Advanced Product Development for Combat Casualty Care at the U.S. Army Institute of Surgical Research

作者: Steven E Wolf , David G Baer , Laura L McGhee , Leopoldo C Cancio , Lorne H Blackbourne

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摘要: Abstract : The Institute of Surgical Research (USAISR) is the U.S. Army s lead research laboratory for improving care combat casualties. follows a rigorous process analyzing patterns injury and burden disease to determine where can be conducted in order positively impact care. This analysis led USAISR focus on: preventing death from bleeding; developing improved pain control techniques; vital signs treatment extremity injuries; burn injuries on battlefield; critical has resulted numerous improvements battlefield. Highlights include development, fielding, efficiency testing tourniquets dressings bleeding control. Significant progress also been made resuscitation casualties using blood products instead crystalloid or colloid solutions. Improvements assessments effect perioperative anesthetics development Post-Traumatic Stress Disorder (PTSD). Novel analyses have successful identifying promising techniques which may improve medic ability accurately triage patients. Current focused optimizing use negative pressure wound therapy contaminated wounds. Burn personnel protective equipment continuous renal replacement therapy. program soldier addresses self aid buddy through all echelons Many these advances adopted civilian medical centers as well, benefiting not only military trauma patient, but patient. future includes expansion mission resources dental, eye, product collaboration with Navy U

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