(ii) Initial medical and surgical management

SummaryThis paper sets out the basic principles of the initial medical and surgical management of those affected by blast, mine and ballistic injury. The principles are unchanged since the American Civil War—and many come from pre-history; put simply: Resuscitate, Penicillin, Anti-Tetanus, Debride, Wash, Fasciotomise, Pack, stabilise, Leave—open and alone!