On September 20,2017 Hurricane Maria,a category 4 hurricane,made landfall on the eastern coast of Puerto Rico.This was preceded by Hurricane Irma,a category 5 hurricane,which passed just off the coast 13 d prior.The d...On September 20,2017 Hurricane Maria,a category 4 hurricane,made landfall on the eastern coast of Puerto Rico.This was preceded by Hurricane Irma,a category 5 hurricane,which passed just off the coast 13 d prior.The destruction from both Hurricane Irma and Maria precipitated a coordinated federal response which included the Federal Emergency Management Agency(FEMA)and the United States military.The United States Army dispatched the 14^th Combat Support Hospital(CSH)to Humacao,a city on the eastern side of the island where Maria made landfall.The mission of the 14^th CSH was to provide medical humanitarian aid and conduct disaster relief operations in support of the government of Puerto Rico and FEMA.During the 14^th CSH deployment to Puerto Rico,1157 patients were evaluated and treated.Fifty-seven operative cases were performed to include 23 orthopaedic cases.The mean age of the orthopaedic patients treated was 45.7 years(range 13-76 years).The most common operation was irrigation and debridement of open contaminated and/or infected wounds.Patients presented a mean 10.8 d from their initial injury(range 1-40 d).Fractures and infections were the most common diagnoses with the greatest delay in treatment from the initial date of injury.The deployment of the 14^th CSH to Puerto Rico was unique in its use of air transport,language and local customs encountered,as well as deployment to a location outside the continental United States.These factors coupled with the need for rapid deployment of the 14^th CSH provided valuable experience which will undoubtedly enable future success in similar endeavors.展开更多
目的旨在通过文献计量可视化分析,深入探讨战伤救治研究的现状、热点和发展趋势。方法检索中国知网、维普、万方数据库和Web of Science(WOS)数据库自2004年1月1日至2023年9月1日收录的战伤救治相关文献。应用CiteSpace软件分别对中文...目的旨在通过文献计量可视化分析,深入探讨战伤救治研究的现状、热点和发展趋势。方法检索中国知网、维普、万方数据库和Web of Science(WOS)数据库自2004年1月1日至2023年9月1日收录的战伤救治相关文献。应用CiteSpace软件分别对中文数据库和WOS数据库进行战伤救治文献计量可视化分析。结果中文数据库共纳入2957篇文献,WOS共纳入3606篇文献,两个数据库发文量均呈整体增长趋势。中文数据库分析呈现的研究重点为战伤救治、卫勤保障、训练等组织管理方向。WOS数据库的研究重点在战伤、创伤后应激障碍、精神健康等战伤并发症救治上。两个数据库时间线图和聚类分析呈现出不同的特点。结论当前研究热点主要集中在卫勤保障、模拟训练、战伤并发症救治等方面,并趋向于救治技术创新、创伤后心理健康、多学科合作与综合治疗以及战伤救治系统的改进与应急响应等。展开更多
文摘On September 20,2017 Hurricane Maria,a category 4 hurricane,made landfall on the eastern coast of Puerto Rico.This was preceded by Hurricane Irma,a category 5 hurricane,which passed just off the coast 13 d prior.The destruction from both Hurricane Irma and Maria precipitated a coordinated federal response which included the Federal Emergency Management Agency(FEMA)and the United States military.The United States Army dispatched the 14^th Combat Support Hospital(CSH)to Humacao,a city on the eastern side of the island where Maria made landfall.The mission of the 14^th CSH was to provide medical humanitarian aid and conduct disaster relief operations in support of the government of Puerto Rico and FEMA.During the 14^th CSH deployment to Puerto Rico,1157 patients were evaluated and treated.Fifty-seven operative cases were performed to include 23 orthopaedic cases.The mean age of the orthopaedic patients treated was 45.7 years(range 13-76 years).The most common operation was irrigation and debridement of open contaminated and/or infected wounds.Patients presented a mean 10.8 d from their initial injury(range 1-40 d).Fractures and infections were the most common diagnoses with the greatest delay in treatment from the initial date of injury.The deployment of the 14^th CSH to Puerto Rico was unique in its use of air transport,language and local customs encountered,as well as deployment to a location outside the continental United States.These factors coupled with the need for rapid deployment of the 14^th CSH provided valuable experience which will undoubtedly enable future success in similar endeavors.
文摘目的旨在通过文献计量可视化分析,深入探讨战伤救治研究的现状、热点和发展趋势。方法检索中国知网、维普、万方数据库和Web of Science(WOS)数据库自2004年1月1日至2023年9月1日收录的战伤救治相关文献。应用CiteSpace软件分别对中文数据库和WOS数据库进行战伤救治文献计量可视化分析。结果中文数据库共纳入2957篇文献,WOS共纳入3606篇文献,两个数据库发文量均呈整体增长趋势。中文数据库分析呈现的研究重点为战伤救治、卫勤保障、训练等组织管理方向。WOS数据库的研究重点在战伤、创伤后应激障碍、精神健康等战伤并发症救治上。两个数据库时间线图和聚类分析呈现出不同的特点。结论当前研究热点主要集中在卫勤保障、模拟训练、战伤并发症救治等方面,并趋向于救治技术创新、创伤后心理健康、多学科合作与综合治疗以及战伤救治系统的改进与应急响应等。
