title: Trauma resuscitation and monitoring: military lessons learned.
abstract: Over the past 13 years, the military health care system has made improvements that are associated with an unprecedented survival rate for severely injured casualties. Monitoring for indications of deterioration as the critically injured patient moves across the continuum of care is difficult given the limitations of routinely used vital signs. Research by both military and civilian researchers is revolutionizing monitoring, with an increased focus on noninvasive, continuous, dynamic measurements to provide earlier, more sensitive indications of the patient's perfusion status.
authors.affiliation: Biobehavioral Nursing and Health Systems, University of Washington School of Nursing, Box 357266, Seattle, WA 98195, USA. Electronic address: ebridges@u.washington.edu.
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Bridges
authors.affiliation: University of Washington Medical Center, Seattle, WA, USA; Department of Professional and Clinical Development, Frederick Memorial Hospital, 400 West Seventh Street, Frederick, MD 21701, USA.
authors.forename: Margaret M
authors.initials: MM
authors.lastname: McNeill
mesh_terms: D004632:Emergency Medical Services; D006801:Humans; D008887:Military Medicine; D008991:Monitoring, Physiologic; D012151:Resuscitation / Q000379:methods*; D014947:Wounds and Injuries / Q000503:physiopathology / Q000628:therapy*
keywords: Combat casualty care; Injuries; Military medicine; Monitoring/physiologic; Wounds