Chief of Spine Surgery and Orthopedic Casualties, Alrazi Hospital; Chairman of Faculty Orthopedics and Post Graduate Training, Kuwait Institute for Medical Specialization (KIMS), Orthopedic Spine Surgeon, Canadian Board Certified, P.O. Box 1160, Surra 45712, Kuwait *Corresponding author Abdulrazzaq Alobaid, MD, FRCSC Chief of Spine Surgery and Orthopedic Casualties Alrazi Hospital; Chairman of ...

Mass burns casualty disasters occur rarely, but they are difficult to manage. Management of these cases are often further complicated in poorly resourced settings found in the developing world as triage decisions often have to be made early. This case report discusses ethical dilemmas that have been encountered when treating a mass burns casualty’s incident in the setting of a regional burns un...

Chief of Spine Surgery and Orthopedic Casualties, Alrazi Hospital; Chairman of Faculty Orthopedics and Post Graduate Training, Kuwait Institute for Medical Specialization (KIMS), Orthopedic Spine Surgeon, Canadian Board Certified, P.O. Box 1160, Surra 45712, Kuwait *Corresponding author Abdulrazzaq Alobaid, MD, FRCSC Chief of Spine Surgery and Orthopedic Casualties Alrazi Hospital; Chairman of ...

Triage, establishing the priority of care among casualties in disaster management, is generally practiced using constructive tabletop or live exercises. Actual disasters involving multiple casualties occur rarely, offering little opportunity for gaining experience and competency assessment. When they do occur, response needs to be rapid and well-learned. In the Iraqi medical education environme...

Traditional triage could not meet the needs of battlefield casualties' care in modern warfare. This paper designs of triage and medical evacuation system for casualties at sea that can quickly address mass-casualty triage, and store and transmit medical information during battlefield treatment and medical evacuation. This system consists of a high-capacity medical information card, a simulated ...

Offensive urban combat is one of the most difficult tasks soldiers are called upon to perform (USMC 1998). Urban combat is characterized by building-to-building and room-to-room fighting, and even a vastly outnumbered defensive force can inflict significant casualties on attacking forces. Effective, frequent training is an essential element in reducing casualties in urban combat. However, train...

Drug-resistant Acinetobacter baumannii-calcoaceticus complex, Klebsiella pneumoniae, and methicillin-resistant Staphylococcus aureus colonize and infect combat casualties from Iraq and Afghanistan. We retrospectively evaluated relatedness, by pulsed-field gel electrophoresis and antibiotic susceptibility testing, of isolates colonizing and infecting casualties over 2 years. Colonizing organisms...

I read with much interest the article on the above subject by Captains Barber and Doyle in the March number of the Gazette. I was particularly interested in their remarks regarding the value of the first field dressing and the occurrence of tetanus in Arab and Turkish wounded prisoners. It may perhaps not be without interest to relate my small personal experience in regard to the above in anoth...

BACKGROUND Proximal traumatic lower-extremity amputation has become the signature injury of the war in Afghanistan. Casualties present in extremis and often require immediate operative control of arterial inflow to prevent exsanguination. This study evaluated the use of this strategy and its complications. METHODS This is a retrospective analysis of case notes of UK service personnel, identif...

BACKGROUND Between March 2003 and June 2007, our burn center received 594 casualties from the conflicts in Iraq and Afghanistan. Ongoing acute burn resuscitation as severely burned casualties are evacuated over continents is very challenging. To help standardize care, burn resuscitation guidelines (BRG) were devised along with a burn flow sheet (BFS) and disseminated via the new operational Joi...