Navigation Links
Wartime urologic injuries require different mindset
Date:10/29/2010

AUGUSTA, Ga. Saving a soldier's life takes precedence over treating traumatic urologic injuries on the battlefield, a Medical College of Georgia researcher says.

Injuries to the bladder, ureters, kidneys and external genitalia often require complex surgical treatment, said Dr. Arthur Smith, an MCG urologist. But during wartime, when those wounds are often combined with other life-threatening injuries, their treatment becomes secondary to lifesaving tactics.

Smith made his comments at a lecture, Revised Management Strategies for Urologic Injuries During Wartime, at the Warrior Health Symposium in Canberra, Australia Oct. 30. The symposium is co-sponsored by the Australian Military Medical Association and the Australian Defense Force Joint Health Command.

"Most urological injuries occurring in the civilian setting result from blunt trauma, but they are far fewer in occurrence and their treatment is generally implemented in a straightforward way with an organized and well-supported health care system," he said. "During wartime, though, penetrating injuries are more common and rarely occur in isolation, because victims often receive multiple injuries concurrently. Treatment options must change and be prioritized."

Treating multiple injuries is only part of the problem.

"Other variables," Smith said, "commonly affect surgical intervention: the status of resources, the number of other casualties and, of course, the overall tactical situation."

Advanced weapons such as improvised explosive devices and multiple fragmentation munitions that cause a wide spectrum of injuries also complicate matters, he added. Because treating urologic injuries is a lower priority, complications often arise. In some cases, injuries are discovered later or missed altogether.

"During wartime, casualties are all managed through echelons of care," Smith said. "When someone is injured, he may be treated on the battlefield, at a field hospital, at an evacuation hospital and then transferred to a more permanent location."

All of those echelons require different treatment strategies, he explained. On the battlefield, treatment is most likely focused on stopping the bleeding; field hospital treatment may include early life-saving amputations; at an evacuation hospital, there may be surgery to repair wounds and urologic injuries, especially those to the kidneys and internal organs may not be discovered until then.

"What we have to realize is that it's a very fluid situation often comprised of variable facilities, austere conditions and limited logistics support and evacuation staff. We often have to treat with a damage-control mentality."


'/>"/>

Contact: Jennifer Scott
jscott1@mcg.edu
706-721-8604
Medical College of Georgia
Source:Eurekalert  

Related biology news :

1. UCSF stem-cell based-neurological, liver therapy strategies advanced
2. Iowa State, USDA researchers discover eye test for neurological diseases in livestock
3. NYU School of Medicine receives $8.2M grant from NIDDK to continue urological disease research
4. Researchers at UH work to prevent neurological diseases
5. Sensor gives valuable data for neurological diseases and treatments
6. Preimplantation genetic diagnosis may pose neurological risks
7. A new mouse model provides insight into genetic neurological disorders
8. Cells split personality is a major discovery into neurological diseases
9. Neurological work-arounds offer hope to people with monoamine-related disorders
10. Biologists discover link between CGG repeats in DNA and neurological disorders
11. Deranged calcium signaling contributes to neurological disorder, UT Southwestern researchers find
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Wartime urologic injuries require different mindset
(Date:4/26/2016)... and LONDON , ... Finacle, part of EdgeVerve Systems, a product subsidiary ... Onegini today announced a partnership to integrate the ...      (Logo: http://photos.prnewswire.com/prnh/20151104/283829LOGO ) ... provide their customers enhanced security to access and ...
(Date:4/15/2016)... , April 15, 2016 ... the,  "Global Gait Biometrics Market 2016-2020,"  report to ... http://photos.prnewswire.com/prnh/20160330/349511LOGO ) , ,The global gait biometrics ... of 13.98% during the period 2016-2020. ... angles, which can be used to compute factors ...
(Date:3/31/2016)...  Genomics firm Nabsys has completed a financial  restructuring ... , M.D., who returned to the company in October ... team, including Chief Technology Officer, John Oliver , ... and Vice President of Software and Informatics, Michael ... Dr. Bready served as CEO of Nabsys from 2005-2014 ...
Breaking Biology News(10 mins):
(Date:6/27/2016)... ... 27, 2016 , ... Rolf K. Hoffmann, former senior vice ... University of North Carolina Kenan-Flagler Business School effective June 27. , ... with a focus on the school’s international efforts, leading classes and participating in ...
(Date:6/24/2016)... ... June 24, 2016 , ... While the majority of commercial spectrophotometers and ... and the 6000i models are higher end machines that use the more unconventional z-dimension ... light beam from the bottom of the cuvette holder. , FireflySci has developed ...
(Date:6/23/2016)... 2016 /PRNewswire/ - FACIT has announced the creation ... biotechnology company, Propellon Therapeutics Inc. ("Propellon" or "the ... a portfolio of first-in-class WDR5 inhibitors for the ... WDR5 represent an exciting class of therapies, possessing ... for cancer patients. Substantial advances have been achieved ...
(Date:6/23/2016)... NEW YORK , June, 23, 2016  The ... students to envision new ways to harness living systems ... of Modern Art (MoMA) in New York ... more than 130 participating students, showcased projects at MoMA,s ... included Paola Antonelli , MoMA,s senior curator of ...
Breaking Biology Technology: