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War Surgery – Field manual

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This book takes a unique approach to the subject of trauma and war surgery. This ground-breaking work sets a standard reference for care under difficult conditions, with the lack of medical facilities and proper staff. It promotes a concept of forward life support and surgery, which draws on the resources and knowledge of the local community, which improvises with local equipment and materials, and also includes a complete guide to post-operative, high-energy nutrition based on local foodstuffs and food-processing traditions. The second revised edition contains updates on the injuries caused by modern weaponry, on post-injury physiology, and on damage control surgery. Publisher: TWN ISBN: 978-983-2729-21-1 Year: 2011 No. of pages: 880 Authors: Hans Husum is a general surgeon with thirty years of experience with popular movements in the war zones and mine fields of the Middle East, Iraq, Afghanistan, and Southeast Asia. He is a founding member of Trauma Care Foundation, an institution developing teaching aids in trauma care for low-resource communities. Hans Husum heads Tromsoe Mine Victim Resource Center, an action-research center at the University Hospital of North Norway and has published extensively on trauma systems in war with colleagues in the South. Erik Fosse is specialist in general and cardiothoracic surgery. He is professor of surgery at the University of Oslo and director of the Interventional Centre, which is a research and development department at Oslo University Hospital. Erik Fosse is the director of NORWAC, a humanitarian medical NGO working mainly in The Middle East and the Balkans. He worked as a surgeon with the Afghan resistance in 1986 and in Albania during the Kosovo war in 1999. Since 1979 he has worked during several wars in Lebanon and Palestine with Palestinian organizations, including the war in Gaza in January 2009. Erik Fosse is consultant in war surgery with the Norwegian Military Medical Services. Swee Chai Ang is consultant trauma and orthopaedic surgeon at St Bartholomew and the Royal London Hospital, England. She and her team treated many of the major casualties of the 2005 7/7 bombings in London. Since 1982, she has worked on multiple occasions as orthopaedic surgeon to the Palestinians in the Lebanon and Gaza, with the Palestine Red Crescent Society, the United Nations and WHO. She is co-founder and patron of the British Charity, Medical Aid for Palestinians. She has also been on several relief missions to the Pakistan Kashmir earthquake. Her publications include papers on acute care of the war wounded. She penned her survivor eyewitness account of the 1982 Beirut Sabra Shatilla massacre in her book “From Beirut to Jerusalem”. The late Yasser Arafat awarded her the Star of Palestine for her work with his people. Contents How to use the book Foreword to the First Edition Foreword to the Second Edition Authors and contributors Section 1: Trauma systems in war 1. The chain of survival 2. Trauma care training 3. Material input 4. Trauma severity scoring and quality control Section 2: Trauma care in war 5. The weapon 6. The injury 7. Trauma life support in war 8. Life-saving surgery 9. Triage – sorting casualties Section 3: Basics of war surgery 10. Surgical technique 11. Fasciotomy, debridement and drainage 12. Injuries to arteries and veins 13. Fractures and mangled limbs 14. Joint injuries 15. Tendon injuries 16. Nerve injuries 17. Amputations 18. Wound closure 19. Injuries to children and old people 20. Emergency blood transfusion 21. Hypothermia and hyperthermia 22. Diseases interfering with surgery Section 4: War surgery – specific injuries 23. Injury to the head and neck 24. Injury to the spine 25. Injury to the face 26. Injury to the eye 27. Injury to the chest 28. Abdominal injuries in general 29. Injury to the intestine 30. Injury to the stomach and duo

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