Combat Radiology - Diagnostic Imaging of Blast and Ballistic Injuries

Foreword

Preface

Acknowledgments

Contents

Chapter 1: The Combat Environment: Preparation for Deployment

1.1 Introduction

1.2 Preparation for Deployment

1.3 Personal Effects

1.4 Military Training for Deployment

1.5 Trauma and Critical Care Imagining Training

Chapter 2: Echelons of Combat Casualty Care and Associated Imaging Resources

2.1 Introduction

2.2 Echelons of Care

2.3 Imaging Resources at a Level 3 Facility

2.3.1 Radiology Staffing, Hours

2.3.2 Radiology Equipment

2.3.2.1 Orex Computed Radiography Readers

2.3.2.2 Portable/Fixed X-Ray Units

2.3.2.3 Ultrasound

2.3.2.4 MedWeb and MedWeb Reading Stations

2.3.3 RIS/HIS

2.4 Hospital Resources/Staffing

2.5 Summary

2.6 Our Combat Radiology Department Library

References

Chapter 3: Blast and Ballistics: Types, Background, Terminology

3.1 Introduction

3.2 Types of Explosives and Types of Resultant Blast Injuries

3.2.1 Blast and Ballistic Terminology

3.2.2 Ballistics

3.2.3 Wound Ballistics

3.2.4 Wound Cavities

3.2.5 Even Number Guide

3.3 Summary

References

Chapter 4: Introduction to Imaging of Penetrating/Perforating Blast and Ballistic Injuries

4.1 Trauma Flow and Throughput of Casualties in a Deployed Combat Hospital

4.2 Damage Control Imaging

4.3 Unique Radiology Protocolization in Extreme Trauma

References

Chapter 5: Significant Medical Advances on the Battlefield and the Changing Roles of Imaging

5.1 Record Survival Rates of Combat Casualties

5.2 Imaging Advances in Deployed Combat Hospitals

5.3 Anatomic Positioning System and Trajectory Analysis

5.4 Compass Analogy

5.5 Construction of the Trajectory Plane(s) from the CT Dataset

5.6 The Trajectory Mapping Is Accomplished in the Following Manner

5.7 Additional Cases Presented to Highlight Complex Plane Application

5.8 Abdominal Trajectories

5.9 Ricochet Trajectories

5.10 Description of Mapped Planes

5.11 Further Quantification and Application of Coordinate System Relative, to a Standard Reference

5.12 Decision Support Tools, Expert Systems

5.13 Telehealth on the Battlefield

References

Chapter 6: Imaging Thresholds of Salvageability of Life, Limb, and Eyesight

6.1 Introduction

6.2 Pushing the Imaging Threshold of Mortality: Cases on the Edge of Life

6.2.1 Imaging Spectrum of Penetrating and Perforating Head Trauma on the Battlefield

6.3 Example Penetrating Head Injury Cases in Increasing Severity

6.4 Blast and Ballistic Injuries to the Neck

6.5 Eyesight Salvageability in Penetrating Trauma

6.6 Imaging in Limb Salvage

6.7 Radiology-Assisted Autopsy

6.8 Summary

References

Chapter 7: Imaging Traumatic Brain Injury On and Off the Battlefield

7.1 Introduction

7.2 Clinical and Public Health Considerations in mTBI in Combat

7.3 Imaging in TBI

7.4 Future of Imaging in mTBI due to Blast Injuries

7.5 Summary of Closed Head Injury and mTBI Imaging

7.6 Penetrating TBI

7.7 TBI Treatment

7.8 Summary

References

Chapter 8: Chest Imaging in a Battlefield Hospital

8.1 Introduction

8.2 Chest X-Rays in the Combat Hospital

8.3 ICU Chest X-Ray

8.4 Imaging Techniques

8.5 Blast Lung Injury

8.5.1 Airway BLI

8.5.2 Generalized Overpressure/Compression

8.5.3 Focal Blast Injury to Lung

8.6 Summary

References

Chapter 9: Abdomen and Pelvis Imaging in Iraq

9.1 Introduction

9.2 Cases

9.3 Summary

References

Chapter 10: Skeletal Trauma in Iraq

10.1 Introduction

10.2 Summary

References

Index