
浏览全部资源
扫码关注微信
1.400038 重庆,陆军军医大学(第三军医大学)陆军卫勤训练基地战救技能训练教研室
2.400037 重庆,陆军军医大学(第三军医大学)第二附属医院急诊科
[ 宗兆文,E-mail: zongzhaowen@163.com ZONG Zhaowen, E-mail: zongzhaowen@163.com
收稿:2018-05-20,
修回:2018-07-11,
纸质出版:2018-11-30
移动端阅览
杜文琼, 宗兆文. 伊拉克和阿富汗战争中美军的革新性战救举措[J]. 第三军医大学学报, 2018,40(22):2015-2020.
Wenqiong DU, Zhaowen ZONG. Innovative measures of the US army for combat casualty care in Operation Enduring Freedom and Operation Iraqi Freedom[J]. Journal of Third Military Medical University, 2018, 40(22): 2015-2020.
杜文琼, 宗兆文. 伊拉克和阿富汗战争中美军的革新性战救举措[J]. 第三军医大学学报, 2018,40(22):2015-2020. DOI: 10.16016/j.1000-5404.201805181.
Wenqiong DU, Zhaowen ZONG. Innovative measures of the US army for combat casualty care in Operation Enduring Freedom and Operation Iraqi Freedom[J]. Journal of Third Military Medical University, 2018, 40(22): 2015-2020. DOI: 10.16016/j.1000-5404.201805181.
现代战争高新武器多、致伤因素复杂、杀伤力大,给战伤救治带来了极大挑战。美军在历时10余年的伊拉克和阿富汗战争中,陆续出台了诸多革新性战救举措,战伤救治得到了发展。诸如革新技术、新型药品器材装备和促进战救业绩提升的系列机制等,这些举措显著降低了战伤死亡率。我军可在分析论证基础上选择性吸收和转换美军成熟战救经验,进行相关的装备配备和技术储备;整合研究领域优势资源,合力解决战场上可能遇到的各种问题;融入实战化训练大背景,强化战救技能培训效能。
The high-tech weapons
complex injury factors and mass destruction in modern warfare pose great challenges for combat casualty care. During Operation Enduring Freedom and Operation Iraqi Freedom that lasted more than 10 years
many innovative measures had been developed and contributed substantially to the evolution of combat casualty care of the U.S. Army. These measures
including innovative techniques
new medicines and equipment
and new mechanisms for improving the casualty care quality
had significantly reduced the total case fatality rate. By analyzing the advantages of these measures
the Chinese army can selectively utilize the experiences of the U.S Army for combat casualty care and develop relevant technologies
equipment
and facilities. Efforts should be made to integrate the advantageous resources in different fields of research and provide solutions for potential problems that might be encountered in the combat setting. Combat-oriented training of the military medical personnel should be strengthened to enhance the efficiency of combat casualty care.
BLACKBOURNE L H, BAER D G, EASTRIDGE B J, et al . Military medical revolution: military trauma system[J ] . J Trauma Acute Care Surg, 2012, 73(6 Suppl 5): S388-S394. DOI: 10.1097/ta.0b013e31827548df.
BAILEYJ J A, MORRISON J J, RASMUSSEN T E. Military trauma system in Afghanistan: lessons for civil systems?[J]. Curr Opin Crit Care, 2013, 19(6): 569-577. DOI: 10.1097/mcc.0000000000000037.
HOLCOMB J B, STANSBURY L G, CHAMPION H R, et al . Understanding combat casualty care statistics[J ] . J Trauma, 2006, 60(2): 397-401. DOI: 10.1097/01.ta.0000203581. 75241.f1.
BLACKBOURNE L H, BAER D G, EASTRIDGE B J, et al . Military medical revolution: prehospital combat casualty care[J ] . J Trauma Acute Care Surg, 2012, 73(6 Suppl 5): S372-S377. DOI: 10.1097/ta.0b013e3182755662.
UGUR M, AKKUCUK S, KOCA Y S, et al . Where should the damage control surgery be performed, at the nearest health center or at a fully equipped hospital?[J ] . Ulus Travma Acil Cerrahi Derg, 2016, 22(3): 273-277. DOI: 10.5505/tjtes.2015.63833.
JOHANNIGMAN J A. Maintaining the continuum of en route care[J]. Crit Care Med, 2008, 36(Suppl 7): S377-S382. DOI: 10.1097/ccm.0b013e31817e31e1.
MASON P E, EADIE J S, HOLDER A D. Prospective observational study of United States Air Force Critical Care Air Transport team operations in Iraq[J]. J Emerg Med, 2011, 41(1): 8-13. DOI: 10. 1016/j.jemermed.2008.06.032.
BLACKBOURNE L H, BAER D G, EASTRIDGE B J, et al . Military medical revolution: deployed hospital and en route care[J ] . J Trauma Acute Care Surg, 2012, 73(6 Suppl 5): S378-S387. DOI: 10.1097/ta.0b013e3182754900.
ALLCOCK E, SPENCER E, FRAZER R, et al . Continuous transversus abdominis place (TAP) block catheters in a combat surgical environment[J ] . Pain Med, 2010, 11(9): 1426-1429. DOI: 10.1111/j.1526-4637.2010.00894.x.
STOJADINOVIC A, AUTON A, PEOPLES G E, et al . Responding to challenges in modern combat casualty care: innovative use of advanced regional anesthesia[J ] . Pain Med, 2006, 7(4): 330-338. DOI: 10.1111/j.1526-4637.2006.00171.x.
CHUNG K K, JUNCOS L A, WOLF S E, et al . Continuous renal replacement therapy improves survival in severely burned military casualties with renal failure[J ] . J Trauma, 2008, 64(2 Suppl): S179-S185. DOI: 10.1097/TA.0b013e3181608676.
RASMUSSEN T E, CLOUSE W D, JENKINS D H, et al . The use of temporary vascular shunts as a damage control adjunct in the management of wartime vascular injury[J ] . J Trauma, 2006, 61(1): 8-12. DOI: 10.1097/01.ta.0000220668.84405.17.
LEVIN H S, DIAZ-ARRASTIA R R. Diagnosis, prognosis, and clinical management of mild traumatic brain injury[J]. Lancet Neurol, 2015, 14(5): 506-517. DOI: 10.1016/s1474-4422(15)00002-2.
ADAM O, MAC DON ALD C L, RIVET D, et al . Clinical and imaging assessment of acute combat mild traumatic brain injury in Afghanistan[J ] . Neurology, 2015, 85(3): 219-227. DOI: 10. 1212/wnt.0000000000001758.
GRANVILLE-CHAPMAN J, JACOBS N, MIDWINTER M J. Pre-hospital haemostatic dressings: a systematic review[J]. Injury, 2011, 42(5): 447-459. DOI: 10. 1016/j.injury.2010.09.037.
EASTRIDGE B J, MABRY R L, SEGUIN P, et al . Death on the battlefield (2001-2011): implications for the future of combat casualty care[J ] . J Trauma Acute Care Surg, 2012, 73(Suppl 5): 431-437. DOI: 10.1097/ta.0b013e3182755dcc.
KOTWAL R S, BUTLER F K. Junctional hemorrhage control for tactical combat casualty care[J]. Wilderness Environ Med, 2017, 28(2S): S33-S38. DOI: 10.1016/j.wem.2016.11.007.
PALM K, APODACA A, SPENCER D, et al . Evaluation of military trauma system practices related to damage-control resuscitation[J ] . J Trauma Acute Care Surg, 2012, 73(6 Suppl 5): S459-S464. DOI: 10.1097/ta.0b013e318275 4887.
李丽娟, 刁天喜.美军联合战场创伤系统的发展及应用[J].军事医学, 2012, 36 (9):710-712.
LI L J, DIAO T X. Development and implementation of the U. S. military joint theater trauma system[J]. Mil Med Sci, 2012, 36(9): 710-712.
MOORE J H, GOFFAR S L, TEYHEN D S, et al . The role of U. S. military physical therapists during recent combat campaigns[J ] . Phys Ther, 2013, 93(9): 1268-1275. DOI: 10. 2522/ptj. 20120136.
KNUDSON M M, RASMUSSEN T E. The Senior Visiting Surgeons program: a model for sustained military-civilian collaboration in times of war and peace[J]. J Trauma Acute Care Surg, 2012, 73(6 Suppl 5): S536-S542. DOI: 10.1097/ta.0b013e31827548c9.
HATZFELD J J, CHILDS J D, DEMPSEY M P, et al . Evolution of biomedical research during combat operations[J ] . J Trauma Acute Care Surg, 2013, 75(2 Suppl 2): S115-S119. DOI: 10. 1097/ta.0b013e31829e1163.
EASTRIDGE B J, COSTANZO G, JENKINS D, et al . Impact of joint theater trauma system initiatives on battlefield injury outcomes[J ] . Am J Surg, 2009, 198(6): 852-857. DOI: 10.1016/j.amjsurg.2009.04.029.
MACKENZIE E J, BOSSE M J, POLLAK A N, et al . The major extremity trauma researc h consortium: an overview[J ] . J Orthop Trauma, 2017, 31(Suppl 1): S1. DOI: 10.1097/BOT.0000000000000800.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621