Chinese expert consensus on echelons treatment of pelvic fractures in modern war
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Chinese expert consensus on echelons treatment of pelvic fractures in modern war
Military Medical ResearchVol. 5, Issue 4, Pages: 279-292(2018)
Affiliations:
1. State Key Laboratory of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University
2. First Department, Research Institute of Surgery, Daping Hospital, Army Medical University
3. Department of Trauma Surgery, Daping Hospital, Army Medical University
Author bio:
Funds:
DOI:
CLC:R826
Published:2018
Accepted:
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[1]Zhao-Wen Zong,Si-Wu Chen,Hao Qin,Hua-Ping Liang,Lei Yang,Yu-Feng Zhao.Chinese expert consensus on echelons treatment of pelvic fractures in modern war[J].Military Medical Research,2018,5(04):279-292.
DOI:
[1]Zhao-Wen Zong,Si-Wu Chen,Hao Qin,Hua-Ping Liang,Lei Yang,Yu-Feng Zhao.Chinese expert consensus on echelons treatment of pelvic fractures in modern war[J].Military Medical Research,2018,5(04):279-292.DOI:
Chinese expert consensus on echelons treatment of pelvic fractures in modern war
摘要
Abstract
The characteristics and treatment of pelvic fractures vary between general conditions and modern war. An expert consensus has been reached based on pelvic injury epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. According to this consensus
first aid
emergency treatment and early treatment of pelvic fractures are introduced in three separate levels. In Level Ⅰ facilities
simple triage and rapid treatment following the principles of advanced trauma life support are recommended to evaluate combat casualties during the first-aid stage. Re-evaluation
further immobilization and fixation
and hemostasis are recommended at Level Ⅱ facilities. At Level Ⅲ facilities
the main components of damage control surgery are recommended
including comprehensive hemostasis
a proper resuscitation strategy
the treatment of concurrent visceral and blood vessel damage
and battlefield intensive care. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.
关键词
Keywords
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