ABC to ABC: redefining the military trauma paradigm.
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Biomedical subjects
Publications and source records attributed to P F Mahoney.
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Through the DMCC and similar comprehensive training, Military and NGO personnel can prepare for deployment with a greater understanding of the issues that will confront them whilst there. Progression through the modules will provide them with a greater skill set to meet the challenges that await them and allow them to be an effective and valuable member of the team.
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Management of the trapped casualty is a specialized area of prehospital care. It requires close cooperation between all the emergency services. Specific training courses are being developed in the UK for both rescue and medical terms. When approaching an entrapment incident medical teams must consider their own safety and liaise closely with the paramedical and rescue crews as to the best means of effecting casualty release. A variety of immobilization equipment is available, different equipment being suitable to different situations. The prehospital anaesthetist needs to understand the influence this equipment has on airway management and subsequent anaesthesia.
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A case of a 24-year-old male who survived a near drowning despite suboptimal pre-hospital management is reported. The case illustrates the value of continuing resuscitative efforts even in the apparently dead drowning victim.
The organisation and the workload of the anaesthetic department of a Field Hospital deployed during the Gulf war were described. Suggestions are made as to how the problems encountered might be overcome in the future.
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