Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment
This article aims to describe the French concept regarding combat casualty neurosurgical care from the theater of operations to a homeland hospital. French military neurosurgeons are not routinely deployed to all combat zones. As a consequence, general surgeons initially treat neurosurgical wounds....
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Published in | Neurosurgical focus Vol. 45; no. 6; p. E9 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.12.2018
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Subjects | |
Online Access | Get full text |
ISSN | 1092-0684 1092-0684 |
DOI | 10.3171/2018.9.FOCUS18368 |
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Abstract | This article aims to describe the French concept regarding combat casualty neurosurgical care from the theater of operations to a homeland hospital. French military neurosurgeons are not routinely deployed to all combat zones. As a consequence, general surgeons initially treat neurosurgical wounds. The principle of this medical support is based on damage control. It is aimed at controlling intracranial hypertension spikes when neuromonitoring is lacking in resource-limited settings. Neurosurgical damage control permits a medevac that is as safe as can be expected from a conflict zone to a homeland medical treatment facility. French military neurosurgeons can occasionally be deployed within an airborne team to treat a military casualty or to complete a neurosurgical procedure performed by a general surgeon in theaters of operation. All surgeons regardless of their specialty must know neurosurgical damage control. General surgeons must undergo the required training in order for them to perform this neurosurgical technique. |
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AbstractList | This article aims to describe the French concept regarding combat casualty neurosurgical care from the theater of operations to a homeland hospital. French military neurosurgeons are not routinely deployed to all combat zones. As a consequence, general surgeons initially treat neurosurgical wounds. The principle of this medical support is based on damage control. It is aimed at controlling intracranial hypertension spikes when neuromonitoring is lacking in resource-limited settings. Neurosurgical damage control permits a medevac that is as safe as can be expected from a conflict zone to a homeland medical treatment facility. French military neurosurgeons can occasionally be deployed within an airborne team to treat a military casualty or to complete a neurosurgical procedure performed by a general surgeon in theaters of operation. All surgeons regardless of their specialty must know neurosurgical damage control. General surgeons must undergo the required training in order for them to perform this neurosurgical technique.This article aims to describe the French concept regarding combat casualty neurosurgical care from the theater of operations to a homeland hospital. French military neurosurgeons are not routinely deployed to all combat zones. As a consequence, general surgeons initially treat neurosurgical wounds. The principle of this medical support is based on damage control. It is aimed at controlling intracranial hypertension spikes when neuromonitoring is lacking in resource-limited settings. Neurosurgical damage control permits a medevac that is as safe as can be expected from a conflict zone to a homeland medical treatment facility. French military neurosurgeons can occasionally be deployed within an airborne team to treat a military casualty or to complete a neurosurgical procedure performed by a general surgeon in theaters of operation. All surgeons regardless of their specialty must know neurosurgical damage control. General surgeons must undergo the required training in order for them to perform this neurosurgical technique. This article aims to describe the French concept regarding combat casualty neurosurgical care from the theater of operations to a homeland hospital. French military neurosurgeons are not routinely deployed to all combat zones. As a consequence, general surgeons initially treat neurosurgical wounds. The principle of this medical support is based on damage control. It is aimed at controlling intracranial hypertension spikes when neuromonitoring is lacking in resource-limited settings. Neurosurgical damage control permits a medevac that is as safe as can be expected from a conflict zone to a homeland medical treatment facility. French military neurosurgeons can occasionally be deployed within an airborne team to treat a military casualty or to complete a neurosurgical procedure performed by a general surgeon in theaters of operation. All surgeons regardless of their specialty must know neurosurgical damage control. General surgeons must undergo the required training in order for them to perform this neurosurgical technique. |
Author | Dagain, Arnaud Sellier, Aurore Beucler, Nathan Dulou, Renaud Delmas, Jean-Marc Desse, Nicolas Aoun, Olivier Joubert, Christophe Bernard, Cédric Fouet, Mathilde |
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Cites_doi | 10.3171/2010.2.FOCUS1016 10.1007/s00268-014-2874-7 10.1016/j.clineuro.2013.09.004 10.1097/TA.0b013e318250bfb4 10.1016/j.wneu.2017.02.097 10.3171/2010.2.FOCUS1038 10.1007/s00701-016-2843-z 10.1097/BSD.0b013e3182a355c6 10.13004/kjnt.2017.13.1.1 10.1136/jramc-2017-000881 10.1016/j.spinee.2015.11.027 10.1097/00005373-199309000-00008 10.1016/j.injury.2016.11.023 10.3109/02688697.2015.1096905 10.1007/s00701-014-2283-6 10.1016/S1042-3680(18)30430-3 10.3171/2010.3.FOCUS1028 10.1016/j.injury.2012.03.002 |
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SubjectTerms | Brain Injuries, Traumatic - surgery Cadaver Humans Military Medicine - education Military Personnel - education Neurosurgeons - education Neurosurgical Procedures - methods Spinal Cord Injuries - surgery Warfare |
Title | Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment |
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