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Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine. ==Chronology of medical advances on the battlefield== * During the Battle of Shrewsbury in 1403, Prince Henry had an arrow removed from his face using a specially designed surgical instrument. * Ambulances or dedicated vehicles for the purpose of carrying injured persons. These were first used by Spanish soldiers during the Siege of Málaga (1487). * French military surgeon Ambroise Paré (1510–90) pioneered modern battlefield wound treatment. His two main contributions to battlefield medicine are the use of dressing to treat wounds and the use of ligature to stop bleeding during amputation. * American Revolutionary War: Many surgeons during this time were not licensed practicing physicians, 400 out of 3,500 doctors were fully licensed, in fact only two universities offered medical degrees which was King's College in New York, and the College of Philadelphia. At this time there were very few doctors that had equal knowledge as their European counterparts. They also were not able to produce many remedies for illnesses, only scurvy, malaria, and smallpox. Most deaths occurred not from battle injuries, but from surgeries because of not knowing the proper techniques and not having proper sterilization. One study shows that around 50% of surgeries were fatal. * The practice of ''triage'' pioneered by Dominique Jean Larrey during the Napoleonic Wars (1803–1815). * Russian surgeon Nikolay Ivanovich Pirogov was one of the first surgeons to use ether as an anaesthetic in 1847, as well as the very first surgeon to use anaesthesia in a field operation during the Crimean War. * American Civil War surgeon Jonathan Letterman (1824–72) originated modern methods of medical organization within armies. * Advances in surgery - especially amputation, during the Napoleonic Wars and First World War on the battlefield of the Somme. * During the Spanish Civil War there were two major advances. The first one was the invention of a practical method for transporting blood. Developed in Barcelona by Duran i Jordà, the technique mixed the blood of the donors with the same blood type and then, using Grífols glass tubes and a refrigerator truck, transported the blood to the frontline. A few weeks later Norman Bethune developed a similar service. The second advance was the invention of the mobile operating room by the Catalan Moisès Broggi, who worked for the International Brigades. * The establishment of fully equipped and mobile field hospitals such as the Mobile Army Surgical Hospital was first practiced by the United States in World War II. It was succeeded in 2006 by the Combat Support Hospital. * The use of helicopters as ambulances, or MEDEVACs was first practiced in Burma in 1944. The first medivac under fire was done in Manila in 1945 where over 70 troops were extracted in five helicopters, one and two at a time. * The extension of emergency medicine to prehospital settings through the use of emergency medical technicians. * The use of remote Physiological Monitoring Devices on soldiers to show vital signs and biomechanical data to the medic and MEDEVAC crew before and during trauma. This allows medicine and treatment to be administered as soon as possible in the field and during extraction. The term "Meatball surgery" is a term used in battlefield medicine to refer to surgery that is meant to be performed rapidly to stabilize the patient as quickly as possible. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「battlefield medicine」の詳細全文を読む スポンサード リンク
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