Penetrating neck injuries on the battlefield and in civil practice : similarities and contrasts
Seance of wednesday 29 june 2022 (SÉANCE COMMUNE AVEC LE SERVICE DE SANTÉ DES ARMÉES À L'ÉCOLE DU VAL-DE-GRÂCE)
DOI number : 10.26299/x682-f772/emem.2022.24.03
Abstract
In war after war, despite progress in soldier’s protection, the cervico-facial area remains poorly protected. During recent conflicts with Improvised Explosive Devices (IED), injuries have increased. In civil practice, these injuries are rarer.
Heirs to the knowledge acquired during the First World War, the "Head & Neck" surgeons (ENT, maxillofacial and neurosurgeons), regularly deployed in the French Damage Control Resuscitation and Surgical (CCRS) team or within the Surgical Life-saving Module (SLM), apply common rules for the management of these complex lesions.
However, these injuries lead to a high mortality rate of between 3 and 11%. The reconstruction of these patients, traumatised in their flesh and soul, is always long and difficult.
The authors propose to shed light on the similarities and contrasts between the management in civilian and wartime.
J.-B. Morvan, A. Crambert, J.-B. Caruhel, H. De Lesquen, O. Cathelinaud, Y. Pons
Key words
• Penetrating neck injury
• Airway management
• Cricothyroidotomy
Heirs to the knowledge acquired during the First World War, the "Head & Neck" surgeons (ENT, maxillofacial and neurosurgeons), regularly deployed in the French Damage Control Resuscitation and Surgical (CCRS) team or within the Surgical Life-saving Module (SLM), apply common rules for the management of these complex lesions.
However, these injuries lead to a high mortality rate of between 3 and 11%. The reconstruction of these patients, traumatised in their flesh and soul, is always long and difficult.
The authors propose to shed light on the similarities and contrasts between the management in civilian and wartime.
J.-B. Morvan, A. Crambert, J.-B. Caruhel, H. De Lesquen, O. Cathelinaud, Y. Pons
Key words
• Penetrating neck injury
• Airway management
• Cricothyroidotomy