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远征复苏手术团队:美国陆军在艰苦环境中为部队提供损伤控制复苏和手术的举措。

Expeditionary Resuscitation Surgical Team: The US Army's Initiative to Provide Damage Control Resuscitation and Surgery to Forces in Austere Settings.

作者信息

D'Angelo Matthew, Losch John, Smith Bret, Geslak Mark, Compton Shon, Wofford Kenneth, Seery Jason M, Morrison Michael D, Wedmore Ian, Paimore James, Gross Kirby, Cuenca Peter J, Welder Matthew D

出版信息

J Spec Oper Med. 2017 Winter;17(4):76-79. doi: 10.55460/ZTD6-Z3AA.

DOI:10.55460/ZTD6-Z3AA
PMID:29256200
Abstract

Improvements in surgical care on the battlefield have contributed to reduced morbidity and mortality in wounded Servicemembers. 1 Point-of-injury care and early surgical intervention, along with improved personal protective equipment, have produced the lowest casualty statistics in modern warfare, resulting in improved force strength, morale, and social acceptance of conflict. It is undeniable that point-of-care injury, followed by early resuscitation and damage control surgery, saves lives on the battlefield. The US Army's Expeditionary Resuscitation Surgical Team (ERST) is a highly mobile, interprofessional medical team that can perform damage control resuscitation and surgery in austere locations. Its configuration and capabilities vary; however, in general, a typical surgical element can perform one major surgery and one minor surgery without resupply. The critical care element can provide prolonged holding in garrison, but this diminishes in the austere setting with complex and acutely injured patients.

摘要

战场上外科护理的改善有助于降低受伤军人的发病率和死亡率。1. 受伤现场护理和早期外科干预,以及改进的个人防护装备,创造了现代战争中最低的伤亡统计数据,从而提高了部队实力、士气以及社会对冲突的接受度。不可否认,受伤现场护理,随后进行早期复苏和损伤控制手术,能在战场上挽救生命。美国陆军远征复苏手术团队(ERST)是一支机动性很强的跨专业医疗团队,能够在条件简陋的地点实施损伤控制复苏和手术。其配置和能力各不相同;然而,一般来说,一个典型的外科单元在不补充物资的情况下可以进行一台大手术和一台小手术。重症护理单元可以在驻地提供长时间的监护,但在条件简陋的环境中,面对复杂且伤势严重的患者时,这种能力会有所下降。

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