Incidence and Severity of Combat Hand Burns After All Army Activity Message

Hedman, Travis L.; Renz, Evan M.; Richard, Reg; Quick, Charles; Dewey, William S.; Barillo, David J.; Cancio, Leopoldo C.; Baer, David G.; Wolf, Steven E.; Holcomb, John B.

doi:10.1097/ta.0b013e318160ba0c

Cited by 12 publications

(5 citation statements)

References 12 publications

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“…The use of fire-resistant gloves, such as those made of Nomex or other similar materials, during military operations has been identified as effective in reducing burns to the hands, 8 and given that more than two-thirds of our cohort sustained these highly morbid injuries, we continue to recommend them. 9 This study has limitations that bear mentioning. Principally, our ability to generate conclusions based on the available data is limited by the retrospective nature of the study.…”

Section: Discussionmentioning

confidence: 96%

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

Kauvar

Baer

2009

Journal of Burn Care & Research

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The burning of waste is a common cause of accidental injury on the battlefield. This study was devised to determine the incidence of burns incurred while burning waste during U.S. military operations prior to and following an intervention targeted at reducing such injuries. The intervention consisted of memoranda outlining potential dangers and suggesting improved safety procedures. It was distributed to the combat theater (Iraq and Afghanistan) in March 2004. We reviewed military burn center records from March 2003 to March 2005. Demographics, injury data, and outcomes were recorded and compared between those casualties injured prior to and following the initiative. Twenty-four patients were injured while burning waste, 10% of military casualties admitted to the burn center during the study period. From March 2003 to March 2004, 20 patients were admitted with such injuries. The incidence of 1.67 per month was significantly (P<.05) higher than that seen the year after the intervention (four patients, 0.33 per month). TBSA burned was not different between the two time periods (9.8+/-8% before vs 6.3+/-7% after, P=.43). There were no deaths, and only one patient had an associated nonburn injury. Only 54% of patients returned to military duty. The initiative was followed by a significant decrease in the incidence of waste-burning injuries. We conclude that the initiative was successful and highlights the importance of continued military burn surveillance and prevention efforts.

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Section: Discussionmentioning

confidence: 96%

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

Kauvar

Baer

2009

Journal of Burn Care & Research

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“…During the 2003-2005 operations in Iraq, Kauvar et al [1] found that in a total of 142 patients, 80% suffered hand burns and 77% suffered facial burns. According to Hedman et al [6], the incidence of handburns remained unchanged after emphasizing the need to wear fire-resistant-rated hand protection during the war in Iraq. Intoxication by inhalation of hot gases and smoke is common in victims situated in military vehicles.…”

Section: Pattern Of Injurymentioning

confidence: 99%

Incidence, Cause and Treatment of Burn Casualties Under War Circumstances

Breederveld

Tuinebreijer

2009

Eur J Trauma Emerg Surg

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Five to ten percent of all combat injuries in the last decade of armed conflicts have been burns. Here, the incidence, demographics, and treatment are different compared to civilian practice. The percentage of hand and facial burns is higher, the population of patients is healthier, there are more associated injuries, and the transportation time is longer. Due to the prolonged transportation time, emergency treatment and also intermediate treatment are important for a good outcome in patients with burns suffered in a military environment. Treatment guidelines and education of the involved medical personnel according to the findings described herein are important for better results in future combat casualties.

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“…Multiple authors noted the difficulty of preventing injuries in combat situations while maintaining the flexibility and efficiency necessary for service members to perform their duties. The results of informational interventions to prevent burn injuries have been mixed (Hedman et al, 2008;. Lastly, we inspected articles that assessed effectiveness of diagnostic and severity assessment tools in military con-texts.…”

Section: Discussion and Preliminary Recommendationsmentioning

confidence: 99%

“…We found two studies about informational interventions targeting service members, both of which use the USAISR database. The first was a retrospective study of the effectiveness of an All Army Activity (ALARACT) message, distributed to Army leaders, that emphasized the importance of wearing fire-resistant-rated hand gear (e.g., Nomex or Kevlar) (Hedman et al, 2008). The message was distributed in December 2005, and the authors compared a variety of outcomes derived from USAISR records 17 months before (August 2004-December 2005) and 17 months after (January 2006-May 2007) the message to assess its effectiveness.…”

Section: Burn-prevention Education Strategiesmentioning

confidence: 99%

The Effect of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: A Review of the Scientific Literature

Engel¹,

McBain²,

McBirney³

et al. 2020

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Incidence and Severity of Combat Hand Burns After All Army Activity Message

Cited by 12 publications

References 12 publications

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

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

Incidence, Cause and Treatment of Burn Casualties Under War Circumstances

The Effect of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: A Review of the Scientific Literature

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