Annali italiani di chirurgia
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The author has identified the main topics in actual different guidelines in pre-hospitalization critical care managing of trauma in military operation areas (MOA). The Italian army main battlefield organization and others NATO experiences. The author reviews the literature regarding the most common military procedures, mainly focused on shock first aid, crystalloid and colloid use and a personal experience on this topic is also presented.
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It has been two decades since Maggiore Hospital Trauma Center started its formal activity focused on improving and developing Trauma management and Surgery of Trauma. Whilst evaluating the results of the last year, we can not avoid to look behind at the beginning, comparing the actual activity with the settings we have started from, in 1989. Before this date in our hospital all the Emergency and Trauma Surgery was managed by General Surgeons. ⋯ Last but least needs to be mentioned our scientific and research activity, including several published articles and scientific presentations at Italian, European and International Conferences. Finally we organize since 8 years a nationally relevant educational event: the "Corso Teorico-Pratico di Chirurgia del Politrauma". It is a theoretic and practical Trauma Surgery Course for Consultant/Attending Surgeons and Senior Registrars/Residents who want to improve their skills in Trauma Surgery and Management, and is now running its XIX edition.