Improved Characterization of Combat Injury

Abstract

These new tools have been successfully implemented to describe combat injury, mortality, and distribution of wounds and associated injuries. AIS 2005-Military is a more precise assignment of severity to military injuries. SWM has brought data from all three combat registries together into one analyzable database. SWM and SWAT allow visualization of wounds and associated injuries by region on a 3D model of the body.

Extremity injuries in soldiers during the conflict in Mali: experience of Togo Level two Hospital

“…In level 3 hospitals, orthopaedic surgery is the most frequent type, representing between 40 and 77 % of surgical activities [6][7][8]. The use of military protective equipment, such as helmets, goggles and bulletproof vest in theatres of war increased extremity injuries (60 %) and significantly reduced craniofacial and chest injuries, which are most often fatal [4,9].…”

Combat wounds in Iraq and Afghanistan from 2005 to 2009

“…Combat casualties that are returned to duty and excluded from casualty statistical analysis will bias the reported results to more severe injuries. A substantial limitation of the current study is the absence of information detailing injury severity and its subsequent evaluation, the ideal of which is described in the work of Champion et al 29 The authors contend that the present study's detailed data analysis allows for the most complete and thorough reporting of combat injuries to date.…”

Fluid Therapy in Trauma

“…There is obligatory movement of sodium and chloride along with water. Large volumes of sodium-containing fluids given for resuscitation aggravate the retention [2]. Excessive fluid and electrolyte retention and interstitial oedema are an independent risk factor for SIR syndrome and multiple organ dysfunction, and failure [13].…”

“…This makes it difficult tu develop and test new resuscitation concepts [2]. In combat zones 7% of combat casualties require massive transfusion.…”

“…In combat zones 7% of combat casualties require massive transfusion. War casualities however, face the problem oflogistics [2,3]. Countries like USA, UK have immediate access tu PRBCs and thawed ABIA plasma and rapid access to apheresis platelets, pre-pooled cryoprecipitate, fresh whole blood, and rFVIIa in most war-zones.…”