医学
复苏
战场
失血性休克
医疗急救
休克(循环)
重症监护医学
指南
急诊医学
军事医学
损伤控制手术
损伤控制
紧急医疗服务
医疗后送
毒物控制
损伤严重程度评分
伤害预防
外科
病理
内科学
古代史
政治学
法学
历史
作者
Gal Puris,Shaul Gelikas,Regina Pikman,Shachar Shapira,Tomer Talmy,Ofer Almog,Mark H. Yazer,Avi Benov,Sami Gendler
出处
期刊:Military Medicine
[Oxford University Press]
日期:2022-05-26
卷期号:188 (7-8): 2833-2836
被引量:2
标识
DOI:10.1093/milmed/usac139
摘要
ABSTRACT Hypovolemic shock is the leading cause of preventable death on the battlefield. Remote damage control resuscitation has evolved dramatically in the past decade by introducing novel treatments and approaches to bleeding in the prehospital setting. This report presents a case of a casualty who sustained multiple gunshot wounds to the chest and gluteal regions and suffered from hemorrhagic shock with an Injury Severity Score of 34. The casualty was treated at the point of injury and during evacuation according to the IDF’s remote damage control resuscitation algorithm utilizing the range of blood products available in the IDF. Prompt identification of the mechanism of injury, clinical and tactical decision-making, and immediate advanced medical care through several prehospital medical evacuation platforms culminated in this casualty’s survival. This case emphasizes the importance of medical advancements in prehospital field care and guideline-directed treatment to improve casualty survival.
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