Tourniquet Management Beyond the Golden Hour: A Call for Doctrinal Change in TCCC [0.03%]
“黄金时间”之外的止血带应用：对战术 Combat 医疗护理中止血带使用的再思考
Max Beerbaum,James White,Jonathan Henderson
Max Beerbaum
Tourniquets have proven lifesaving in modern combat, particularly during the Global War on Terror, where rapid evacuation often mitigated the risks of prolonged and non-medically indicated application. However, in future large scale combat ...
10-Gauge versus 14-Gauge Fenestrated Needle/Catheter Units for Decompression of Tension Pneumothorax in Cadaveric Model [0.03%]
针筒式导管减压张力性气胸的尸体实验研究（10G与14G孔径导管的比较）
Adrianna N Long,Jennifer Achay,Ian L Hudson et al.
Adrianna N Long et al.
Background: Needle decompression (NDC) is the primary treatment of tension pneumothorax (tPTX) in prehospital settings. This study compared 10-gauge (10ga) and 14-gauge (14ga) fenestrated needle/catheter units for NDC. We...
Low-Tech Solutions for Military Prehospital Medication Storage in Arctic Circumstances: A Feasibility Study [0.03%]
北极军事战地前介药械储存的低技术解决方案可行性研究
Casper M Fransen,Benjamin L Turner,T T C F van Dongen et al.
Casper M Fransen et al.
Introduction: Preventing temperature stress on medication for prehospital medical care is a challenge, especially in re-source-limited environments like the Arctic. Most medication used by military prehospital providers i...
Patrick Thompson,Anthony J Hudson,Timothy Irvine-Smith
Patrick Thompson
Bandages have been used in hemorrhage control since at least ancient Egyptian, Greek, and Roman times. The design remained unchanged until the fifth century BCE, when gauze was introduced. Modern bandages are relatively expensive and heavy ...
Piper Lynn Wall,Charisse M Buising,Catherine Hackett Renner
Piper Lynn Wall
Background: We hypothesized shared-design tourniquet features have useful first-use learning when knowledge-of-results occurs. Methods: ...
Piper Lynn Wall,Charisse M Buising,Mary Jonas
Piper Lynn Wall
Background: We evaluated arterial occlusiveness, 180° turns, pressures, reuse wear, and design aspects of four Ukrainian-manufactured tourniquets. Method...
Jason M Hiles,Luke J Hofmann,April A Grant et al.
Jason M Hiles et al.
Definitive Field Care (DFC) is a medical strategy required when evacuation is impossible due to tactical, environmental, or political constraints. Unlike Prolonged Field Care (PFC) or Prolonged Casualty Care (PCC), which assume eventual eva...
Triage in Action: A Principles-Based Approach to Mass Casualty Management in Tactical Combat Casualty Care [0.03%]
实战中的战伤救治初期处置：战术 combat casualty care 中大量伤员救治的原则-based方法
Michael A Remley,Stacy A Shackelford,Stephen C Rush et al.
Michael A Remley et al.
Background: Current triage practices in military mass casualty (MASCAL) events are frequently misaligned with real-world operational needs, leading to delays, confusion, and suboptimal outcomes. Despite the existence of f...
Real-time Reduction in Optic Nerve Sheath Diameter Following Hypertonic Saline Bolus in a Patient with Penetrating Traumatic Brain Injury: A Case Report [0.03%]
高渗盐水冲击后穿透性脑损伤患者的视神经鞘直径实时变化：一例报告
Maya Alexandri,Tanner M Smith,Christopher A Mitchell et al.
Maya Alexandri et al.
The Joint Trauma System Clinical Practice Guideline on Traumatic Brain Injury Management in Prolonged Field Care recommends the use of ultrasound measurement of optic nerve sheath diameter (ONSD) in the neurologic assessment of unconscious ...
Stevan C Fairburn,Emily W Baird,Michelle Mangold et al.
Stevan C Fairburn et al.
Esophageal perforations, though rare, are critical injuries because of the risk of rapid progression to mediastinitis and sepsis. Traumatic perforations, especially those following blunt trauma, carry high mortality, and explosive injuries ...