RESUMEN
Unexplained collapse is a common presentation to medical practitioners, with a wide range of differential diagnoses making assessment problematic. Without a methodical approach to the patient presenting with unexplained collapse, potentially life-threatening conditions may not be recognised, whilst benign presentations can be over-investigated. This article will review the assessment, differential diagnosis and management of unexplained collapse, whilst considering the impact in the military environment.
Asunto(s)
Personal Militar , Choque/etiología , Choque/terapia , Humanos , Choque/diagnósticoAsunto(s)
Campaña Afgana 2001- , Ambulancias Aéreas , Amputación Quirúrgica , Traumatismos de la Pierna/cirugía , Medicina Militar , Unidades Móviles de Salud , Adolescente , Adulto , Transfusión Sanguínea/estadística & datos numéricos , Humanos , Traumatismos de la Pierna/fisiopatología , Masculino , Medicina Militar/organización & administración , Personal Militar , Evaluación de Resultado en la Atención de Salud , Factores de Tiempo , Recursos Humanos , Adulto JovenRESUMEN
Severe Traumatic Brain Injury (sTBI) is a devastating cause of morbidity and mortality, especially among those aged less than 45 years. Advances in clinical practice continue to focus on preventing primary injury through developing ballistic head and eye protection, and through minimising secondary brain injury (secondary prevention). Managing sTBI is challenging in well-developed, well-resourced healthcare systems. Achieving management aims in the military maritime environment poses even greater challenges. Strategies for the management of sTBI in the maritime environment should be in keeping with current best evidence. Provision of specialist interventions for sTBI in military maritime environments may require alternative approaches matched to the skills of the staff and environmental restrictions.