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View article: Forward Surgical Teams: Critical Assets for Future Land Operations
Forward Surgical Teams: Critical Assets for Future Land Operations Open
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View article: Are military fitness tests safe for members with a total hip arthroplasty?
Are military fitness tests safe for members with a total hip arthroplasty? Open
Introduction Canadian Armed Forces (CAF) members must complete an annual fitness evaluation. Members with a total hip arthroplasty (THA) may be at risk of injury during these strenuous tests. To inform CAF policy, we sought expert consensu…
View article: Association of Patient-Level and Hospital-Level Factors With Timely Fracture Care by Race
Association of Patient-Level and Hospital-Level Factors With Timely Fracture Care by Race Open
Importance Racial disparities in treatment benchmarks have been documented among older patients with hip fractures. However, these studies were limited to patient-level evaluations. Objective To assess whether disparities in meeting fractu…
View article: Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries
Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries Open
Importance Unstable chest wall injuries have high rates of mortality and morbidity. In the last decade, multiple studies have reported improved outcomes with operative compared with nonoperative treatment. However, to date, an adequately p…
View article: Rationale and Methods for Updated Guidelines for the Management of Penetrating Traumatic Brain Injury
Rationale and Methods for Updated Guidelines for the Management of Penetrating Traumatic Brain Injury Open
Penetrating traumatic brain injury (pTBI) affects civilian and military populations resulting in significant morbidity, mortality, and healthcare costs. No up-to-date and evidence-based guidelines exist to assist modern medical and surgica…
View article: Association of COVID-19 With Achieving Time-to-Surgery Benchmarks in Patients With Musculoskeletal Trauma
Association of COVID-19 With Achieving Time-to-Surgery Benchmarks in Patients With Musculoskeletal Trauma Open
In this cohort study, there was no association between meeting time-to-surgery benchmarks in either open fracture or closed femur/hip fracture during the COVID-19 pandemic compared with before the pandemic. This is counter to concerns that…
View article: Managing work flow in high enrolling trials: The development and implementation of a sampling strategy in the PREPARE trial
Managing work flow in high enrolling trials: The development and implementation of a sampling strategy in the PREPARE trial Open
Implementing a sampling strategy in the PREPARE trial has helped to limit the number of missed eligible patients. This sampling strategy represents a simple, easy to use tool for managing work flow at clinical sites and maintaining the int…
View article: Joint replacements in the Canadian Armed Forces
Joint replacements in the Canadian Armed Forces Open
There is currently no consensus on the appropriate sports and occupational restrictions for military service members with a joint replacement. Data from the United States show that 14% of military patients complete an operational deploymen…
View article: Effectiveness of Iodophor vs Chlorhexidine Solutions for Surgical Site Infections and Unplanned Reoperations for Patients Who Underwent Fracture Repair
Effectiveness of Iodophor vs Chlorhexidine Solutions for Surgical Site Infections and Unplanned Reoperations for Patients Who Underwent Fracture Repair Open
ClinicalTrials.gov Identifiers: NCT03385304 and NCT03523962.
View article: Acute Extremity Compartment Syndrome and the Role of Fasciotomy in Extremity War Wounds
Acute Extremity Compartment Syndrome and the Role of Fasciotomy in Extremity War Wounds Open
Acute compartment syndrome (CS) is a frequent and potentially devastating complication of blunt and penetrating extremity injuries. Extremity war injuries are particularly susceptible to CS due to associated vascular injuries; high Injury …
View article: Amputation: Evaluation and Treatment
Amputation: Evaluation and Treatment Open
Combat extremity injury and amputation is a life threatening injury. Initial surgical care should focus on hemostasis followed by irrigation and debridement of contaminated and nonviable tissue. Preservation of limb length begins at the in…
View article: High Bilateral Amputations and Dismounted Complex Blast Injury (DCBI)
High Bilateral Amputations and Dismounted Complex Blast Injury (DCBI) Open
High, combat-related bilateral lower extremity amputations rarely occur in isolation. Dismounted complex blast injury is a devastating and life-threatening constellation of multisystem injuries most commonly due to dismounted contact with …
View article: Far-forward surgery in the modern battlespace
Far-forward surgery in the modern battlespace Open
The nature of the current and future battlespace will require adaptive solutions to provide troops with timely damage-control surgery and resuscitation. A light surgical module, the Mobile Surgical Resuscitation Team (MSRT), was developed …
View article: Advances in damage control resuscitation and surgery: implications on the organization of future military field forces
Advances in damage control resuscitation and surgery: implications on the organization of future military field forces Open
Medical support to deployed field forces is increasingly becoming a shared responsibility among allied nations. National military medical planners face several key challenges, including fiscal restraints, raised expectations of standards o…