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Pain management in current combat operations

机译：当前作战行动中的疼痛管理

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Pain management in the U.S. Military, particularly in combat, shares many of the same principles found in civilian heath care organizations andinstitutions. Pain is one of the most common reasons for which soldiers seek medical attention in the combat environment, which mirrors the civilian experience. However, the combat environment exacerbates the typical challenges found in treating acute pain andhas the additional obstacles of a lack of supplies andequipment, delayed or prolonged evacuation times anddistances, devastating injuries, provider inexperience, anddangerous tactical situations. These factors contribute to the difficulty in controlling a soldier's pain in combat. Furthermore, civilian health care providers have also learned the importance of practicing pain management principles in austere andtactical environments because of recent natural andman-made domestic disasters. Pain management research, education, andtreatment strategies have been created to try to achieve adequate battlefield analgesia, andthese lessons learned may aid civilian health care providers if the circumstances arise. This article presents a brief history andcurrent overview of pain management for combat casualties on today's battlefield. Recent natural disasters andincreased threats for terrorist acts have proven the need for civilian health care providers to be properly trained in pain management principles in an austere or tactical environment
机译：美军的疼痛管理，特别是在战斗中，与民用卫生保健组织和机构具有许多相同的原则。疼痛是士兵在战斗环境中寻求医疗救助的最常见原因之一，这反映了平民的经历。然而，战斗环境加剧了在治疗急性疼痛中所遇到的典型挑战，并带来了另外的障碍，如物资供应和设备不足，疏散时间和距离延迟或延长，毁灭性伤害，提供者缺乏经验以及危险的战术情况。这些因素导致难以控制士兵在战斗中的痛苦。此外，由于最近的自然和人为家庭灾难，平民医疗保健提供者还了解了在严格的战术环境中实践疼痛管理原则的重要性。已经创建了疼痛管理研究，教育和治疗策略，以尝试实现足够的战场镇痛，如果情况出现，这些经验教训可能会对平民医疗保健提供者有所帮助。本文简要介绍了当今战场上用于伤亡人员的疼痛管理的历史和当前概述。最近的自然灾害和对恐怖行为的威胁增加证明，需要在严峻或战术环境中对平民医疗保健提供者进行疼痛管理原则方面的适当培训

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