Prospective Computerised Surface Wound Mapping will Optimise Future Body Armour Design

Characteristics of Maxillofacial Injuries and Safety of In-Theater Facial Fracture Repair in Severe Combat Trauma

“…Facial protec tion is currently worn by U.S. Army aircrew, and recent work has explored the optimization of personal protective equip ment to specifically protect the face and neck. [38][39][40] Overall, one of the primary strengths of this study was the use of the EMED, which allowed for the selection of highacuity patients, confirmation of information with radiologic and operative records, and categorization of injury mecha nisms. Furthermore, we demonstrated excellent inter-rater reliability between our head and neck surgeon and certified EMED coders.…”

Using computerised surface wound mapping to compare the potential medical effectiveness of Enhanced Protection Under Body Armour Combat Shirt collar designs

“…This approach also relies on accurate knowledge of the entry wound locations for injuries coded by the AIS system. Such wound mapping information has been demonstrated previously to only be accurate if it is obtained prospectively6 and to date has only been collected for the face and neck body regions. Finally, the use of AIS scores alone without verification of outcome by review of clinical hospital records for survivors or post-mortem records for those who died means that this technique should be seen more as a manner of comparing coverage than an injury prediction model.…”

“…SWM has been attempted intermittently since World War I,6–8 but has never gained mainstream acceptance6 despite the potential for validation in coverage provided by differing designs of Personal Protective Equipment (PPE). The Defence Science and Technology Laboratory in conjunction with the Royal Centre for Defence Medicine (RCDM) has developed a novel electronic SWM tool called the Interactive Mapping Analysis Platform (IMAP),6 designed to be used prospectively, collecting information as close to the point of wounding as possible. The neck portion of the body model within IMAP uses the skin geometries of the Zygote V.5.0 (Zygote Media Group Inc, American Fork, Utah, USA), a commercially procured model that uses geometries based from MRI and CT scans of humans.…”

“…Information on the types of injuries sustained by UK service personnel is contained in the UK Joint Theatre Trauma Registry (JTTR) held by RCDM 1 6. Information is entered retrospectively using clinical records for survivors and post-mortem records for fatalities 1 7.…”

Military plastic surgery

“…[17][18][19][20] Protection from these mechanisms has evolved into a science of itself, with the aim of producing increasingly light materials that can withstand high-energy contact. [17][18][19][20] Protection from these mechanisms has evolved into a science of itself, with the aim of producing increasingly light materials that can withstand high-energy contact.…”