Experiences from Afghanistan: Traumatic lower extremity amputation in the combat zone

Presentation


Parkes, J., Long, David and Devenish, S.. 2015. "Experiences from Afghanistan: Traumatic lower extremity amputation in the combat zone." 2015 Paramedics Australasia International Conference. Adelaide, Australia 02 - 03 Oct 2015 Australia.
Paper/Presentation Title

Experiences from Afghanistan: Traumatic lower extremity amputation in the combat zone

Presentation TypePresentation
AuthorsParkes, J. (Author), Long, David (Author) and Devenish, S. (Author)
Journal or Proceedings Title2015 Paramedics Australasia International Conference
Journal Citation12 (5), pp. 41-41
Number of Pages1
Year2015
Place of PublicationAustralia
Web Address (URL) of Paperhttps://ajp.paramedics.org/index.php/ajp/article/view/499
Conference/Event2015 Paramedics Australasia International Conference
Event Details
2015 Paramedics Australasia International Conference
Event Date
02 to end of 03 Oct 2015
Event Location
Adelaide, Australia
Abstract

Background
Improvised explosive devices (IEDs) are a frightening weapon used by terrorists in the both the Afghanistan combat zone and in the civilian environment. In this presentation, the experiences of a former Australian Army Advanced Medical Operator in relation to the treatment of traumatic lower extremity amputations in the combat zone are discussed.

Methods
In addition to Australian Army medical practices and procedures, a personal narrative approach is used to discuss the management of traumatic amputations in a combat zone.

Results
Patients with traumatic amputation from an IED rarely have one isolated injury. Shrapnel injuries, burns, barotrauma, fractures and internal haemorrhage are commonly present as well. In the military setting, there are two phases of care in the field. First, in the ‘care under fire phase’ tourniquets are applied if possible, or direct pressure and haemostatic agents are used as an alternative. Tension pneumothoraxes are decompressed and immediate evacuation is then arranged. Second, the tactical field care phase involves spinal precautions, further haemorrhage control, the application of wound dressings and tractions splints and the administration of pain relief and IV fluids. Last, all interventions must be secured correctly to facilitate a rapid aero-medical evacuation.

Conclusion
While the combat zone differs greatly to the civilian environment, many of the principals involved in the treatment of traumatic lower extremity amputation are similar. These involve haemorrhage control, treating life threatening injuries, and rapid extrication and transport to definitive care.

KeywordsIED; amputation; management; paramedicine; pre-hospital care
ANZSRC Field of Research 2020320219. Paramedicine
Byline AffiliationsQueensland University of Technology
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q5wyy/experiences-from-afghanistan-traumatic-lower-extremity-amputation-in-the-combat-zone

Download files


Published Version
Experiences from Afghanistan.pdf
File access level: Anyone

  • 194
    total views
  • 54
    total downloads
  • 4
    views this month
  • 1
    downloads this month

Export as

Related outputs

Grounded Theory: An Interpretation of Social Reality
Long, David. 2023. "Grounded Theory: An Interpretation of Social Reality." Olaussen, Alexander, Bowles, Kelly-Ann, Lord, Bill and Williams, Brett (ed.) Introducing, Designing and Conducting Research for Paramedics. Australia. Elsevier. pp. 145-148
Factors Influencing Medication Errors in the Prehospital Paramedic Environment: A Mixed Method Systematic Review
Walker, Dennis, Moloney, Clint, SueSee, Brendan, Sharples, Renee, Blackman, Rosanna, Long, David and Hou, Xiang-Yu. 2023. "Factors Influencing Medication Errors in the Prehospital Paramedic Environment: A Mixed Method Systematic Review." Prehospital Emergency Care. 27 (5), pp. 669-686. https://doi.org/10.1080/10903127.2022.2068089
Widening the conversation: Paramedic involvement in interprofessional care
Long, David and Lord, Bill. 2021. "Widening the conversation: Paramedic involvement in interprofessional care ." Progress in Palliative Care. 29 (2), pp. 57-58. https://doi.org/10.1080/09699260.2021.1890976
Paramedic Attitudes and Perceptions About Continuing Professional Development in Australasia
Hobbs, Lisa, Devenish, Scott, Tippett, Vivienne and Long, David. 2020. "Paramedic Attitudes and Perceptions About Continuing Professional Development in Australasia." International Journal of Qualitative Methods. 19, pp. -30. https://doi.org/10.1177/1609406920909934
Factors impacting the decision-making processes of qualified paramedics moving to a specialist role in community paramedicine
Long, David, Devenish, Scott, Tippett, Vivienne and Clark, Michele. 2018. "Factors impacting the decision-making processes of qualified paramedics moving to a specialist role in community paramedicine." 15th International Roundtable on Community Paramedicine 2018. Auckland, New Zealand 06 - 07 Aug 2018
Out of the silo: A qualitative study of paramedic transition to a specialist role in community paramedicine
Long, David, Devenish, Scott and Tippett, Vivienne. 2019. "Out of the silo: A qualitative study of paramedic transition to a specialist role in community paramedicine." 2019 IHBI Inspires Annual Conference. Brisbane, Australia 12 - 13 Aug 2019
What’s in a name? The confusion in nomenclature of low-acuity specialist roles in paramedicine
Long, David N., Clark, M., Lim, D. and Devenish, S.. 2016. "What’s in a name? The confusion in nomenclature of low-acuity specialist roles in paramedicine." Australasian Journal of Paramedicine. 13 (3), pp. 1-3. https://doi.org/10.33151/ajp.13.3.518
Standing out from the crowd: improving employability through peer programs and continuing professional development in undergraduate paramedic programs
Long, David Nicholas and Hobbs, Lisa. 2020. "Standing out from the crowd: improving employability through peer programs and continuing professional development in undergraduate paramedic programs." Australasian Journal of Paramedicine. 17, pp. 1-3. https://doi.org/10.33151/ajp.17.838
Out of the silo: a qualitative study of paramedic transition to a specialist role in community paramedicine
Long, David N.. 2017. Out of the silo: a qualitative study of paramedic transition to a specialist role in community paramedicine. PhD Thesis Doctor of Philosophy. Queensland University of Technology. https://doi.org/10.5204/thesis.eprints.114997
Defining the end-point of transition to a specialist role in community paramedicine: is feeling comfortable enough?
Long, David, Devenish, Scott, Tippett, Vivienne and Clark, Michele. 2017. "Defining the end-point of transition to a specialist role in community paramedicine: is feeling comfortable enough?" 2017 Paramedics Australasia International Conference. Melbourne, Australia 23 - 25 Nov 2017 Australia.
The conundrum of defining paramedicine: more than just what paramedics 'do'
Long, David Nicholas, Lea, Jakki and Devenish, Scott. 2018. "The conundrum of defining paramedicine: more than just what paramedics 'do'." Australasian Journal of Paramedicine. 15 (1), pp. 1-2. https://doi.org/10.33151/ajp.15.1.629
Rote learning: the ugly duckling of student paramedic education?
Long, David Nicholas, Hobbs, Lisa and Devenish, Scott. 2018. "Rote learning: the ugly duckling of student paramedic education?" Irish Journal of Paramedicine. 3 (2), pp. 1-3. https://doi.org/10.32378/ijp.v3i2.97
Paramedic delivery of community-based palliative care: An overlooked resource?
Long, David. 2019. "Paramedic delivery of community-based palliative care: An overlooked resource?" Progress in Palliative Care. 27 (6), pp. 289-290. https://doi.org/10.1080/09699260.2019.1672414
Paramedic students working in snow resort medical clinics: a non-traditional interprofessional clinical placement model
Devenish, Anthony Scott, McKay, Glenn, Long, David Nicholas, Horrocks, Peter David and Smith, Michael. 2019. "Paramedic students working in snow resort medical clinics: a non-traditional interprofessional clinical placement model." Irish Journal of Paramedicine. 4 (1), pp. 1-11. https://doi.org/10.32378/ijp.v4i1.101
Investigating career intentions of undergraduate paramedic students studying in Queensland, Australia
Devenish, Scott, Rolley, Adam and Long, David. 2020. "Investigating career intentions of undergraduate paramedic students studying in Queensland, Australia." Australasian Journal of Paramedicine. 17, pp. 1-6. https://doi.org/10.33151/ajp.17.872
Facilitators, barriers and motivators of paramedic continuing professional development
Hobbs, Lisa, Devenish, Scott, Long, David and Tippett, Vivienne. 2021. "Facilitators, barriers and motivators of paramedic continuing professional development." Australasian Journal of Paramedicine. 18, pp. 1-7. https://doi.org/10.33151/ajp.18.857
From qualified to specialist paramedic: A qualitative study of the process of transition to a low-acuity role
Long, David, Clark, Michele, Lim, David and Devenish, Scott. 2015. "From qualified to specialist paramedic: A qualitative study of the process of transition to a low-acuity role." 2015 Paramedics Australasia International Conference. Adelaide, Australia 02 - 03 Oct 2015 https://doi.org/10.13140/RG.2.1.5059.4644
Clinical Skills Degradation in Paramedicine Specific to Trauma Management: A Critical Review of the Literature
Hobbs, Lisa, Devenish, Scott, Clark, Michele and Tippett, Vivienne. 2015. "Clinical Skills Degradation in Paramedicine Specific to Trauma Management: A Critical Review of the Literature." Australasian Journal of Paramedicine. 12 (5), pp. -58. https://doi.org/10.33151/ajp.12.5.499
Out-of-hospital administration of corticosteroids to patients with acute asthma: A case study and literature review
Long, David, Bendall, J. and Bower, A.. 2008. "Out-of-hospital administration of corticosteroids to patients with acute asthma: A case study and literature review." Australasian Journal of Paramedicine. 6 (4), pp. 1-11. https://doi.org/10.33151/ajp.6.4.475