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Emergency War Surgery NATO Handbook: Part I: Types of Wounds and Injuries: Chapter VIII: Multiple Injuries

Training

United States Department of Defense
Peer Review Status: Internally Peer Reviewed


Resuscitation and operations are performed by teams of medical officers, corpsmen, nurses, and other support personnel rather than by individuals. Each medical officer or surgeon has the responsibility of continually training his supporting personnel. The Advanced Trauma Life Support (ATLS) course of the American College of Surgeons provides a good starting point for training applicable to the evaluation and resuscitation of the casualty with multiple injuries. However medical officers should not forget that ATLS was developed by civilian physicians for use by civilians in dealing with typically civilian trauma. It has not been tested in war and may not be entirely appropriate for combat casualty care. Certainly, a more problem-oriented approach may be necessary, especially during mass casualty situations in exposed field medical units.

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