Bagley GF, Ciochirca C. 22(2). 104 - 109. (Journal Article)
Abstract
The authors examine two acute lung injuries (ALI) that can occur in the tactical setting - positive pressure pulmonary edema and inhalation injury - as well as acute respiratory distress syndrome (ARDS), all of which can quickly progress in a prolonged field care (PFC) environment. These conditions present complex problems to emergency department (ED) and intensive care unit (ICU) teams worldwide, requiring intimate knowledge of their distinct disease pathophysiology and advanced critical care equipment. These challenges are compounded in the world of the Special Operations Forces (SOF) medic who often operates as the sole provider in environments with both limited resources and prolonged evacuation times. It is the hope of the authors that by breaking down these complex critical care topics and providing concrete guidance and treatment recommendations that we can ultimately improve the care SOF medics provide overseas in an austere operational environment.
Keywords: lethal triad; critical care; prehospital; coagulopathy; trauma; resuscitation; lethal diamond
Johnson A, Dodge M, Fisher AD. 22(2). 116 - 118. (Journal Article)
Abstract
As technology improves, the capabilities of prehospital providers increase. Innovations and realizations from military counterparts are being transitioned to civilian emergency care with the same hopes of increasing survivability of patients. Looking to the future, the incorporation of drone aircraft in the critical care field will likely impact the way medicine is practiced. Education is the key to improving outcomes in the prehospital setting.
Keywords: innovations; prehospital; EMS; emergency medical services; drone; transportation; military; future; technology