Chinese expert consensus on echelons treatment of thoracic injury in modern warfare.

Autor: Zong ZW; State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University, Chongqing, 400038, China. zongzhaowen@163.com., Wang ZN; Department of Cardiothoracic Surgery, Changzheng Hospital, Naval Medical University, Shanghai, 200003, China., Chen SX; State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University, Chongqing, 400038, China., Qin H; State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University, Chongqing, 400038, China., Zhang LY; Department of Trauma Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China., Shen Y; Department of Trauma Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China., Yang L; State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University, Chongqing, 400038, China., Du WQ; State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University, Chongqing, 400038, China., Chen C; State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University, Chongqing, 400038, China., Zhong X; State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University, Chongqing, 400038, China., Zhang L; Special Clinic Department of Bethune Medical Profession Sergeant School, Shijiazhuang, 050000, China., Huo JT; Special Clinic Department of Bethune Medical Profession Sergeant School, Shijiazhuang, 050000, China., Kuai LP; Institute of Health Service and Medical Information, Academy of Military Medical Sciences of the Chinese PLA, Beijing, 100850, China., Shu LX; Department of Pharmacy, Naval Medical University, Shanghai, 200433, China., Du GF; Institute of Health Service and Medical Information, Academy of Military Medical Sciences of the Chinese PLA, Beijing, 100850, China., Zhao YF; Department of Trauma Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China.
Jazyk: angličtina
Zdroj: Military Medical Research [Mil Med Res] 2018 Oct 04; Vol. 5 (1), pp. 34. Date of Electronic Publication: 2018 Oct 04.
DOI: 10.1186/s40779-018-0181-6
Abstrakt: The emergency treatment of thoracic injuries varies of general conditions and modern warfare. However, there are no unified battlefield treatment guidelines for thoracic injuries in the Chinese People's Liberation Army (PLA). An expert consensus has been reached based on the epidemiology of thoracic injuries and the concept of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since there are no differences in the specialized treatment for thoracic injuries between general conditions and modern warfare, first aid, emergency treatment, and early treatment of thoracic injuries are introduced separately in three levels in this consensus. At Level I facilities, tension pneumothorax and open pneumothorax are recommended for initial assessment during the first aid stage. Re-evaluation and further treatment for hemothorax, flail chest, and pericardial tamponade are recommended at Level II facilities. At Level III facilities, simple surgical operations such as emergency thoracotomy and debridement surgery for open pneumothorax are recommended. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.
Databáze: MEDLINE
Externí odkaz: