War Surgery Field Handbook Manual – PDF DOWNLOAD 

Description

War Surgery Field Handbook Manual – PDF DOWNLOAD

FILE DETAILS:

War Surgery Field Handbook Manual – PDF DOWNLOAD 

Language : English
Pages : 880
Downloadable : Yes
File Type : PDF

IMAGES PREVIEW OF THE MANUAL:

TABLE OF CONTENTS:

War Surgery Field Handbook Manual – PDF DOWNLOAD 

Contents 5 5
How to use the book 15 15
Foreword to the First Edition 17 17
Foreword to the Second Edition 19 19
Authors and contributors 21 21
Section 1 Trauma systems in war 25 25
1 The chain of survival 27 27
Points to note – Chapter 1 26 26
Avoidable trauma deaths 28 28
This is the chain of survival 33 33
Models and experiences from recent war 34 34
Facing 4th generation warfare: The Invisible Umbrella 48 48
2 Trauma care training 51 51
Points to note – Chapter 2 50 50
The Village University 52 52
Training damage control on animal models 53 53
Paramedic training 57 57
The Village University curriculum 59 0
First helper training 66 66
Village course for first helpers 68 68
Training in surgical techniques 70 0
3 Material input 75 75
Points to note – Chapter 3 74 74
Life support kits 76 76
In-field disinfection and sterilization 77 77
Surgical sets for forward clinics 79 79
Consumption estimates 87 87
Surgical instruments: Maintenance and improvisations 89 89
4 Trauma severityscoring andquality control 95 95
Points to note – Chapter 4 94 94
Without research, practice is blind 96 96
Severity scoring 97 97
Identify patients with unexpected outcomes 105 105
Trauma Registries 108 108
Data gathering forms 114 114
Brief guide to Trauma Registry analysis 120 120
Section 2 Trauma care in war 125 125
5 The weapon 127 127
Points to note – Chapter 5 126 126
Blast physics 128 128
Bombs and special explosives 130 130
Blast injuries 135 135
Gunshots and snipers 139 139
Land mines 147 147
Cluster weapons 150 150
Future trends – laser and microwave weapons 154 154
6 The injury 159 159
Points to note – Chapter 6 158 158
The local response to injury 160 160
Triggers of post-injury physiologic stress 162 162
The post-injury stress response 165 165
Organ failure 169 169
7 Trauma life supportin war 173 173
Points to note – Chapter 7 172 172
Prepare! Organize! Be careful! 174 174
Read the clinical signs 176 176
Not awake and not breathing: start CPR 178 178
A: Control the airway 180 180
Advanced life support for airways 181 181
Airway cut-down 183 183
B: Support the breathing and give pain relief 185 185
Ketamine is the drug of choice 186 186
Place a naso-gastric (NG) tube 187 187
Advanced life support for the breathing: Chest tube drain 188 188
C: Support the circulation 195 195
Stop limb bleeding, no tourniquets 196 196
How to control internal bleeding 198 198
Cold blood bleeds more – keep patients warm 200 200
Intravenous (IV) cannulation 201 201
Do venous cut-down 204 204
Volume therapy and nutrition 206 206
Identify wounds and injuries 211 211
Positioning of the patient 217 217
Transport to hospital 219 219
Drugs for trauma life support 221 221
In-field medical documentation 228 228
Summary: Simple things most important 230 230
8 Life-saving surgery 233 233
Points to note – Chapter 8 232 232
Two kinds of surgery: Damage Control versus repair 234 234
Staged surgery: Head injuries 239 239
Staged surgery: Vascular injuries 247 247
Staged surgery: Chest injuries 249 249
Staged surgery: Damage Control laparotomy 251 251
Temporary abdominal closure 258 258
Staged surgery for the abdominalorgans and the pelvis 260 260
Staged surgery: Limb injuries 272 272
Multi-injured burn cases 273 273
Feeding tube-gastrostomy 274 274
9 Triage– sorting casualties 277 277
Points to note – Chapter 9 276 276
The principles of triage 278 278
Triage in mass casualties 281 281
Triage action plan 283 283
Section 3 Basics of war surgery 287 287
10 Surgical technique 289 289
Points to note – Chapter 10 288 288
Non-traumatic technique 290 290
Choice of incisions 291 291
Dissection and retraction 292 292
Control of bleeding 292 292
Surgery on bone 294 294
Sutures and surgical knots 295 295
11 Fasciotomy, debridement and drainage 301 301
Points to note – Chapter 11 300 300
Plan your surgery well 302 302
Fasciotomy – when and how? 303 303
Debridement 305 305
Methods for drainage 308 308
12 Injuries to arteriesand veins 311 311
Points to note – Chapter 12 310 310
Types of vascular injury 312 312
Primary amputation, ligature or reconstruction? 313 313
Exploration 315 315
Reconstruction 317 317
Complications of vascular surgery 319 319
13 Fracturesand mangled limbs 323 323
Points to note – Chapter 13 322 322
Types of fractures 324 324
Healing of fractures 325 325
Soft tissue flaps 329 329
Muscle flaps 332 332
Perforator flap surgery 337 337
In-field management 340 340
Plastercraft 340 340
The Trueta plaster method 345 345
Protect the joints 346 346
External fixation 346 346
Traction 349 349
Orthosis when the fracture is semi-stable 352 352
Infected fractures and delayed healing 354 354
14 Joint injuries 359 359
Points to note – Chapter 14 358 358
Evaluation of joint function 360 360
The soft tissue problem 361 361
Fractures through joints 362 362
Infected joints 364 364
15 Tendon injuries 367 367
Points to note – Chapter 15 366 366
Primary management 368 368
Secondary reconstruction 369 369
16 Nerve injuries 373 373
Points to note – Chapter 16 372 372
Diagnosis and exploration 374 374
Secondary nerve repair 375 375
17 Amputations 379 379
Points to note – Chapter 17 378 378
Amputation or limb salvage? 380 380
Land mine amputations 382 382
Techniques for the primary amputation (first stage) 383 383
Techniques for the definitive amputation (second stage) 386 386
Get going again: Early temporary prosthesis fitting 388 388
Definitive prosthesis fitting 392 392
18 Wound closure 395 395
Points to note – Chapter 18 394 394
Monitor the wounds 396 396
Closure by spontaneous granulation 397 397
Delayed primary suture (DPS) 397 397
Skin grafts 398 398
Skin flaps 401 401
19 Injuries to children and old people 405 405
Points to note – Chapter 19 404 404
The injured child 406 406
Trauma care in old people 410 410
20 Emergency blood transfusion 415 415
Points to note – Chapter 20 414 414
Indications for blood transfusion 416 416
Emergency blood transfusion 417 417
Autotransfusion 419 419
Complications of blood transfusion 419 419
21 Hypothermia and hyperthermia 423 423
Points to note – Chapter 21 422 422
Management of hypothermia 424 424
Management of acute hyperthermia 426 426
22 Diseases interfering with surgery 429 429
Points to note – Chapter 22 428 428
Types of anemia 430 430
Malabsorption and vitamin deficiencies 432 432
Schistosomiasis 434 434
Ascariasis 434 434
Amebiasis 435 435
Malaria 436 436
Typhoid fever 437 437
HIV and AIDS 438 438
Section 4 War surgery – specific injuries 441 441
23 Injury to the headand neck 443 443
Points to note – Chapter 23 442 442
Surgical anatomy 444 444
Indications for surgery 445 445
Preparations for surgery 445 445
Scalp injury 447 447
Open skull fractures 448 448
Control bleeding 450 450
Skull hematoma after closed injury 452 452
Complications of skull surgery 454 454
Management of neck injury 456 456
24 Injury to the spine 461 461
Points to note – Chapter 24 460 460
Surgical anatomy 462 462
In-field treatment 464 464
Preparations for surgery 465 465
Open spinal injury 466 466
Spinal fractures 468 468
Complications of injury and surgery 471 471
Rehabilitation after spinal injury 472 472
25 Injury to the face 475 475
Points to note – Chapter 25 474 474
Surgical anatomy 476 476
In-field treatment 477 477
Preparations for surgery 477 477
Soft tissue injury 478 478
Fracture management 479 479
26 Injury to the eye 485 485
Points to note – Chapter 26 484 484
Surgical anatomy 486 486
Before surgery 487 487
Eyelid injury 488 488
Penetrating eye injury 490 490
Complications of injury and surgery 491 491
27 Injury to the chest 495 495
Points to note – Chapter 27 494 494
Surgical anatomy 496 496
Wartime chest injuries 497 497
Preparations for surgery 499 499
Chest wall injury 500 500
Exploratory thoracotomy 501 501
Cardiac injury 503 503
Complications to injury and surgery 504 504
28 Abdominal injuries in general 507 507
Points to note – Chapter 28 506 506
Wartime abdominal injuries 508 0
Preparations for surgery 510 510
Abdominal wall injury 512 512
Exploratory laparotomy 513 513
Decompression – drainage – closure 521 521
29 Injury to the intestine 525 525
Points to note – Chapter 29 524 524
Surgical anatomy 526 526
Debridement and enterostomy 527 527
Injury to the small intestine 530 530
Injury to the rectum 536 536
Reconstruction after enterostomy 537 537
30 Injury to the stomach and duodenum 539 539
Points to note – Chapter 30 538 538
Surgical anatomy 540 540
Stomach injury 541 541
Injury to the duodenum and upper jejunum 542 542
Complications of injury and surgery 544 544
31 Injury to the liver and biliary tract 547 547
Points to note – Chapter 31 546 546
Surgical anatomy 548 548
Liver injury 549 549
Complications of liver injury and surgery 551 551
Injury to the biliary tract 552 552
32 Injury to the spleen 555 555
Points to note – Chapter 32 554 554
Surgical anatomy 556 556
Removal of the spleen – splenectomy 557 557
Complications of injury and surgery 558 558
33 Injury to the pancreas 561 561
Points to note – Chapter 33 560 560
Surgical anatomy 562 562
Pancreatic injury 563 563
Complications of injury and surgery 564 564
34 Injury to the kidneys 567 567
Points to note – Chapter 34 566 0
Surgical anatomy 568 568
Injury to the kidney 570 570
Injury to the ureter 571 571
Complications of injury and surgery 573 573
35 Injury to the urinary bladder and urethra 577 577
Points to note – Chapter 35 576 576
Surgical anatomy 578 578
Types of injury 579 0
Injury to the bladder 580 580
Injury to the urethra 582 582
Complications of injury and surgery 584 584
36 Injury to the male organs 587 587
Points to note – Chapter 36 586
37 Injury to the female organs 591 591
Points to note – Chapter 37 590 590
Surgical anatomy and physiology 592 0
Preparations for surgery in the pregnant patient 595 595
Injury to the pregnant woman 596 596
Injury to the non-pregnant woman 599 599
Complications of injury and surgery 601 601
38 Complications of abdominal surgery 603 603
Points to note – Chapter 38 602 602
Post-operative care 604 604
The management of common complications 607 607
39 Pelvic injury 613 613
Points to note – Chapter 39 612 612
Surgical anatomy 614 614
Preparations for surgery 616 616
Surgical strategy 617 617
Hip joint injury 619 619
Exploration of the main arteries 621 621
Pelvic fractures 622 0
Complications of injury and surgery 623 623
40 Upper limb injury 627 627
Points to note – Chapter 40 626 626
Preparations for surgery 628 628
Shoulder and arm injury 631 631
Surgical anatomy 631 631
Exploration of shoulder injuries 632 632
Shoulder fractures 634 634
Extensive shoulder injury 635 635
Exploration of arm injury 635 635
Open arm fractures 636 636
Above-elbow amputations 637 637
Elbow injury 638 638
Surgical anatomy 638 638
Exploration of elbow injury 639 639
Elbow fractures 640 640
Extensive elbow injury 642 642
Forearm and hand injury 642 642
Surgical anatomy 642 642
Exploration of the forearm and hand injury 646 646
Fractures of the forearm and hand 648 648
Extensive hand injury 649 649
Amputations at the forearm and hand 651 651
Complications of injury and surgery 653 653
41 Lower limb injury 657 657
Points to note – Chapter 41 656 656
Preparations for surgery 658 658
Thigh injury 661 661
Surgical anatomy: Case studies of thigh gunshot wounds 661 661
Fasciotomy and exploration 665 665
Thigh vascular injury: Repair, shunt, or ligature? 667 667
Fracture management 667 667
Crush injuries 670 0
Amputations at the thigh 670 0
Injury to the distal thigh and the knee 671 671
Surgical anatomy 671 671
Preparations for surgery 674 674
Penetrating injuries 674 674
Exploration 675 675
Extensive joint injury 676 676
Open joint fractures 676 676
Fractures of the plateau of tibia 678 678
Amputations at the knee joint 679 679
Lower leg injury 680 680
Surgical anatomy 680 680
Fascia compartments of the lower leg and the foot 683 683
Fracture management 686 686
Amputations at the lower leg and foot 688 688
Complications of limb injury and surgery 690 690
42 Burns 695 695
Points to note – Chapter 42 694 694
The physiology of burn injuries 696 696
Examination and classification of burns 697 697
Fluid therapy 699 699
Nutrition 700 700
Triage of wartime burns 701 701
Life support and life-saving surgery 703 703
Wound care and burn surgery 707 707
Some special burn wounds 710 710
Complications of burns 712 712
Section 5 Treatment after surgery 715 715
43 Post-operative care and complications 717 717
Points to note – Chapter 43 716 716
Plan and system – more important than skill 718 718
Wound care 719 719
Organize the wound care – prevent hospital infections 722 722
Monitor vital functions 724 724
Lung complications 730 730
Cardiac complications 731 731
Renal failure 732 732
Coagulation system complications 734 734
Multi-organ failure 736 736
44 Microbiology and infections 741 741
Points to note – Chapter 44 740 740
What is bacteria 742 742
What is infection 742 742
Guidelines for treatment 743 0
Septic shock 745 745
Bacteria important in surgery 746 746
Common infections and common antibiotics 749 749
Resistance to antibiotics 758 758
Disinfection and sterilization 760 760
45 Nutrition after injury and surgery 765 765
Points to note – Chapter 45 764 764
Why enteral feeding – why home-made diets 766 766
Metabolic response to injury and surgery 767 767
Malnutrition complicates surgery 770 770
Planning post-operative nutrition 773 773
Monitor the nutrition 777 777
Enteral feeding 778 778
The feeding procedure 780 780
Common foodstuffs and their nutrient value 782 782
Food processing and the viscosity problem 783 783
Home-made diets for enteral feeding 786 786
Common high-energy diets for oral feeding 790 790
Field standards of volume and weight 791 791
Section 6 Anesthesia 793 793
46 Wartime anesthesia 795 795
Points to note – Chapter 46 794 794
Airway obstruction 796 796
Circulatory collapse 797 797
Sympathetic hyperactivity 798 798
Which anesthesia to use? 799 799
47 Ketamine anesthesia 803 803
Points to note – Chapter 47 802 802
48 Local anesthesia 809 809
Points to note – Chapter 48 808 808
Infiltration anesthesia 810 810
The nerve block principle 811 811
Intercostal nerve block anesthesia 812 812
Pleural analgesia 813 813
Brachial plexus nerve block 813 813
Axillary nerve block 814 814
Nerve block of the hand 815 815
Femoral nerve block 816 816
Nerve block of the foot 817 817
Regional intravenous anesthesia 818 818
49 Spinal anesthesia 821 821
Points to note – Chapter 49 820 820
The anesthetics 822 822
The procedure 823 823
Appendices 829 829
Blood-grouping, cross-matching and blood-banking 829 829
Microscopic examination of bacteria The gram-stain procedure 833 833
Data gathering forms 837 837
Websites and books for further studies 845 845
Acknowledgements 851 851
Glossary 853 853
Index 869 869
Pocket folder Inside the back cover 879

S.V 08/12/24