Assessment and training of Ukrainian trauma and combat casualty care via international symposia.

IF 3.7 2区医学 Q2 CRITICAL CARE MEDICINE

Journal of Trauma and Acute Care Surgery Pub Date : 2025-07-15 DOI:10.1097/TA.0000000000004722

John B Holcomb, Terry M Rauch, Shannon Dittlinger, Warren C Dorlac, Tiffany E Hamm, Terry M Rauch, Therese A West, Travis M Polk

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引用次数: 0

Abstract

Abstract: The Russian Federation (RF) full invasion of Ukraine (UA) in 2022 presents a unique opportunity to understand how large-scale combat operations (LSCOs) strain and destabilize healthcare and trauma system infrastructure. To share clinical knowledge gained in combat casualty care and learn from the UA LSCO experience, nine symposia were held from June 2023 to June 2024, gathering international experts with key leaders and medical personnel from UA. This effort was supported by the United States Department of Defense Combat Casualty Research Program (DoD CCCRP) in accordance with the US Congressional direction to establish military medical partnerships with the UA specified the National Defense Authorization Acts of 2023 and 2024. The DoD CCCRP seeks to develop requirements driven knowledge and material solutions for the care of combat-related traumatic injury during current and future conflicts. The symposia summarized herein consisted of 40- to 60-person discussions focused on key topics of interest, including trauma system and registries, hemostatic resuscitation, evacuation, telemedicine, brain health, tourniquet use, rehabilitation, and research and logistical needs. Personal relationships were formed and feedback from the symposia have enabled evidence-based changes to United States and North Atlantic Treaty Organization trauma care guidelines and similarly have benefited our UA colleagues.

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通过国际专题讨论会评估和培训乌克兰的创伤和战斗伤亡护理。

摘要：俄罗斯联邦（RF） 2022年全面入侵乌克兰（UA）提供了一个独特的机会，可以了解大规模作战行动（LSCOs）如何给医疗和创伤系统基础设施带来压力和不稳定。为了分享在战斗伤亡护理方面获得的临床知识并学习UA LSCO的经验，从2023年6月至2024年6月举行了9次专题讨论会，聚集了UA的主要领导和医疗人员的国际专家。这项工作得到了美国国防部战斗伤亡研究计划（DoD CCCRP）的支持，根据美国国会的指示，与2023年和2024年国防授权法案规定的UA建立军事医疗伙伴关系。国防部CCCRP旨在开发需求驱动的知识和材料解决方案，用于在当前和未来冲突中护理与战斗有关的创伤性伤害。本文总结的专题讨论会由40至60人的讨论组成，重点讨论感兴趣的关键主题，包括创伤系统和登记，止血复苏，疏散，远程医疗，脑健康，止血带使用，康复以及研究和后勤需求。我们建立了个人关系，座谈会的反馈使美国和北大西洋公约组织的创伤护理指南得以基于证据的改变，同样也使我们的UA同事受益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Trauma and Acute Care Surgery 医学-外科

CiteScore

6.00

自引率

11.80%

发文量

637

审稿时长

2.7 months

期刊介绍： The Journal of Trauma and Acute Care Surgery® is designed to provide the scientific basis to optimize care of the severely injured and critically ill surgical patient. Thus, the Journal has a high priority for basic and translation research to fulfill this objectives. Additionally, the Journal is enthusiastic to publish randomized prospective clinical studies to establish care predicated on a mechanistic foundation. Finally, the Journal is seeking systematic reviews, guidelines and algorithms that incorporate the best evidence available.