创伤性肢体损伤的长期现场护理：确定以生物为重点的技术的作用。
Prolonged field care for traumatic extremity injuries: defining a role for biologically focused technologies.
作者信息
Dolan Connor P, Valerio Michael S, Lee Childers W, Goldman Stephen M, Dearth Christopher L
机构信息
DoD-VA Extremity Trauma and Amputation Center of Excellence, Bethesda, MD, USA.
Department of Surgery, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, Bethesda, MD, USA.
出版信息
NPJ Regen Med. 2021 Feb 4;6(1):6. doi: 10.1038/s41536-020-00117-9.
Extremity injuries occur frequently during warfare. While traditionally treated in definitive clinics, the future battlefield is projected to be different in a variety of ways, and there will likely be a shift towards prolonged field care (PFC) for treating extremity traumas. PFC is defined as field medical care that is applied beyond “doctrinal planning time-lines” by a tactical medical practitioner in order to decrease patient mortality and morbidity. At present, there is an urgent need to develop biologically focused technologies for treating extremity injuries in the PFC setting. Herein, the case is made for why rapid advancements in PFC is critical to achieve optimal care for injured Service members in the future, and important design criteria for developing next-generation biologically focused technologies. Finally, a case example—i.e., Gustilo Type III fracture—is presented to illustrate how these biologically focused technologies could be utilized to treat an extremity injury within a PFC environment.
四肢损伤在战争期间频繁发生。虽然传统上是在权威诊所进行治疗，但预计未来战场在很多方面会有所不同，并且在治疗四肢创伤方面可能会转向长期战地护理（PFC）。PFC被定义为战术医疗从业者在“既定规划时间线”之外提供的战地医疗护理，以降低患者的死亡率和发病率。目前，迫切需要开发以生物学为重点的技术，用于在PFC环境中治疗四肢损伤。在此，阐述了为何PFC的快速发展对于未来为受伤军人提供最佳护理至关重要，以及开发下一代以生物学为重点的技术的重要设计标准。最后，给出了一个案例——即 Gustilo III型骨折——来说明这些以生物学为重点的技术如何能够在PFC环境中用于治疗四肢损伤。
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