RESUMO
The need for humanitarian assistance throughout the world is almost unlimited. Surgeons who go on humanitarian missions are definitely engaged in a noble cause. However, not infrequently, despite the best of intentions, errors are made in attempting to help others. The following are seven areas of concern: 1. Leaving a mess behind. 2. Failing to match technology to local needs and abilities. 3. Failing of non-governmental organizations (NGO's) to cooperate and help each other, and and accept help from military organizations. 4. Failing to have a follow-up plan. 5. Allowing politics, training, or other distracting goals to trump service, while representing the mission as "service". 6. Going where we are not wanted, or needed and/or being poor guests. 7. Doing the right thing for the wrong reason. The goal of this report is to discuss these potential problems, with ideas presented about how we might do humanitarian missions more effectively.
Assuntos
Altruísmo , Cirurgia Geral/normas , Missões Médicas/normas , Humanos , Relações Interinstitucionais , Militares , Organizações , PolíticaRESUMO
This report details the life and contributions of William Ray Rumel, an early cardiovascular surgeon known for his innovations, particularly the "Rumel tourniquet," and the ability to repair the diseased mitral valve without replacing it.
Assuntos
Cirurgia Geral/história , Instrumentos Cirúrgicos/história , Torniquetes/história , História do Século XX , Retratos como Assunto , Estados UnidosAssuntos
Colectomia/métodos , Colo/lesões , Colostomia/métodos , Medicina Militar/normas , Infecção da Ferida Cirúrgica/epidemiologia , Traumatismos Abdominais/diagnóstico , Traumatismos Abdominais/mortalidade , Traumatismos Abdominais/cirurgia , Adulto , Anastomose Cirúrgica , Traumatismos por Explosões/diagnóstico , Traumatismos por Explosões/mortalidade , Traumatismos por Explosões/cirurgia , Colectomia/estatística & dados numéricos , Colostomia/estatística & dados numéricos , Tratamento de Emergência/normas , Hospitais Militares , Humanos , Incidência , Escala de Gravidade do Ferimento , Laparotomia , Masculino , Medicina Militar/tendências , Militares , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/mortalidade , Traumatismo Múltiplo/cirurgia , Padrões de Prática Médica , Prognóstico , Medição de Risco , Estudos de Amostragem , Análise de Sobrevida , Resultado do Tratamento , GuerraAssuntos
Cirurgia Geral/educação , Mentores , Medicina Militar , Ferimentos por Arma de Fogo/cirurgia , Humanos , Iraque , GuerraAssuntos
Ética Médica , Militares , Médicos/ética , Médicos/normas , Tortura , Humanos , Estados UnidosRESUMO
A Festschrift honoring forty years of government services, twenty-five years as Founding Chairman of the Department of Surgery at the F. Edward Hébert School of Medicine of the Uniformed Services University of the Health Sciences, Bethesda, Maryland and the seventieth birthday of Norman M. Rich, MD, Facs, DMCC, was held on Friday 26 March, 2004 in conjunction with the 24th Annual USU Surgical Associates Day. This article describes that event and introduces the articles written in celebration of it.
Assuntos
Cirurgia Geral/história , Medicina Militar/história , Traumatologia/história , História do Século XX , História do Século XXI , Humanos , Relações InterprofissionaisAssuntos
Traumatismos por Explosões/terapia , Barotrauma/complicações , Barotrauma/terapia , Traumatismos por Explosões/classificação , Traumatismos por Explosões/etiologia , Explosões/classificação , Humanos , Lesão Pulmonar , Terrorismo , Triagem , Perfuração da Membrana Timpânica/etiologia , Perfuração da Membrana Timpânica/patologiaAssuntos
Altruísmo , Medicina Militar , Guerra , França , História do Século XVIII , História do Século XIX , HumanosRESUMO
In the 23 years since Dr. John Sharefkin presented his personal experience with Surgical Research at the Uniformed Services University, the opportunities offered have expanded. In addition, there have been many contributions to the surgical literature, including some leading to improved care of combat casualties. This article outlines how these opportunities have impacted the education of our students, the academic advancement of our active duty surgeons, and will offer benefit to our surgical patients of the future. USUHS is a unique resource for military medical research because its breadth of staffing and equipment and its neighbors make all these kinds of help and expertise available. It offers an opportunity for cooperation between military and civilian researchers of the kind that marked the great research success of WWII and radar, mass blood-banking, code breaking computers and antibiotic production.