Dealing With Burn Patients in War Zones

Koutras, Antonios; Syllaios, Athanasios; Tsilikis, Ioannis; Kalinterakis, Georgios; Zotos, Prokopis-Andreas; Zouliati, Ifigeneia; Michalinos, Adamantios; Karavokyros, Ioannis; Schizas, Dimitrios; Pikoulis, Emmanouil

doi:10.1017/dmp.2019.127

Cited by 3 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The latter should result in immediate need for intubation, especially those combined with other injuries. 44 , 45 Burns associated with blast injuries can involve both civilian and military populations and demand a well-organized chain of triage and medical care actions from the scene of incident to hospital admission and intensive care treatment. 45 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Review of Military Casualties in Modern Conflicts—The Re-emergence of Casualties From Armored Warfare

Khorram‐Manesh

Goniewicz²,

Burkle

et al. 2021

Military Medicine

View full text Add to dashboard Cite

Introduction The re-emergence of armored warfare in modern conflicts has resulted in a higher number of extremity injuries, burns, and brain injuries. Despite this dramatic increase, little is reported on the type of injuries caused and their management. This review summarizes the publicly available literature and reports on the rate and type of injuries related to armored warfare, their medical outcomes, and management limitations. Materials and Methods This rapid evidence review involves a systematic literature search, followed by a non-systematic literature review. The reason for choosing this approach was the inherent lack of quantitative outcome data in the literature to satisfy the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The study also used content analysis to study all peer-reviewed articles, focusing on similarities and differences in the findings necessary to formulate tentative results. The electronic search included PubMed, Scopus, and Web of Science, using the following search string: “Armored; Injuries; Mechanized; Morbidity; Mortality; War; Warfare”, alone or in combination. Results Modern conflicts are associated with higher number of extremity injuries, burns, and brain injuries among military casualties. Several publications claim that the characteristics of armored warfare and anticipated injuries in this type of warfare might require the far forward deployment of medical support supported by a reliable casualty evacuation chain. Still the quality of the available casualty data is low. Conclusions Because of the limited availability of reliable data or military trauma registries, up-to-date military casualty estimation remains a recognized knowledge gap, which needs to be addressed by armed forces worldwide. The future management of modern war casualties requires professional and well-trained staff in all levels, indicating a need for educational initiatives to provide both nurses and medics a greater proportion of medical care and management capabilities and responsibilities than in past conflicts.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Educational initiatives to secure the future ability of anesthesiologist competence are needed. 30 , 31 , 44 , 45 …”

Section: Discussionmentioning

confidence: 99%

Review of Military Casualties in Modern Conflicts—The Re-emergence of Casualties From Armored Warfare

Khorram‐Manesh

Goniewicz²,

Burkle

et al. 2021

Military Medicine

View full text Add to dashboard Cite

show abstract

“…Men and women in the US Marine Corps are a unique population in that they represent the most physically fit and leanest of the military service branches (Potter, Tharion, et al, 2022). The US Marines are an example of a population that would benefit from practical and accurate predictions of BSA, where the applications include performance limit predictions during exhausting physical work in extreme temperatures (Hakre et al, 2004), clinical management of thermal injuries on the battlefield (Koutras et al, 2021), and precise drug dosing in life‐and‐death situations (Martin et al, 2014). Yet whether the existing ANSUR II formulae are appropriate for estimating BSA in modern US Marine Corps men and women remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Body surface area equations for physically active men and women

Looney

Potter

Arcidiacono

et al. 2022

American J Hum Biol

View full text Add to dashboard Cite

Objectives: To improve predictive formulae for estimating body surface area (BSA) in healthy men and women using a modern three-dimensional scanner technology.Methods: Body surface areas were obtained from a convenience sample of 1267 US Marines (464 women and 803 men) using a whole body surface scanner (Size Stream SS20). The reliability of SS20 measures of total and regional BSA within participants was compared across triplicate scans. We then derived a series of formulae to estimate SS20-measured BSA using various combinations of sex, height, and mass. We also assessed relationships between percent body fat measured by dual-energy x-ray absorptiometry and sex-specific formulae errors in Marines. Results: Body surface areas recorded by the SS20 were highly reliable whether measured for the total body or by region (ICC ≥ .962). Formulae estimates of BSA from sex, height, and mass were precise (root-mean-square deviation, 0.031 m 2 ). Errors from the Marine Corps formulae were positively associated with percent body fat for men (p = .001) but not women (p = .843). Conclusions: Clinicians, military leaders, and researchers can use the newly developed BSA formulae for precise estimates in healthy physically active men and women. Users should be aware that height-and mass-based BSA estimates are less accurate for individuals with extremely low or high percent body fat.

show abstract