Abstract | INTRODUCTION: In recent military conflicts, military surgeons encounter more high-energy injuries associated with explosives. Advances in the field care and shorter evacuation time increased survival. However, casualties still incur severe injuries especially to the extremities. We present wound patterns, anatomical distribution and severity of injuries in a Role 2 hospital. MATERIALS AND METHODS: Two years data have been retrospectively reviewed. Only explosives and firearms injuries were included in the study. Patient profile, admission details, mechanism of injury, AIS anatomical locations, ISS, surgical and medical treatments have been analyzed. RESULTS: Data revealed 170 male casualties. IEDs and GSW accounted for 133 (78%) and 37 (22%) casualties, respectively. An average of 1.8 IED and 1.2 GSW anatomical locations were exposed to injuries. Regardless of the mechanism, injuries were most commonly located in the extremities. IEDs caused significantly higher soft tissue injuries. DISCUSSION: CONCLUSION: Casualty care should be assessed within the context of the capabilities present at a hospital and the cause, type and severity of the wounds. The NATO description of Role 2 care only requires an integrated surgical team for damage control surgery with limited diagnostic and infrastructural capabilities.
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Authors | A Ünlü, R A Cetinkaya, T Ege, P Ozmen, V Hurmeric, M T Ozer, P Petrone |
Journal | European journal of trauma and emergency surgery : official publication of the European Trauma Society
(Eur J Trauma Emerg Surg)
Vol. 41
Issue 2
Pg. 149-55
(Apr 2015)
ISSN: 1863-9941 [Electronic] Germany |
PMID | 26038258
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Blast Injuries
(mortality, therapy)
- Critical Care
(organization & administration, statistics & numerical data)
- Health Resources
- Hospitals, Military
(statistics & numerical data)
- Humans
- Iraq War, 2003-2011
- Male
- Middle Aged
- Military Medicine
(organization & administration)
- Military Personnel
(statistics & numerical data)
- Patient Admission
(statistics & numerical data)
- Patient Care Team
(organization & administration)
- Retrospective Studies
- Soft Tissue Injuries
(mortality, therapy)
- Trauma Severity Indices
- Turkey
(epidemiology)
- War-Related Injuries
(mortality, therapy)
- Wounds, Penetrating
(mortality, therapy)
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