Ik heb niet alles gelezen, maar de stukjes over 'rehabilitation of
traumatic amputation of the lower limbs'(p50) en postoperative
assessment(p89) vond ik interessant:
http://www.healthquality.va.gov/guidelines/Rehab/amp/amp_v652.pdf"One of the many challenges in treating patients with a
trauma-related amputation is to address the wide variety
of comorbid injuries often resulting from multi- or poly-trauma.
In war-related amputations, additional injuries of peripheral
nerves, disrupted blood vessels, retained shrapnel, heteroto
pic ossification, contaminated wounds, burns, grafted skin, and
fractures require modified rehabilitation strategies in the training of
activities of daily living (ADL) and ambulation."
Limb amputation has a grave prognosis, despite aggressive treatment,
reporting that
only 9 of 52 servicemen who sustained traumatic
amputations from explosions in Northern Ireland survived.Secondary blast injuries caused by flying casing fragments or
other debris are the blast injuries that most often involve the
musculoskeletal system and large enough fragments (higher but mainly
lower velocity of <600 m/s) can cause direct limb amputation.
Upon striking tissue, even at a low velocity, these fragments
may exhibit a tumbling or so-called shimmy effect that can increase
the amount of tissue damage.
More damage might be induced by moving environmental debris
into the wound. Furthermore, a large, slow projectile can crush a large amount of tissue, and projectile fragmentation that may occur within the body can greatly increase temporary cavity effects.
Most orthopedic blast trauma, however, is caused mainly by the secondary effect penetrating fragment injury, which is the main cause of injury both in warfare and in mostterrorist attacks in the Middle East and depends on subject distance from the detonation center, the shape and size of the fragments, and the number of foreign bodies implanted or created by the explosive.
The size and shape of the fragments may affect the extent of soft-tissue injury whereas a large flat irregular shape metal piece may induce severe muscle and skin damage because of the large contact area.
En hier zijn er wat echte voorbeelden van traumatic amputation.
WARNING : REAL IMAGES.
https://www.google.nl/sea(...)zYqcxwIVjxfbCh0uvgfgEn hier wat basic first aid info over traumatic amputations :
Take steps to prevent shock. Lay the person flat, raise the feet about
12 inches, and cover the person with a coat or blanket. Do NOT place the
person in this position if a head, neck, back, or leg injury is
suspected or if it makes the victim uncomfortable.
En 'n paar heel erg schokkende fotos van echte schrapnel.
http://www.kazak.com/wordpress/?tag=grenadeGoede zoekterm is : Traumatic blast injury- kom je bij 'n heleboel info,discussie en vreselijk beelden.
Er zit 'n paar beeljes van de helemaal niet zo schokkende 'iconic' Boston Marathon (smoke) Bomb incident.
[ Bericht 2% gewijzigd door Tingo op 09-08-2015 15:54:24 ]
In the new 'reality' we will be living in,nothing will be real and everything will be true-David A.McGowan
Why do some people not credit the origin of the quotes they use under their posts?- Tingo