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Chapter 15 - The Changing Face of Traumatic Injury

Increasing Experiences of Penetrating Gun and Knife Injuries and Their Treatment

from Section 2 - Clinical Aspects of Traumatic Injuries, Epidemics, and Pandemics

Published online by Cambridge University Press:  11 January 2024

By
Thomas König
Edited by
Richard Williams ,
Verity Kemp ,
Keith Porter ,
Tim Healing  and
John Drury
Richard Williams
Affiliation:
University of South Wales
Verity Kemp
Affiliation:
Independent Health Emergency Planning Consultant
Keith Porter
Affiliation:
University of Birmingham
Tim Healing
Affiliation:
Worshipful Society of Apothecaries of London
John Drury
Affiliation:
University of Sussex
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Summary

Injuries caused by knives and bullets frequently produce life-threatening and life-changing injuries, often in urban environments and associated with the abuse of alcohol and drugs. The development of pre-hospital care includes introducing critical care paramedics and critical care response teams, and enhanced assessment techniques. Its success is driven by the concept of scoop and play that is intended to deliver the right patient, with the right treatment, utilising the right transport modality, to the right hospital. Bespoke trauma networks and systems help to meet these objectives. The war in Afghanistan has driven rapid innovation and clinical advances embracing resuscitation, life-saving surgery, and new techniques in trauma reconstruction. These advances have now been introduced into civilian practice and are the backbone of the management of critically injured patients with knife and bullet injuries. Where and when possible, these advances are underpinned by research and delivered by inclusive trauma training.

Keywords

bulletsknivespenetrating traumaresuscitationsurgery
Type
Chapter
Information
Major Incidents, Pandemics and Mental Health
The Psychosocial Aspects of Health Emergencies, Incidents, Disasters and Disease Outbreaks
 , pp. 99 - 106
Publisher: Cambridge University Press
Print publication year: 2024

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