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HJF publishes handbook on managing pain of battlefield trauma

Rockville, Md. (April 24, 2009) The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. has released a one-of-a-kind publication intended to educate anesthesiology residents in the art and science of advanced battlefield regional anesthesia techniques and acute pain medicine. Its aim is to serve as a resource to manage the pain of combat trauma.

"The Military Advanced Regional Anesthesia and Analgesia Handbook" is the first field guide for pain management intended for use by deployed medical forces. The illustrated manual was developed as a supplement to Emergency War SurgeryThird United States Revision.

"This book project represents the culmination of hard work by a dedicated collaborative group of anesthesiologists at MARAA. It is the first source for the military that addresses pain management and demonstrates protocols and techniques that we can apply in present and future conflicts," said Col. Chester Buckenmaier, M.D., chief of the Army Regional Anesthesia and Pain Management Initiative and MARAA founding member.

Until now, detailed instruction, photos and illustrations on how to provide advanced regional anesthesia and acute pain medicine services on the modern battlefield were unavailable. The book, formatted for easy reference, provides a quick review of the anatomy and technique of each nerve block. The manual also features chapters on peripheral nerve block equipment, acute pain nursing in the field, acupuncture and evacuation medicine.

"Pain management is getting recognition that it hasn't received in the past. One accomplishment of MARAA and the pain initiative is raising awareness of pain management in the military. As a result of that awareness, and the significant achievement done on the battlefield, pain management is now a priority in the military," Buckenmaier said.

MARAA was formed as a tri-service platform to develop consensus recommendations from the Air Force, Army and Navy anesthesia services. The group studies new technology and recommends improvements in medical practice to promote regional anesthesia and analgesia in the care of military beneficiaries.

Through the organization, anesthesia providers have greatly improved the management of pain for combat wounded through the application of modern pain treatment medications and technologies, including advanced regional anesthesia. The organization serves as an advisory board, leading the knowledge transfer to individual service anesthesia consultants and the military's surgeons general. The group has been instrumental in promoting the benefits of pain management across the continuum.


Contact: Douglas Schauss
Henry M. Jackson Foundation for the Advancement of Military Medicine

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