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Dear EJTES Editor,
I am deeply pleased having read in the EJTES August 2014 issue, L. Riddez’s paper on: Wounds of war in the civilian sector: principles of treatment and pitfalls to avoid (Eur J Trauma Emerg Surg (2014) 40:461–468).
In a simple and clear language, the article details and precisely covers every aspect of so-called penetrating war wounds, focusing on what to do and what not to do.
Ballistics, low and high energy wounds, triage, prehospital systems and management, hospital initial assessment, wound follow-up, are all analyzed; direct recommendations and pitfall avoidance on sectorial injuries are addressed, with strict adherence to Advanced Trauma Life Support (ATLS) [1] principles.
My only difference with Dr Riddez, is with his appreciation that this is a short review; this is not so, I believe it is a thorough research paper on management of war wounds, that I recommend should be read by both civilian sector and military war zone surgeons and suggest it could be followed as a future guidelines manual on war wounds, for different scenarios and phases.
Reference
American College of Surgeons Committee on Trauma. Advanced trauma life support, ATLS, student course manual. 9th ed. Chicago: American College of Surgeons; 2012.
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Donnelly, E.E. Wounds of war in the civilian sector: principles of treatment and pitfalls to avoid (Eur J Trauma Emerg Surg (2014) 40:461–468). Eur J Trauma Emerg Surg 41, 179 (2015). https://doi.org/10.1007/s00068-014-0480-x
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DOI: https://doi.org/10.1007/s00068-014-0480-x