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:4/5/2017)... 4, 2017 KEY FINDINGS The ... at a CAGR of 25.76% during the forecast period ... primary factor for the growth of the stem cell ... MARKET INSIGHTS The global stem cell market ... and geography. The stem cell market of the product ...
(Date:3/30/2017)... , March 30, 2017 Trends, opportunities ... (physiological and behavioral), by technology (fingerprint, AFIS, iris recognition, ... recognition, and others), by end use industry (government and ... immigration, financial and banking, and others), and by region ... , Asia Pacific , and ...
(Date:3/24/2017)... , Mar 24, 2017 Research and ... Access System Market Analysis & Trends - Industry Forecast to 2025" ... ... to grow at a CAGR of around 15.1% over the next ... This industry report analyzes the market estimates and forecasts for all ...
Breaking Biology News(10 mins):
(Date:10/12/2017)... ... October 12, 2017 , ... The Blavatnik ... Winners and six Finalists of the 2017 Blavatnik Regional Awards for Young Scientists. ... Foundation and administered by the New York Academy of Sciences to honor the ...
(Date:10/12/2017)... , ... October 12, 2017 ... ... has launched Rosalind™, the first-ever genomics analysis platform specifically designed for life ... Named in honor of pioneering researcher Rosalind Franklin, who made a major ...
(Date:10/11/2017)... Md. (PRWEB) , ... October 11, 2017 , ... ... digital pathology, announced today it will be hosting a Webinar titled, “Pathology is ... Advanced Pathology Associates , on digital pathology adoption best practices and how Proscia ...
(Date:10/11/2017)... ... October 11, 2017 , ... Singh Biotechnology today announced that ... SBT-100, its novel anti-STAT3 (Signal Transducer and Activator of Transcription 3) B VHH13 ... cross the cell membrane and bind intracellular STAT3 and inhibit its function. Dysregulation ...
Breaking Biology Technology: