Presentation is loading. Please wait.

Presentation is loading. Please wait.

Diagnosis and management of evacuated casualties with cervical vascular injuries resulting from combat-related explosive blasts  Colin A. Meghoo, MD,

Published byPaul Neil O’Brien’ Modified over 4 years ago

Similar presentations

Presentation on theme: "Diagnosis and management of evacuated casualties with cervical vascular injuries resulting from combat-related explosive blasts  Colin A. Meghoo, MD,"— Presentation transcript:

1 Diagnosis and management of evacuated casualties with cervical vascular injuries resulting from combat-related explosive blasts  Colin A. Meghoo, MD, James W. Dennis, MD, Caroline Tuman, RN, Raymond Fang, MD  Journal of Vascular Surgery  Volume 55, Issue 5, Pages (May 2012) DOI: /j.jvs Copyright © Terms and Conditions

2 Fig 1 United States military levels of care for combat casualties: casualty evacuation (CASEVAC) is transport from the battlefield to a military medical facility, medical evacuation (MEDEVAC) is rotary-wing patient movement between medical facilities, aeromedical evacuation (AEROVAC) is fixed-wing patient movement between medical facilities, tactical refers to in-theater missions, and strategic refers to inter-theater missions. Times shown for patient movement are typical from the time of injury but vary due to patient condition and availability of transport. ATLS, Advanced trauma life support; CT, computed tomography; CTA, computed tomography angiography. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

3 Fig 2 Computed tomography (CT) imaging studies in patients with cervical vascular injuries. A, A 24-year-old man with right zone 2 injury and a nonexpanding, nonpulsatile hematoma overlying left sternocleidomastoid muscle. Neck exploration was negative. B, A 22-year-old man with left neck zone 2 punctate wounds. Neck wound superficial irrigation and debridement was performed. C, A 24-year-old man with left zone 3 laceration, bright red bleeding, and a left neck hematoma. Preoperative CT neck imaging showed loss of the left external carotid artery. The left external carotid artery was ligated during exploration, and there were no other injuries. D, A 28-year-old man with right zone 2 neck laceration. CT angiography showed subcutaneous air in the right neck but no deeper fragment penetration. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

4 Fig 3 Flow chart shows overall casualty management after penetrating injury to the neck. CT, Computed tomography; CTA, computed tomography angiography; FN, false negative; FP, false positive; TN, true negative; TP, true positive. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

Download ppt "Diagnosis and management of evacuated casualties with cervical vascular injuries resulting from combat-related explosive blasts  Colin A. Meghoo, MD,"

Similar presentations

MedPix Medical Image Database COW - Case of the Week Case Contributor: James G. Smirniotopoulos, M.D. Affiliation: Uniformed Services University.

MedPix Medical Image Database COW - Case of the Week Case Contributor: James G. Smirniotopoulos, M.D. Affiliation: Uniformed Services University.
Long-term outcomes after revascularization for advanced popliteal artery entrapment syndrome with segmental arterial occlusion  Seong-Yup Kim, MD, Seung-Kee.

Long-term outcomes after revascularization for advanced popliteal artery entrapment syndrome with segmental arterial occlusion  Seong-Yup Kim, MD, Seung-Kee.
A patient with multiple paradoxical emboli

A patient with multiple paradoxical emboli
New routing alternative for proximal anterior tibial artery bypass in patients with Buerger disease  Taeseung Lee, MD, PhD, Hwan Do Ra, MD, Yang Jin Park,

New routing alternative for proximal anterior tibial artery bypass in patients with Buerger disease  Taeseung Lee, MD, PhD, Hwan Do Ra, MD, Yang Jin Park,
Spontaneous iliac artery dissection treated with a combination of covered and self- expandable stents to preserve hypogastric patency  Giovanni Spinella,

Spontaneous iliac artery dissection treated with a combination of covered and self- expandable stents to preserve hypogastric patency  Giovanni Spinella,
Chris Burke, MD, Sherene Shalhub, MD, MPH, Benjamin W. Starnes, MD 

Chris Burke, MD, Sherene Shalhub, MD, MPH, Benjamin W. Starnes, MD 
Treatment of a symptomatic intrathoracic internal carotid artery

Treatment of a symptomatic intrathoracic internal carotid artery
Treatment of a symptomatic intrathoracic internal carotid artery

Treatment of a symptomatic intrathoracic internal carotid artery
Cranial nerve injury is associated with dual antiplatelet therapy use and cervical hematoma after carotid endarterectomy  Emiliano Chisci, MD, Thomas.

Cranial nerve injury is associated with dual antiplatelet therapy use and cervical hematoma after carotid endarterectomy  Emiliano Chisci, MD, Thomas.
Endovascular management of carotid artery stenosis secondary to sclerosing mediastinitis  Christopher J. Smolock, MD, Shanda Blackmon, MD, Zsolt Garami,

Endovascular management of carotid artery stenosis secondary to sclerosing mediastinitis  Christopher J. Smolock, MD, Shanda Blackmon, MD, Zsolt Garami,
Preservation of infected and exposed vascular grafts using vacuum assisted closure without muscle flap coverage  Hasan H. Dosluoglu, MD, Dennis K. Schimpf,

Preservation of infected and exposed vascular grafts using vacuum assisted closure without muscle flap coverage  Hasan H. Dosluoglu, MD, Dennis K. Schimpf,
Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms  Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms  Jared Kray, DO, Spencer Kirk, DO, Jan Franko,
Hemiaortic arch debranching using native supra-aortic vessels

Hemiaortic arch debranching using native supra-aortic vessels
Successful coil embolization for rupture of the subclavian artery associated with Ehlers- Danlos syndrome type IV  Yasunori Iida, MD, PhD, Yukio Obitsu,

Successful coil embolization for rupture of the subclavian artery associated with Ehlers- Danlos syndrome type IV  Yasunori Iida, MD, PhD, Yukio Obitsu,
Use of CT Angiography and CT Perfusion Imaging in the Selection of Hyperacute Stroke Patients to Undergo Emergent Carotid Endarterectomy Versus Intra-Cranial.

Use of CT Angiography and CT Perfusion Imaging in the Selection of Hyperacute Stroke Patients to Undergo Emergent Carotid Endarterectomy Versus Intra-Cranial.
Infected splenic artery aneurysm with associated splenic abscess formation secondary to bacterial endocarditis: Case report and review of the literature 

Infected splenic artery aneurysm with associated splenic abscess formation secondary to bacterial endocarditis: Case report and review of the literature 
The natural history of penetrating ulcers of the iliac arteries

The natural history of penetrating ulcers of the iliac arteries
Seth A. Vernon, MD, William R. C. Murphy, MD, Todd W

Seth A. Vernon, MD, William R. C. Murphy, MD, Todd W
Idiopathic aneurysm of the common iliac artery in an 11-year-old child

Idiopathic aneurysm of the common iliac artery in an 11-year-old child
Kenji Inaba, MD, MS, Felipe Munera, MD, Mark G

Kenji Inaba, MD, MS, Felipe Munera, MD, Mark G

Similar presentations

Ads by Google