A. Petricevic et al., SURGICAL EXPERIENCE AT THE RAMA WAR HOSPITAL IN BOSNIA AND HERZEGOVINA, Israel journal of medical sciences, 31(10), 1995, pp. 630-634
We present our experience in the treatment of 1,300 wounded at the Ram
a war hospital in Bosnia and Hercegovina. Rama surgical teams performe
d mainly chest, abdominal and vascular operations, and other operation
s if the patient's life was considered to be in danger. All severely w
ounded patients were transported in a stable hemodynamic state to the
Split University Hospital within 48 to 72 h, as the Rama hospital was
primarily an evacuation facility. Owing to the well-organized first ai
d provided and the rapid evacuation from the combat line, all patients
were operated within 3 h after injury. This, together with the excell
ent functioning of our blood bank were factors responsible for our goo
d results. Among the 226 casualties operated under general anesthesia,
mortality was 8.4% (19 cases). The most common causes of death were m
ultiple injury and irreversible hemorrhagic shock.