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<br /> Vol. 61 (6 Suppl 1) December/décembre 2018<br /> Mobile Trauma Care<br /> Close to the Point<br /> of Injury<br /> Canadian Armed Forces<br /> Health Services<br /> Early-released at canjsurg.ca on Nov. 11, 2018<br /> Dedication<br /> LCoL Wang Chun WiLLiam ip,<br /> CD, mD<br /> This supplement is dedicated to LCol Wang<br /> Chun William Ip, who died suddenly in August<br /> 2018 at the age of 42. Bill immigrated to Canada<br /> from Hong Kong as a child. He joined the<br /> Canadian Armed Forces in 2000. He completed<br /> the Medical Officer Training Program at the<br /> University of Toronto, graduating as a family<br /> physician and m<a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 1" href="http://viewer.zmags.com/publication/0edad2a9?page=1"> Vol. 61 (6 Suppl 1) December/décembre 2018 Mobil</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 2" href="http://viewer.zmags.com/publication/0edad2a9?page=2"> Dedication LCoL Wang Chun WiLLiam ip, CD, mD </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 3" href="http://viewer.zmags.com/publication/0edad2a9?page=3"> canjsurg.ca Can J Surg 2018 61(6 Suppl 1) canjsur</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 4" href="http://viewer.zmags.com/publication/0edad2a9?page=4"> FOREWORD I t is a pleasure to introduce t</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 5" href="http://viewer.zmags.com/publication/0edad2a9?page=5"> PRÉFACE N ous sommes heureux de vo</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 6" href="http://viewer.zmags.com/publication/0edad2a9?page=6"> ÉDITORIAL • EDITORIAL Introduction: combat damag</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 7" href="http://viewer.zmags.com/publication/0edad2a9?page=7"> improve medical care where medical specialities a</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 8" href="http://viewer.zmags.com/publication/0edad2a9?page=8"> COMMENTARY • COMMENTAIRE Proposed specifications</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 9" href="http://viewer.zmags.com/publication/0edad2a9?page=9"> Cross in 1863. Around the same time, Maj Jonathan</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 10" href="http://viewer.zmags.com/publication/0edad2a9?page=10"> COMMENTAIRE meant to house the mobile operation</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 11" href="http://viewer.zmags.com/publication/0edad2a9?page=11"> The mobile operating room should be designed and </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 12" href="http://viewer.zmags.com/publication/0edad2a9?page=12"> COMMENTARY • COMMENTAIRE Care of victims of suic</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 13" href="http://viewer.zmags.com/publication/0edad2a9?page=13"> public transit systems. Wong and colleagues12 rep</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 14" href="http://viewer.zmags.com/publication/0edad2a9?page=14"> COMMENTAIRE ProPoSed reSPonSe to multiPle Patie</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 15" href="http://viewer.zmags.com/publication/0edad2a9?page=15"> 10. Braverman I, Wexler D, Oren M. A novel mode o</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 16" href="http://viewer.zmags.com/publication/0edad2a9?page=16"> RESEARCH • RECHERCHE A novel REBOA system: proto</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 17" href="http://viewer.zmags.com/publication/0edad2a9?page=17"> N oncompressible torso hemorrhage is a</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 18" href="http://viewer.zmags.com/publication/0edad2a9?page=18"> RECHERCHE device and then inflates and deploys </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 19" href="http://viewer.zmags.com/publication/0edad2a9?page=19"> (Fig. 1). The device was deployed into the occlus</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 20" href="http://viewer.zmags.com/publication/0edad2a9?page=20"> RECHERCHE inserted into the contralateral side.</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 21" href="http://viewer.zmags.com/publication/0edad2a9?page=21"> RESEARCH Rupture pressure (mm Hg) 900 800 70</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 22" href="http://viewer.zmags.com/publication/0edad2a9?page=22"> RECHERCHE References </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 23" href="http://viewer.zmags.com/publication/0edad2a9?page=23"> RESEARCH • RECHERCHE Utilization profile of the </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 24" href="http://viewer.zmags.com/publication/0edad2a9?page=24"> RECHERCHE 12 pays. En plus des victimes militai</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 25" href="http://viewer.zmags.com/publication/0edad2a9?page=25"> The study was approved by the R2MTF commandi</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 26" href="http://viewer.zmags.com/publication/0edad2a9?page=26"> RECHERCHE were coalition casualties from 15 cou</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 27" href="http://viewer.zmags.com/publication/0edad2a9?page=27"> the surgical and resuscitation teams within the R</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 28" href="http://viewer.zmags.com/publication/0edad2a9?page=28"> RECHERCHE include different methods and standar</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 29" href="http://viewer.zmags.com/publication/0edad2a9?page=29"> of interoperability.26–28 The R2MTF had a supply </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 30" href="http://viewer.zmags.com/publication/0edad2a9?page=30"> RECHERCHE medical interoperability readiness fo</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 31" href="http://viewer.zmags.com/publication/0edad2a9?page=31"> RESEARCH • RECHERCHE Impact of traumatic upper-e</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 32" href="http://viewer.zmags.com/publication/0edad2a9?page=32"> RECHERCHE R ecent conflicts have</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 33" href="http://viewer.zmags.com/publication/0edad2a9?page=33"> Table 2 reports data for patients with and wit</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 34" href="http://viewer.zmags.com/publication/0edad2a9?page=34"> RECHERCHE use may have affected the pattern of </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 35" href="http://viewer.zmags.com/publication/0edad2a9?page=35"> course of a limb-sparing strategy. Combined upper</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 36" href="http://viewer.zmags.com/publication/0edad2a9?page=36"> RESEARCH • RECHERCHE The effect of aerosolized i</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 37" href="http://viewer.zmags.com/publication/0edad2a9?page=37"> RESEARCH inflammatoire aiguë en pourcentage de </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 38" href="http://viewer.zmags.com/publication/0edad2a9?page=38"> RECHERCHE pH and partial pressures of oxygen (P</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 39" href="http://viewer.zmags.com/publication/0edad2a9?page=39"> 1 indicating trace and scattered hemorrhagic spot</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 40" href="http://viewer.zmags.com/publication/0edad2a9?page=40"> RECHERCHE The ABG at 15 minutes post-BCT s</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 41" href="http://viewer.zmags.com/publication/0edad2a9?page=41"> (483.25 ± 50.05 mmHg v. 223.5 ± 103.35 mmHg, p < </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 42" href="http://viewer.zmags.com/publication/0edad2a9?page=42"> RECHERCHE discussion Blunt chest wall trauma c</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 43" href="http://viewer.zmags.com/publication/0edad2a9?page=43"> RESEARCH Fig. </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 44" href="http://viewer.zmags.com/publication/0edad2a9?page=44"> RECHERCHE toxicity, as it has more potency agai</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 45" href="http://viewer.zmags.com/publication/0edad2a9?page=45"> inflammation.45,46 Lung inflammation and systemic</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 46" href="http://viewer.zmags.com/publication/0edad2a9?page=46"> RECHERCHE 29. Yeh KC. Pharmacokinetic overview </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 47" href="http://viewer.zmags.com/publication/0edad2a9?page=47"> REVIEW • REVUE Reflections on recovery, rehabili</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 48" href="http://viewer.zmags.com/publication/0edad2a9?page=48"> REVUE The challenge For service members rehabi</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 49" href="http://viewer.zmags.com/publication/0edad2a9?page=49"> whether a person returns to their desired level o</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 50" href="http://viewer.zmags.com/publication/0edad2a9?page=50"> REVUE Occupational Therapists, the CMOP-E illus</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 51" href="http://viewer.zmags.com/publication/0edad2a9?page=51"> REVIEW Fig. 2. Maj Sim</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 52" href="http://viewer.zmags.com/publication/0edad2a9?page=52"> REVUE Fig. </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 53" href="http://viewer.zmags.com/publication/0edad2a9?page=53"> REVIEW Fig. 5. Sgt </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 54" href="http://viewer.zmags.com/publication/0edad2a9?page=54"> REVUE Fig. 6. Relati</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 55" href="http://viewer.zmags.com/publication/0edad2a9?page=55"> thinking it would rupture and he would then recei</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 56" href="http://viewer.zmags.com/publication/0edad2a9?page=56"> REVUE may sometimes be hindered unintentionally</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 57" href="http://viewer.zmags.com/publication/0edad2a9?page=57"> effective in helping people find some degree of r</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 58" href="http://viewer.zmags.com/publication/0edad2a9?page=58"> REVUE • assisting patients in finding their “w</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 59" href="http://viewer.zmags.com/publication/0edad2a9?page=59"> 34. Lawler S. Identity, Polity. Cambridge; 2008. </a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 60" href="http://viewer.zmags.com/publication/0edad2a9?page=60"> DISCUSSIONS IN SURGERY DISCUSSIONS EN CHIRURGIE</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 61" href="http://viewer.zmags.com/publication/0edad2a9?page=61"> COMMENTARY Fig. 1.</a> <a title="Supplement - Mobile Trauma Care Close to the Point of Injury Canadian Armed Forces Health Services page 62" href="http://viewer.zmags.com/publication/0edad2a9?page=62"> COMMENTAIRE data point that TPMRC and the theat</a>