Page 44 - Journal of Special Operations Medicine - Fall 2017

Table 3 Comparison Between the GHOST-T and Traditional FST Table 4 Comparison Between the GHOST-T and Traditional FST
Major Basic Instruments a Minor Basic Instruments a
Major Basic b Major Basic b
GHOST-T Instruments Traditional FST Instruments GHOST-T Instruments Traditional FST Instruments
Forceps Forceps
Kelly forceps (4) Kelly forceps (6) Mosquito-Halsted Mosquito-Halsted
Kochers (2) Kochers (4) forceps (6) forceps (6)
Allis, Regular (2) Allis, Regular (4) Kelly forceps (4) Kelly forceps (6)
Allis, Long (2) Allis, Long (4) Adson tissue (2) Adson tissue (2)
Babcock, regular (2) Babcock, regular (2) Tissue forceps (2) Tissue forceps (2)
Babcock, long (2) Babcock, long (2) Gerald forceps (2) Gerald forceps (2)
Right angle (2) Right angle (2) Debakey forceps (2) Debakey forceps (2)
Tonsils (2) Tonsils (2) Hegar needle holders (2) Hegar needle holder (2)
Rochester Pean (2) Rochester Pean (6) Kocher clamps (4) Kocher clamps (4)
Satinsky (1 L, 1 S) Right angle (2) Right angle (2)
Sponge forceps (2) Sponge forceps (2) Towel clamps (6) Towel clamps (6)
DeBakey forceps (1 L, 1 M, 1 S) DeBakey forceps (1 L, 1 M, 2 S) Rochester-Pean (4)
Hegar needle holder 7" (1) Hegar needle holder 7" (2) Sponge forceps (2)
Hegar needle holder 10.5" (1) Hegar needle holder 10.5" (1) Allis 6" (4)
Rochester Pean-Hysterectomy (2) Debakey 7" needle holder (1)
Kidney Pedicle Guyon-Pean (2) Ryder 5" needle holder (1)
Tissue forceps (2) Retractors
Adson tissue (2) Gelpi self-retaining (2) Gelpi self-retaining (1)
Russian tissue (2) Weitlander self-retaining (2) Weitlander self-retaining (2)
Towel clamps (6) Army-Navy (2) Army-Navy (1)
Bone cutting Liston-Stille (1) Tracheal Hupp (1)
DeBakey Needle holder (1) Vein Cushing (1)
Heaney needle holder (1) Scissors
Tenotomy (1) Tenotomy (1)
Retractors
Richardson (1 L, 1 M) Richardson (1) Iris (1) Iris (1)
Ribbon (1", 1.5", 2") Ribbon (1", 1.5", 2") Metzenbaum (7", 9") Metzenbaum (7", 9")
Deaver retractor (1 L, 1 M) Deaver (1) Mayo (1 curved, 1 straight) Mayo (1 curved, 1 straight)
Army-Navy (1) Additional Items
Balfour (1) Knife handle #3 (1) Knife Handle #3 (2)
Scissors Yankauer (1) Yankauer (1)
Metzenbaum scissors (9", 11") Metzenbaum scissors Frazier suction 8F (1)
(7", 9", 11") a Bold font indicates differences between the sets.
b The number in parentheses indicates the number of the specific in-
Mayo scissors Mayo scissors
(1 straight, 1 curved) (1 straight, 1 curved) strument included within the set
Additional Items
Yankauer suction (1) Knife Handle #7 (2) Table 5 GHOST-T Vascular Set Instrument Inventory
Poole suction (1) Poole suction (1) Vascular Set a
Knife Handle #3 Knife Handle #3 Debakey clamp, angled (2)
(1 Regular, 1 Long) (1 Regular, 1 Long)
Satinsky clamp (1)
L, large; M, medium; S, small.
a Bold font indicates differences between the sets. Castro Viejo needle holder (1)
b The number in parentheses indicates the number of the specific in- Bulldog clamp (2)
strument included within the set. Right angle clamps (2)
Tonsil clamps (1)
traditional cardiothoracic set. The traditional amputation and Weitlander retractor, large sharp (1)
orthopedic sets (Table 6) were cumbersome and required both Potts scissors (1)
sets to be used to address an orthopedic injury. To perform an
amputation in the damage control setting does not require a Solution cup (1)
The number is indicates the number of the specific instrument in-
dedicated set of instruments but rather the minor basic set, a a cluded within the set.
scalpel blade, and a manual bone saw (i.e., Gigli saw). Thus,
the orthopedic and amputation sets were removed completely, Much larger changes were made in the cardiothoracic, thora-
and the Gigli saw and rongeur (a biting instrument used for cotomy, and emergency thoracotomy trays by consolidating
cutting tough tissue and bone) were individually packed. If these into one thoracic set (Table 7). The concept of three dif-
an orthopedic injury required more than basic splinting, the ferent sets is feasible for a fixed FST. This is not an option for
prepackaged Hoffman 3 external fixator set (Stryker Corp.; a mobile GHOST-T mission; therefore, most of the clamp and
http://www.stryker.com) could be used. tissue forceps and extra retractors were removed. If additional

42 | JSOM Volume 17, Edition 3/Fall 2017