The First 30 Months Experience in the Non-Doctrinal Operation Inherent Resolve Medical Theater

Feasibility of conducting a military-relevant multicenter cohort study to assess outcomes of early trauma resuscitative interventions in a prolonged care civilian setting

“…United States military trauma experts have also called for a more robust base of scientific evidence to inform improvements of clinical guidelines relevant for prolonged care settings 12 . However, there remain extensive operational and practical limitations to performing research in the deployed combat setting 13 . Thus, locations with a naturally high incidence of trauma and large burden of postinjury morbidity and mortality, especially those with prolonged durations of care beyond those experienced in the United States, are needed for such research 13 …”

“…However, there remain extensive operational and practical limitations to performing research in the deployed combat setting 13 . Thus, locations with a naturally high incidence of trauma and large burden of postinjury morbidity and mortality, especially those with prolonged durations of care beyond those experienced in the United States, are needed for such research 13 …”

“…12 However, there remain extensive operational and practical limitations to performing research in the deployed combat setting. 13 Thus, locations with a naturally high incidence of trauma and large burden of postinjury morbidity and mortality, especially those with prolonged durations of care beyond those experienced in the United States, are needed for such research. 13 The Western Cape of South Africa is an ideal and exceptional setting to gather evidence relevant to prolonged care, partly because it has one of the largest populations of severe patients facing prolonged care and documentation that is readily accessible.…”

“…13 Thus, locations with a naturally high incidence of trauma and large burden of postinjury morbidity and mortality, especially those with prolonged durations of care beyond those experienced in the United States, are needed for such research. 13 The Western Cape of South Africa is an ideal and exceptional setting to gather evidence relevant to prolonged care, partly because it has one of the largest populations of severe patients facing prolonged care and documentation that is readily accessible. 11 In collaboration with civilian partners in the United States and South Africa, the US Department of Defense (DOD) has funded a multicenter, prospective observational, large-scale epidemiologic study in South Africa, called "Epidemiology and Outcomes of Prolonged Trauma Care: A Prospective Multi-Center Observational Study in the Western Cape of South Africa" (EpiC).…”