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International Review of the Armed Forces Medical Services 3 Revue Internationale Des Services De Santé Des Forces Armées

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International Review of the Armed Forces Medical Services 3 Revue Internationale Des Services De Santé Des Forces Armées Couverture1_2013_Mise en page 1 14/03/13 15:45 Page1 INTERNATIONALINTERNATIONAL REVIEWREVIEW OFOF THETHE ARMEDARMED FORCES FORCES MEDICALMEDICAL SERVICESSERVICES REVUE INTERNATIONALE DES SERVICES DE SANTÉ DES FORCES ARMÉES Official organ of the International Committee of Military Medicine Organe officiel du Comité International de Médecine Militaire Quarterly: March 2013 • Trimestriel: mars 2013 VOL. 86/1 Your choice for easy imaging Fast. Small. Smart. DIGORA® Optime - intraoral imaging plate system DIGORA® system has a pioneering history from 1994 and has become the preferred choice of dental professionals around the world. DIGORA® Optime employs a unique hygiene system Wireless, thin, flexible ”film-like” imaging plates (Opticlean™) that improves patient and user safety. with 100% active area support all imaging needs With Opticlean™, cross contamination risk is minimized by: and maximize patient comfort. • Unique hygiene accessories (Optibag™ and Opticover™) You obtain consistently the best clinical results for • Touch free, front loaded operating all diagnostic needs - with the smallest, smartest, • Automated, internal ultraviolet (UV) fastest and easiest visually guided system on the disinfection feature market. Digital imaging made www.soredex.com easy™ DIGORA Optime ad A4.indd 1 3/15/2013 12:34:04 PM Sommaire_Mise en page 1 15/03/13 17:36 Page1 International Review of the Your choice for ARMED FORCES MEDICAL SERVICES easy imaging Revue Internationale des Services de Santé des Forces Armées Fast. Small. Smart. Official organ of the International Committee of Military Medicine Organe officiel du Comité International de Médecine Militaire VOL. 8286/1 SCIENTIFIC COMMITTEE / COMITÉ SCIENTIFIQUE EDITION / REDACTION Brig. Gen. J. ALSINA (MD) Director / Directeur (Spain / Espagne) Maj. Gen. (ret.) R. VAN HOOF (MD) [email protected] Col. Prof. H. BAER (MD) (Switzerland / Suisse) Editor-in-Chief / Rédacteur en chef Col. JJ BRAU (Dent.) Maj. Gen. Prof. (ret.) M. MERLIN (MD) (France / France) [email protected] org . Col. M. DEBBOUN (MD) Assistant Chief-Editor / Rédacteur en chef adjoint (U.S.A. / Etats-Unis) Maj. Gen. Prof. (ret.) M. MORILLON (MD) Col. T. S. GONZALES (Dent.) [email protected] DIGORA® Optime - intraoral (U.S.A. / Etats-Unis) imaging plate system Secretary of the Editorial Board Brig. Gen. KHALID A. ABU-AZAMAH AL-SAEDI (MD) Secrétaire du Comité de rédaction (Saudi Arabia / Arabie Saoudite) Warrant-Officer I. HOSTENS DIGORA® system has a pioneering history from 1994 and [email protected] has become the preferred choice of dental professionals Col. I. KHOLIKOV (MC) (Russian Federation / Fédération de Russie) around the world. Editor’s office / Bureau de la rédaction DIGORA® Optime employs a unique hygiene system Wireless, thin, flexible ”film-like” imaging plates Col. Dr C. M. LOMMER (Pharm.) International Committee of Military Medicine (Opticlean™) that improves patient and user safety. with 100% active area support all imaging needs (Germany / Allemagne) Comité International de Médecine Militaire With Opticlean™, cross contamination risk is minimized by: and maximize patient comfort. Maj. V. ROUS (Vet.) Hôpital Militaire Reine Astrid • Unique hygiene accessories (France / France) BE-1120 Brussels (Belgium) (Optibag™ and Opticover™) You obtain consistently the best clinical results for ✆ : +32 2 264 43 48 - 6 : +32 2 264 43 67 • Touch free, front loaded operating all diagnostic needs - with the smallest, smartest, Col. P. VAN DER MERWE (Vet.) [email protected] • Automated, internal ultraviolet (UV) fastest and easiest visually guided system on the (South Africa / Afrique du Sud) disinfection feature market. Air Cdre. (ret.) A.J. VAN LEUSDEN (MD) (The Netherlands / Pays-Bas) Sen. Col. Prof. L. ZHANG (China / Chine) ADVERTISING / PUBLICITÉ Négociations & Editions Publicitaires Digital 13, rue Portefoin - FR-75003 Paris (France) ✆ : +33 1 40278888 - 6: +33 1 40278943 [email protected] imaging www.cimm-icmm made www.soredex.com easy™ International Review of the Armed Forces Medical Services 3 Revue Internationale des Services de Santé des Forces Armées DIGORA Optime ad A4.indd 1 3/15/2013 12:34:04 PM Sommaire_Mise en page 1 15/03/13 17:36 Page2 CONTENTS Sommaire 43 Epidemiology of Illnesses and Injuries in ORIGINAL ARTICLES / ARTICLES ORIGINAUX Specific Climatic and Sanitary Conditions on the Example of Troops Deployed to Military Operations. (Part One) 5 By K. KORZENIEWSKI. Poland. Traumatismes du thorax par armes blanches et armes à feu: Analyse rétrospective à propos de 129 cas en Côte d’Ivoire. 60 Military Entomology in Operation Enduring Par P. ANGO, N. BOUA, D. K. KONAN, N. KONE et D. MIGNONSIN. Côte d’Ivoire. Freedom, 2010-2011. By M. G. COLACICCO-MAYHUGH, T. HUGHES, R. LARSON, S. GOSINE, J. DICLARO and J. DUNFORD. USA. 9 Self aggressive Behavior among Soldiers: Psychopathological and Clinical Analisys from a 69 Oslo Government District Bombing and Retrospective Study of 39 Cases Cared for in a French Utøya Island Shooting July 22, 2011: The Immediate Military Hospital. Prehospital Emergency Medical Service Response. By AUXÉMÉRY and M.C. COLAS. France. By S. JM SOLLID, R. RIMSTAD, M. REHN, A. R. NAKSTAD, A-E. TOMLINSON, T. STRAND, H. J. HEIMDAL, J. E. NILSEN 15 and M. SANDBERG. Norway. Transportation Conditions for Drugs and Medicines by the Armed Forces on International Missions. Design for an Operations-Specific Stability Study. By A. ZAMANILLO, M. VERÓN, A. JUBERIAS, J.I. CABRERA and J.P. MAŇES. Spain. 25 INFORMATIONS ON ICMM UAE Aeromedical Search and Rescue Flight INFORMATIONS DU CIMM Paramedic Training. By W. HAYMAN. United Arab Emirates. 42 43 Add-in folder between the pages 29 The CSI Effect: Redefining Dentistry’s Role in 42 43 Forensic Sciences. Encarté entre les pages By T. GONZALES and D. SCHAFER. USA. Photo on the cover: United Arab Emirates - Field Hospital in Action. Views and opinions expressed in this Review are those of the authors Les idées et opinions exprimées dans cette Revue sont celles des auteurs et VOL. and imply no relationship to author’s official authorities policy, present ne reflètent pas nécessairement la politique officielle, présente ou future 86/1 or future. des autorités dont relèvent les auteurs. International Review of the Armed Forces Medical Services 4 Revue Internationale des Services de Santé des Forces Armées Traumatisme Thorax_ANGO_Mise en page 1 15/03/13 17:40 Page1 Traumatismes du thorax par armes blanches et armes à feu: Analyse rétrospective à propos de ARTICLES ARTICLES ARTICLES ARTICLES 129 cas en Côte d’Ivoire. Par P. ANGO❶, N. BOUA, D. K. KONAN, N. KONE et D. MIGNONSIN. Côte d’Ivoire P. ANGO Le docteur Privat-Désiré ANGO est né le 13 février 1968 à Abidjan (plateau) République de Côte d’Ivoire. Il est célibataire et a deux enfants. Il est anesthésiste et réanimateur. TITRES ET DIPLOMES (obtenus à l’Université Félix Houphouët Boigny) Assistant d’université : chef de clinique des hôpitaux depuis mars 2007. Certificat d’études spécialisées en Anesthésie et Réanimation, octobre 2004. Diplôme de docteur en médecine : obtenu le 15 juin 2001. SEJOURS A L’ETRANGER (participation à des congrès à) Paris, Dakar, Brazzaville, Conakry, Ouagadougou, Libreville SOCIETES SAVANTES, CULTURELLES OU SCIENTIFIQUES Inscrit au tableau de l’Ordre des Médecins de Côte d’Ivoire sous le n° 2747. Membre de la Société d’Anesthésie-Réanimation d’Afrique Noire Francophone (SARANF) depuis 2006. EXPÉRIENCES PROFESSIONNELLES Service Anesthésie du Centre hospitalier Intercommunal Alençon Mamers (France), depuis le 5 novembre 2012. Anesthésie Réanimation, département cardiovasculaire et chirurgie thoracique du 1er mai 2012 au 25 août 2012 au Miraj Heart Institute (Wanless Hospital) en Inde. SUMMARY Chest Injury by Bladed Weapons and Firearms: A retrospective analysis about 129 cases in Cote d’Ivoire. We present a retrospective and analytic study on chest injuries, hospitalized in Treichville hospital (Abidjan) during eight months (2004- April 2012). We studied epidemiologic features, intra thoracic lesions, extra thoracic associated lesions and complications. One hundred en twenty-nine patients have been included after bullet thorax injuries (65.90%) and bladed weapons (34.10%) with a sex ratio 8.92. The average age was 22.21±6.9. Standard lung radiography showed 97 (75.20%) hemothorax and 32 hemopneumothorax (24.80%). Associated lesions were: hemoperitoneum (n=10): humerus fracture (n=1), two rib fractures, one wound of diaphragm. All patients have had a thoracic drainage. Seven of them have been transferred in surgical ward were they underwent a thoracotomy after thoracic scanner. Seventy-one patients have been transfused with compatible blood group. Four died, that is 3.1% mortality. Thoracic traumatism lead to a high mortality rate. These patients’ prognosis depends on severity level of the lesions and on quick care. MOTS-CLÉS : Drainage thoracique, Hémothorax, Hémopneumothorax, Côte d’Ivoire. KEYWORDS: Chest injuries, Thoracic drainage, Hemothorax, Hemopneumothorax, Côte d’Ivoire. INTRODUCTION PATIENTS ET MÉTHODE Les traumatismes par arme blanche et par balle du tho- Une étude rétrospective, descriptive et analytique a été rax, constituent un motif d’hospitalisation en réanima- réalisée sur une période de 6 ans (2004 - avril 2012) tion polyvalente. Ils sont responsables d’une grande dans le service d’Anesthésie Réanimation du Centre mortalité, s’ils ne sont pas pris en charge rapidement12. Devant la rareté des données épidémiologiques et évo- ❶ Dr Ango Privat lutives
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