Table 4

A proposed skill set for the military surgeon23

ThoraxAbdomenVascular surgeryTrunkSoft tissueExtremitiesSevere injuredHead and neckUrology/gynaecology
Insertion of thoracic drains
Suture of the pulmonary parenchyma
Atypical pulmonary tissue resection
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
Kocher's manoeuvre
Appendectomy (open)
Cholecystectomy (open)
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
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
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
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