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In summary, it appears that resistance to infection is somewhat appears to vary depending on the type of tissues involved. Part
restored after about 4 weeks of smoking cessation. However, 2 of this series will explore the possibility that there is a causal
restoration of normal collagen metabolism appears to take relationship between smoking and injuries.
considerably longer and may be dependent on the amount of
prior smoking. Disclaimer
The views expressed in this presentation are those of the au-
thors and do not necessarily reflect the official policy of the
Conclusion
Department of Defense, Department of the Army, US Army
This review indicates that there is considerable epidemiologi- Medical Department, or the US government. The use of trade-
cal evidence indicating that cigarette smoking is associated mark names do not imply endorsement by the US Army but
with injuries. Further, human, animal, and isolated tissue re- is intended only to assist in the identification of a specific
search provide physiological and psychosocial mechanisms product.
suggesting that this association may be biologically plausibil-
ity. Smoking cessation reduces risks for some types of injuries Author Contributions
and healing processes, but the length of time for this effect Both authors approved the final version of the manuscript.
View the references online at
https://www.jsomonline.org/References/20181108Knapik.php
Trauma Surgeons Push for Stop the Bleed Kits
in Wake of Mass Casualty Incidents
Newswise—“University of Alabama at Birmingham “Kerby and/or Strickland is available for phone and/or
trauma surgeons Jeff Kerby, MD, and Virginia Strickland, radio and video interviews from our UAB News Studio,
MD, have provided on-site Stop the Bleed kits and train- which can broadcast live to anywhere in the world. A com-
ing at local Alabama schools, and they are pushing for plete list of UAB experts is available here [link provided
further distribution of these trauma kits both in Alabama at source].
and nationwide.
“The Stop the Bleed campaign is organized by the Ameri-
“Just last week, Kerby and Strickland provided a Face- can College of Surgeons and Hartford Consensus. Because
book Live training on Stop the Bleed trauma kits and victims can quickly die from uncontrolled bleeding—as
discussed the need for funding around the country for soon as five or 10 minutes after injury—the campaign
this initiative. aims to provide the general public with the knowledge and
tools to respond quickly in the event of an emergency, even
“‘We know in some cases, shooting victims in these before trained professionals can arrive. Stop the Bleed is
mass casualty events bled out and died before first re- modeled after the very successful efforts to place AEDs—
sponders could arrive to perform emergency medical automated external defibrillators—in public places.”
treatment,’ said Kerby. ‘With shooting scenes on lock-
down and shooters still on the loose or unaccounted for, [Article ID: 689582; released: 14-Feb-2018 5:05 PM EST;
there is all too often a delay in emergency personnel’s source Newsroom: University of Alabama at Birmingham:
reaching the injured. But if the survivors are prepared https://newswise.com/articles/trauma-surgeons-push
and equipped to respond, they may be able to keep a -for-stop-the-bleed-kits-in-wake-of-mass-casualty
victim alive until other resources are available.’ -incidents]
112 | JSOM Volume 18, Edition 1/Spring 2018

