Prof. Samer Srouji from the Faculty of Medicine in Galilee and the Galilee Medical Center in Safed, published a study on the CRP=critical revascularization period which explains the creation of new blood vessels in the area of injury, and the subsequent positive effect of late treatment of battlefield injuries. The study actually found that gunshot victims who did not receive immediate medical treatment recovered faster and with fewer complications
At an early stage after the outbreak of the civil war in Syria (2013), Israel mobilized to provide humanitarian medical treatment to the wounded Syrians. Most of the injured were admitted to the Galilee Medical Center, where Prof. Saroji directs the Institute for Oral, Facial, Jaw Surgery and Oral Medicine. The nature of the Syrian citizens' injuries and the way they were treated was unique. The definition of Syria as an enemy state caused an extension of the evacuation time for the wounded who were diagnosed with high kinematic injuries that are unique to the battlefield.
Throughout the prolonged treatment of war wounded who were hit by sniper fire, vascularization (neovascularization) occurs which is the creation and healing of blood vessels in the area of the injury which improves the supply of blood and oxygen to the area of the injury. Vascularization may improve the results of surgical treatment, the percentage of complications and recovery following it. The researchers coined the term CRP=critical revascularization period to explain the period of time in which the creation of the new blood vessels occurs
According to the data collected as part of the study, some of the wounded were admitted within 24 hours to the Galilee Medical Center, compared to others who were admitted only 14-28 days after the sabotage due to difficulty in reaching Israel from Syria and the combat zone.
Among wounded whose treatment was delayed due to late arrival at the medical center, the researchers discovered "healthier" tissues that bleed and heal more normally than the wounded who were admitted to the medical center and received treatment immediately upon arrival. In the injured who received late surgical treatment compared to early surgical treatment, a lower percentage of complications could be observed.
Prof. Srouji commented on the research findings and put forward a hypothesis to substantiate them: "The uniqueness of the findings is that, contrary to most of the literature accepted today in the field, we discovered a medical advantage in delayed treatment of gunshot wounds from the battlefield over immediate treatment. It is possible to point out a significant difference in the statistics in the lower percentage of complications in the wounded who received surgical treatment Delayed compared to early surgical treatment. This advantage originates from the formation and repair of blood vessels in the area of the injuries that improve the supply of blood and oxygen to the injured area which in turn leads to more normal healing and fewer complications."
The initial research of Prof. Saroji and his team on the subject is based on data of 200 gunshot wounds that came from Syria which were later tested and verified in the laboratory. The findings in this study can lead to a reevaluation and a change in the concept and treatment protocols for head and facial injuries with high kinematics. Prof. Srouji and his team are currently in the midst of research with the Ministry of Defense and the IDF in which they are developing a head and face injury model with high kinematics (sniper fire) and are examining the possibility of developing suitable protection for soldiers.
More of the topic in Hayadan:
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New protocol for treating a gunshot wound, wait a week in the emergency room and then we will start treating you 🙁
And it would be interesting if they checked the retention that those who remained alive after 2-4 and managed to reach Israel were simply stronger or something different in their injury.
That is, maybe the difference is due to a kind of natural selection that these injured people went through