{"title":"Competency-based vascular surgery training for austere conditions","authors":"Charles J. Fox MD","doi":"10.1016/j.surg.2025.109307","DOIUrl":null,"url":null,"abstract":"<div><div>Prompt evaluation and management of penetrating vascular injuries are crucial responsibilities for surgical teams supporting military operations. Recommendations in this work are drawn from studies and experiences of veteran surgeons from the Global War on Terrorism and nongovernmental organizations like the Global Surgical and Medical Support Group, which operates in austere conditions during conflicts in Iraq and Ukraine. Modern warfare, since the Vietnam War, has fostered advancements in combat casualty care, including prehospital tourniquets, damage control resuscitation, arterial balloon occlusion, and improved diagnostic imaging, resulting in greater than 92% survival and reduced amputation rates. However, conflicts with near-peer adversaries, like China and Russia, may challenge the delivery of skilled surgical care on modern battlefields. This article outlines the essentials for delivering competent vascular surgery in austere environments.</div></div>","PeriodicalId":22152,"journal":{"name":"Surgery","volume":"182 ","pages":"Article 109307"},"PeriodicalIF":3.2000,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S003960602500159X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Prompt evaluation and management of penetrating vascular injuries are crucial responsibilities for surgical teams supporting military operations. Recommendations in this work are drawn from studies and experiences of veteran surgeons from the Global War on Terrorism and nongovernmental organizations like the Global Surgical and Medical Support Group, which operates in austere conditions during conflicts in Iraq and Ukraine. Modern warfare, since the Vietnam War, has fostered advancements in combat casualty care, including prehospital tourniquets, damage control resuscitation, arterial balloon occlusion, and improved diagnostic imaging, resulting in greater than 92% survival and reduced amputation rates. However, conflicts with near-peer adversaries, like China and Russia, may challenge the delivery of skilled surgical care on modern battlefields. This article outlines the essentials for delivering competent vascular surgery in austere environments.
期刊介绍:
For 66 years, Surgery has published practical, authoritative information about procedures, clinical advances, and major trends shaping general surgery. Each issue features original scientific contributions and clinical reports. Peer-reviewed articles cover topics in oncology, trauma, gastrointestinal, vascular, and transplantation surgery. The journal also publishes papers from the meetings of its sponsoring societies, the Society of University Surgeons, the Central Surgical Association, and the American Association of Endocrine Surgeons.