By E. Dolev (auth.), N. D. Reis MB, BS, FRCS, Eran Dolev MD (eds.)

This booklet isn't a realized treatise. Its objective is to render useful guide to all these physicians. surgeons, adminis­ trators, and paramedical body of workers who've to behave in conflict or catastrophe events. As a handbook it really is by no means an alternative choice to present specified and really expert texts at the numerous points of trauma surgical procedure and administration: really have we tried to collate the main essenlial wisdom required to prepare and afTord scientific reduction at any time when civilian or army catastrophe moves. the fellow instantaneous is not often a expert, for this reason the necessity for a imple s common handbook of guideline. The organizational features of scientific prone in struggle are similar to these required for dealing with a catastrophe: certainly the army are usually referred to as to deal with civilian mess ups. Our accountability is to be ready, in order to not lose existence and limb for loss of foresight. There are repetitions within the ebook for which no apologies are made, considering they continuously crisis helpful wisdom. The chapters are geared up to have the funds for an knowing of the association of scientific prone, the reason for wounds and trau­ matic affliction, and the pathophysiological approaches because of different types of trauma. The administration of treating casualties is split in every one part into the 3 simple eche­ lons: on website (at the particular position of wounding), on the scientific (battalion) reduction station and within the box or base hospital.

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Extra resources for Manual of Disaster Medicine: Civilian and Military

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Dressings and splints are placed in the side Table 2. Itemised list of the contents of the battalion officer's kit lnstromenls Medica/ions Set for performing - Venesection Tracheostomy Inlercostal drainage Nasogastric intubation - Central vein catheterization General suture set Sphygmomanometer McGuile foreeps laryngoscope Suction pump Face mask AMBU bag with non-rebreathing valve Stethoscope Oral airways Primary IV sets Injection Ointments IV fluids - Adrenalin Sodium bicarbonate Sodium chloride Atropine sulfate Pramine Furosemide Morphine Crystalline penicillin Chloramphenicol Prednisolone pivalate Diazepam Chloramphenicol Sulfacid Lidocaine Ringer's lactate Haemaccei Dressings Miscellaneous Standard ootton bandages Ace bandages Roller gauze Personnel dressings Abdominal dressings Burn dressings Arm slings Gauze pads Adhesive tape AJcohol swabs Splints- metal mesh Pressure administration set Head tamp and batteries Elltension tube for AMBU Disposable syringes 2 cc and 10 cc Hypodermic needles Medical report forms Rubber tourniquets Prepacked suture material Thermometer Intracath IV catheters Intercostal trocar set Heimlich valve Endotracheal tubes Scissors Safety pins 48 R.

7. Holding racilities for casualties until conditions are favorable for their evacuation. S. Selection or appropriate rear facilities to which the evacuees will be sent. Triage The wounded are sorted into the following categories: 1. Unfit ror evacuation in spite of adequate resuscitation: surgical treat- ment required in the evacuation hospital. 2. Fit for evacuation, or can be made fit after additional resuscitation. 3. Lightly wounded or shell-shocked. 4. Dying. Treatment Priorities Priorities of treatment are: I.

Registration forms for casualties should be prepared in plastic bags and include the following items (all items to be marked with the same number for easy identification): a plastic identification bracelet to be attached to the patient's wrist or ankle. , a large plastic bag for the storage of personal belongings. El'acuation of Casualties At the site of a disaster severe casualties are medically stabilised and transferred to the nearest hospitals by ground transport. In some instances, in inaccessible areas, air evacuation may be necessary.

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