Urologic Trauma Management for Military Providers.
Shane M KronstedtEric R WahlstedtMason BlackerGal SaffatiDavid Eugenio Hinojosa-GonzalezHance WilbertThomas FetherstonJonathan FriedmanZachary R MucherPublished in: Military medicine (2024)
In modern conflicts, treatment of GU trauma at the point of injury should be secondary to Advanced Trauma Life Support (ATLS) care in addition to competing non-medical priorities. This review highlights the increasing severity of GU trauma due to explosive use, especially dismounted IEDs. Concealed morbidity and fertility issues underscore the importance of protection measures. Military medics play a crucial role in evaluating and managing GU injuries. Adherence to tactical guidelines and trained personnel is vital for effective management, and GU trauma's integration into broader polytrauma care is essential. Adequate preparation should address challenges for deploying health care providers, prioritizing lifesaving and quality-of-life care for casualties affected by GU injuries.