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Prehospital advances in the management of severe penetrating trauma

Mabry, Robert MD; McManus, John G. MD, MCR

doi: 10.1097/CCM.0b013e31817da674
Scientific Reviews

Background: Historic advances in combat prehospital care have been made in the last decade. Unlike other areas of critical care, most of these innovations are not the result of significant improvements in technology, but by conceptual changes in how care is delivered in a tactical setting. The new concept of Tactical Combat Casualty Care has revolutionized the management of combat casualties in the prehospital tactical setting.

Discussion: The Tactical Combat Casualty Care concept recognizes the unique epidemiologic and tactical considerations of combat care and that simply extrapolating civilian care concepts to the battlefield are insufficient.

Summary: This article examines the most recent and salient advances that have occurred in battlefield prehospital care driven by our ongoing combat experience in the Iraq and Afghanistan and the evolution around the Tactical Combat Casualty Care concept.

From the Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX.

The opinions or assertions contained here are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

The authors have not disclosed any potential conflicts of interest.

For information regarding this article, E-mail: robert.mabry@amedd.army.mil

© 2008 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins