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Correspondence
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Volume 351:97-98 July 1, 2004 Number 1
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Care of Battlefield Injuries

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To the Editor: During Operation Iraqi Freedom, an Iraqi combatant sustained substantial battlefield trauma to his right temporofrontal area, exposing the brain surface. He was brought to a surgical company of the U.S. 1st Marine Expeditionary Force. The operating room was in a tent 20 miles from the front lines. Scalp, bone, and dura were lost as a result of the impact of the projectile. The area was cleaned, and hemostasis was achieved with a combination of thrombin and electrocautery. Closing the wound, making it tight with respect to cerebrospinal fluid until transfer to the next echelon of care (200 . . . [Full Text of this Article]




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