Improved survival in UK combat casualties from Iraq and Afghanistan

Penn-Barwell, Jowan G.; Roberts, Stuart; Midwinter, Mark J.; Bishop, Jonathan

doi:10.1097/ta.0000000000000580

Cited by 177 publications

(87 citation statements)

References 17 publications

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“…Good technical expertise and understanding of human factors are important 45. Human factors “enhance clinical performance through an understanding of the effects of teamwork, tasks, equipment, workspace, culture, and organisation on human behaviour and abilities and application of that knowledge in clinical settings.” 6 In major trauma, human factors are considered in the way the trauma bay is organised, the equipment designed, and the standard operating procedures are written, alongside periodic training of the trauma team.…”

Section: How Does the Trauma Team Organise Before The Patient Arrives?mentioning

confidence: 99%

The trauma call

Mercer

Kingston

Jones

2018

BMJ

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Section: How Does the Trauma Team Organise Before The Patient Arrives?mentioning

confidence: 99%

The trauma call

Mercer

Kingston

Jones

2018

BMJ

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“…Such developments are significantly associated with advances in battlefield medicine 12. However, the psychological needs of these service members have also emerged as an area of enquiry and clinical practice.…”

Section: Psychology Mental Healthcare and Rehabilitative Medicinementioning

confidence: 99%

Neuropsychology and clinical health psychology in the UK Ministry of Defence

2018

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Neuropsychological testing has been used in a wide range of applications across military settings, including the selection of personnel to engage in covert operations, battlefield assessment and rehabilitation following blast exposure, traumatic brain injury, other neurological conditions and assessment of malingering. Over recent decades, military psychologists have helped to shape the advances in assessing and remediating the psychological sequela that is associated with operationally related neurological and other physical injuries. This paper will present an overview of some of the neuropsychological and related services within the UK Armed Forces, which are provided to service personnel with traumatic brain and other physical injuries.

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“…The majority of deaths occur before even reaching a surgical facility 3. A system combining advanced physician-led prehospital care, early blood product delivery and aggressive consultant-delivered acute hospital care has been shown to optimise survival from severe battlefield trauma, despite very complex injury patterns 4. The ongoing development of systems with which to combat bleeding is a top priority in saving life.…”

Section: Bleeding Is the Primary Cause Of Death On Kinetic Combat Opementioning

confidence: 99%

REBOA at Role 2 Afloat: resuscitative endovascular balloon occlusion of the aorta as a bridge to damage control surgery in the military maritime setting

Rees¹,

Waller

Buckley³

et al. 2017

J R Army Med Corps

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Role 2 Afloat provides a damage control resuscitation and surgery facility in support of maritime, littoral and aviation operations. REBOA offers a rapid, effective solution to exsanguinating haemorrhage from pelvic and non-compressible torso haemorrhage. It should be considered when the patient presents in a peri-arrest state, if surgery is likely to be delayed, or where the single operating table is occupied by another case. This paper will outline the data in support of endovascular haemorrhage control, describe the technique, and explore how REBOA could be delivered using equipment currently available in the Royal Navy Role 2 Afloat equipment module. Also discussed are potential future directions in endovascular resuscitation. Key Messages:• REBOA is part of an evolving advanced endovascular resuscitation system.• REBOA has the potential to offer rapid and effective anatomical control of bleeding, allowing for physiological optimisation before and during damage control surgery.• In the military setting, and particularly where access to surgery is limited, REBOA could save lives from haemorrhage.REBOA at Role 2 Afloat: Resuscitative endovascular balloon occlusion of the aorta as a bridge to damage control surgery in the military maritime setting.

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Improved survival in UK combat casualties from Iraq and Afghanistan

Abstract: Epidemiologic study, level III.

Cited by 177 publications

References 17 publications

The trauma call

The trauma call

Neuropsychology and clinical health psychology in the UK Ministry of Defence

REBOA at Role 2 Afloat: resuscitative endovascular balloon occlusion of the aorta as a bridge to damage control surgery in the military maritime setting

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