Managing Dismounted Complex Blast Injuries in Military & Civilian Settings

1. Front Matter

   Pages i-x

   PDF

2. Introduction: Why We Do What We Do

   • Carlos J. Rodriguez, Joseph M. Galante

   Pages 1-5

3. Explosive Blasts: A Primer on a Multidimensional Mechanism of Injury

   • Raymond Fang

   Pages 7-14

4. Initial Care of Blast Injury: TCCC and TECC

   • Babak Sarani, Geoffrey L. Shapiro, James J. Geracci, E. Reed Smith

   Pages 15-27

5. MASCAL

   • Jayson Aydelotte

   Pages 29-42

6. Resuscitation

   • Phillip Kemp Bohan, Martin A. Schreiber

   Pages 43-56

7. Damage Control Surgery in the Blast-Injured Patient

   • Travis M. Polk, Matthew J. Martin, Ronald R. Barbosa

   Pages 57-76

8. Hemorrhage Control

   • Rachel M. Russo, Joseph J. DuBose

   Pages 77-97

9. Blast-Related Pelvic Fractures

   • George C. Balazs, Jean-Claude G. D’Alleyrand

   Pages 99-110

10. Thoracic Injuries

    • Ryan P. Dumas, Jeremy W. Cannon

    Pages 111-119

11. Abdominal Trauma

    • Luke R. Johnston, Elliot M. Jessie, Matthew J. Bradley

    Pages 121-133

12. Vascular Injuries

    • Timothy K. Williams, W. Darrin Clouse

    Pages 135-150

13. Genitourinary Trauma

    • Matthew Banti, Jack Ryan Walter

    Pages 151-158

14. Soft Tissue Injuries and Amputations

    • Gabriel J. Pavey, Benjamin K. Potter

    Pages 159-180

15. Soft Tissue Infection

    • Jason Scott Radowsky, Debra L. Malone

    Pages 181-195

16. The Rational Care of Burns

    • Gary Vercruysse

    Pages 197-208

17. Soft Tissue Reconstruction of Complex Blast Injuries in Military and Civilian Settings: Guidelines and Principles

    • Corinne E. Wee, Jason M. Souza, Terri A. Zomerlei, Ian L. Valerio

    Pages 209-223

18. Rehabilitation of the Blast Injury Casualty with Amputation

    • Keith P. Myers, Tirzah VanDamme, Paul F. Pasquina

    Pages 225-239

19. Mild Traumatic Brain Injury Rehabilitation

    • Bruno S. Subbarao, Rebecca N. Tapia, Blessen C. Eapen

    Pages 241-249

20. Moderate and Severe Traumatic Brain Injury Rehabilitation

    • William Robbins, Ajit B. Pai

    Pages 251-258

This text is designed to present a comprehensive and state-of the-art approach to dismounted complex blast injuries. Sections address care of these patients from the point of injury through rehabilitation. The specific areas addressed include blast mechanics, stabilization and hemorrhage control at the point of injury, early resuscitation at local hospitals, a systematic approach to surgical care, and finally reconstruction and rehabilitation. Specific chapters focus on operative management of pelvic, abdominal, genitourinary, orthopedic, neurological and thoracic injuries. The authors of each chapter, are experts in treating DCBIs that have had direct hands-on experience through military deployments in Iraq and Afghanistan. Each chapter describes patient presentation and an algorithm outlining treatment with support from the literature. The text will conclude with three chapters. The first explores new advances in care that can be applied to these injuries. The second highlightsthe organization and team approach to care of these patients. Finally, the last chapter describes an actual case, cared for by the editors, that encompasses points from the chapters in the text. Extensive illustrations and flow diagrams are used throughout the text.



This text is specifically designed to be a “how to” guide for inexperienced military and civilian providers. The chapters are organized in a step-wise fashion that mirrors the patient’s course from point of injury through their hospital course. Combining authors’ experience with illustrations and algorithm diagrams creates a text that is easy to use as a reference text or basis of training for future military and civilian surgeons.

• Blast Mechanics
• Hemorrhage Control
• Traumatic Brain Injuries
• En Route Care
• Amputations

• Division of Trauma and Acute Care Surgery, University of California Davis Medical Center, Sacramento, USA

  Joseph M. Galante

• Madigan Army Medical Center, Tacoma, USA

  Matthew J. Martin

• Department of Surgery, Walter Reed National Military Medical Center, Bethesda, USA

  Carlos J. Rodriguez

• Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, USA

  Wade Travis Gordon

Joseph M. Galante, MD, FACS
CDR, MC USNR
Vice Chair for Education
Division Chief, Trauma and Acute Care Surgery 
Trauma Medical Director
Associate Professor of Surgery
Division of Trauma and Acute Care Surgery
University of California, Davis Medical Center
Sacramento, CA 

Matthew Martin, MD, FACS

Trauma Medical Director

Madigan Army Medical Center

Fort Lewis, Washington

Director of Trauma Informatics

Legacy Emanuel Medical Center

Portland, Oegon

Director of Trauma Informatics
Trauma and Emergency Surgery Service
Legacy Emanuel Medical Center
Portland, Oregon


Clinical Associate Professor of Surgery, University of Washington School of Medicine, Seattle, WA
Associate Professor of Surgery, Uniformed Services University of the Health Services, Bethesda, MD

Wade Gordon MD

Chief of the Orthopaedic Trauma Service

Department of Surgery

Walter Reed National Military Medical Center

Bethesda, MD 

Carlos J. Rodriguez, DO, MBA, FACS
CAPT, MC, USN
Division Chief Trauma Surgery / Surgical Critical Care
Associate Professor of Surgery, USUHS
Walter Reed National Military Medical Center
8901 Wisconsin Ave
Bethesda, MD 2

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