Fracture Care Challenges in Austere and Combat Environments

Management of fractures in austere environments creates significant challenges for the treating physician. Significant limitations in resources and personnel, limited or no local national health care systems, feasibility of arranging follow-up care, and adjusting to local medical standards of care all influence decision making and appropriate treatment options. In addition, ensuring the safety of medical providers and staff can influence ability to render care in hostile and dangerous environments. Early and appropriate use of antibiotics, maximizing wound care options, determining the appropriate type of fracture fixation methods, and contributing to life-saving interventions while optimizing limb function are the hallmarks of fracture care in austere and wartime conditions.