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The need for repeat serial inspection and wound debridement cannot be over-emphasized. Unstable blast injury patients with multiple fragmentation injuries may not receive thorough debridement of all wounds at initial operation due to resuscitation needs, lack of resources, lack of personnel, or urgency of transfer.
Military surgical doctrine has traditionally taught that all ballistic wounds should be formally managed by surgical intervention. There is now, however, both experimental and clinical evidence supporting the nonoperative treatment of selected small fragment wounds. Low energytransfer wounds affecting the soft tissues, without neuro-vascular compromise and with stable fracture patterns, may be ...
- PF Hill, DP Edwards, GW Bowyer
- 2001
Aug 17, 2023 · A wound forms when biological tissues like skin, mucous membranes, and organs are damaged. Different injuries can cause wounds; properly cleaning and dressing the wounds is essential to prevent infections and additional harm.[1][2] The surgical wound classification (SWC) system was initially developed in 1964 by the National Academy of Sciences and the National Research Council.
- Timothy F. Herman, Bruno Bordoni
- 2023/08/17
Jun 26, 2023 · Damage or disruption of living tissue's cellular, anatomical, and/or functional integrity defines a wound.[1] Acute and chronic wounds are technically categorized by the time interval from the index injury and, more importantly, by the evidence of physiological impairment.[2] Accordingly, specific treatments, including biofilms, would be planned to address the management of chronic wounds with ...
- 2023/06/26
The multiple projections of the image intensifier enable threedimensional localization of the shrapnel, based on two-dimensional projections. In mass casualty events, there is an overwhelming exhaustion of imaging resources; 9 the availability of fluoroscopy both reduces the need for other imaging resources and facilitates case handling.
Fragmentation is the process by which the casing, shot, or other components of an anti-personnel weapon, bomb, barrel bomb, land mine, IED, artillery, mortar, tank gun, or autocannon shell, rocket, missile, grenade, etc. are dispersed and/or shattered by the detonation of the explosive filler. The correct term for these pieces is "fragments ...
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Why do patients with multiple fragmentation injuries not receive debridement?
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What is a surgical wound classification (SWC)?
Jan 1, 2017 · Multiple fragmentation wounds might be aggregated to a single wound model suited for internal dosimetry calculations by using the “rule of nine.” Keywords: : dirty bomb, radionuclide incorporation, plutonium-239, DTPA, decorporation treatment
