Injury Severity and Causes of Death From Operation Iraqi Freedom and Operation Enduring Freedom: 2003–2004 Versus 2006

Kelly, Joseph F.; Ritenour, Amber E.; McLaughlin, Daniel F.; Bagg, Karen A.; Apodaca, Amy; Mallak, Craig T.; Pearse, Lisa; Lawnick, Mary M.; Champion, Howard R.; Wade, Charles E.; Holcomb, John B.

doi:10.1097/ta.0b013e318160b9fb

Cited by 471 publications

(332 citation statements)

References 24 publications

(26 reference statements)

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“…Moreover, war shatters lives, especially of those who are directly exposed to the deadly risks of the battlefield. Despite the many adverse effects of conflict, during the last decade, most epidemiological military research has been focused on describing the occurrence of combat injuries on the battlefield [5][6][7][8] . Furthermore, efforts have been made to develop interventions aimed to improve the survival of the wounded in combat 8,9 .…”

Section: Introductionmentioning

confidence: 99%

Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace

Ordóñez¹,

Manzano²,

Parra³

et al. 2017

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Patients were subsequently divided into two groups: those seen before the declaration of the process of peace truce (November 2012) and those after (negotiation period). Variables were compared with respect to periods Results: A total of 448 hostile casualties were registered. There was a gradual decline in the number of admissions to the emergency department during the negotiation period. The number of soldiers suffering blast and rifle injuries also decreased over this period. In 2012 there were nearly 150 hostile casualties' admissions to the ER. This number decreased to 84, 63, 32 and 6 in 2013, 2014, 2015 and 2016 respectively. Both, the proportion of patients with an ISS ≥9 and admitted to the intensive care unit were significantly higher in the period before peace negotiation. From August to December/2016 no admissions of war casualties were registered. Conclusion:We describe a series of soldiers wounded in combat that were admitted to the emergency department before and during the negotiation of the Colombian process of peace. Overall, we found a trend toward a decrease in the number of casualties admitted to the emergency department possibly in part, as a result of the period of peace negotiation. Article history:Received: 18 July 2017 Revised: 14 November 2017 Accepted: 20 December 2017 Keywords:Military personnel, wounds and injuries, critical care, critical care outcomes, warfare Palabras clave:Policia militar, heridas y lesiones, cuidado critico, resultados en cuidado critico, guerra Este número disminuyó a 84, 63, 32 y 6 en los años 2013, 2014, 2015 y 2016 respectivamente. La proporción de pacientes con un ISS ≥9 y la proporción de admitidos a la unidad de cuidado intensivo fueron significativamente mayores en el periodo antes de la negociación.Desde Agosto a Diciembre/2016 no se registraron admisiones. Conclusión:Este estudio describe una disminución gradual en el número de soldados heridos en combate admitidos al departamento de emergencia en un periodo de 6 años. Este fenómeno pudo deberse al periodo de negociación del proceso de paz.

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Section: Introductionmentioning

confidence: 99%

Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace

Ordóñez¹,

Manzano²,

Parra³

et al. 2017

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“…Furthermore, as the engagements in Iraq and Afghanistan evolved over time, the injury patterns sustained by casualties changed as a result of an increased use and sophistication of improvised explosive devices and other munitions as the enemy became more experienced in engaging US troops. 1 Limitations also existed with the resident cohort. Residents assessed were from a single military general surgical training program at Brooke Army Medical Center, a level I trauma center.…”

Section: Discussionmentioning

confidence: 99%

“…Most graduating military general surgeons will deploy within 1 year of completing residency training, and will encounter combat injuries from mechanisms that are substantially different than those seen in civilian trauma. 1 The current conflict has resulted in a high incidence of explosion-related injuries due to the frequent use of improvised explosive devices by enemy combatants. This has resulted in a large proportion of extremity trauma.…”

mentioning

confidence: 99%

Current US Military Operations and Implications for Military Surgical Training

Tyler

Clive

White

et al. 2010

Journal of the American College of Surgeons

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“…För att förbättra överlevnaden hos de som skadas i fält har ett antal epidemiologiska studier genomförts, dvs. närmare undersökningar av skadornas omfattning, orsak och förlopp (Bellamy, 1992;Bellamy, 1995;Bellamy et al, 1986;Farkash, Lynn, Abargel, Eldad & Scope, 2001 (Bellamy, 1984;Butler, F., Hagmann & Butler, E., 1996;Champion et al, 2003;Holcomb et al, 2007;Kelly et al, 2008).…”

Section: Militär Personalunclassified

Militär akutsjukvård i fält : när den övade verkligheten blir verklig

Andersson¹

2014

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Aims: Governing for the Armed Forces health care is respect for human dignity and the view of each individual as irreplaceable. The quality of the military care will be at a level equivalent to that of today's civil peace healthcare, which requires that the training is of high quality. Casualty care in the military environment is a complex, challenging and dangerous task. Today there is a lack of knowledge about how to learn these skills. The purpose of the research was to identify the knowledge area pre-hospital care in the military environment by examining what doctors, nurses, paramedics and officers learn about military health care during preparation and exercise. Method: A phenomenographic approach was used in all sub-studies, and empirical data were collected by means of semi-structured interviews. Study I‐III are cross-sectional studies and study IV is a longitudinal study. Twelve registered nurses who had served in Bosnia were interviewed for study I, and 24 conscript paramedics were interviewed for study II. Study III included 20 officers in their pre-deployment training for service in Afghanistan and Liberia, and Study IV included 7 doctors and twenty nurses who previously had served in Afghanistan, Bosnia, Kosovo and Liberia. Results: Learning military health care by training and gaining experience can be seen as different abilities; interaction, action and reflection. In-depth analysis at a meta--‐level revealed that the integration between the military and military medical fields of knowledge was missing. The results indicate that participants' understanding of their respective fields of knowledge is inadequate and needs to be integrated in education in a clearer way. Implications: To create opportunities for better education and integration in these fields of knowledge are proposed (1) that the findings of the thesis could be utilised to develop the design of the curriculum (2) the inter-professional learning is introduced as a part of creating a safer and more effective pre-hospital care, (3) the clinical competence becomes part of the development of pre-hospital emergency care in the field, and (4) that the training is built according to the principle of "train as you fight" with emphasis on the requirements in the combat zone

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Injury Severity and Causes of Death From Operation Iraqi Freedom and Operation Enduring Freedom: 2003–2004 Versus 2006

Cited by 471 publications

References 24 publications

Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace

Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace

Current US Military Operations and Implications for Military Surgical Training

Militär akutsjukvård i fält : när den övade verkligheten blir verklig

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