Abstract:
PURPOSE:Indications for amputation in natural disasters are not the same compared to our daily practice. They must be determined by those with great surgical experience and good knowledge of military or disaster surgical doctrine. Unfortunately, nowadays few surgeons have this experience. In fact, some volunteer surgeons may be interested in providing care for civilian victims of war or disaster in developing countries. However, there are significant differences between the type and the management of cases seen in this context versus those seen at home. The problems of amputations cannot be solved schematically. Amputation will depend on several factors: the form of warfare or disaster, the conditions for surgery, the skill of the surgical team and the experience of the surgeon, and the length or duration of the mission. METHODS:Here is a schematic showing the three main situations: civilian practice, war practice and disaster context. These three different situations require different strategies for treating the wounded and for making amputation decisions. RESULTS:In the case of a natural disaster, there are many wounded civilians, they arrive at the medical facility late and there is usually only one surgeon and a single, limited medical facility to provide all treatment. He must make quick, wise choices, economising limited blood supplies and the use of surgical procedures. The decision to proceed with limb salvage or amputation for patients with severely injured limbs will be a source of continued debate. Amputation, radical and irreversible intervention, is a frequent and essential procedure in the disaster context and one of the standard means to successful treatment of limb wounds. CONCLUSIONS:We propose to reflect on the following questions: why to amputate, how to perform amputation under these conditions and how to pass on a doctrine to the voluntary surgeons who lack experience in a disaster context.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Rigal Sdoi
10.1007/s00264-012-1548-zsubject
Has Abstractpub_date
2012-10-01 00:00:00pages
1989-93issue
10eissn
0341-2695issn
1432-5195journal_volume
36pub_type
杂志文章abstract::The purpose of this study was to investigate the effects of addition of antibiotics into cement powder on the shear properties of the cement-metal interface. The approach involved adding 800 mg of teicoplanin to 40 g bone cement powder in the t-800 group, 1,600 mg teicoplanin in the t-1,600 group, and no antibiotic in...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0347-4
更新日期:2008-08-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-017-3700-2
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journal_title:International orthopaedics
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doi:10.1007/BF00266984
更新日期:1988-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186377
更新日期:1993-01-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-017-3430-5
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
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更新日期:2009-12-01 00:00:00
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更新日期:2016-11-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-006-0234-4
更新日期:2007-10-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-003-0509-y
更新日期:2004-02-01 00:00:00
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journal_title:International orthopaedics
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更新日期:1993-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179715
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pub_type: 杂志文章,meta分析,评审
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183364
更新日期:1990-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1990-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181116
更新日期:1995-01-01 00:00:00
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更新日期:2013-10-01 00:00:00