Wartime Burn Care in Iraq: 28th Combat Support Hospital, 2003

Stout, Louis R.; Jezior, James R.; Melton, Lisette P.; Walker, Joy A.; Brengman, Matthew L.; Neumeier, Sonia T.; Smith, Robin L.; VanFosson, Christopher A; Knuth, Thomas E.; Holcomb, John B.; Cancio, Leopoldo C.

doi:10.7205/milmed.172.11.1148

Cited by 18 publications

(4 citation statements)

References 41 publications

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“…However, definitive surgical care for local nationals may be required in the combat zone. We recommend that it be performed by qualified individuals at Role 3 facilities, 75 recognizing that this situation is far from ideal.…”

Section: Excision and Graftingmentioning

confidence: 98%

Prevention of Infections Associated With Combat-Related Burn Injuries

D’Avignon

Chung

Saffle

et al. 2011

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Burns are a very real component of combat-related injuries, and infections are the leading cause of mortality in burn casualties. The prevention of infection in the burn casualty transitioning from the battlefield to definitive care provided at the burn center is critical in reducing overall morbidity and mortality. This review highlights evidence-based medicine recommendations using military and civilian data to provide the most comprehensive, up-to-date management strategies for initial care of burned combat casualties. Areas of emphasis include antimicrobial prophylaxis, debridement of devitalized tissue, topical antimicrobial therapy, and optimal time to wound coverage. This evidence-based medicine review was produced to support the Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update contained in this supplement of Journal of Trauma.

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Section: Excision and Graftingmentioning

confidence: 98%

Prevention of Infections Associated With Combat-Related Burn Injuries

D’Avignon

Chung

Saffle

et al. 2011

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…The ICU burn mortality of 15% is not significantly more than the mortality rate of 9.3% in hospitalized burn patients admitted to the 28th CSH earlier in the war (n ¼ 8/86, P ¼ .26). 8 The 10th CSH experience included a change in practice after Stout's report that designated host-nation burn patients with greater than 50% TBSA involvement as expectant (LTC Evan M. Renz, MD). Admission category in our report is dissimilar to other CSH reports.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8] Lockey et al5 reported the first ICU data from OIF in an analysis of the management of 47 patients…”

mentioning

confidence: 99%

A Descriptive Analysis of Patients Admitted to the Intensive Care Unit of the 10th Combat Support Hospital Deployed in Ibn Sina, Baghdad, Iraq, From October 19, 2005, to October 19, 2006

Lundy

Swift

McFarland

et al. 2010

J Intensive Care Med

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The primary mission of a US military ICU deployed in support of combat operations is the care of its injured troops. However, the 10th CSH deployed in an urban region of Iraq in a mature theater of operations and its ICU more commonly cared for non-US patients during combat medical operations. These patients included pediatric patients as well as admissions for nontrauma illnesses. This mission was accomplished by nurses and physicians faced with unique challenges and resulted in an acceptable ICU mortality rate.

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“…A patient with over 40% total body surface area (TBSA) burn is and will be in critical need of constant monitoring and resuscitation for at least the first 3 days following the event. If evacuation is denied or delayed for many hours a more diverse set of care providers, inexperienced with burn care, must be able to diagnose, treat, stabilize and continue care for a critically wounded burn patient [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

BurnCare tablet trainer to enhance burn injury care and treatment

et al. 2020

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Background Applied Research Associates (ARA) and the United States Army Institute of Surgical Research (USAISR) have been developing a tablet-based simulation environment for burn wound assessment and burn shock resuscitation. This application aims to supplement the current gold standard in burn care education, the Advanced Burn Life Support (ABLS) curriculum. Results Subject matter experts validate total body surface area (TBSA) identification and analysis and show that the visual fidelity of the tablet virtual patients is consistent with real life thermal injuries. We show this by noting that the error between their burn mapping and the actual patient burns was sufficiently less than that of a random sample population. Statistical analysis is used to confirm this hypothesis. In addition a full body physiology model developed for this project is detailed. Physiological results, and responses to standard care treatment, are detailed and validated. Future updates will include training modules that leverage this model. Conclusion We have created an accurate, whole-body model of burn TBSA training experience in Unreal 4 on a mobile platform, provided for free to the medical community. We hope to provide learners with more a realistic experience and with rapid feedback as they practice patient assessment, intervention, and reassessment.

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Wartime Burn Care in Iraq: 28th Combat Support Hospital, 2003

Abstract: The CSH provided complex definitive care to burn patients in an austere environment. Predeployment identification of military field hospitals for such specialized missions, with early assignment of experienced personnel and materiel to these units, may improve future wartime burn care.

Cited by 18 publications

References 41 publications

Prevention of Infections Associated With Combat-Related Burn Injuries

Prevention of Infections Associated With Combat-Related Burn Injuries

A Descriptive Analysis of Patients Admitted to the Intensive Care Unit of the 10th Combat Support Hospital Deployed in Ibn Sina, Baghdad, Iraq, From October 19, 2005, to October 19, 2006

BurnCare tablet trainer to enhance burn injury care and treatment

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