Battlefield medicine

Mr.T

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Unmanned evacuation drones seem to be only real solution , as now casualties are not evacuated in timely manner on either side leading to excess in amputations. Also NATO standards and manuals seem to be writen around manageable GWOT casualty numbers and timely medical evacuation that would never be quite as available in peer war.


Captain Rom A Stevens, a retired senior US medical navy officer who has served in Iraq, Afghanistan, and East Africa, estimates that of the roughly 100,000 amputations performed on Ukrainian soldiers since Russia’s full-scale invasion in 2022, as many as 75,000 were caused by improper use of tourniquets.


We believe that Ukrainian military, volunteer civilian, and NATO military trainers do not realize the high risk of limb loss and other negative consequences due to inappropriate use or prolonged tourniquet application. Nor do they see these consequences as the casualty is moved through and up the care chain, as there is no Ukrainian version of the U.S. joint trauma registry, and no regular review of complications. Casualty data are not published by the Ukrainian Ministry of Defense or Ministry of Health due to security concerns.6 Ukrainian hands-on training and social media sites have over-emphasized the use of proximal placement of tourniquets without explaining possible limb loss and other complications resulting from tourniquets left in situ more than 2 hours. Yatsun reported than only 25% of limb tourniquets placed during combat operations in Ukraine were appropriate, the remainder were more appropriately managed with pressure dressings
 
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As an ex army paramedic it has driven me nuts over decades. We are more and more influenced by media, television and films that show medical situations go straight for the torniquet.

Being social animals we carry this influence with us and training only goes so far when adrenaline is so high and stress rules the roost. Three battlefield dressing before torniquet and red marker "T" on the forehead with clear time of application.

Sepsis is almost guaranteed if the rules are broken.
 

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