Battlefield Medicine
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Battlefield Medicine
Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine. Chronology of battlefield medical advances * During Alexander the Great’s military campaigns in the fourth century BC, tourniquets were used to stanch the bleeding of wounded soldiers. Romans used them to control bleeding, especially during amputations. These tourniquets were narrow straps made of bronze, using only leather for comfort. * An early stretcher, likely made of wicker over a frame, appears in a manuscript from c.1380. Simple stretchers were common with militaries right through the middle of the 20th ce ...
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Ambroise Paré
Ambroise Paré (c. 1510 – 20 December 1590) was a French barber surgeon who served in that role for kings Henry II, Francis II, Charles IX and Henry III. He is considered one of the fathers of surgery and modern forensic pathology and a pioneer in surgical techniques and battlefield medicine, especially in the treatment of wounds. He was also an anatomist, invented several surgical instruments, and was a member of the Parisian barber surgeon guild. In his personal notes about the care he delivered to Captain Rat, in the Piémont campaign (1537–1538), Paré wrote: ''Je le pansai, Dieu le guérit'' ("I bandaged him and God healed him"). This epitomises a philosophy that he used throughout his career. These words, inscribed on his statue in Laval, are reminiscent of the Latin adage '' medicus curat, natura sanat''. Early life Paré was born in 1510 in Bourg-Hersent, near Laval, then part of the province of Maine, in northwestern France. As a child he watched, and was fir ...
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First Geneva Convention
The First Geneva Convention for the Amelioration of the Condition of the Wounded in Armies in the Field, held on 22 August 1864, is the first of four treaties of the Geneva Conventions. It defines "the basis on which rest the rules of international law for the protection of the victims of armed conflicts." After the first treaty was adopted in 1864, it was significantly revised and replaced in 1906, 1929, and finally 1949. It is inextricably linked to the International Committee of the Red Cross, which is both the instigator for the inception and enforcer of the articles in these conventions. History The 1864 Geneva Convention was instituted at a critical period in European political and military history. Elsewhere, the American Civil War had been raging since 1861, and would ultimately claim between 750,000 and 900,000 lives. Between the fall of Napoleon at the Battle of Waterloo in 1815 and the rise of his nephew in the Italian campaign of 1859, the powers had maintained pe ...
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ICRC
The International Committee of the Red Cross (ICRC; french: Comité international de la Croix-Rouge) is a humanitarian organization which is based in Geneva, Switzerland, and it is also a three-time Nobel Prize Laureate. State parties (signatories) to the Geneva Convention of 1949 and its Additional Protocols of 1977 ( Protocol I, Protocol II) and 2005 have given the ICRC a mandate to protect victims of international and internal armed conflicts. Such victims include war wounded persons, prisoners, refugees, civilians, and other non-combatants. The ICRC is part of the International Red Cross and Red Crescent Movement, along with the International Federation of Red Cross and Red Crescent Societies (IFRC) and 192 National Societies. It is the oldest and most honoured organization within the movement and one of the most widely recognized organizations in the world, having won three Nobel Peace Prizes (in 1917, 1944, and 1963). History Solferino, Henry Dunant and the foundati ...
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Geneva
Geneva ( ; french: Genève ) frp, Genèva ; german: link=no, Genf ; it, Ginevra ; rm, Genevra is the List of cities in Switzerland, second-most populous city in Switzerland (after Zürich) and the most populous city of Romandy, the French-speaking part of Switzerland. Situated in the south west of the country, where the Rhône exits Lake Geneva, it is the capital of the Canton of Geneva, Republic and Canton of Geneva. The city of Geneva () had a population 201,818 in 2019 (Jan. estimate) within its small municipal territory of , but the Canton of Geneva (the city and its closest Swiss suburbs and exurbs) had a population of 499,480 (Jan. 2019 estimate) over , and together with the suburbs and exurbs located in the canton of Vaud and in the French Departments of France, departments of Ain and Haute-Savoie the cross-border Geneva metropolitan area as officially defined by Eurostat, which extends over ,As of 2020, the Eurostat-defined Functional Urban Area of Geneva was made up of 9 ...
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International Committee Of The Red Cross
The International Committee of the Red Cross (ICRC; french: Comité international de la Croix-Rouge) is a humanitarian organization which is based in Geneva, Switzerland, and it is also a three-time Nobel Prize Laureate. State parties (signatories) to the Geneva Convention of 1949 and its Additional Protocols of 1977 ( Protocol I, Protocol II) and 2005 have given the ICRC a mandate to protect victims of international and internal armed conflicts. Such victims include war wounded persons, prisoners, refugees, civilians, and other non-combatants. The ICRC is part of the International Red Cross and Red Crescent Movement, along with the International Federation of Red Cross and Red Crescent Societies (IFRC) and 192 National Societies. It is the oldest and most honoured organization within the movement and one of the most widely recognized organizations in the world, having won three Nobel Peace Prizes (in 1917, 1944, and 1963). History Solferino, Henry Dunant and the foundat ...
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Jonathan Letterman
Major Jonathan Letterman (December 11, 1824 – March 15, 1872) was an American surgeon credited as being the originator of the modern methods for medical organization in armies or battlefield medical management. In the United States, Letterman is known today as the "Father of Battlefield Medicine". His system of organization enabled thousands of wounded men to be recovered and treated during the American Civil War. Early life Letterman was born in Canonsburg, Pennsylvania, the son of a well-known surgeon. His studies were directed by a private tutor until he entered Jefferson College, where he became a member of Beta Theta Pi. He graduated from Jefferson in 1845 and Jefferson Medical College in 1849. That same year he was given the position of assistant surgeon in the Army Medical Department. Letterman served in Florida during military campaigns against the Seminole Indians until 1853. He then spent a year in Fort Ripley, Minnesota. He was then ordered to Fort Defiance in New ...
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American Civil War
The American Civil War (April 12, 1861 – May 26, 1865; also known by other names) was a civil war in the United States. It was fought between the Union ("the North") and the Confederacy ("the South"), the latter formed by states that had seceded. The central cause of the war was the dispute over whether slavery would be permitted to expand into the western territories, leading to more slave states, or be prevented from doing so, which was widely believed would place slavery on a course of ultimate extinction. Decades of political controversy over slavery were brought to a head by the victory in the 1860 U.S. presidential election of Abraham Lincoln, who opposed slavery's expansion into the west. An initial seven southern slave states responded to Lincoln's victory by seceding from the United States and, in 1861, forming the Confederacy. The Confederacy seized U.S. forts and other federal assets within their borders. Led by Confederate President Jefferson Davis, ...
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Crimean War
The Crimean War, , was fought from October 1853 to February 1856 between Russia and an ultimately victorious alliance of the Ottoman Empire, France, the United Kingdom and Piedmont-Sardinia. Geopolitical causes of the war included the decline of the Ottoman Empire, the expansion of the Russian Empire in the preceding Russo-Turkish Wars, and the British and French preference to preserve the Ottoman Empire to maintain the balance of power in the Concert of Europe. The flashpoint was a disagreement over the rights of Christian minorities in Palestine, then part of the Ottoman Empire, with the French promoting the rights of Roman Catholics, and Russia promoting those of the Eastern Orthodox Church. The churches worked out their differences with the Ottomans and came to an agreement, but both the French Emperor Napoleon III and the Russian Tsar Nicholas I refused to back down. Nicholas issued an ultimatum that demanded the Orthodox subjects of the Ottoman Empire be placed ...
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Anaesthetic
An anesthetic (American English) or anaesthetic (British English; see spelling differences) is a drug used to induce anesthesia ⁠— ⁠in other words, to result in a temporary loss of sensation or awareness. They may be divided into two broad classes: general anesthetics, which result in a reversible loss of consciousness, and local anesthetics, which cause a reversible loss of sensation for a limited region of the body without necessarily affecting consciousness. A wide variety of drugs are used in modern anesthetic practice. Many are rarely used outside anesthesiology, but others are used commonly in various fields of healthcare. Combinations of anesthetics are sometimes used for their synergistic and additive therapeutic effects. Adverse effects, however, may also be increased. Anesthetics are distinct from analgesics, which block only sensation of painful stimuli. Local anesthetics Local anesthetic agents prevent the transmission of nerve impulses without causi ...
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Diethyl Ether
Diethyl ether, or simply ether, is an organic compound in the ether class with the formula , sometimes abbreviated as (see Pseudoelement symbols). It is a colourless, highly volatile, sweet-smelling ("ethereal odour"), extremely flammable liquid. It is commonly used as a solvent in laboratories and as a starting fluid for some engines. It was formerly used as a general anesthetic, until non-flammable drugs were developed, such as halothane. It has been used as a recreational drug to cause intoxication. Production Most diethyl ether is produced as a byproduct of the vapor-phase hydration of ethylene to make ethanol. This process uses solid-supported phosphoric acid catalysts and can be adjusted to make more ether if the need arises. Vapor-phase dehydration of ethanol over some alumina catalysts can give diethyl ether yields of up to 95%. Diethyl ether can be prepared both in laboratories and on an industrial scale by the acid ether synthesis. Ethanol is mixed with a stro ...
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Nikolay Ivanovich Pirogov
Nikolay Ivanovich Pirogov (Russian: Никола́й Ива́нович Пирого́в; — ) was a Russian scientist, medical doctor, pedagogue, public figure, and corresponding member of the Russian Academy of Sciences (1847), one of the most widely recognized Russian physicians. Considered to be the founder of field surgery, he was the first surgeon to use anaesthesia in a field operation (1847) and one of the first surgeons in Europe to use ether as an anaesthetic. He is credited with invention of various kinds of surgical operations and developing his own technique of using plaster casts to treat fractured bones. Biography Childhood and training Nikolay Pirogov was born in Moscow, the 13th of 14 children of Ivan Ivanovich Pirogov (born around 1772), a major in the commissary service and a treasurer at the Moscow Food Depot whose own father came from peasants and served as a soldier in Peter the Great's army before retiring and opening a brewery in Moscow; Pirogov's mot ...
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