Page 46 - Journal of Special Operations Medicine - Fall 2017

Table 7 Comparison of Instruments for the GHOST-T Thoracic Set and the Traditional FST Cardiothoracic, Thoracotomy and Emergency
Thoracotomy Sets a
Thoracic Cardiothoracic Thoracotomy Emergency Thoracotomy
GHOST-T Instruments b Traditional FST Instruments b
Forceps
Debakey tangential clamp (1) Debakey tangential clamp (1) Debakey tangential clamp (2) Debakey tangential clamp (1)
Duval (1) Duval (2) Duval (4) Duval (2)
Cooley derra clamp (1) Cooley derra clamp (2) Right angle (4) Cooley derra clamp (2)
Debakey tissue forceps, long (2) Debakey tissue forceps, long (1) Debakey tissue forceps, long (3)
Debakey 12" needle driver (1) Bulldog clamp (2) Needle driver (4) Needle driver (1)
DeBakey aortic clamp (1) Ferris Smith tissue (2) Ferris Smith tissue (1)
Rochester-Pean (4) Rochester-Pean (2)
DeBakey tissue forceps (2) DeBakey tissue forceps (1)
Penetrating towel clamps (6)
Kelly forceps (10)
Kocher clamp (2)
Allis 6" (2)
Babcock (2)
Sponge forceps (2)
Heaney needle driver (1)
Thoracic forceps 11” (2)
Adson tissue (2)
Retractors
Finechetto (1) Finechetto (1) Finechetto (1)
Scapula (1)
Liver (1)
Richardson (2)
Bard-Parker (2)
Rib spreader (2)
Scissors
Mayo, curved (1) Mayo (1 straight, 1 curved, 1 XL) Mayo (1 straight, 1 curved)
Metzenbaum (1) Metzenbaum (1) Metzenbaum (1)
Additional items
Lebsche knife (1) Lebsche knife (1) Lebsche knife (1) Lebsche knife (1)
Mallet (1) Mallet (1) Mallet (1) Mallet (1)
Knife handle #3 (1) Doyen elevator (R, L) Knife handle #3 (2) Knife handle #3 (1)
Periosteotome (1) Bone cutter (2) Bone cutter (1)
Rib arbitrators (2)
Rongeur (1)
Rib elevator (1)
Poole suction (1)
Knife handle #3 xl (1)
L, left; R, right; XL, extra large.
a Bold font indicates differences between the sets.
b The number in parentheses indicates the number of the specific instrument included within the set.

control surgery. This allowed optimal use of each instrument teams will have an increased trauma physician presence with
and set. positions for two general surgeons, two orthopedic surgeons,
and two emergency physicians. They will continue to have
One specific issue with the traditional set arrangement was the flexibility to perform split-based missions, making this
the limited number of key instruments sealed within one in- team modular and agile. The mission maybe ever-changing,
strument set (i.e., aortic clamp, small vascular clamps, Balfour but the need for far forward surgical assets will remain stable.
self-retaining retractor, Gigli bone saw handles and wires). To There is always a strong need for far-forward damage con-
use the specific key instruments, entire traditional sets were trol surgical care for our Soldiers performing missions in aus-
opened. Mission-essential instruments that were predicted to tere environments. By implementing the lessons learned from
be used most frequently were sterilely individually packed to the modification of the instrument sets for future GHOST-T
allow more access and flexibility. missions and as building blocks to establish doctrine for the
FRSTs, the U.S. Armed Forces can continue to provide the
The face of the Army FST will be changing as it evolves into best care to those Soldiers in far-forward locations and aus-
the Forward Resuscitative Surgical Teams (FRSTs). These tere environments.

44 | JSOM Volume 17, Edition 3/Fall 2017