Oreck S L
Mil Med. 1996 Aug;161(8):458-61.
Experience in all major conflicts in this century has shown that orthopedic surgical/musculoskeletal care is a major component of medical support for deployed combat forces. This care consists of treatment of injuries due to both war wound trauma and non-wound trauma, which may be secondary to enemy action of "accidental". Key considerations are that most orthopedic injuries will require evacuation to echelon-IV or -V facilities out of the combat zone, and that appropriate treatment in the combat zone (echelon II or III) will reduce morbidity and facilitate evacuation. The modern experience of orthopedics in the combat zone is reviewed, with emphasis on the Persian Gulf experience and current Deployable Medical Systems, and a plan for care is promulgated.
本世纪所有主要冲突中的经验表明，矫形外科/肌肉骨骼护理是为部署的作战部队提供医疗支持的主要组成部分。这种护理包括对战伤创伤和非战伤创伤造成的损伤进行治疗，这些损伤可能是由敌人行动或“意外”导致的。关键考虑因素是，大多数矫形损伤需要后送至战区外的四级或五级医疗机构，而在战区（二级或三级）进行适当治疗将降低发病率并便于后送。本文回顾了战区矫形外科的现代经验，重点是波斯湾经验和当前的可部署医疗系统，并颁布了护理计划。
