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Management of Severe Crush Injuries in Austere Environments: A Special Operations Perspective
$40.00 -
Physiological and Psychological Stressors Affecting Performance, Health, and Recovery in Special Forces Operators: Challenges and Solutions. A Scoping Review
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Obstacle Course Events: Hazards and Prevention Measures
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Tactical Combat Casualty Care Maritime Scenario: Shipboard Missile Strike
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Ketamine Use for Prolonged Field Care Reduces Supply Use
$37.00
Hall AB, Morrow L, Dixon M 20(3). 120 - 121 (Journal Article)
This case describes the prolonged treatment of a 38-year-old man with a transpelvic gunshot wound requiring a diverting ostomy and cystostomy for damage control procedures with a comminuted acetabular and femoral head fracture. The team used a ketamine drip for prolonged field care over 48 hours. The benefit of using a ketamine drip included low supply requirement, excellent analgesia, and ease of administration, but side-effects included somnolence and atelectasis necessitating oxygen supplementation before evacuation.
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