Abstract
Taktiksel tıp, kolluk
kuvvetlerinin görevlilerinin faaliyetleri süresince yakın tıbbi desteğin sağlanmasıdır.
Son yıllarda gerçekleşen kitlesel ateşli silah yaralanmaları (KSAY) taktiksel
tıbbın gelişmesine yardımcı olmuştur. Askeri tıp pratiğinden kazanılmış
deneyimler, savaş yada saldırı ortamında kitlesel sivil yaralılara alanda erken
tıbbi yardım verilmesi ve yara bakımının travma hastalarında hayatta
olasılığını artırdığı ve alanda görev yapan kolluk ekibinin görevini başarıyla
tamamlamasını sağladığını göstermiştir.
Askeri tıp ve acil tıp
birlikteliği rehberlerin oluşturulması, geliştirilmesi ve revizyonu için çok
büyük bir öneme sahiptir. Ayrıca acil tıp hekimleri tarafından gerçekleştirilen
taktiksel tıbbın içinde yer alan bakım ve operasyonel işlemler, Amerikan Acil
Tıp Bord’unun (ABEM) yapısı içinde acil tıbbi müdahale yapısı içinde yer alan
yeni bir alt uzmanlık alanı olarak kabul edilmektedir.
Rutin travma yönetimi ve taktiksel
tıp arasındaki fark hastanın tıbbi değerlendirmesi ile başlar. Taktiksel tıpta,
birincil değerlendirmede, hava yolu, solunum ve dolaşımın (ABC)
değerlendirilmesini başlatmadan önce erken ve agresif kanama kontrolüne daha
fazla önem verilmektedir.
Taktiksel tıp uygulamaları
sıklıkla düşman ateşi altında, zor coğrafi koşullarda gerçekleştirilmektedir.
Taktiksel tıp eğitimi de gerçek koşullara simüle edilerek oluşturulan
ortamlarda gerçekleştirilmelidir.
Taktiksel tıpta hekimin rolü
değişebilmesine rağmen her zaman koruyucu hekimlik, eğitim ve tıbbi yardım
sağlama rolleri devam etmektedir. Bu nedenle doktorlar taktiksel tıp ekibinin
vazgeçilmez bir parçası haline gelmektedir.
Keywords
References
- 1. Tactical Medicine, Ed:Markovchick, Pons, Bakes & Buchanan, in Emergency Medicine Secrets, 6th Edition. 2016, Elsevier. ISBN: ISBN: 978-0-323-35516-2
- 2. Jeffrey Uribe, MD , Amado Alejandro Baez. Tactical Medicine: Providing Care in the Urban Battlefield. Erişim: https://www.emra.org/emresident/article/tactical-medicine/
- 3. Waldman M, Shapira SC, Rishman A. Ve ark. Tactical Medicine: A Joint Forces Field Algorithm. Military Medicine, Volume 179, Issue 10, 1 October 2014, Pages 1056–1061, https://doi.org/10.7205/MILMED-D-14-00021
- 4. O'Connor FG, Grunberg N, Kellermann AL. ve ark, Leadership Education and Development at the Uniformed Services University, Military Medicine, Volume 180, Issue suppl_4, 1 April 2015, Pages 147–152, https://doi.org/10.7205/MILMED-D-14-00563
- 5. Taktik Muharebe Yaralı Bakımı Genel Bakış. Çeviri Ed: Ahmet SÖNMEZ. Taktik Muharebe Yaralı Bakımı, El Kitabı.( Tactical Combat Casualty Care Handbook Version 5). Nisan 2018. Erişim adresi: http://call.army.mil
- 6. Wall PL, Duevel DC,Hassan MB. ve ark.,Tourniquets and Occlusion: The Pressure of Design, Military Medicine, Volume 178, Issue 5, 1 May 2013, Pages 578–587, https://doi.org/10.7205/MILMED-D-12-00490
- 7. Bennett BL, Littlejohn L. Review of New Topical Hemostatic Dressings for Combat Casualty Care, Military Medicine, Volume 179, Issue 5, 1 May 2014, Pages 497–514, https://doi.org/10.7205/MILMED-D-13-00199
- 8. - Bennett BL, Cailteux-Zevallos B, Kotora J. Cricothyroidotomy Bottom-Up Training Review: Battlefield Lessons Learned, Military Medicine, Volume 176, Issue 11, 1 November 2011, Pages 1311–1319, https://doi.org/10.7205/MILMED-D-11-00054
- 9. Dubick MA, Holcomb JB. A Review of Intraosseous Vascular Access: Current Status and Military Application, Military Medicine, Volume 165, Issue 7, 1 July 2000, Pages 552–559, https://doi.org/10.1093/milmed/165.7.552
- 10. Heier HE, Badloe J, Bohonek JM ve ark., Use of Tranexamic Acid in Bleeding Combat Casualties, Military Medicine, Volume 180, Issue 8, 1 August 2015, Pages 844–846, https://doi.org/10.7205/MILMED-D-14-00592
- 11. Cap AP, Beckett A, Benov A ve ark.Whole Blood Transfusion, Military Medicine, Volume 183, Issue suppl_2, 1 September 2018, Pages 44–51, https://doi.org/10.1093/milmed/usy120
- 12. - Goolsby C, Vest R, Goodwin T. New Wide Area Virtual Environment (WAVE) Medical Education, Military Medicine, Volume 179, Issue 1, 1 January 2014, Pages 38–41, https://doi.org/10.7205/MILMED-D-13-00310
- 13. - Hwang JS, Lappan CM, Sperling LC., Utilization of Telemedicine in the U.S. Military in a Deployed Setting, Military Medicine, Volume 179, Issue 11, 1 November 2014, Pages 1347–1353, https://doi.org/10.7205/MILMED-D-14-00115
Abstract
Tactical medicine is to provide close medical support during the activities of law enforcement officers. Massive shooting injuries and mass casualty injuries in recent years have helped to develop tactical medicine. Experiences from military medical practice have shown that providing early medical care in the field and wound care increases the likelihood of survival in trauma patients and enables the law enforcement team successfully complete the task in the battle or attack environment.
Association of military medicine and emergency medicine have great importance for the creation, development and revision of guidelines. In addition, the care and operational procedures included in the tactical medicine performed by emergency physicians are considered as a new subspecialty within the American Emergency Medicine Board (ABEM).
The difference between routine trauma management and tactical medicine begins with the patient's medical evaluation. In tactical medicine, in the primary evaluation, early and aggressive bleeding control is more emphasized before initiating the evaluation of airway, respiration and circulation (ABC).
Tactical medicine applications are often carried out under enemy fire and in difficult geographic conditions. Tactical medical training should also be performed in environments created by simulating real conditions.
Although the role of the physician in tactical medicine may change, the roles of preventive medicine, education and medical assistance are continuing. For this reason, doctors are becoming an indispensable part of the tactical medical team.
References
- 1. Tactical Medicine, Ed:Markovchick, Pons, Bakes & Buchanan, in Emergency Medicine Secrets, 6th Edition. 2016, Elsevier. ISBN: ISBN: 978-0-323-35516-2
- 2. Jeffrey Uribe, MD , Amado Alejandro Baez. Tactical Medicine: Providing Care in the Urban Battlefield. Erişim: https://www.emra.org/emresident/article/tactical-medicine/
- 3. Waldman M, Shapira SC, Rishman A. Ve ark. Tactical Medicine: A Joint Forces Field Algorithm. Military Medicine, Volume 179, Issue 10, 1 October 2014, Pages 1056–1061, https://doi.org/10.7205/MILMED-D-14-00021
- 4. O'Connor FG, Grunberg N, Kellermann AL. ve ark, Leadership Education and Development at the Uniformed Services University, Military Medicine, Volume 180, Issue suppl_4, 1 April 2015, Pages 147–152, https://doi.org/10.7205/MILMED-D-14-00563
- 5. Taktik Muharebe Yaralı Bakımı Genel Bakış. Çeviri Ed: Ahmet SÖNMEZ. Taktik Muharebe Yaralı Bakımı, El Kitabı.( Tactical Combat Casualty Care Handbook Version 5). Nisan 2018. Erişim adresi: http://call.army.mil
- 6. Wall PL, Duevel DC,Hassan MB. ve ark.,Tourniquets and Occlusion: The Pressure of Design, Military Medicine, Volume 178, Issue 5, 1 May 2013, Pages 578–587, https://doi.org/10.7205/MILMED-D-12-00490
- 7. Bennett BL, Littlejohn L. Review of New Topical Hemostatic Dressings for Combat Casualty Care, Military Medicine, Volume 179, Issue 5, 1 May 2014, Pages 497–514, https://doi.org/10.7205/MILMED-D-13-00199
- 8. - Bennett BL, Cailteux-Zevallos B, Kotora J. Cricothyroidotomy Bottom-Up Training Review: Battlefield Lessons Learned, Military Medicine, Volume 176, Issue 11, 1 November 2011, Pages 1311–1319, https://doi.org/10.7205/MILMED-D-11-00054
- 9. Dubick MA, Holcomb JB. A Review of Intraosseous Vascular Access: Current Status and Military Application, Military Medicine, Volume 165, Issue 7, 1 July 2000, Pages 552–559, https://doi.org/10.1093/milmed/165.7.552
- 10. Heier HE, Badloe J, Bohonek JM ve ark., Use of Tranexamic Acid in Bleeding Combat Casualties, Military Medicine, Volume 180, Issue 8, 1 August 2015, Pages 844–846, https://doi.org/10.7205/MILMED-D-14-00592
- 11. Cap AP, Beckett A, Benov A ve ark.Whole Blood Transfusion, Military Medicine, Volume 183, Issue suppl_2, 1 September 2018, Pages 44–51, https://doi.org/10.1093/milmed/usy120
- 12. - Goolsby C, Vest R, Goodwin T. New Wide Area Virtual Environment (WAVE) Medical Education, Military Medicine, Volume 179, Issue 1, 1 January 2014, Pages 38–41, https://doi.org/10.7205/MILMED-D-13-00310
- 13. - Hwang JS, Lappan CM, Sperling LC., Utilization of Telemedicine in the U.S. Military in a Deployed Setting, Military Medicine, Volume 179, Issue 11, 1 November 2014, Pages 1347–1353, https://doi.org/10.7205/MILMED-D-14-00115
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Review |
| Authors | |
| Publication Date | September 21, 2018 |
| Published in Issue | Year 2018 Volume: 1 Issue: 1 |
