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.

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