Battlefield Pelvic Trauma

Description

In this detailed presentation, Jowan Penn-Barwell discusses the complex nature of injuries sustained in combat, particularly focusing on fracture patterns and surgical interventions related to pelvic injuries caused by ballistic and blast mechanisms. He emphasizes the unique challenges posed by battlefield injuries compared to civilian cases, including the types of fractures resulting from landmines and indirect fire weapons.



The talk includes descriptions of various surgical techniques and approaches for managing severe hemorrhage, contamination, and the stabilization of pelvic fractures. Jowan outlines the importance of rapid hemorrhage control, initial lifesaving measures, and the necessity for a multidisciplinary approach in trauma surgery.



Ian Sargeant adds to the discussion by sharing insights on patient management in the rear evacuation settings, highlighting the importance of adequate preparation, teamwork in surgical settings, and the dynamic nature of treating complex injuries. They address the need to prioritize life-saving measures while being aware of the evolving nature of soft tissue injuries during surgical intervention.



The presentation also covers advanced surgical techniques such as external fixation and the importance of minimizing invasive procedures when dealing with contaminated wounds. The complexities of reconstruction and ongoing debridement are underscored, along with the role of timely evaluations for further surgical interventions.



Overall, the masterclass provides a comprehensive examination of trauma surgery related to battlefield injuries, focusing on the techniques, considerations, and collaborative efforts required for effective patient outcomes.

DOI: 10.1302/3114-230065

Specialties