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4. Pozza M, Lunardi F, Pflipsen M. Emergency intraosseous 19. D’Avignon LC, Hogan BK, Murray CK, et al. Contribu-
access: a useful, lifesaving device used in Afghanistan. J tion of bacterial and viral infections to attributable mor-
Spec Oper Med. 2013;13:25–28. tality in patients with severe burns: an autopsy series.
5. Wolf SE, Kauvar DS, Wade CE, et al. Comparison be- Burns. 2010;36:773–779. Epub 2010 Jan 13.
tween civilian burns and combat burns from Operation 20. Krieger BR, Davis DM, Sanchez JE, et al. The use of silver
Iraqi Freedom and Operation Enduring Freedom. Ann nylon in preventing surgical site infections following co-
Surg. 2006;243:786–792; discussion 792–795. lon and rectal surgery. Dis Colon Rectum. 2011;54:1014–
6. Barillo DJ, Cancio LC, Stack RS, et al. Deployment and 1019.
operation of a transportable burn intensive care unit in 21. Epstein NE. Preoperative, intraoperative, and postopera-
response to a burn multiple casualty incident. Am J Di- tive measures to further reduce spinal infections. Surg
saster Med. 2010;5:5–13. Neurol Int. 2011;2:17.
7. Chung KK, Blackbourne LH, Wolf SE, et al. Evolution 22. Pfilpsen M, Pozza M, Lunardi F, Barillo D. The use of sil-
of burn resuscitation in operation Iraqi freedom. J Burn ver-nylon dressing on burns: a case report from Afghani-
Care Res. 2006;27:606–611. stan [abstract]. Eur J Trauma Emerg Surg. 2013;39(Suppl
8. Renz EM, Cancio LC, Barillo DJ, et al. Long range trans- 1):S1–S162.
port of war-related burn casualties.J Trauma. 2008;64(2
Suppl):S136–S144; discussion S144–145.
9. Huckfeldt R, Redmond C, Mikkelson D, et al. A clinical
trial to investigate the effect of silver nylon dressings on CPT Pozza graduated from the University of Modena and
mediastinitis rates in postoperative cardiac sternotomy Reggio Emilia (Italy) with a degree in medicine (2005) and
incisions. Ostomy Wound Manage. 2008;54:36–41. a postgraduate doctorate in surgery and emergency medicine
10. Mooney EK, Lippitt C, Friedman J. Silver dressings. Plas- (2012). He joined the Army in the Military Academy at 1999.
tic Surgery Educational Foundation DATA Committee. He attended Italian Army Parachuting Wings in 2001 as well
Plast Reconstr Surg. 2006;117:666–669. as other military courses. He was deployed twice in Afghani-
11. Barillo DJ, Wolf S. Planning for burn disasters: lessons stan (Farah 2007–2008) with the Italian Special Forces and
learned from one hundred years of history. J Burn Care in national operations after the earthquake (L’Aquila 2010–
Res. 2006;27:622–634. Emilia 2012). Dr. Pozza serves as medical officer in the 7th
12. Barillo DJ, Cancio LC, Hutton BG, et al. Combat burn Regiment AVES “Vega” of the Italian Army in Rimini and
life support: a military burn-education program. J Burn works in the Civilian Emergency Care department of Bassano
Care Rehabil. 2005;26:162–165. del Grappa (Italy). Dr. Pozza is currently the G 4 Med at the
13. Moore RA, Liedl DA, Jenkins S, et al. Using a silver- UNIFIL mission in Lebanon. E-mail: mori_8@yahoo.it.
coated polymeric substrate for the management of chronic
ulcerations: the initial Mayo Clinic experience. Adv Skin MAJ Pflipsen is currently the medical director at the NATO
Wound Care. 2008;21:517–520. SHAPE Healthcare Facility at SHAPE, Belgium. He completed
14. Epstein NE. Do silver-impregnated dressings limit infec- his family medicine training at Madigan Army Medical Center,
tions after lumbar laminectomy with instrumented fu- and his U.S. Army service includes a 15-month deployment to
sion? Surg Neurol. 2007;68:483–485; discussion 485. Iraq as the Battalion Surgeon for 1st Squadron, 3d ACR.
15. Silver S, Phung le T, Silver G. Silver as biocides in burn
and wound dressings and bacterial resistance to silver LTC Lunardi is currently the chief of the Italian branch as the
compounds. J Ind Microbiol Biotechnol. 2006;33:627– Italian Military Representative at NATO SHAPE and works in
634. Epub 2006 May 25. the healthcare facility. He graduated with a degree in medicine
16. Schaum KD. Medicare payment system for surgical dress- from Padova University, where he specialized in internal medi-
ings containing silver. Ostomy Wound Manage. 2006;52: cine. He also attended an NBRC medicine course at Firenze
30–33. University. From 1997 to 2008, he was the physician of the
17. Heggers J, Goodheart RE, Washington J, et al. Therapeu- Alpine Parachute Troop (Italian Ranger Regiment). He was de-
tic efficacy of three silver dressings in an infected animal ployed twice in Bosnia Erzegovina, once in the Antarctica, and
model. J Burn Care Rehabil. 2005;26:53–56. five times in Afghanistan (Kabul, Kwost, Souroby, and Baqwa).
18. Percival SL, Thomas JG, Slone W, et al. The efficacy of
silver dressings and antibiotics on MRSA and MSSA iso-
lated from burn patients. Wound Repair Regen. 2011;19:
767–774.
Silver-Nylon Dressing to Treat Combat Burns in Afghanistan 5

