Effect of a Targeted Education Intervention on the Incidence of Waste-Burning Injuries in a Military Population

Kauvar, David S.; Baer, David G.

doi:10.1097/bcr.0b013e3181ac0190

Cited by 6 publications

(2 citation statements)

References 7 publications

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“…In this study, as in others, a large number of non-conflict related flame burns in troops resulted from waste burning, previously found to be the most common cause of burns in troops 7 14. Our data shows that currently IED blast related burns outnumber waste burning injuries (21 vs 19).…”

Section: Discussionsupporting

confidence: 80%

One year of burns at a Role 3 Medical Treatment Facility in Afghanistan

Jeevaratnam¹,

Pandya²

2013

J R Army Med Corps

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Objectives Historically, burns have formed a significant proportion of the casualties of war. The management of burns in recent conflict has been found to be a resourceheavy undertaking, though its impact on both personnel and resources in current conflicts is unclear. A case analysis has been carried out in order to quantify the logistical impact of the management of burns on Role 3 Medical Treatment Facility (MTF) infrastructure and to examine if and how the cause and management of burns have evolved in early 21st century conflict. Methods All casualties treated for burns at a Role 3 MTF over one calendar year were identified and scanned copies of their notes obtained from the UK Joint Theatre Trauma Registry and retrospectively analysed. Results 88 of the 1461 (6.0%) trauma patients presenting to the Role 3 MTF over the year were treated for burns of whom 52.3% were combat troops and 45.4% civilians. Half of the burns were caused by non-conflict related mechanisms; the two commonest mechanisms were flame burns in 38/88 mostly non-conflict related cases and blast in 30/88 cases most of which were conflict related. Conclusions The management of burns at war is a complex process. It is further confounded by the management of civilians with non-conflict related burns, which places a predictable strain on Role 3 MTF resources: theatre time, nursing time, dressing resources and bed space. This must be planned for in current and future deployed operations.

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Section: Discussionsupporting

confidence: 80%

One year of burns at a Role 3 Medical Treatment Facility in Afghanistan

Jeevaratnam¹,

Pandya²

2013

J R Army Med Corps

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“…As a result, we have the opportunity to observe patterns of injury and implement programs in order to prevent and better treat these burns. Examples include identification of significant numbers of waste burning accidents and implementation of an awareness program [30], identification of large numbers of debilitating hand burns and implementation of a rapid equipping program for fire resistant gloves [31], identification of thermal injury to the portions of the torso not covered by body armour and development of improved protective clothing, and identification of over resuscitation injury and implementation of a burn resuscitation flow sheet to ensure appropriate care. The second objective is to translate pre-clinical research from the other research areas at the institute into a clinical environment for validation.…”

Section: Clinical Trialsmentioning

confidence: 99%

Combat Casualty Care Research at the U.S. Army Institute of Surgical Research

et al. 2009

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The Institute of Surgical Research is the U.S. Army's lead research laboratory for improving the care of combat casualties. The Institute follows a rigorous process for analyzing patterns of injury and the burden of disease to determine where research can be conducted in order to positively impact care. These analyses led the ISR to focus research on: preventing death from bleeding; developing improved pain control techniques; developing improved vital signs analysis techniques; improving the treatment of extremity injuries; preventing burn injuries on the battlefield; and improving critical care for combat casualties. This process has resulted in numerous improvements in care on the battlefield. Highlights include development, fielding, and efficiency testing of tourniquets and improved dressings for bleeding control. Significant progress has also been made in the resuscitation of combat casualties using blood products instead of crystalloid or colloid solutions. Improvements in pain control include assessments of the effect of perioperative anaesthetics on the development of post-traumatic stress disorder [PTSD]. Novelvital signs analyses have been successful in identifying promising techniques which may improve the medic's ability to accurately triage patients. Current research in extremity injuries has focused on optimizing the use of negative pressure wound therapy for contaminated wounds. Burn research has focused on improving personnel protective equipment and implementing continuous renal replacement therapy. This research program is soldier focused and addresses care from self aid and buddy aid through all echelons of care. Many of these advances have been adopted in civilian medical centres as well, benefiting not only the military trauma patient, but also the civilian trauma patient.

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