Journal of High Threat & Austere Medicine最新文献

筛选
英文 中文
Insidious bleeding; the danger of complacency: Case Report 阴险的出血;自满的危险:个案报告
Journal of High Threat & Austere Medicine Pub Date : 2019-01-24 DOI: 10.33553/JHTAM.V1I1.9
Aldon Delport, Timothy Makrides, S. Delport, Hannah Makrides
{"title":"Insidious bleeding; the danger of complacency: Case Report","authors":"Aldon Delport, Timothy Makrides, S. Delport, Hannah Makrides","doi":"10.33553/JHTAM.V1I1.9","DOIUrl":"https://doi.org/10.33553/JHTAM.V1I1.9","url":null,"abstract":"Background: A recent publication in the Journal of Trauma and Acute Care Surgery reported that patients who received a tourniquet (TQ) for severe extremity bleeding had a fourfold decrease in overall shock related mortality (Scerbo et al., 2017). A systematic review conducted in the United States (US) by Beaucreux, Vivian, Miles, Sylvain, and Pasquier (2018) showed that tourniquets are an effective tool for haemorrhage control in civilian populations with low levels of associated complications. Not a lot is known about the attitudes of Australian paramedics toward TQ’s or their use thereof, but anecdotal evidence suggests that their use is contentious.\u0000\u0000\u0000Case: We present a case of severe extremity haemorrhage involving a 90-year-old male who sustained a partial amputation to the lower aspect of the left leg proximal to the ankle whilst cutting a tree branch with a 5-inch toothed garden saw.\u0000\u0000\u0000Conclusion: In this case, the paramedics who attended to this patient believed that the use of a TQ was extreme. Standard trauma management and haemorrhage control measures that included a pressure bandage, vacuum splint and warming blanket served as confounding factors in obscuring an ongoing insidious bleed. Based on the injury profile, the patients advanced age, medications for comorbidities and associated decrease in physiological reserves this patient was a candidate for early TQ application. Failure to apply a TQ may have contributed to coagulopathy and the need for postoperative transfusions.","PeriodicalId":320991,"journal":{"name":"Journal of High Threat & Austere Medicine","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132657593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Australian Tactical Medical Association and the Journal of High Threat & Austere Medicine: A joint initiative to progress a niche subspecialty of medicine 澳大利亚战术医学协会和《高威胁与严峻医学杂志》:一项联合倡议,以推进医学的一个小众亚专业
Journal of High Threat & Austere Medicine Pub Date : 2019-01-20 DOI: 10.33553/JHTAM.V1I1.8
Timothy Makrides, Matthew P. J. Pepper
{"title":"Australian Tactical Medical Association and the Journal of High Threat & Austere Medicine: A joint initiative to progress a niche subspecialty of medicine","authors":"Timothy Makrides, Matthew P. J. Pepper","doi":"10.33553/JHTAM.V1I1.8","DOIUrl":"https://doi.org/10.33553/JHTAM.V1I1.8","url":null,"abstract":"This year sees the launch of the official journal of the Australian Tactical Medical Association (ATMA), the Journal of High Threat and Austere Medicine (JHTAM). This initiative is a significant achievement in the progression of high threat medicine in Australia and builds upon the success of the past 18 months. \u0000\u0000\u0000Whilst ‘Tactical Medicine’ conjures in the minds of the uninformed ideas of black-clad specialists in body armour, JHTAM and ATMA actually encompass and represent a wide range of applications of first aid and medicine. The crossover between all these applications is significant, and collaboration will only allow for a larger evidence base to draw from, as well as opening communication channels and starting conversations that enable greater and more cohesive response capacity in wilderness, expedition, prehospital, tactical, military and austere applications.","PeriodicalId":320991,"journal":{"name":"Journal of High Threat & Austere Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131055393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信