Emergency War Surgery

Second United States Revision of
The Emergency War Surgery NATO Handbook

Thomas E. Bowen, M.D.
Editor
BG, MC, U.S. Army

Ronald Bellamy, M.D.
Co-Editor
COL, MC, U.S. Army

United States Department of Defense

United States Government Printing Office
Washington, D.C.
1988

Peer Review Status: Internally Peer Reviewed
Creation Date: Unknown

Last Revision Date: 1988

Next two files posted on my web site

Nato_EWS_PDF.ZIP    right click on and save PDF

Nato EWS in HTML.ZIP  right click on and save HTM

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Disk only Additions Feb 2006.  Content on web is  just too great

Medical:

Clear copy of Emergency War Surgery

and  Special Forces Medical Handbook

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http://www.bordeninstitute.army.mil/emrgncywarsurg/EWS.ZIP

Link on the web to the Clear copy

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Note from Paul

 

If you see a box with a little red X in it, click on it, and a picture should come up.   For some reason, on the net version, the bigger pictures come up, but the little thumbnails versions do not show up.  On my disk, both are there.

Speaking of which, you really need to send for a disk with the entire contents of this site.  I have taken many bold actions, putting back on the web information I got from the web.  It is just possible I will be asked to close down all, or part of my site.  If that has happened, you will want to have written my address down.  (see the contact info elsewhere.)  The limit of keeping this to One CD is about reached.  I have ten times the information on this site, elsewhere. 

 


Contents

Foreword

Preface

Prologue

Acknowledgments

Chapter

  1. General Considerations of Forward Surgery

    Part I. Types of Wounds and Injuries

  2. Missile-Caused Wounds
  3. Burn Injury
  4. Cold Injury
  5. Blast Injuries
  6. Chemical Injury
  7. Mass Casualties in Thermonuclear Warfare
  8. Multiple Injuries

    Part II. Response of the Body to Wounding

  9. Shock and Resuscitation
  10. Compensatory and Pathophysiological Responses to Trauma
  11. Infection

    Part III. General Considerations of Wound Management

  12. Sorting of Casualties
  13. Aeromedical Evacuation
  14. War Surgery Within the Division
  15. Anesthesia and Analgesia
  16. Wounds and Injuries of the Soft Tissues
  17. Crush Injury
  18. Vascular Injuries
  19. Wounds and Injuries of Bones and Joints
  20. Wounds and Injuries of Peripheral Nerves
  21. Amputations

    Part IV. Regional Wounds and Injuries

  22. Craniocerebral Injury
  23. Maxillofacial Wounds and Injuries
  24. Wounds and Injuries of the Eye
  25. Laser Injury of the Eye
  26. Wounds and Injuries of the Ear
  27. Wounds and Injuries of the Neck
  28. Wounds and Injuries of the Chest
  29. Wounds of the Abdomen
  30. Reoperative Abdominal Surgery
  31. Wounds and Injuries of the Genitourinary Tract
  32. Wounds and Injuries of the Hand
  33. Wounds and Injuries of the Spinal Column and Cord

Appendixes

  1. Glossary of Drugs with National Nomenclatures
  2. Useful Tables

    Illustrations

Figure

  1. Generic organization of combat casualty care
  2. Wound Profile - Vetterli projectile, circa 1870-1890
  3. The sonic shock wave and temporary cavity
  4. Wound Profile - .45 Automatic
  5. Wound Profile - .22 Long Rifle
  6. Wound Profile - .38 Special
  7. Wound Profile - 7.62 NATO FMC
  8. Wound Profile - AK 47
  9. Wound Profile - AK 74
  10. Wound Profile - 357 Magnum
  11. Wound Profile - 7.62 Soft Point
  12. Wound Profile - M-16 M-193 round
  13. Wound Profile - .224 Soft Point
  14. Wound Profile - 12 gauge shotgun, #4 buckshot
  15. Rule of nines for use in determining percentage of burns
  16. Sites for escharotomy incisions
  17. Pressure-Time representation of an air explosion
  18. Human tolerance to blast waves
  19. Fallout decay with time after detonation
  20. Postradiation syndrome dose and time relationships
  21. Proposed scheme for mass casualty flow
  22. Casualty care decision tree at the division level
  23. A technique for cricothyroidotomy
  24. Technique of debridement in soft-tissue wounds
  25. External fixation of fractures
  26. Immobilization of the upper extremity
  27. Technique of open circular amputation
  28. Self-contained plaster-incorporated traction device
  29. Technique for debridement of head wounds
  30. Technique of archbar application to maxillary and mandibular teeth
  31. Closure by layers of lid lacerations
  32. Technique of tracheostomy
  33. Control of bleeding from caval and hepatic vein injuries
  34. Drainage of the abdomen
  35. Single layer technique for closure of small intestine
  36. Exteriorization of colon wounds
  37. The end colostomy and matured ileostomy
  38. Technique of presacral drainage
  39. Immobilization of the injured hand and forearm
  40. Sensory Dermatomes
  41. Cervical Immobilization using a Short Board
  42. Spinal Immobilization using a Long Board
  43. Two Man Arm Carry
  44. Field Expedient Litter
  45. Gardner-Wells Tongs

    Tables

Number

  1. Diagnosis of burn depth
  2. Formula for estimating fluid requirements in burn patients
  3. Chemical warfare agent classification
  4. Time of onset with chemical agents
  5. Early signs and symptoms of chemical exposure
  6. Estimated fluid and blood requirements
  7. Choice, mode of action, spectrum, and dosage of antibiotic agents
  8. Anatomical distribution of battle wounds
  9. Local anesthetic agents
  10. Arterial wound and associated injuries, Vietnam, 1965-1970
  11. Classification of craniocerebral injuries
  12. Mechanism and pathophysiology of craniocerebral injuries
  13. Glasgow Coma Scale
  14. Typical lasers and their wavelengths
  15. Support of the Spinal Column
  16. Assessment of Spinal Cord Injuries
  17. Extraction techniques for suspected spinal column injuries
  18. Application of Gardner-Wells Cranial tongs

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