A proposed skill set for the military surgeon23
| Thorax | Abdomen | Vascular surgery | Trunk | Soft tissue | Extremities | Severe injured | Head and neck | Urology/gynaecology |
|---|---|---|---|---|---|---|---|---|
| Insertion of thoracic drains Thoracotomy Suture of the pulmonary parenchyma Atypical pulmonary tissue resection Sternotomy Stop the bleeding: mammary and intercostal arteries Stop the bleeding: pulmonary vessels Stop the bleeding: subclavian artery Stop the bleeding: supraaortal vessels Intrathoracic massage Treatment of myocardial, pericardial injuries Approach and drainage of thoracic oesophageal injuries | Hernia repair Laparotomy Kocher's manoeuvre Appendectomy (open) Cholecystectomy (open) Splenectomy Hepatic mobilisation Hepatic suturing Hepatic partial resection Mobilisation of the left flexure Bowel resection Bowel anastomosis Colostomy procedures Partial gastrectomy Abdominal compartment syndrome Treatment open abdomen Proctology (emergency cases) Mattox manoeuvre Cattel–Braasch manoeuvre Intra-abdominal packing (hepatic, retroperitoneal, etc) Pringle's manoeuvre Treatment of diaphragm injuries Drainage of injuries to the afferent bile ducts Drainage of injuries to the pancreas Treatment of peritoneal abscesses Stop the bleeding: retroperitoneal Treatment of perineal injuries | Approach to the proximal internal, external and common carotid arteries Approach to the brachial artery Approach to the radial artery Approach to the branches of the femoral artery Approach to the inferior vena cava Vascular ligature and suturing Thrombectomy Approach to the jugular vein Haemostasis of at the mesenteric vessels Clamping of the aorta supra- and subdiaphragmal Arterio-arterial temporary shunt | Emergency treatment of spine fractures (stabilisation for transport) The use of pelvic clamps/external fixation, pelvic sheeting Pelvic packing | Soft tissue debridement Vacuum therapy dressing Treatment of abscesses Compartment syndrome: diagnosis and treatment, fasciotomy Mesh-graft transplantation Escharotomy in burns | Reposition of fractures and subluxations Application of extensions (stabilisation for transport) Treatment of open and closed joint injuries External fixation of long bones Emergency surgery to the hand Imaging of the radial nerve of the upper arm Thomas-Splint Emergency amputation (indication/technique) | Management of severely injured patients (ISS: >16) Indications to damage control surgery Background knowledge of thermomechanic injury Management of severely burned patients | Haemostasis in the mid-face Drainage of cervical oesophageal injuries Surgical airway management, tracheotomy Treatment of injuries of the trachea and larynx Examination of the eye (Hawk Eye) Emergency treatment of eye injuries Diagnosis of the severe traumatic brain injury Skull trepanation, craniotomy | Surgery in pregnancy Emergency hysterectomy Stop the bleeding: nephrectomy Management of injuries to the ureter Urinary bladder suturing Insertion of suprapubic catheters |