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Vivian C. McAlister

Improvised explosive device

Articles 1 - 4 of 4

Full-Text Articles in Medicine and Health Sciences

Injury Profile Suffered By Targets Of Antipersonnel Improvised Explosive Devices: Prospective Cohort Study., Shane A. Smith, Melissa Devine, Joe Taddeo, Vivian C. Mcalister Jul 2017

Injury Profile Suffered By Targets Of Antipersonnel Improvised Explosive Devices: Prospective Cohort Study., Shane A. Smith, Melissa Devine, Joe Taddeo, Vivian C. Mcalister

Vivian C. McAlister

OBJECTIVE:
To describe pattern 1 injuries caused by the antipersonnel improvised explosive device (AP-IED) in comparison to those previously described for antipersonnel mines (APM).
DESIGN:
Prospective cohort study of 100 consecutive pedestrian victims of an AP-IED, with traumatic amputation without regard for gender, nationality or military status.
SETTING:
Multinational Medical Unit at Kandahar Air Field, Afghanistan.
PARTICIPANTS:
One hundred consecutive patients, all male, 6-44 years old.
MAIN OUTCOME MEASURES:
The details of injuries were recorded to describe the pattern and characterise the injuries suffered by the target of AP-IEDs. The level of amputation, the level of soft tissue injury, the …

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Combat Vascular Trauma_ From Characterization To Innovation.Pdf, Shane A. Smith Dec 2016

Combat Vascular Trauma_ From Characterization To Innovation.Pdf, Shane A. Smith

Vivian C. McAlister

The way that soldiers are injured in modern conflicts has changed. Bullet and ballistic weapons are causing fewer casualties, and more commonly Improvised Explosive Devices (IED) are injuring them. The purpose of this thesis is to characterize the injury pattern of the antipersonnel IED (AP-IED) in victims from the Afghanistan conflict, to retrospectively examine the incidence and type of vascular trauma in a Canadian level 1 trauma center and to develop and novel device for control of junctional vascular injuries. 

The injury pattern of 100 consecutive AP-IED victims was recorded. Multiple amputations occurred in 70% of IED victims: 5 quadruple …

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The Role Of Surgery In Building Resilience To Blast Attacks, Vivian C. Mcalister Aug 2011

The Role Of Surgery In Building Resilience To Blast Attacks, Vivian C. Mcalister

Vivian C. McAlister

Blast attacks are the commonest form of terrorist attack on civilians. Blast often causes injury from industrial accidents. Blast injury is the most common cause of injury and death in modern combat. A recent review of Canadian fatal casualties in Afghanistan found 81% to have been caused by blast, almost four times the number killed by gun shot wounds. Improvised explosive devices (IED) caused 78% of the blasts with another 20% being due to rocket propelled grenades (RPG).1 The purpose of this review is to outline the mechanisms of injury, to define the surgical response and to understand the implications …

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Composite Tissue Allotransplantation To Treat Veterans With Complex Amputation Injuries, Vivian C. Mcalister, Ray Kao, Brian Church, Markus Besemann, Rob Stiegelmar Dec 2010

Composite Tissue Allotransplantation To Treat Veterans With Complex Amputation Injuries, Vivian C. Mcalister, Ray Kao, Brian Church, Markus Besemann, Rob Stiegelmar

Vivian C. McAlister

Amputee rehabilitation may be limited by complexity of injury (e.g. bilateral arm amputation), associated injury (e.g. colostomy) or by the level of amputation (e.g. high above knee). Our objective is to assess the potential for composite tissue allotransplantation (CTA) to overcome these barriers. Medical literature was searched and programs were surveyed regarding the current status of CTA. Results CTA remains an experimental reconstructive option that involves a large collaborative (physiatry, orthopaedic, plastic and transplant surgeons). Limb transplantation has evolved out of limb reimplantation surgery and organ transplantation. Approximately 10 programs world wide, with almost a decade of experience, report 90% …

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