War Surgery

Specialty Volume of Textbooks of Military Medicine. TMM. Edited by Shawn Christian Nessen, Dave Edmond Lounsbury, and Stephen P. Hetz. Foreword by Bob Woodruff. Prepared especially for medical personnel. Provides the fundamental principles and priorities critical in managing the trauma of modern warfare. Contains concise supplemental material for military surgeons deploying or preparing to deploy to a combat theater.

#1 International Bestseller: A frontline trauma surgeon tells his “riveting” true story of operating in the world’s most dangerous war zones (The Times). For more than twenty-five years, surgeon David Nott has volunteered in some of the world’s most perilous conflict zones. From Sarajevo under siege in 1993 to clandestine hospitals in rebel-held eastern Aleppo, he has carried out lifesaving operations in the most challenging conditions, and with none of the resources of a major metropolitan hospital. He is now widely acknowledged as the most experienced trauma surgeon in the world. War Doctor is his extraordinary story, encompassing his surgeries in nearly every major conflict zone since the end of the Cold War, as well as his struggles to return to a “normal” life and routine after each trip. Culminating in his recent trips to war-torn Syria—and the untold story of his efforts to help secure a humanitarian corridor out of besieged Aleppo to evacuate some 50,000 people—War Doctor is a heart-stopping and moving blend of medical memoir, personal journey, and nonfiction thriller that provides unforgettable, at times raw, insight into the human toll of war. “Superb . . . You are constantly amazed that men such as Nott can witness the extraordinary cruelties of the human race, so many and so foul, yet keep going.” —Sunday Times “Gripping and fascinating medical stories.” —Kirkus Reviews

In April 1992, a handful of young physicians, not one of them a surgeon, was trapped along with 50,000 men, women, and children in the embattled enclave of Srebrenica, Bosnia-Herzegovina. There the doctors faced the most intense professional, ethical, and personal predicaments of their lives. Drawing on extensive interviews, documents, and recorded materials she collected over four and a half years, doctor and Pulitzer Prize-winning journalist Sheri Fink tells the harrowing--and ultimately enlightening--story of these physicians and the three who try to help them: an idealistic internist from Doctors without Borders, who hopes that interposition of international aid workers will help prevent a massacre; an aspiring Bosnian surgeon willing to walk through minefields to reach the civilian wounded; and a Serb doctor on the opposite side of the front line with the army that is intent on destroying his former colleagues. With limited resources and a makeshift hospital overflowing with patients, how can these doctors decide who to save and who to let die? Will their duty to treat patients come into conflict with their own struggle to survive? And are there times when medical and humanitarian aid ironically prolong war and human suffering rather than helping to relieve it?

Accompanying CD-ROM contains graphic footage of various war wound surgeries.

Updated from the 2013 edition, this volume reflects lessons learned from recent US involvement in Iraq and Afghanistan, and represents state-of-the-art principles and practices of forward trauma surgery. Expertly addresses the appropriate medical management of blast wounds, burns, and multiple penetrating injuries, as well as other battle and non-battle injuries. Topics include triage, hemorrhage control, airway/breathing, shock and resuscitation, anesthesia, infections, critical care, damage control surgery, face and neck injuries, soft-tissue injuries, ocular injuries, head injuries, extremity fractures, thoracic injuries, amputations, abdominal injuries, pediatric care, and more. A new chapter provides Tactical Combat Casualty Care guidelines. Significant updates were also made to the blood collection and transfusion chapters. Other products produced by the U.S. Army, Borden Institute can be found here: https://bookstore.gpo.gov/agency/borden-institute

"A fascinating study of war surgery in World War I, where huge medical developments were made and the foundations of modern war surgery were laid World War I resulted in an enormous number of casualties who had sustained filthy contaminated wounds from high explosive shellfire, bomb and mortar blast, and from rifle and machine gun bullets. Such wounds were frequently multiple and severe, and almost invariably became infected. Surgical experience from previous conflicts was of little value, and it became quickly apparent that early surgical intervention with radical removal of all dead and revitalised tissue was absolutely vital to help reduce the chances of infections, especially the lethal gas gangrene, from developing. War Surgery 1914-18 explains how medical services responded to deal with the casualties. It discusses the evacuation pathway, and explains how facilities, particularly casualty clearing stations, evolved to cope with major, multiple wounds to help reduce mortality. There are chapters dealing with the advances made in anaesthesia, resuscitation and blood transfusion, the pathology and microbiology of wounding and diagnostic radiology. There are also chapters dealing with the development of orthopaedic surgery, both on the Western Front and in the United Kingdom, the treatment of abdominal wounds, chest wounds, wounds of the skull and brain, and the development of plastic and reconstructive surgery for those with terribly mutilating facial wounds. War Surgery 1914-18 contributes greatly to our understanding of the surgery of warfare. Surgeons working in Casualty Clearing Stations during the years 1914-1918 laid the foundations for modern war surgery as practised today in Afghanistan and elsewhere."--Publisher.

The story of the men and women who, throughout history, have pitted themselves against the destruction caused in battle.

Caring for the wounded in the World War II Pacific Theater posed serious challenges to doctors and surgeons. The thick jungles, remote atolls and heavily defended Japanese islands of the Pacific presented dangers to medical personnel never before encountered in modern warfare, as did the devastating new kamikaze attacks. Sophisticated treatments, including complex surgery, were by necessity far removed from the fighting, requiring front line doctors to do the minimum--often under fire--to stabilize patients until they could be evacuated: "damage control," it would later be called. Navy doctors responsible for thousands of sailors aboard fleets in battle found caring for the wounded daunting or nearly impossible. Yet to save lives, medical resources had to be kept as close as possible to the action. This book systematically details the efforts and innovations of the doctors and surgeons who worked to preserve life under extreme peril.

This book is a completely revised and updated version of the original Emergency War Surgery N.A.T.O. Handbook and reflects the major advances in medical technology and treatment methods that have been achieved since that time. Chapters include: General Considerations of Forward Surgery, Burn Injury, Cold Injury, Blast Injury, Chemical Injury, Mass Casualties in Thermonuclear Warfare, Multiple Injuries, Shock and Resuscitation, Amputations, Wounds and more.

One-hundred fifty years after the Civil War, there are still untold stories. Over 11,000 surgeons served in the Union army; 10,400 were well behaved. The other 600 were in trouble for embezzlement, insubordination, rape, AWOL, desertion, surliness, stealing food, and a host of other misdeeds. One man was deemed, "Drunk, but not too drunk to operate." Another was hopping into the beds of women in the VD hospital. Yet another forged his own performance reports, reporting his own excellent character. A statistical study compares their incidence of malpractice with one of today's mid-West states.These remarkable stories are accompanied by full citations and are indexed by regiment. An eye-opener and a much-needed reference work.