SynthesisMedicine2019
Diagnosis and treatment of traumatic vascular injury of limbs in military and emergency medicine: A systematic review.
Synthesis in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 30 citations in OpenAlex.
- Reply to Reflections on "Impact of Abnormal Ankle Brachial Index on Sepsis Survival: One-Year Prospective Study Results": Expanding the Perspective.Acta Cardiologica Sinica · 2025Article
- Reflections on "Impact of Abnormal Ankle Brachial Index on Sepsis Survival: One-Year Prospective Study Results": Expanding the Perspective.Acta Cardiologica Sinica · 2025Article
- [Experience in comprehensive treatment of vascular rupture of limbs and traumatic coagulopathy caused by blunt injury].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2024Article
- Versatile Design of NO-Generating Proteolipid Nanovesicles for Alleviating Vascular Injury.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024Article
- Evaluating emergency response at a hospital near the Gaza border within 24 h of increased conflict.BMC emergency medicine · 2024Article
- Cinematic rendering in the evaluation of complex vascular injury of the lower extremities: how we do it.Emergency radiology · 2023Article
- Motor Scooter Syndrome Revisited: A Case of Delayed Presentation of Traumatic Occlusion of the Common Femoral Artery.Cureus · 2023Article
- Diagnostic Approaches to Vascular Injury in Polytrauma-A Literature Review.Diagnostics (Basel, Switzerland) · 2023Review
- Update in combined musculoskeletal and vascular injuries of the extremities.World journal of orthopedics · 2022Review
- Impalement injuries of the shoulder: a case report with literature review.Acta bio-medica : Atenei Parmensis · 2022Review
- Blunt vascular trauma in a patient with peripheral arterial disease: a case report and review of the literature.Journal of surgical case reports · 2020Article
- Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTraumatic vascular injury is caused by explosions and projectiles (bullets and shrapnel); it may affect the arteries and veins of the limbs, and is common in wartime, triggering bleeding, and ischemia. The increasing use of high-energy weapons in modern warfare is associated with severe vascular injuries.
methodsTo summarize the current evidence of diagnosis and treatment for traumatic vascular injury of limbs, for saving limbs and lives, and put forward some new insights, we comprehensively consulted literatures and analyzed progress in injury diagnosis and wound treatment, summarized the advanced treatments now available, especially in wartime, and explored the principal factors in play in an effort to optimize clinical outcomes.
resultsExtremity vascular trauma poses several difficult dilemmas in diagnosis and treatment. The increasing use of high-energy weapons in modern warfare is associated with severe vascular injuries. Any delay in treatment may lead to loss of limbs or death. The development of diagnose and treat vascular injury of extremities are the clinical significance to the tip of military medicine, such as the use of fast, cheap, low invasive diagnostic methods, repairing severe vascular injury as soon as possible, using related technologies actively (fasciotomy, etc).
conclusionWe point out the frontier of the diagnosis and treatment of traumatic vascular injury, also with a new model of wartime injury treatment in American (forward surgical teams and combat support hospitals), French military surgeons regarding management of war-related vascular wounds and Chinese military ("3 districts and 7 grades" model). Many issues remain to be resolved by further experience and investigation.
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