Electronic Resource
Death on the battlefield (2001-2011): Implications for the Future of Combat Casualty Care
| العنوان: | Death on the battlefield (2001-2011): Implications for the Future of Combat Casualty Care |
|---|---|
| المؤلفون: | ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX, Eastridge, Brian J, Mabry, Robert L, Seguin, Peter, Cantrell, Joyce, Tops, Terrill, Uribe, Paul, Mallett, Olga, Zubko, Tamara, Oetjen-Gerdes, Lynne, Rasmussen, Todd E |
| المصدر: | DTIC |
| بيانات النشر: | 2012-12 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Critical evaluation of all aspects of combat casualty care, including mortality, with a special focus on the incidence and causes of potentially preventable deaths among US combat fatalities, is central to identifying gaps in knowledge, training, equipment, and execution of battlefield trauma care. The impetus to produce this analysis was to develop a comprehensive perspective of battlefield death, concentrating on deaths that occurred in the pre-medical treatment facility (pre-MTF) environment. METHODS: The Armed Forces Medical Examiner Service Mortality Surveillance Division was used to identify Operation Iraqi Freedom and Operation Enduring Freedom combat casualties from October 2001 to June 2011 who died from injury in the deployed environment. The autopsy records, perimortem records, photographs on file, and Mortality Trauma Registry of the Armed Forces Medical Examiner Service were used to compile mechanism of injury, cause of injury, medical intervention performed, Abbreviated Injury Scale (AIS) score, and Injury Severity Score (ISS) on all lethal injuries. All data were used by the expert panel for the conduct of the potential for injury survivability assessment of this study. RESULTS: For the study interval between October 2001 and June 2011, 4,596 battlefield fatalities were reviewed and analyzed. The stratification of mortality demonstrated that 87.3% of all injury mortality occurred in the pre-MTF environment. Of the pre-MTF deaths, 75.7% (n = 3,040) were classified as nonsurvivable, and 24.3% (n = 976) were deemed potentially survivable (PS). The injury/physiologic focus of PS acute mortality was largely associated with hemorrhage (90.9%). The site of lethal hemorrhage was truncal (67.3%), followed by junctional (19.2%) and peripheral-extremity (13.5%) hemorrhage. Journal of Trauma and Acute Care Surgery v73 n6 pS431-S437, 2012. |
| مصطلحات الفهرس: | Medicine and Medical Research, Weapons Effects(biological), CASUALTIES, COMBAT FORCES, DEATH, MEDICAL SERVICES, MORTALITY RATE, AUTOPSY, BATTLEFIELDS, DEPLOYMENT, FACILITIES, HEMORRHAGE, INTERVENTION, IRAQ, LETHALITY, MEDICAL RESEARCH, MEDICINE, MILITARY PERSONNEL, OPERATION, REPRINTS, SCALE, SITES, SURVIVABILITY, TEST AND EVALUATION, TRAINING, TRAUMA, WARFARE, WOUNDS AND INJURIES, MORTALITY, Text |
| URL: | |
| الاتاحة: | Open access content. Open access content Approved for public release; distribution is unlimited. |
| ملاحظة: | text/html English |
| Other Numbers: | DTICE ADA609264 913591979 |
| المصدر المساهم: | From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.ocn913591979 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |