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Area of Science:

  • Military Medicine
  • Trauma Surgery
  • Explosive Ordnance Disposal

Background:

  • Military ordnance retained by patients poses significant risks to healthcare providers and equipment.
  • Management of unexploded ordnance (UXO) in combat casualties is rare but presents unique challenges, especially with impaled munitions.
  • Historical data shows sporadic but consistent cases of UXO injuries in soldiers.

Purpose of the Study:

  • To provide a clinical practice guide for safely removing both loose and impaled unexploded ordnance from combat patients.
  • To outline procedures that minimize risks to healthcare providers and medical treatment facilities.
  • To ensure the best possible outcomes for patients sustaining ordnance-related injuries.

Main Methods:

  • Review of clinical practice guidelines and historical case reports.
  • Emphasis on risk mitigation strategies for medical personnel and facilities.
  • Integration of trauma resuscitation and surgical principles with ordnance handling knowledge.

Main Results:

  • Loose ordnance is typically removed easily before treatment.
  • Impaled ordnance presents a significant challenge, often resulting from high-velocity projectiles.
  • Successful management requires knowledge of explosives and adherence to trauma care standards.

Conclusions:

  • Safe removal of unexploded ordnance from patients is critical in combat surgery.
  • A thorough understanding of ordnance and trauma management is essential for optimal outcomes.
  • Adherence to established protocols can mitigate risks during rare but dangerous encounters with retained ordnance.