Document Type
Article
Publication Date
12-1-2018
Journal
Canadian Journal of Surgery
Volume
61
Issue
6
First Page
S180
Last Page
S183
URL with Digital Object Identifier
https://doi.org/10.1503/cjs.014718
Abstract
Provision of initial surgery to casualties within one hour of injury is associated with better survival. Where evacuation options are limited, surgery within the “golden hour” may have to occur close to the point of injury. Interventions close to the point of injury are limited by the adverse environment. Far-forward surgery has a long history going back to Dominique Larrey of the Napoleonic Army. We reviewed previous reports and used our own experience of far- forward surgery to describe the specifications of the ideal mobile operating room that would address some of these environmental barriers.