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A. ABC: airway, breathing, circulation. ABCA: America, Britain, Canada, Australia. Abd: abdomen. ABD: autologous blood donation. ABG: arterial blood gas.
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xxiii Index Abbreviations and Acronyms A ABC: airway, breathing, circulation ABCA: America, Britain, Canada, Australia Abd: abdomen ABD: autologous blood donation ABG: arterial blood gas A/C: assist/control AC: hydrogen cyanide ACE: angiotensin-converting enzyme ACLS: Advanced Cardiac Life Support ACS: abdominal compartment syndrome ADH: antidiuretic hormone ADMIN: administrative personnel AE: aeromedical evacuation AELT: Aeromedical Evacuation Liaison Team AF: US Air Force AFB: Air Force Base AFI: Air Force Instruction AFJI: Air Force Joint Instruction AFP: Department of the Air Force pamphlet AFRICOM: Africa Command AIR EVAC: air evacuation ALI: acute lung injury amps: ampules AMS: acute mountain sickness AOR: area of responsibility AP: anteroposterior aPLTs: apheresis platelets AR: Army Regulation ARDS: acute respiratory distress syndrome ARDSNet: Acute Respiratory Distress Syndrome Network ARF: acute renal failure ARG: Amphibious Ready Group ASAP: as soon as possible ASF: Aeromedical Staging Facility ATLS: Advanced Trauma Life Support ATN: acute tubular necrosis ATNAA: Antidote Treatment Nerve Agent Autoinjector
xxiv Emergency War Surgery B BICEPS: Brief-Immediate-Central-Expectant-Proximal-Simple bid/BID: twice a day B.I.G.: Bone Injection Gun BL: bladder BP: blood pressure bpm: beats per minute; breaths per minute BSD: blood support detachment BUN: blood urea nitrogen BURP: Backward Upward Rightward Pressure BW: biological warfare BZ: benzodiazepine; 3-quinuclidinyl benzilate C Cal: caliber CAR: cabin altitude restriction CASEVAC: casualty evacuation Cath: catheter CBF: cerebral blood flow CCATT: Critical Care Air Transportation (or Transport) Team CENTCOM: US Central Command CFR: case fatality rate CG: phosgene CHF: congestive heart failure CK: creatinine phosphokinase; cyanogen chloride CKT: creatinine kinase CNS: central nervous system C.O.: cardiac output CO 2 : carbon dioxide COCOM: Combatant Command CONUS: continental United States COPD: chronic obstructive pulmonary disease CoTCCC: Committee on Tactical Combat Casualty Care CPAP: continuous positive airway pressure CPDA-1: citrate-phosphate-dextrose-adenine CPG: Clinical Practice Guideline(s) CPK: creatinine phosphokinase CPP: cerebral perfusion pressure CPR: cardiopulmonary resuscitation
xxvi Emergency War Surgery DO 2 : oxygen delivery DOB: date of birth DoD: Department of Defense DoDTR: Department of Defense Trauma Registry DOW: died of wounds DP: diphosgene DPA: diagnostic peritoneal aspiration DSN: Defense Switched Network DVA: Department of Veterans Affairs DVT: deep venous thrombosis E EAC: Echelon Above Corps (or echelon of care) EBL: estimated blood loss ECFV: extracellular fluid volume ECG: electroencephalogram ECHO: echocardiogram ED: Emergency Department EDTA: ethylenediaminetetraacetic acid EKG: electrocardiogram ELISA: enzyme-linked immunosorbent assay EMEDS: Expeditionary Medical Support EMT: Emergency Medical Technician ENT: ear-nose-throat EOD: explosive ordnance disposal ePTFE: expanded polytetrafluoroethylene EPW: enemy prisoner of war ER: emergency room ERC: en route care ERG: Expeditionary Ready Group ET: endotracheal ETT: endotracheal tube EUCOM: European Command F FAST: Focused Abdominal Sonography for Trauma FDA: Food and Drug Administration FeNa: fractional excretion of sodium FFP: fresh frozen plasma
xxvii Abbreviations and Acronyms FiO 2 : fraction of inspired oxygen; inspired oxygen FM: field manual FMC: full metal case Fr: French gauge FS: Flight Surgeon FST: Forward Surgical Team FWB: fresh whole blood G GA: tabun GB: sarin GCS: Glasgow Coma Scale GD: soman GF: cyclosarinor cyclohexyl sarin GI: gastrointestinal GOS: Glasgow Outcomes Score GPW: Geneva Convention Relative to the Treatment of Prisoners of War gr: grains GSW: gunshot wound gtt: drops (from the Latin guttae ) GWS: Geneva Convention for the Amelioration of the Wounded and Sick in Armed Forces in the Field H H 2 O: water HACE: high-altitude cerebral edema HAPE: high-altitude pulmonary edema HBsAg: hepatitis B surface antigen HBV: hepatitis B virus HCV: hepatitis C virus HD/H: sulfur mustard HEAT: high explosive antitank Hgb: hemoglobin H/H: hematocrit/hemoglobin HHS: hyperglycemic hyperosmolar syndrome HIDA: hepatobiliary iminodiacetic acid HIPAA: Health Insurance Portability and Accountability Act HIT: heparin-induced thrombocytopenia
xxix Abbreviations and Acronyms L L: Lewisite LA: left atrium LAT: lateral LD: lethal dose LHA: label for a Tarawa class ship LHD: landing helicopter deck LMA: laryngeal mask airway LR: lactated Ringer’s LUQ: left upper quadrant LV: left ventricle LZ: landing zone M MA: maximal amplitude MAC: minimal alveolar concentration MAP: mean arterial pressure MCO: Marine Corps Order meds: medicine MEDEVAC: medical evacuation MEF: Marine Expeditionary Force MESS: Mangled Extremity Severity Score MF2K: Medical Force 2000 MFST: Mobile Field Surgical Team MH: medium half MMF: maxillary-mandibular fixation MOPP: Mission-Oriented Protective Posture MRI: magnetic resonance imaging MRSA: methicillin-resistant Staphylococcus aureus MTF: medical treatment facility MVA: motor vehicle accident MvO 2 : mixed venous oxygen delivery N N 2 O: nitrous oxide N/A: not applicable Na: sodium NaCl: sodium chloride NaHCO 3 : sodium bicarbonate
xxx Emergency War Surgery NATO: North Atlantic Treaty Organization NAVMED P: Department of the Navy publication NBC: nuclear, biological, and chemical NCO: noncommissioned officer NG: nasogastric NHLBI: National Heart, Lung, and Blood Institute NIH: National Institutes of Health NIPR: Nonsecure Internet Protocol Router NOE: naso-orbital-ethmoid NP: neuropsychiatric NPO: nothing by mouth NPWT: negative pressure wound therapy NS: normal saline NSAIDs: nonsteroidal antiinflammatory drugs NSTEMI: non-ST elevation myocardial infarction O O 2 : oxygen OB/GYN: obstetrics/gynecology OCONUS: outside the contiguous United States ODD: once daily dosing OEF: Operation Enduring Freedom OET: oxygen economizer tube OIF: Operation Iraqi Freedom OPNAVINST: Office of the Chief of Naval Operations Instruction OR: operating room P PA: Physician’s Assistant; pulmonary artery; posteroanterior PaCO 2 : partial arterial gas pressure (tension) of carbon dioxide PACOM: Pacific Command 2-PAMC: pralidoxime chloride PaO 2 : partial pressure of oxygen in the blood or in arterial blood PBW: predicted body weight PCWP: pulmonary capillary wedge pressure pCXR: portable chest X-ray PE: pulmonary embolism
xxxii Emergency War Surgery rFVIIa: recombinant factor VIIa RN: Registered Nurse RPG: rocket-propelled grenade rpm: revolutions per minute RPR: Rapid Plasma Reagin RR: respiratory rate RSDL: Reactive Skin Decontamination Lotion RSI: Rapid Sequence Intubation RTD: return to duty RUQ: right upper quadrant RV: right ventricle S SaO 2 : percentage of oxygen saturation of hemoglobin SBP: systolic blood pressure SCH: subconjunctival hemorrhage SCre: serum creatinine ScvO 2 : central venous oxygen saturation SEAL: SEa, Air, Land SG: Surgeon General SH: small half Sharps: refers to sharp objects, such as needles, scalpel blades, disposable scissors, stylets, trocars, broken test tubes, glass, etc. SIMV: synchronized intermittent mandatory ventilation SNa: serum sodium SOD: Surgeon of the Day SOP: standard operating procedure SPEARR: Small Portable Expeditionary Aeromedical Rapid Response (team) SpO 2 : noninvasive pulse oximetry spp.: species SSN: Social Security Number STANAG: Standardization Agreement STEMI: ST elevation myocardial infarction STRATEVAC: strategic evacuation ST segment: connects the QRS complex and the T wave SV: stroke volume SvO 2 : mixed venous oxygen saturation of hemoglobin
xxxiii Abbreviations and Acronyms T TA: thoracoabdominal (stapler) TBI: traumatic brain injury Tbili: total bilirubin TBSA: total body surface area TCCC: Tactical Combat Casualty Care TEG: thromboelastogram TFC: tactical field care THAM: tromethamine tid/TID: three times a day TMD: Theater Medical Director or Trauma Medical Director TMDS: Theater Medical Data Store TNC: Trauma Nurse Coordinator TO: Theater of Operations TOW: tube-launched, optically tracked, wire-guided (missile) trach collar: tracheostomy collar TRALI: transfusion-related acute lung injury TTP: thrombotic thrombocytopenic purpura U U: ulnar/units UCre: urine creatinine UNa: urine sodium UOP: urine output UPAC: Universal Portable Anesthesia Complete US: United States; ultrasound USAF: US Air Force USAISR: US Army Institute of Surgical Research USMC: US Marine Corps USNS: US Navy ship USTRANSCOM: US Transportation Command UV: ultraviolet UXO: unexploded ordnance V VAC: Vacuum-Assisted Closure VAP: ventilator-associated pneumonia VCO 2 : carbon dioxide production Vd: deadspace volume