OBJECTIVE To determine the safety of definitive in-theater facial fracture repair on American military personnel wounded during Operation Iraqi Freedom. METHODS A retrospective review of all patients with head and neck trauma treated at the 322nd Expeditionary Medical Group/Air Force Theater Hospital, Balad Air Base, Iraq, from May 7, 2005, through September 18, 2005, was performed. This stud...

Disturbances to healing observed under hypoxic conditions have given insights into the roles of oxygen. Wound hypoxia is more prevalent than generally appreciated, and occurs even in patients who are free of arterial occlusive disease. There is a strong scientific basis for oxygen treatment as prophylaxis against infection, to facilitate wound closure, and to prevent amputation in wounded patie...

Recommendations for the prevention of tetanus in the wounded have been revised to incorporate the use of human tetanus immunoglobulin, which is now available in the United Kingdom. Surgical toilet is of prime importance for all wounds, and is usually sufficient for tetanus prophylaxis in patients with wounds that are less than six hours old, clean, non-penetrating, and with negligible tissue da...

Throughout the current conflicts in Afghanistan and Iraq, there have been more than 1100 combat-related major limb amputations, with approximately 80% involving the lower extremity. There is, however, a paucity of data regarding the number of amputations below the level of the ankle. Although not as common, partial foot amputations, in the appropriate setting, offer a way to improve function an...

So much has been written about the Great Unknown, so many people have visited Abbotsford, so many have, in the past, read the Waverley Novels, that one wonders that anyone could find it worth while to pen yet another account of the life of that painful genius, Sir Walter Scott, and it was with some trepidation that your reviewer opened this book, certain that so small a volume would be trite, o...

The current military conflicts of Operation Enduring Freedom and Operation Iraqi Freedom have been characterized by high-energy explosive wounding patterns, with the majority affecting the extremities. While many injuries have resulted in amputation, surgical advances have allowed the orthopaedic surgeon to pursue limb salvage in the face of injuries once considered unsalvageable. The military ...

The number of casualties was determined for 513 incidents involving U.S. Navy warships sunk or damaged during World War II. Ship type and weapon were significant factors in determining the numbers of wounded and killed. Multiple weapon attacks and kamikazes yielded more wounded in action than other weapon types. Multiple weapons and torpedos resulted in a higher incidence of killed in action th...

The role of the “wounded healer” can have positive effects for former offenders as regards desistance and social (re)integration; however, research focusing on wounded healing/peer mentoring from a gender perspective is limited. Drawing fieldwork conducted in Swedish peer support organizations (PESOs) qualitative interviews with working five different PESOs, this study analyses how masculinity ...

War Psychiatry 458 Marion Greenwood The Dental Front 1945 Marion Greenwood created a series of watercolors depicting the work of the U.S. Army Medical Department at the England General Hospital in Atlantic City, New Jersey during World War II. This watercolor portrays wounded soldiers waiting for their next medical procedure, in this case a visit with the dentist. Many of these seriously-wounde...