A history of neurosurgical capabilities in the United States Pacific Command: from World War II to present

Abstract

Neurosurgery has benefited from innovations as a result of military conflict. The volume and complexity of injuries sustained on the battlefield require medical teams to triage, innovate, and practice beyond their capabilities in order to treat wartime injuries. The neurosurgeons who practiced in the Pacific Command (PACOM) during World War II, the Korean War, and the War in Vietnam built upon field operating room knowledge and influenced the logistics of treating battle-injured patients in far-forward environments. Modern-day battles are held on new terrain, and the military neurosurgeon must adapt. War in the PACOM uniquely presented significant obstacles due to geographic isolation, ultimately accelerating the growth and adaptability of military neurosurgery and medical evacuation. The advancements in infrastructure and resource mobilization made during PACOM conflicts continue to inform modern-day practices and provide insight for future conflicts. In this historical article, the authors review the development and evolution of neurosurgical care, forward surgical teams, and mobile field hospitals with surgical capabilities through US conflicts in the PACOM.

Document Details

Document Type
Pub Defense Publication
Publication Date
Sep 01, 2022
Source ID
10.3171/2022.6.focus22247

Entities

People

  • Daniel S. Ikeda
  • Hana Yokoi
  • Kristopher G. Hooten
  • Meaghan Mcgovern
  • Sarah C. Clarke
  • Thomas Fetherston
  • Vijay M. Ravindra

Organizations

  • Icahn School of Medicine at Mount Sinai
  • Uniformed Services University of the Health Sciences
  • Walter Reed National Military Medical Center

Tags

Fields of Study

  • Medicine

Readers

  • Aerospace logistics and air mobility.
  • Systems Analysis and Design
  • Trauma or Military Medicine