and published by Springer Nature. This book was released on 2020-10-12 with total page 802 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.

Standards for the Management of Open Fractures

Author : Simon Eccles
Publisher : Oxford University Press
ISBN 13 : 0198849362
Total Pages : 257 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis Standards for the Management of Open Fractures by : Simon Eccles

Download or read book Standards for the Management of Open Fractures written by Simon Eccles and published by Oxford University Press. This book was released on 2020 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Standards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focussing on lower limb injuries. It builds on and expands the NICE Guidelines to provide a practical approach with supporting evidence. The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with the bone and soft tissue injures, complications such as infection, and patient rehabilitation and psychological care. The book is primarily aimed at trainee plastic, orthopaedic and trauma surgeons (particularly for expanding knowledge and examination revision) but would also appeal to established surgeons to improve patient care. Standards for the Management of Open Fractures is an open access title. It is available to read and download as a free PDF version on Oxford Medicine Online. It has been made available under a Creative Commons Attribution-Non Commercial No Derivatives 4.0 International licence.

Translational Research in Traumatic Brain Injury

Author : Daniel Laskowitz
Publisher : CRC Press
ISBN 13 : 1498766579
Total Pages : 388 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Translational Research in Traumatic Brain Injury by : Daniel Laskowitz

Download or read book Translational Research in Traumatic Brain Injury written by Daniel Laskowitz and published by CRC Press. This book was released on 2016-04-21 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme

Lower Extremity Amputation

Author : Wesley S. Moore
Publisher : W.B. Saunders Company
ISBN 13 :
Total Pages : 376 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Lower Extremity Amputation by : Wesley S. Moore

Download or read book Lower Extremity Amputation written by Wesley S. Moore and published by W.B. Saunders Company. This book was released on 1989 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Emergency Care for Children

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133769
Total Pages : 360 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Emergency Care for Children by : Institute of Medicine

Download or read book Emergency Care for Children written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-08 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.

Extremity Trauma

Author : James P. Kennedy
Publisher :
ISBN 13 :
Total Pages : 398 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Extremity Trauma by : James P. Kennedy

Download or read book Extremity Trauma written by James P. Kennedy and published by . This book was released on 1992 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Front Line Surgery

Author : Matthew J. Martin, MD, FACS
Publisher : Springer Science & Business Media
ISBN 13 : 1441960791
Total Pages : 536 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Front Line Surgery by : Matthew J. Martin, MD, FACS

Download or read book Front Line Surgery written by Matthew J. Martin, MD, FACS and published by Springer Science & Business Media. This book was released on 2010-12-13 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: Both editors are active duty officers and surgeons in the U.S. Army. Dr. Martin is a fellowship trained trauma surgeon who is currently the Trauma Medical Director at Madigan Army Medical Center. He has served as the Chief of Surgery with the 47th Combat Support Hospital (CSH) in Tikrit, Iraq in 2005 to 2006, and most recently as the Chief of Trauma and General Surgery with the 28th CSH in Baghdad, Iraq in 2007 to 2008. He has published multiple peer-reviewed journal articles and surgical chapters. He presented his latest work analyzing trauma-related deaths in the current war and strategies to reduce them at the 2008 annual meeting of the American College of Surgeons. Dr. Beekley is the former Trauma Medical Director at Madigan Army Medical Center. He has multiple combat deployments to both Iraq and Afghanistan, and has served in a variety of leadership roles with both Forward Surgical Teams (FST) and Combat Support Hospitals (CSH).

Damage Control Resuscitation

Author : Philip C. Spinella
Publisher : Springer
ISBN 13 : 3030208206
Total Pages : 376 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Damage Control Resuscitation by : Philip C. Spinella

Download or read book Damage Control Resuscitation written by Philip C. Spinella and published by Springer. This book was released on 2019-08-12 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings. The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage. Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.

The Sense of an Ending

Author : Julian Barnes
Publisher : Vintage
ISBN 13 : 0307957330
Total Pages : 158 pages
Book Rating : 4.3/5 (79 download)

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Book Synopsis The Sense of an Ending by : Julian Barnes

Download or read book The Sense of an Ending written by Julian Barnes and published by Vintage. This book was released on 2011-10-05 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: BOOKER PRIZE WINNER • NATIONAL BESTSELLER • A novel that follows a middle-aged man as he contends with a past he never much thought about—until his closest childhood friends return with a vengeance: one of them from the grave, another maddeningly present. A novel so compelling that it begs to be read in a single setting, The Sense of an Ending has the psychological and emotional depth and sophistication of Henry James at his best, and is a stunning achievement in Julian Barnes's oeuvre. Tony Webster thought he left his past behind as he built a life for himself, and his career has provided him with a secure retirement and an amicable relationship with his ex-wife and daughter, who now has a family of her own. But when he is presented with a mysterious legacy, he is forced to revise his estimation of his own nature and place in the world.

Combat Casualty Care

Author : Martha K. Lenhart
Publisher : Government Printing Office
ISBN 13 : 9780160913907
Total Pages : 794 pages
Book Rating : 4.9/5 (139 download)

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Book Synopsis Combat Casualty Care by : Martha K. Lenhart

Download or read book Combat Casualty Care written by Martha K. Lenhart and published by Government Printing Office. This book was released on 2012 with total page 794 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book is designed to deliver combat casualty care information that will facilitate transition from a continental US or civilian practice to the combat care environment. Establishment of the Joint Theater Trauma System and the Joint Theater Trauma Registry, coupled with the efforts of the authors, has resulted in the creation of the most comprehensive, evidence-based depiction of the latest advances in combat casualty care. Lessons learned in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have been fortified with evidence-based recommendations to improve casualty care. The educational curriculum was designed overall to address the leading causes of preventable death and disability in OEF and OIF. Specifically, the generalist combat casualty care provider is presented requisite information for optimal cae of US combat casualties in the first 72 to 96 hours after injury. The specialist provider is afforded similiar information, supplemented by lessons learned for definitive care of host nation patients."--

Armed Conflict Injuries to the Extremities

Author : Alexander Lerner
Publisher : Springer Science & Business Media
ISBN 13 : 3642161553
Total Pages : 420 pages
Book Rating : 4.6/5 (421 download)

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Book Synopsis Armed Conflict Injuries to the Extremities by : Alexander Lerner

Download or read book Armed Conflict Injuries to the Extremities written by Alexander Lerner and published by Springer Science & Business Media. This book was released on 2011-04-28 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to meet the continued need to re-learn the principles of treatment of complex war injuries to the extremities in order to minimize post-traumatic and post-treatment complications and optimize functional recovery. Most of the chapters are based on the unique experience gained in the treatment of military personnel who have suffered modern combat trauma and civilian victims of terror attacks at a single, large level 1 trauma center. The remaining chapters present the experience of leading international authorities in trauma and reconstructive surgery. A staged treatment protocol is presented, ranging from primary damage control through to definitive functional limb reconstruction. The organization of medical aid, anesthesiology, diagnostic imaging, infection prophylaxis, and management of complications are reviewed, and a special chapter is devoted to the challenging dilemma of limb salvage versus amputation in the treatment of limbs at risk.

The 71F Advantage

Author : National Defense University Press
Publisher : NDU Press
ISBN 13 : 1907521658
Total Pages : 529 pages
Book Rating : 4.9/5 (75 download)

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Book Synopsis The 71F Advantage by : National Defense University Press

Download or read book The 71F Advantage written by National Defense University Press and published by NDU Press. This book was released on 2010-09 with total page 529 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes a foreword by Major General David A. Rubenstein. From the editor: "71F, or "71 Foxtrot," is the AOC (area of concentration) code assigned by the U.S. Army to the specialty of Research Psychology. Qualifying as an Army research psychologist requires, first of all, a Ph.D. from a research (not clinical) intensive graduate psychology program. Due to their advanced education, research psychologists receive a direct commission as Army officers in the Medical Service Corps at the rank of captain. In terms of numbers, the 71F AOC is a small one, with only 25 to 30 officers serving in any given year. However, the 71F impact is much bigger than this small cadre suggests. Army research psychologists apply their extensive training and expertise in the science of psychology and social behavior toward understanding, preserving, and enhancing the health, well being, morale, and performance of Soldiers and military families. As is clear throughout the pages of this book, they do this in many ways and in many areas, but always with a scientific approach. This is the 71F advantage: applying the science of psychology to understand the human dimension, and developing programs, policies, and products to benefit the person in military operations. This book grew out of the April 2008 biennial conference of U.S. Army Research Psychologists, held in Bethesda, Maryland. This meeting was to be my last as Consultant to the Surgeon General for Research Psychology, and I thought it would be a good idea to publish proceedings, which had not been done before. As Consultant, I'd often wished for such a document to help explain to people what it is that Army Research Psychologists "do for a living." In addition to our core group of 71Fs, at the Bethesda 2008 meeting we had several brand-new members, and a number of distinguished retirees, the "grey-beards" of the 71F clan. Together with longtime 71F colleagues Ross Pastel and Mark Vaitkus, I also saw an unusual opportunity to capture some of the history of the Army Research Psychology specialty while providing a representative sample of current 71F research and activities. It seemed to us especially important to do this at a time when the operational demands on the Army and the total force were reaching unprecedented levels, with no sign of easing, and with the Army in turn relying more heavily on research psychology to inform its programs for protecting the health, well being, and performance of Soldiers and their families."

Guidelines for Trauma Quality Improvement Programmes

Author : World Health Organization
Publisher : Stylus Pub Llc
ISBN 13 : 9789241597746
Total Pages : 104 pages
Book Rating : 4.5/5 (977 download)

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Book Synopsis Guidelines for Trauma Quality Improvement Programmes by : World Health Organization

Download or read book Guidelines for Trauma Quality Improvement Programmes written by World Health Organization and published by Stylus Pub Llc. This book was released on 2009 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: In order to promote greater implementation of effective, affordable and sustainable trauma systems globally, the World Health Organization and the International Association for Trauma Surgery and Intensive Care have worked collaboratively to produce these guidelines on trauma quality improvement. The response to the growing problem of injury needs to include the improvement of care of the injured. Quality improvement (QI) programs offer an affordable and sustainable means to implement such improvements. These programs enable health care institutions to better monitor trauma care services, better detect problems in care, and more effectively enact and evaluate corrective measures targeted at these problems. The goal of this publication is to give guidance on ways in which health care institutions globally can implement QI programs oriented to strengthening care of the injured. This guidance is intended to be universally applicable to all countries, no matter what their economic level. These guidelines provide basic definitions and an overview of the field of QI, so that those not familiar with this field will have a working knowledge of it. Evidence of the benefit of QI in general and trauma QI in particular is then laid out. The main part of the publication reviews the most common methods of trauma QI, written in a how-do-to fashion. This covers a wide range of techniques. The first two of these are especially emphasized as ways in which to strengthen trauma QI in the setting of low-income and middle-income countries.