WThe term military medicine has a number of potential connotations. It may mean:A medical specialty, specifically a branch of occupational medicine attending to the medical risks and needs of soldiers, sailors and other service members. This disparate arena has historically involved the prevention and treatment of infectious diseases, and, in the 20th Century, the ergonomics and health effects of operating military-specific machines and equipment such as submarines, tanks, helicopters and airplanes. Undersea and aviation medicine can be understood as subspecialties of military medicine, or in any case originated as such. Few countries certify or recognize "military medicine" as a formal speciality or subspeciality in its own right. The planning and practice of the surgical management of mass battlefield casualties and the logistical and administrative considerations of establishing and operating combat support hospitals. This involves military medical hierarchies, especially the organization of structured medical command and administrative systems that interact with and support deployed combat units. The administration and practice of health care for military service members and their dependents in non-deployed (peacetime) settings. This may consist of a medical system paralleling all the medical specialties and sub-specialties that exist in the civilian sector. Medical research and development specifically bearing upon problems of military medical interest. Historically, this encompasses all of the medical advances emerging from medical research efforts directed at addressing the problems encountered by deployed military forces many of which ultimately prove important beyond the purely military considerations that inspired them.
WBattlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine.
WCasualty evacuation, also known as CASEVAC or by the callsign Dustoff or colloquially Dust Off, is a military term for the emergency patient evacuation of casualties from a combat zone. Casevac can be done by both ground and air. "DUSTOFF" is the callsign specific to U.S. Army Air Ambulance units. CASEVACs by air today are almost exclusively done by helicopter, a practice begun on a small scale toward the end of World War II; before that, STOL aircraft, such as the Fieseler Fi 156 or Piper J-3 were used.
WCombat stress reaction (CSR) is a term used within the military to describe acute behavioral disorganization seen by medical personnel as a direct result of the trauma of war. Also known as "combat fatigue" or "battle neurosis", it has some overlap with the diagnosis of acute stress reaction used in civilian psychiatry. It is historically linked to shell shock and can sometimes precurse post-traumatic stress disorder.
WDiving medicine, also called undersea and hyperbaric medicine (UHB), is the diagnosis, treatment and prevention of conditions caused by humans entering the undersea environment. It includes the effects on the body of pressure on gases, the diagnosis and treatment of conditions caused by marine hazards and how relationships of a diver's fitness to dive affect a diver's safety. Diving medical practitioners are also expected to be competent in the examination of divers and potential divers to determine fitness to dive.
WElectronic textiles or e-textiles are fabrics that enable digital components such as a battery and a light, and electronics to be embedded in them. "Smart textiles" are fabrics that have been developed with new technologies that provide added value to the wearer. Pailes-Friedman of the Pratt Institute states that "what makes smart fabrics revolutionary is that they have the ability to do many things that traditional fabrics cannot, including communicate, transform, conduct energy and even grow".
WThe Emergency Bandage or Israeli bandage is a specially designed, first-aid device that is used to stop bleeding from hemorrhagic wounds caused by traumatic injuries in pre-hospital emergency situations. First used for saving lives during a NATO peacekeeping operation in Bosnia and Herzegovina, the bandage was successfully used during operations Enduring Freedom and Iraqi Freedom. The bandage was nicknamed "Israeli bandage" by American soldiers, and has been "the bandage of choice for the US Army and special forces." The Israeli Bandage was included in the first aid kits of emergency personnel and first responders at the 2011 Tucson shooting, and was used to treat some victims of the shooting.
WEsmarch bandage in its modern form is a narrow soft rubber bandage that is used to expel venous blood from a limb (exsanguinate) that has had its arterial supply cut off by a tourniquet. The limb is often elevated as the elastic pressure is applied. The exsanguination is necessary to enable some types of delicate reconstructive surgery where bleeding would obscure the working area. A bloodless area is also required to introduce local anaesthetic agents for a regional nerve block. This method was first described by Augustus Bier in 1908.
WA field dressing or battle dressing is a kind of bandage intended to be carried by soldiers for immediate use in case of wounds. It consists of a large pad of absorbent cloth, attached to the middle of a strip of thin fabric used to bind the pad in place. Field dressings are issued in sealed waterproof pouches to keep them clean and dry; the pouch can be torn open when required.
WIn the United States Army, Medical Detachments, popularly known as Forward Surgical Teams (FST), are small, mobile surgical units. A functional operating room can be established within one and a half hours of being on scene and break down to move to a new location within two hours of ceasing operations.
WMedical evacuation, often shortened to medevac or medivac, is the timely and efficient movement and en route care provided by medical personnel to wounded being evacuated from a battlefield, to injured patients being evacuated from the scene of an accident to receiving medical facilities, or to patients at a rural hospital requiring urgent care at a better-equipped facility using medically equipped ground vehicles (ambulances) or aircraft.
WMost professional militaries employ specialised military nurses. They are often organised as a distinct nursing corps. Florence Nightingale formed the first nucleus of a recognised Nursing Service for the British Army during the Crimean War in 1854. In the same theatre of the same war, Professor Nikolai Ivanovich Pirogov and the Grand Duchess Yelena Pavlovna originated Russian traditions of recruiting and training military nurses – associated especially with besieged Sevastopol (1854–1855). Following the war Nightingale fought to institute the employment of women nurses in British military hospitals, and by 1860 she had succeeded in establishing an Army Training School for military nurses at the Royal Victoria Military Hospital in Netley, Hampshire, England.
WPost-traumatic stress disorder (PTSD) is a mental disorder that can develop after a person is exposed to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, or other threats on a person's life. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in how a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event. Young children are less likely to show distress, but instead may express their memories through play. A person with PTSD is at a higher risk of suicide and intentional self-harm.