Katoch R, Rajagopalan S
Commandant, Military Hospital, Jabalpur.
Professor & HOD, Department of Surgery, AFMC, Pune-40.
Med J Armed Forces India. 2010 Oct;66(4):304-8. doi: 10.1016/S0377-1237(10)80003-6. Epub 2011 Jul 21.
The treatment of war wounds has been an ancient art, constantly refined and adapted to reflect improvements in warfare strategies, weapons technology, transportation and damage control surgical practices. Throughout history, more soldiers died from disease than combat wounds, and misconceptions regarding the best timing and mode of treatment for injuries often resulted in more harm than good. Since the 19th century, mortality from war wounds steadily decreased as surgeons developed systems for rapidly moving the wounded from the battlefield to frontline hospitals. This article reviews the trends in military trauma management including triage, evacuation and field hospital setup in the Armed Forces.
战争创伤的治疗一直是一门古老的技艺,它不断得到完善和调整,以反映战争策略、武器技术、运输以及损伤控制外科手术实践等方面的进步。纵观历史,死于疾病的士兵比死于战斗创伤的士兵更多,而且对于损伤最佳治疗时机和方式的误解往往弊大于利。自19世纪以来,随着外科医生开发出将伤员从战场迅速转移到前线医院的系统,战争创伤导致的死亡率稳步下降。本文回顾了军事创伤管理的趋势,包括武装部队中的伤员分类、后送和野战医院的设立。