title: A Surgeon's Guide to Obtaining Hemorrhage Control in Combat-Related Dismounted Lower Extremity Blast Injuries.
abstract: The application of lessons learned on the battlefield for timely surgical control of lower extremity hemorrhage secondary to blast injuries to the civilian practice for similar wounding patterns from industrial accidents or terrorist activities is imperative. Although simple cut-down procedures are commonly sufficient for the control of blood vessels for distal extremity traumatic amputations, high-thigh or disarticulation wounding patterns often require more complex surgical methods. The following details both the decision-making process and operative techniques for controlling hemorrhage from lower extremity blast injuries.
authors.affiliation: Department of Surgery, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889.
authors.forename: Jason S
authors.initials: JS
authors.lastname: Radowsky
authors.affiliation: Department of Surgery, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889.
authors.forename: Carlos J
authors.initials: CJ
authors.lastname: Rodriguez
authors.affiliation: Department of Surgery, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889.
authors.forename: Gary G
authors.initials: GG
authors.lastname: Wind
authors.affiliation: Department of Surgery, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Elster
mesh_terms: D001753:Blast Injuries / Q000601:surgery*; D016267:External Fixators / Q000639:trends; D005263:Femoral Artery / Q000002:abnormalities / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D035002:Lower Extremity / Q000293:injuries* / Q000601:surgery; D008887:Military Medicine / Q000379:methods*; D066231:Surgeons / Q000193:education*; D014111:Tourniquets / Q000706:statistics & numerical data; D014656:Vascular Surgical Procedures / Q000379:methods