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Chapter 17 - Wound Management in a Field Hospital Environment

from Section 4 - Clinical Considerations

Published online by Cambridge University Press:  09 January 2020

Elhanan Bar-On
Affiliation:
The Israel Center for Disaster Medicine and Humanitarian Response, Sheba Medical Center, Tel Hashomer, Israel
Kobi Peleg
Affiliation:
National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Health Policy and Epidemiology and Tel-Aviv University, Disaster Medicine Department
Yitshak Kreiss
Affiliation:
Sheba Medical Center, Tel Hashomer, Israel
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Summary

It is highly likely that a field hospital will need to provide wound care. The very presence of a field hospital indicates that a situation exists where normal healthcare is challenged. It is important that staff understand the situation as it directly impacts on the type of care that should be delivered. The wrong type of care will not just yield suboptimal results for the patients, but will adversely affect workload, impact on resources, and compromise the effectiveness of the facility. Achieving good outcomes in wound care is dependent on ensuring the patient’s general well-being is optimised. The core requirement for wound care is initial wound surgery, which fully evaluates the wound as well as performing debridement and essential immediate interventions. Wounds associated with conflict and disaster should not be primarily closed. Healing is achieved by delayed primary closure or later complex reconstruction.

Type
Chapter
Information
Field Hospitals
A Comprehensive Guide to Preparation and Operation
, pp. 160 - 179
Publisher: Cambridge University Press
Print publication year: 2020

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