1Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, Maryland.
2Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Neurosurg Focus. 2022 Sep;53(3):E13. doi: 10.3171/2022.6.FOCUS22247.
Neurosurgery has benefited from innovations as a result of military conflict. The volume and complexity of injuries sustained on the battlefield require medical teams to triage, innovate, and practice beyond their capabilities in order to treat wartime injuries. The neurosurgeons who practiced in the Pacific Command (PACOM) during World War II, the Korean War, and the War in Vietnam built upon field operating room knowledge and influenced the logistics of treating battle-injured patients in far-forward environments. Modern-day battles are held on new terrain, and the military neurosurgeon must adapt. War in the PACOM uniquely presented significant obstacles due to geographic isolation, ultimately accelerating the growth and adaptability of military neurosurgery and medical evacuation. The advancements in infrastructure and resource mobilization made during PACOM conflicts continue to inform modern-day practices and provide insight for future conflicts. In this historical article, the authors review the development and evolution of neurosurgical care, forward surgical teams, and mobile field hospitals with surgical capabilities through US conflicts in the PACOM.
神经外科学受益于军事冲突带来的创新。战场上伤员的数量和复杂性要求医疗团队进行分诊、创新，并超越自身能力进行实践，以治疗战时伤员。在第二次世界大战、朝鲜战争和越南战争期间在太平洋司令部 (PACOM) 执业的神经外科医生，他们在野战手术室知识的基础上进行了创新，并影响了在前沿环境中治疗战斗受伤患者的后勤工作。现代战争发生在新的地形上，因此军事神经外科医生必须适应新的环境。由于地理位置偏远，PACOM 地区的战争带来了重大挑战，最终加速了军事神经外科学和医疗后送的发展和适应性。在 PACOM 冲突期间进行的基础设施和资源调动方面的进步，继续为现代实践提供信息，并为未来的冲突提供见解。在这篇历史文章中，作者回顾了美国在 PACOM 冲突中神经外科护理、前方手术团队和具备手术能力的流动野战医院的发展和演变。
