This new edition is revised and expanded and is the pediatric version of Borden's popular Emergency War Surgery Handbook. This authoritative resource applies lessons learned in past and present conflicts to ill and injured pediatric casualties. Topics include critical care, surgical treatment, and general medical management of acute and chronic conditions. Individual chapters address concerns such as anesthesia and intraoperative resuscitation, mechanical ventilation, aeromedical evacuation, thoracic surgery, surgery of the abdominal wall and diaphragm, fluid management, status epilepticus, care of the newborn, and emergency nutrition.
Written and compiled by experts in the field of pediatric trauma, this book is constructed in an easy-to-read bullet format for quick reference, and includes up-to-the moment treatment recommendations for ill or injured children in theaters of war and austere environments.
Military medical providers, civilian medical providers (pediatricians, pediatric surgeons, nursing staff, etc.) and first responders performing emergency medicine to children resulting from traumatic and hostile environments may find this pragmatic resource helpful in diagnosing, assessing care, and treating many of the most common medical and surgical conditions of childhood.
Senior Medical and Critical Care Editor, Kevin M. Creamer, MD, FAAP
Colonel, Medical Corps, US Army Retired
Pediatric Hospitalist, Children's National Medical Center, Washington, DC
Associate Professor of Pediatrics, Uniformed Services University of the Health, Sciences and George Washington University School of Medicine
Colonel Kevin Creamer graduated from the Uniformed Services University of the Health Sciences and completed his pediatric residency at Tripler Army Medical Center. After 3 years of general pediatric practice at the 121st Hospital in Korea and Madigan Army Medical Center, Washington, Dr Creamer returned to train in critical care at the Medical College of Georgia. He subsequently served as the medical director of the pediatric intensive care units at Tripler Army Medical Center, Hawaii, and Walter Reed Army Medical Center, Washington, DC, where he finished his career as the chief of pediatric inpatient
services and the pediatric subspecialty consultant to the Army Surgeon General. Dr Creamer's interests include pediatric resuscitation and just-in-time education for deploying medical providers to hostile
and austere environments. His team's first project, the Hostile Environments Life-Saving Pediatrics (HELP) CD, was circulated annually to thousands of triservice deploying medical personnel. It included the necessary video presentations, brief handouts, and weblinks to facilitate care for critically ill and injured children by nonpediatric providers. Kevin also created and served as the medical director of the web-based PICU. consult service, which fielded hundreds of critical care consults from Iraq and Afghanistan. His latest projects have been serving as author and editor of the original and subsequent editions
of Pediatric Surgery and Medicine for Hostile Environments. Dr Creamer is board certified in pediatrics and pediatric critical Pediatric Surgery and Medicine for Hostile Environments care.
Since retirement in 2010, he has worked as a pediatric hospitalist in New Zealand and currently at Children's National Medical Center in Washington, DC. He is an associate professor of pediatrics at George Washington University School of Medicine and the Uniformed Services University of the Health Sciences.
Senior Surgical Editor, Michael M. Fuenfer, MD, FAAP, FACS:
Colonel, Medical Corps, US Army Reserve
Assistant Professor of Surgery and Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Associate Pediatrician, Massachusetts General Hospital, Boston, Massachusetts
Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts
Colonel Michael M. Fuenfer graduated from the University of Louisville School of Medicine. Dr Fuenfer completed a pediatric residency at Kosair Children's Hospital in Louisville, a fellowship in perinatal-neonatal medicine at the University of Connecticut, a general surgery residency at Yale University, a fellowship in pediatric surgery at the University of Alabama, and a fellowship in pediatric critical care
medicine at the Massachusetts General Hospital. He was commissioned in the US Air Force Reserve in 1981, serving in the Kentucky Air National Guard as an F-4 squadron flight surgeon until 1984, when he transferred to the US Army Reserve. Colonel Fuenfer completed training as an Army flight surgeon and graduated from the US Army Airborne School and the US Army Special Forces Detachment Officer Qualification Course. From 1985 to 1998 Dr Fuenfer served as a Green Beret in the 11th and 20th Special Forces Groups (Airborne). He served in Afghanistan (Operation Enduring Freedom) in 2003-2004
as a combat surgeon at the 452nd Combat Support Hospital (Bagram), commanded a forward surgical team (Kandahar), and served as a Special Forces surgeon at a firebase in Helmand Province. From 2005 to 2009, Dr Fuenfer volunteered to be mobilized, and served as a pediatric surgeon and the deputy chief of general surgery at Walter Reed Army Medical Center in Washington, DC. He holds FAA ratings as a commercial pilot and certificated flight instructor, and has authored a popular book for pilots currently in its 6th edition. In 2007 he completed the US Air Force basic and advanced critical care air transport
team (CCATT) courses. He is certified by the American Board of Surgery in general surgery, surgical critical care, and pediatric surgery, and by the American Board of Pediatrics in general pediatrics and perinatal-neonatal medicine. Dr Fuenfer has held academic appointments at the University of South Alabama and Yale University and currently holds appointments as associate pediatrician at Massachusetts General Hospital in the Division of Pediatric Critical Care Medicine, instructor in pediatrics at Harvard Medical School, and assistant professor of surgery and pediatrics at the Uniformed Services University of the Health Sciences. Dr Fuenfer has numerous publications and serves as a reviewer for the journals Pediatrics and Military Medicine. He is currently involved in developing new curricula for teaching basic
surgical skills to students, house staff, and attending staff in the Massachusetts General Hospital Simulation Lab, treating patients in hyperbaric therapy and wound care, developing innovative medical devices with collaborators at the Massachusetts Institute of Technology, and serving as author and senior surgical editor for the original and this second edition of Pediatric Surgery and Medicine for Hostile Environments. Colonel Fuenfer is assigned as an Army Reserve flight surgeon to the US Army Research Institute of Environmental Medicine (USARIEM) at Natick Army Soldier Systems Center, Natick, Massachusetts.