3 Medical Regiment, Royal Army Medical Corps, Preston, UK.
4 Armoured Medical Regiment, Royal Army Medical Corps, Tidworth, UK.
BMJ Mil Health. 2022 Dec;168(6):478-482. doi: 10.1136/bmjmilitary-2020-001460. Epub 2020 Mar 29.
Traumatic injuries to the torso account for almost a quarter of all injuries seen in combat and are typically secondary to blast or gunshot wounds. Injuries due to road traffic collisions or violence are also relatively common during humanitarian and disaster relief efforts. There may also be multiple injured patients in these settings, and surgical care may be limited by a lack of facilities and resources in such a non-permissive environment. The first responder in these scenarios should be prepared to manage patients with severe injuries to the torso. We aim to describe the management of these injuries in the military and austere environment, within the scope of practice of a level 5 registered prehospital practitioner.
胸部创伤约占所有战斗中创伤的四分之一，通常是由爆炸或枪伤引起的。在人道主义和救灾工作中，道路交通碰撞或暴力造成的伤害也相对常见。在这种不允许的环境中，可能还会有多个受伤的患者，并且由于缺乏设施和资源，手术护理可能会受到限制。在这些情况下，急救人员应该准备好对胸部严重受伤的患者进行管理。我们的目标是在 5 级注册院前从业者的实践范围内，描述在军事和恶劣环境中对这些伤害的管理。
