Sepsis management in the deployed field hospital
- 1Academic Department of Military Anaesthesia and Critical Care and Department of Military Medicine, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK
- 2Academic Department of Military Anaesthesia and Critical Care, Royal Centre for Defence Medicine, Birmingham, UK
- Correspondence to Lt Col Andrew McDonald Johnston, Academic Department of Military Anaesthesia and Critical Care and Department of Military Medicine, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham B15 2WB, UK;
Sepsis, a syndrome caused by severe infection, affects a small proportion of military casualties but has a significant effect in increasing morbidity and mortality, including causing some preventable deaths. Casualties with abdominal trauma and those with significant tissue loss appear to be at a greater risk of sepsis. In this article, the diagnosis and management of sepsis in military casualties with reference to the Surviving Sepsis Campaign guidelines are examined. We discuss the management considerations specific to military casualties in the deployed setting and also discuss factors affecting evacuation by the UK Royal Air Force Critical Care Air Support Team.
- AVIATION MEDICINE
- GENERAL MEDICINE (see Internal Medicine)
- INFECTIOUS DISEASES
- INTENSIVE & CRITICAL CARE
- Received April 17, 2013.
- Accepted April 18, 2013.
- Published Online First 29 May 2013
- Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions