Author Archives: sam

Self-Inflicted Gunshot Wound to the Hand in Partner Forces – Part 2

Intra operative Incise and drain entrance and exit wounds Open carpal tunnel release Intact median nerve Intact extensor tendons, < 50% damage to flexor digitorum superficialis and flexor digitorum profundus Intact deep and superficial palmar arch Comminuted third metacarpal and … Continue reading

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Self-Inflicted Gun Shot Wound to the Hand in Partner Forces – Part 1

Background 26-year-old right hand dominant male Afghan, member of the Afghan Local Police (ALP). Self-inflicted gun shot wound to left hand, presented for treatment within 8 hours to the Forward Operating Base surgical team. Decreased sensation median nerve distribution, intact … Continue reading

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Pediatric Blast Injury: Bilateral Amputation – Part 2

The surgical team performed external fixation of the right femur, followed by debridement and irrigation of Masooma K.’s lower extremities, followed by a completion amputation to the viable level of her left lower extremity, above the knee. “I debated limb … Continue reading

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Pediatric Blast Injury: Bilateral Amputations – Part 1

Masooma K. and her family were returning home and became caught between American and Taliban fighters just as an explosion went off. “A 13-year-old female was Medevac’d to our forward surgical team.  She had been injured in the blast and … Continue reading

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Multiple Gunshot Wounds – Part 2

On the day of the injury, the trauma surgical team immediately initiated advanced trauma life support stabilization protocols for trauma resuscitation. They achieved intravenous access and initiated shock treatment. A warmed operating room had been prepared and blood products were … Continue reading

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Multiple Gunshot Wounds – Part 1 Now Live

Maj Smith, a 22-year-old male, was just three weeks into his second tour of duty. While on foot patrol one afternoon, Smith and his squad broke off from the company to begin house-to-house searches in one of the more dangerous … Continue reading

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Case of the Month – UXO Hand – Part 2 Now Live

Aeromedical evacuation to a higher echelon care facility was not approved for this patient.  The surgical team’s first task was to clean and revise her amputations. They removed her index finger metacarpal because it was already fractured near its base … Continue reading

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Case of the Month – UXO Hand – Part 1 Now Live

Twelve-year-old Muna Z. was playing outside her home when a half buried object caught her eye.  Always inquisitive, she started to dig up the item to discover what it was.  As Muna Z. leaned over to pull the object from … Continue reading

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Case of the Month — Spanning Fixation and Proximal Femur

M. Aziz, a 52-year-old male Afghan civilian, sustained a right tibia shaft fracture, a left tibial plateau fracture, and a left subtrochanteric fracture after driving over an improvised explosive device while on his way to visit his brother.        Question:  … Continue reading

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Case of the Month — Above-Knee Amputation Now Live

Ara K., a 14-year-old girl, along with her sister and cousin, were riding in a civilian bus when it ran over an improvised explosive device (IED). Although the site had recently been discovered and cleared, a new IED had already … Continue reading

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