Consensus Statement on Decision Making in Junctional Trauma Care

Author:

Parker P.,

Publisher

BMJ

Subject

General Medicine

Reference4 articles.

1. http://icasualties.org/OEF/index.aspx accessed 13/6/11 2.www.blesma.org accessed 13/6/11 3.www.dasa.mod.uk accessed 13/6/11

2. on Operation TELIC (Iraq) in 2003 about Wound and Fracture Care Surgeons were not adequately trained to deal with the wounds of war. Amputations, proximal and junctional wounds, external fixation and wound debridements were not performed well. The adequacy of the initial debridement should always be paramount. If done badly, it will cost the patient their life or limb. Guillotine amputations were performed when more useful tissue could have been left for later reconstruction. Orthopaedic procedures that prevented early evacuation of the patient could have been avoided. All wounded patients should have received IV Benzylpenicillin 1.2g and Flucloxacillin 1.0g within one hour of wounding – they did not. These drugs should have given pre-hospital. Tetanus immunoglobulin administration was often forgotten;Learnt, Lessons

3. Forward surgery on Operation Telic – Iraq 2003;Parker, P.J.; Adams, S.A.; Williams, D.; Shepherd, A.;J R Army Med Corps,2005

4. on Operation TELIC (Iraq) in 2003 about Training;Learned, Lessons

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