ABSTRACT
Large quantities of medical resources are necessary for the treatment of patients suffering from acute radiation syndrome in combination with blast and thermal injuries (combined injuries). So far, however, there is no tool available for evaluating the resources required for the treatment of combined injuries. The purpose of this manuscript is to describe the scientific basis for a newly developed software tool designed to estimate the medical resources needed for treating the combined injuries of individuals/high numbers of casualties who may be involved in civil defense, emergency medical care and various military activities (namely out of area) in the case of a nuclear event.
Subject(s)
Disaster Planning/statistics & numerical data , Health Resources/supply & distribution , Mathematical Computing , Nuclear Warfare , Radioactive Hazard Release/statistics & numerical data , Blast Injuries/epidemiology , Burns/epidemiology , Dose-Response Relationship, Radiation , Humans , Radiation Injuries/epidemiology , Software DesignABSTRACT
Even under the conditions of operations out-of-area severely burned soldiers have to receive a treatment that is in its outcome equivalent to the medical standard in Germany. On the bases of equipment and personnel the adequately trained members of the medical services of the German Forces are able to meet this high standard. Besides the generally accepted and standardised procedures, carbon wound dressings, due to their tolerance and easy handling, should be used for the topical treatment of burns under out-of-area conditions ("Koblenzer Modell").
Subject(s)
Burns/therapy , Military Personnel , Quality Assurance, Health Care , Bandages , Debridement , First Aid , Germany , Humans , Mobile Health Units , Patient Care TeamABSTRACT
Our experience with external skeletal fixation of complex open and closed femoral fractures in 50 conventional trauma victims is presented. Different external fixator systems were primarily used in 26 patients and secondarily in 24 patients. The authors feel that early definitive femoral fracture care in civilian and military trauma victims employing unilateral external monofixation, which avoids casts, and allows improved wound management and early mobilization of the multitrauma patient, has decreased the complication rate commonly associated with internal fixation of open femoral fractures.
