title: [History of neurosurgical treatment of gunshot wounds].
abstract: The provision of neurosurgical managing care in the German field hospital during the IFOR- and SFOR-mission in the former Yugoslavia is a novum within the NATO. Penetrating head trauma is by far the most common type of central nervous system trauma observed in a military combat setting. There is a distinct advantage realized by early intervention following penetrating head trauma with increased intracranial pressure. As well as the experience of Ernst von Bergmann a hundred years ago during the Prussian-Austrian-War as the reports of the operation Desert Storm confirm the advantage of an early neurosurgical intervention of gunshot wounds of the head. The decision of the German Armed Forces to provide forward-located neurosurgical maintenance is justified and will lead to major reduction of time between injury and surgery. In the future neurosurgical managing care in combat settings will be supplemented and improved by peer-to-peer networks through the World Wide Web.
authors.affiliation: Abteilung für Anästhesie und Intensivmedizin des Bundeswehrkrankenhauses Amberg, Deutschland. werner.madei@asam.baynet.de
authors.forename: W
authors.initials: W
authors.lastname: Madei
authors.forename: H P
authors.initials: HP
authors.lastname: Klieser
mesh_terms: D001930:Brain Injuries / Q000266:history / Q000601:surgery; D005060:Europe; D020197:Head Injuries, Penetrating / Q000266:history* / Q000601:surgery; D049669:History, 16th Century; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007564:Japan; D008887:Military Medicine / Q000266:history* / Q000458:organization & administration / Q000639:trends; D009493:Neurosurgery / Q000266:history / Q000639:trends; D014481:United States; D014948:Wounds, Gunshot / Q000266:history* / Q000601:surgery