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Specialty Clinical Publications

Landstuhl A Legacy of Lessons Learned: Landstuhl Regional Medical Center During Wartime, 2001-2014 (2016) - Landstuhl Regional Medical Center (LRMC), located in Germany, is the largest and most capable medical facility outside of the United States It is strategically positioned as the sole evacuation/tertiary referral center for four Combat Commands More than 62,000 wounded men and women from Iraq and Afghanistan have been treated at Landstuhl during the recent conflicts. Almost every one of those soldiers (99%) has survived and many have returned again to active duty. This book describes the various departments and the operations developed and implemented at Landstuhl that resulted in their impressive achievements. It captures the challenges and successes encountered which led to valuable lessons learned for future medical facilities. The compelling story of Landstuhl lies not only in the realm of its size and medical capabilities, but even more so in the men and women who serve and who have been served.
Field Mgt of CB Casualities Field Management of Chemical and Biological Casualties Handbook (2016) - provides guidance on immediate field response to a chemical or biological attack. In addition to describing individual agents and their countermeasures, this handbook includes detailed procedures for performing triage and patient decontamination, including handling exposed military working dogs. The handbook serves as a guide for conventional forward-deployed medical elements providing health service support to chemical and biological casualties.
airborne cover Airborne Hazards Related to Deployment (2015) - developed from the Airborne Hazards Symposium held in Washington, DC, in August 2012, this book covers such topics as diagnosis and workup of symptomatic individuals, exposure characterization, current epidemiology, the potential role of pulmonary function testing (spirometry) in surveillance, strategic research planning, clinical follow-up and registries, risk communication, etc. Symposium presentations were delivered by a diverse group of scientific experts and contain valuable veteran perspectives. This book represents a compendium of what is currently known regarding the potential long-term health consequences of exposure to airborne hazards during Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn deployments. Airborne Hazards Related to Deployment presents a balanced, comprehensive approach to furthering the understanding of airborne hazards during deployments and other military operations, ultimately improving airborne hazard prevention, protection, and avoidance while improving healthcare and minimizing adverse health outcomes of our service members and veterans.
TBI cover Mild TBI Rehabilitation Toolkit (2015) - traumatic brain injury (TBI) is a complex condition for which limited research exists. The recent conflicts in Iraq and Afghanistan have resulted in numerous service members returning home after sustaining TBI, and healthcare providers scrambling to find resources on how to treat them. This toolkit is a comprehensive source of inventories and therapy options for treating service members with mild TBI. All aspects of mild TBI are covered, including vestibular disorders, vision impairment, balance issues, posttraumatic headache, temporomandibular dysfunction, cognition, and fitness, among others. With easy-to-follow treatment options and evaluation instruments, this toolkit is a one-stop resource for clinicians and therapists working with patients with mild TBI.
Medical Management of Chemical Casualties cover

Medical Management of Chemical Casualties Handbook (2014) - chemical agents can produce casualties during warfare and, when used by terrorists, cause both military and civilian casualties in settings remote from a defined battlefield. Military healthcare providers have a responsibility to recognize and manage chemical casualties whatever the setting. Military medical personnel must be able to respond to chemical exposures at US stockpile sites of chemical warfare agents and provide expert consultation to their civilian counterparts in the event of a terrorist attack involving these agents. This handbook has been produced by the US Army Medical Research Institute of Chemical Defense to help address the need for first provider training. Note: This book is available in electronic versions on this website. The hard copy is available for purchase at the Government Printing Office bookstore at http://bookstore.gpo.gov. It is not available through Borden’s online order form.

EWS 4 cover

Emergency War Surgery, 4th Ed (2014) [ERRATUM: Please note that Table 31-1 on p. 451 has an error. Hourly volume for children up to 10 kg should be 4 mL/kg, not 10 mL/kg. This has been corrected on the PDF version.] As an update to the much-referenced 2004 version, information in this edition reflects lessons learned from American involvement in Iraq and Afghanistan, and represents state-of-the-art principles and practices of forward trauma surgery. This publication expertly addresses the appropriate medical management of blast wounds, burns, multiple penetrating injuries, as well as other battle and nonbattle injuries. Topics include triage, hemorrhage control, airway/breathing, shock and resuscitation, anesthesia, infections, critical care, damage control surgery, face and neck injuries, soft-tissue injuries, ocular injuries, head injuries, extremity fractures, thoracic injuries, amputations, abdominal injuries, pediatric care, and more.

Pediatric Surgery and Medicine for Hostile Environments (2011; revised 2013) - children are an often overlooked and under-reported population medically affected by war and conflict. This pediatric version of Borden’s popular Emergency War Surgery Handbook applies lessons learned in past and present conflicts to ill and injured pediatric casualties. Topics include critical care, surgical treatment, and general medical management of acute and chronic conditions. Individual chapters address concerns such as anesthesia and intraoperative resuscitation, mechanical ventilation, aeromedical evacuation, thoracic surgery, surgery of the abdominal wall and diaphragm, fluid management, status epilepticus, care of the newborn, and emergency nutrition. Written and compiled by experts in the field of pediatric trauma, this book is constructed in an easy-to-read bullet format for quick reference, and includes up-to-the moment treatment recommendations for ill or injured children in theaters of war and austere environments.
Combat Casualty Care Combat Casualty Care: Lessons Learned from OEF and OIF (2012)
This book is designed to deliver combat casualty care information that will facilitate transition from a CONUS or civilian practice to the combat care environment. Establishment of the Joint Theater Trauma System (JTTS) and the Joint Theater Trauma Registry (JTTR), coupled with the efforts of the authors, has resulted in the creation of the most comprehensive, evidence-based depiction of the latest advances in combat casualty care. Lessons learned in Operation Enduring Freedom (OEF) and in Operation Iraqi Freedom (OIF) have been fortified with evidence-based recommendations with the intent of improving casualty care. The chapters specifically discuss the differences between combat casualty care and civilian sector care, particularly in the scheme of “echelonized” care. Overall, the educational curriculum was designed to address the leading causes of preventable death and disability in OEF and OIF. Specifically, the generalist CCC provider is presented requisite information for optimal care of US combat casualties in the first 72 to 96 hours after injury. The specialist combat casualty care provider is afforded similar information, which is supplemented by lessons learned for definitive care of host nation patients. This information provides an excellent supplement to pre-deployment CCC training and education.
Musculoskeletal Injuries in Military Women Musculoskeletal Injuries in Military Women (2012)
This monograph discusses the most common musculoskeletal injuries in military women. Prevention and management of these injuries are very important to sustain the fighting force and maintain military readiness. Information about the incidence, risk factors, prevention, diagnosis, evaluation, treatment, and rehabilitation of common musculoskeletal overuse and traumatic injuries sustained by women in the military is included. Sections topics cover an overview of musculoskeletal injuries in military women; common lower extremity overuse injuries; common traumatic injuries; an overview of general injury prevention, treatment, and rehabilitation techniques; and specific injury prevention, treatment, and rehabilitation techniques in the military.
The Warrior in Transition Leader Medical Rehabilitation Handbook (2011)  - this book is targeted toward helping Army leaders of all levels to assist wounded, injured, and ill soldiers and their families while undergoing medical rehabilitation or interacting with essential healthcare and community reintegration services. Many facets are involved in the successful healing and reintegration of soldiers, whether they continue on active duty or become successful veterans. This book should serve as a valuable tool for learning about the resources and processes that will maximize each wounded, injured, or ill soldier’s chances for success and be a resource for leaders. Information is provided about the Army Warrior Transition Command and key Army, federal agencies, veteran and military service organizations, and selected other organizations and their services and programs. Accessible information about essential principles, practices, and definitions in medical rehabilitation are included. Also presented are several vignettes on soldiers who have successfully adapted to their impairments to lead remarkable lives as soldiers or Army veterans. Although geared toward nonmedical personnel working with wounded, injured, and ill soldiers, the book has material of interest to a much broader audience. It is a must-read for anyone working within the Warrior Transition Command, or who is closely involved with or interested in assisting wounded, injured, and ill soldiers and their families.
Water Requirements and Soldier Hydration (2010)* - this monograph presents information to assist the caregiver—whether physician, medic, unit leader, or fellow soldier—in understanding the influence of environment, physical activity, body size and gender, and load carriage in maintaining water balance. Scientific literature is the basis for a deeper understanding of the mechanisms governing thirst, sweating, and other (nonsweating) water losses through the skin and respiratory tract, renal regulation, and fluid shifts between compart­ments affected by exercise, nutrition, and other key factors. This publication also discusses the effect of harsh environments on fluid require­ments and presents methods to sustain water balance during deployment to environmental extremes.
Load Carriage in Military Operations: A Review of Historical, Physiological, Biomechanical, and Medical Aspects (2010)* - this monograph presents a comprehensive overview of research on soldier load carriage. It discusses elements that facilitate load carriage: making loads lighter, improving load distribution, using appropriate physical training, selecting proper equipment, and choosing specific techniques directed at injury prevention. Research on rifle carriage and body armor is covered, as well as alternative methods of load carriage (eg, carts and motorized vehicles). This monograph provides practical information on the signs and symptoms of these injuries associated with load carriage, as well as treatment and evidence-based suggestions for injury prevention.
Blast Injury: Translating Research into Operational Medicine (2010)* - this monograph "describes pioneering biomedical research that forms the basis of our current knowledge of blast injury mechanisms." This research, conducted over the past 25 years by the US Army`s Military Operational Medicine Research Program, is being applied to help improve the safety and performance of soldiers in the current conflicts.
The Military Advanced Regional Anesthesia and Analgesia (MARAA) Handbook (2009) External Link (opens in new browser window) This fully illustrated instructional manual provides step-by-step instructions for performing regional anesthesia blockades, including the latest techniques emerging from the battlefields of Iraq and Afghanistan. The handbook was conceived by deployed medical personnel who are teaching these techniques to their military colleagues as well as civilian practitioners. In addition to instructions for individual blocks, chapters address equipment, anesthetics, complications, pain management, air evacuation, and pediatric techniques.  A spiral-bound paperback designed for practical use in the field and in the OR, the book has a water-resistant coating to protect its pages under harsh conditions. Also included in each book is an instructional DVD.
War Surgery in Afghanistan and Iraq, a Series of Cases, 2003-2007 (2008) - describes the management of nearly 100 cases of acute combat trauma, conducted in the forward austere operative environment of war in the 21st century. Presented with vivid surgical photos, the cases encompass the spectrum of trauma that characterizes war today, as well as the medical interventions constantly evolving to treat these wounds. Publisher: Department of Defense, Office of The Surgeon General, US Army, Borden Institute. 2008: 442 p.; ill. Please note: several of the files are large and may take a few minutes to download.

*These three monographs have subsequently been published as chapters in the TMM Quantitative Physiology, and will not be reprinted once the original stock is exhausted.

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Last modified: 6/18/2012 1:46:00 PM

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