Chinese Expert Consensus on Echelons Treatment of Thoracic Injury in Modern Warfare

Overview

Journal Mil Med Res

Publisher Biomed Central

Specialty Emergency Medicine

Date 2018 Oct 6

PMID 30286811

Citations 2

Authors

Zhao-Wen Zong

Zhi-Nong Wang

Si-Xu Chen

Hao Qin

Lian-Yang Zhang

Yue Shen

Lei Yang

Wen-Qiong Du

Can Chen

Xin Zhong

Lin Zhang

Jiang-Tao Huo

Li-Ping Kuai

Li-Xin Shu

Guo-Fu Du

Yu-Feng Zhao

Affiliations

Soon will be listed here.

Abstract

The emergency treatment of thoracic injuries varies of general conditions and modern warfare. However, there are no unified battlefield treatment guidelines for thoracic injuries in the Chinese People's Liberation Army (PLA). An expert consensus has been reached based on the epidemiology of thoracic injuries and the concept of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since there are no differences in the specialized treatment for thoracic injuries between general conditions and modern warfare, first aid, emergency treatment, and early treatment of thoracic injuries are introduced separately in three levels in this consensus. At Level I facilities, tension pneumothorax and open pneumothorax are recommended for initial assessment during the first aid stage. Re-evaluation and further treatment for hemothorax, flail chest, and pericardial tamponade are recommended at Level II facilities. At Level III facilities, simple surgical operations such as emergency thoracotomy and debridement surgery for open pneumothorax are recommended. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.

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