Navigation Links
Wartime urologic injuries require different mindset
Date:10/29/2010

AUGUSTA, Ga. Saving a soldier's life takes precedence over treating traumatic urologic injuries on the battlefield, a Medical College of Georgia researcher says.

Injuries to the bladder, ureters, kidneys and external genitalia often require complex surgical treatment, said Dr. Arthur Smith, an MCG urologist. But during wartime, when those wounds are often combined with other life-threatening injuries, their treatment becomes secondary to lifesaving tactics.

Smith made his comments at a lecture, Revised Management Strategies for Urologic Injuries During Wartime, at the Warrior Health Symposium in Canberra, Australia Oct. 30. The symposium is co-sponsored by the Australian Military Medical Association and the Australian Defense Force Joint Health Command.

"Most urological injuries occurring in the civilian setting result from blunt trauma, but they are far fewer in occurrence and their treatment is generally implemented in a straightforward way with an organized and well-supported health care system," he said. "During wartime, though, penetrating injuries are more common and rarely occur in isolation, because victims often receive multiple injuries concurrently. Treatment options must change and be prioritized."

Treating multiple injuries is only part of the problem.

"Other variables," Smith said, "commonly affect surgical intervention: the status of resources, the number of other casualties and, of course, the overall tactical situation."

Advanced weapons such as improvised explosive devices and multiple fragmentation munitions that cause a wide spectrum of injuries also complicate matters, he added. Because treating urologic injuries is a lower priority, complications often arise. In some cases, injuries are discovered later or missed altogether.

"During wartime, casualties are all managed through echelons of care," Smith said. "When someone is injured, he may be treated on the battlefield, at a field hospital, at an evacuation hospital and then transferred to a more permanent location."

All of those echelons require different treatment strategies, he explained. On the battlefield, treatment is most likely focused on stopping the bleeding; field hospital treatment may include early life-saving amputations; at an evacuation hospital, there may be surgery to repair wounds and urologic injuries, especially those to the kidneys and internal organs may not be discovered until then.

"What we have to realize is that it's a very fluid situation often comprised of variable facilities, austere conditions and limited logistics support and evacuation staff. We often have to treat with a damage-control mentality."


'/>"/>

Contact: Jennifer Scott
jscott1@mcg.edu
706-721-8604
Medical College of Georgia
Source:Eurekalert  

Related biology news :

1. UCSF stem-cell based-neurological, liver therapy strategies advanced
2. Iowa State, USDA researchers discover eye test for neurological diseases in livestock
3. NYU School of Medicine receives $8.2M grant from NIDDK to continue urological disease research
4. Researchers at UH work to prevent neurological diseases
5. Sensor gives valuable data for neurological diseases and treatments
6. Preimplantation genetic diagnosis may pose neurological risks
7. A new mouse model provides insight into genetic neurological disorders
8. Cells split personality is a major discovery into neurological diseases
9. Neurological work-arounds offer hope to people with monoamine-related disorders
10. Biologists discover link between CGG repeats in DNA and neurological disorders
11. Deranged calcium signaling contributes to neurological disorder, UT Southwestern researchers find
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Wartime urologic injuries require different mindset
(Date:4/11/2017)... , Apr. 11, 2017 Research and Markets ... 2017-2021" report to their offering. ... The global eye tracking market to grow at a CAGR ... Global Eye Tracking Market 2017-2021, has been prepared based on an ... the market landscape and its growth prospects over the coming years. ...
(Date:4/5/2017)... -- The Allen Institute for Cell Science today announces the ... and dynamic digital window into the human cell. The ... of deep learning to create predictive models of cell ... growing suite of powerful tools. The Allen Cell Explorer ... available resources created and shared by the Allen Institute ...
(Date:4/3/2017)... WASHINGTON , April 3, 2017 /PRNewswire-USNewswire/ ... single-cell precision engineering platform, detected a statistically ... cell product prior to treatment and objective ... highlight the potential to predict whether cancer ... prior to treatment, as well as to ...
Breaking Biology News(10 mins):
(Date:10/11/2017)... ... 2017 , ... A new study published in Fertility and ... in vitro fertilization (IVF) transfer cycles. The multi-center matched cohort study ... comparing the results from the fresh and frozen transfer cohorts, the authors of ...
(Date:10/10/2017)... ... October 10, 2017 , ... ... conjugate (ADC) therapeutics, today confirmed licensing rights that give it exclusive global ... technology developed in collaboration with Children’s Hospital Los Angeles (CHLA). Additionally, ...
(Date:10/10/2017)... Parks Associates announced today that Tom Kerber , Director ... , October 11 in Scottsdale, Arizona . Kerber will ... safety and security products impact the competitive landscape. ... Parks Associates: Smart Home Devices: Main Purchase Driver ... "The residential security market has experienced continued growth, and the introduction of ...
(Date:10/10/2017)... ... October 10, 2017 , ... The Pittcon Program Committee ... honoring scientists who have made outstanding contributions to analytical chemistry and applied ... the world’s leading conference and exposition for laboratory science, which will be held ...
Breaking Biology Technology: