By Les R. Folio
Combat Radiology presents targeted insights right into a army radiologist’s position within the smooth battlefield setting. Drawing on his fresh stories in Iraq, Col. Les Folio, a retired air strength radiologist and flight health care professional with over 20 years of provider, offers a entire creation to diagnostic imaging expertise for the deployed army doctor. subject matters within the publication contain descriptions of imaging services of hospitals in deployed army bases in strive against zones; sensible imaging thoughts and terminology linked to penetrating/perforating blast and ballistic accidents; fresh clinical advances at the battlefield; and the altering function of imaging modalities in strive against events. also, particular anatomic and pathologic imaging circumstances from wrestle occasions are offered, together with irritating mind harm, chest, abdomen/pelvis, and skeletal trauma. strive against Radiology will charm not just to army radiologists and surgeons, but additionally to civilian emergency radiologists and trauma physicians who come upon sufferers with ballistic and blast accidents because of armed clash, terrorism, and catastrophe situations.
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Extra info for Combat Radiology: Diagnostic Imaging of Blast and Ballistic Injuries
I have seen up to seven surgeries being done at once in one isoshelter operating room. Keeping this in mind, an order of procedures is tailored to each patient, depending on severity and nature of the various injuries, and the tailoring of the CT needs to parallel this requirement. Deviating from an established routine is the only consistent thing in the fog of combat imaging. The following “damage control imaging” helped me. 2 Damage Control Imaging While deployed, I developed a more streamlined imaging request form in concert with the ED and the trauma czar (representing all trauma surgeons) to guide ordering of studies and where to write results in a standard fashion (see Fig.
2007,62(6 Suppl):S38. 3. Bounovas A, Perente S, Laftsidis P, Polychronidis A, Simopoulos C. Perforation of the colon from the primary blast effect of an extraperitoneal shotgun injury: case report. Mil Med. 2007 Mar,172(3):327 8. 4. Avidan V, Hersch M, Armon Y et al. Blast lung injury: clinical manifestations, treatment, and outcome. Am J Surg. 2005,190:927 31. 5. Rich N, Burris D. Letters to the editor. J Trauma. 2006 Oct,61(4):1024. 6. Bland EF, Beebe GW. Missiles in the heart: a twenty year follow up report of World War II cases.
It would allow me to keep track of which patient was where with what major mechanism of injury, what CT we were going to do, and where. It is optimal to keep the least hemodynamically stable patient in the ED CT scanner since it is closer to the most ACLS providers. In addition, all radiologists in the Air Force are ACLS certified/current. One hospital is trying a method of retriaging to CT vs. OR vs. ICU using Air Traffic Control (ATC) methods. Hoskins, et al studied the potential for using ATC in field exercises  based on our experiences in Iraq.