title: Prolonged Field Care of a Casualty With Penetrating Chest Trauma.
abstract: As Special Operations mission sets shift to regions with less coalition medical infrastructure, the need for quality long-term field care has increased. More and more, Special Operations Medics will be expected to maintain casualties in the field well past the "golden hour" with limited resources and other tactical limitations. This case report describes an extended-care scenario (>12 hours) of a casualty with a chest wound, from point of injury to eventual casualty evacuation and hand off at a Role II facility. This case demonstrates the importance of long-term tactical medical considerations and the effectiveness of minimal fluid resuscitation in treating penetrating thoracic trauma.
authors.forename: Graham
authors.initials: G
authors.lastname: Barnhart
authors.forename: William
authors.initials: W
authors.lastname: Cullinan
authors.forename: Jason R
authors.initials: JR
authors.lastname: Pickett
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D005440:Fluid Therapy / Q000379:methods; D006468:Hemopneumothorax / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008887:Military Medicine; D059408:Pain Management / Q000379:methods; D012253:Rib Fractures / Q000150:complications / Q000628:therapy*; D013352:Subcutaneous Emphysema / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications / Q000628:therapy*; D014948:Wounds, Gunshot / Q000150:complications / Q000628:therapy*