Document Detail


Treatment of war wounds: a historical review.
MedLine Citation:
PMID:  19219516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The treatment of war wounds is an ancient art, constantly refined to reflect improvements in weapons technology, transportation, antiseptic practices, and surgical techniques. Throughout most of the history of warfare, more soldiers died from disease than combat wounds, and misconceptions regarding the best timing and mode of treatment for injuries often resulted in more harm than good. Since the 19th century, mortality from war wounds steadily decreased as surgeons on all sides of conflicts developed systems for rapidly moving the wounded from the battlefield to frontline hospitals where surgical care is delivered. We review the most important trends in US and Western military trauma management over two centuries, including the shift from primary to delayed closure in wound management, refinement of amputation techniques, advances in evacuation philosophy and technology, the development of antiseptic practices, and the use of antibiotics. We also discuss how the lessons of history are reflected in contemporary US practices in Iraq and Afghanistan.
Authors:
M M Manring; Alan Hawk; Jason H Calhoun; Romney C Andersen
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Publication Detail:
Type:  Historical Article; Journal Article; Portraits     Date:  2009-02-14
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  467     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-07     Completed Date:  2009-08-03     Revised Date:  2010-09-23    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2168-91     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, University of Missouri-Columbia, Columbia, MO, USA.
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MeSH Terms
Descriptor/Qualifier:
History, 15th Century
History, 16th Century
History, 17th Century
History, 18th Century
History, 19th Century
History, 20th Century
History, 21st Century
History, Ancient
History, Medieval
War*
Wounds and Injuries / history*,  surgery*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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