Battlefield Extremity Injuries In Operation Iraqi Freedom PDF Download
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| Total Pages | : 7 |
| Release | : 2009 |
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Download Battlefield Extremity Injuries in Operation Iraqi Freedom Book in PDF, ePub and Kindle
Extremity injuries account for the majority of wounds incurred during US armed conflicts. Information regarding the severity and short-term outcomes of patients with extremity wounds, however, is limited. The aim of the present study was to describe patients with battlefield extremity injuries in Operation Iraqi Freedom (OIF) and to compare characteristics of extremity injury patients with other combat wounded. Data were obtained from the United States Navy-Marine Corps Combat Trauma Registry (CTR) for patients who received treatment for combat wounds at Navy-Marine Corps facilities in Iraq between September 2004 and February 2005. Battlefield extremity injuries were classified according to type, location, and severity; patient demographic, injury-specific, and short-term outcome data were analysed. Upper and lower extremity injuries were also compared. A total of 935 combat wounded patients were identified; 665 (71%) sustained extremity injury. Overall, multiple wounding was common (an average of 3 wounds per patient), though more prevalent amongst patients with extremity injury than those with other injury (75% vs. 56%, P .001). Amongst the 665 extremity injury patients, 261 (39%) sustained injury to the upper extremities, 223 (34%) to the lower extremities, and 181 (27%) to both the upper and lower extremities. Though the total number of patients with upper extremity injury was higher than lower extremity injury, the total number of extremity wounds (n = 1654) was evenly distributed amongst the upper and lower extremities (827 and 827 wounds, respectively). Further, lower extremity injuries were more likely than the upper extremity injuries to be coded as serious to fatal (AIS 2, P
| Author | : Martha K. Lenhart |
| Publisher | : Government Printing Office |
| Total Pages | : 794 |
| Release | : 2012 |
| Genre | : Government publications |
| ISBN | : 9780160913907 |
Download Combat Casualty Care Book in PDF, ePub and Kindle
"This book is designed to deliver combat casualty care information that will facilitate transition from a continental US or civilian practice to the combat care environment. Establishment of the Joint Theater Trauma System and the Joint Theater Trauma Registry, coupled with the efforts of the authors, has resulted in the creation of the most comprehensive, evidence-based depiction of the latest advances in combat casualty care. Lessons learned in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have been fortified with evidence-based recommendations to improve casualty care. The educational curriculum was designed overall to address the leading causes of preventable death and disability in OEF and OIF. Specifically, the generalist combat casualty care provider is presented requisite information for optimal cae of US combat casualties in the first 72 to 96 hours after injury. The specialist provider is afforded similiar information, supplemented by lessons learned for definitive care of host nation patients."--
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| Release | : 1649 |
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Download 3e discours à la Noblesse de Normandie Book in PDF, ePub and Kindle
| Author | : Brett Owens |
| Publisher | : CRC Press |
| Total Pages | : 351 |
| Release | : 2024-06-01 |
| Genre | : Medical |
| ISBN | : 1040141315 |
Download Combat Orthopedic Surgery Book in PDF, ePub and Kindle
During the course of the Iraq and Afghanistan Wars, military orthopedic surgeons have made significant technical and philosophic changes in the treatment of musculoskeletal combat casualties. The widespread use of individual and vehicular body armor, evolution of enemy tactics to include its reliance on improvised explosive devices, and the effectiveness of treatment rendered at military treatment facilities have resulted in a large burden of complex orthopedic injuries. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan represents and recognizes the latest advances in musculoskeletal surgical care performed to treat today’s US military servicemembers. Editors LTC Brett D. Owens, MD and LTC Philip J. Belmont Jr., MD have brought together the leading military orthopedic surgeons to relay their clinical orthopedic surgery expertise, as well as to discuss how to provide optimal care for combat casualties both initially in theater and definitively at tertiary care facilities within the United States. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan is divided into five sections, with the first being devoted to an overview of general topics. The second section covers scientific topics and their clinical application to musculoskeletal combat casualties. The final three sections are clinically focused on the upper extremity, lower extremity, and spine and pelvic injuries, with many illustrative case examples referenced throughout. Most clinical chapters contain: Introduction/historical background Epidemiology Management in theater Definitive management Surgical techniques Outcomes Complications Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan will be the definitive academic record that represents how orthopedic surgeons currently manage and treat musculoskeletal combat casualties.
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| Total Pages | : 8 |
| Release | : 2008 |
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Download Injury Severity and Causes of Death from Operation Iraqi Freedom and Operation Enduring Freedom: 2003-2004 Versus 2006 Book in PDF, ePub and Kindle
The opinion that injuries sustained in Iraq and Afghanistan have increased in severity is widely held by clinicians who have deployed multiple times. To continuously improve combat casualty care, the Department of Defense has enacted numerous evidence-based policies and clinical practice guidelines. The authors hypothesized that the severity of wounds has increased over time. In this study, they examined cause of death looking for opportunities to improve clinical research and training for the battlefield. Autopsies of the earliest combat deaths in Iraq and Afghanistan and the latest deaths in 2006 were analyzed to assess changes in injury severity and causes of death. Fatalities were classified as nonsurvivable (NS) or potentially survivable (PS). PS deaths were then reviewed in depth to analyze mechanism and cause. The results showed that there were 486 PS cases from March 2003 to April 2004 (group 1) and 496 from June 2006 to December 2006 (group 2) that met the inclusion criteria. Of the PS fatalities (group 1: 93 and group 2: 139), the injury severity score was lower in the first group (27 +/- 14 vs. 37 +/- 16, p
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| Total Pages | : 102 |
| Release | : 2011 |
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| ISBN | : 9781124624020 |
Download Combat-related Blast Injuries Book in PDF, ePub and Kindle
Combat-related blasts have caused the majority of injuries in Operation Iraqi Freedom with traumatic brain injury (TBI) emerging as a preeminent injury. The purpose of this dissertation is to describe the scope of combat-related blast injuries and the career performance outcomes of service personnel injured in blasts. Factors associated with career performance outcomes in service personnel injured in blasts and specifically in those with mild TBI were also explored. The Combat Trauma Registry Expeditionary Medical Encounter Database (CTR-EMED) is a collection of datasets from frontline medical care in Iraq and subsequent hospital care. The CTR-EMED provided demographics of injured service personnel and injury episode information. Outcome variables were ascertained from the Career History Archival Medical and Personnel System, which is a database of career and medical information for service personnel. In the 4623 blast episodes examined, mild TBI was the most frequent single injury type (10.8%) and with extremity injuries combined, the extremities was the area most commonly injured. Surface wounds of the extremities comprised 27.6% of all injuries. When examining service discharge in 4255 personnel injured in combat-related blasts, 37.8% experienced normal attrition and 8.3% early attrition. In service personnel with a discharge code, 29.8% had a disability-related discharge. Both early attrition and disability discharge proportions were higher in those with PTSD. In those without PTSD, a dose response relationship existed between injury severity and both disability discharge and early attrition. In those with a PTSD diagnosis, injury severity was associated with these adverse outcomes but the relationship was more complex. In the 790 service personnel diagnosed with mild TBI after a combat-related blast, 24% experienced a disability discharge. The most common acute TBI symptoms documented were headache (63.0%), loss of consciousness (37.0%) and tinnitus (31.0%). In those without PTSD, disability discharge was associated with age, total injury severity, time to discharge and post-concussive syndrome, while disability discharge was only associated with post-concussive syndrome in those with PTSD. These results provide important information for acute and rehabilitative care providers. The impact of PTSD on recovery after combat-related blast injuries should be explored to maximize functional outcome in these service personnel.
| Author | : Kenneth L. Cameron |
| Publisher | : Springer |
| Total Pages | : 318 |
| Release | : 2015-09-09 |
| Genre | : Medical |
| ISBN | : 1493929844 |
Download Musculoskeletal Injuries in the Military Book in PDF, ePub and Kindle
This authoritative reference examines the causes of--and offers workable solutions to--the widespread problem of musculoskeletal injuries among armed forces personnel. Specific chapters on combat, non-combat, training, and fitness injuries shed necessary light on the nature and scope of the epidemic, including impact on active service members and the resulting quality of life issues in veterans. An overview of these injuries by anatomic region highlights treatment, disability, and prevention issues in military settings. The book also translates the standard public health model for preventing injuries into military context, giving professionals guidelines for developing strategies tailored to the unique strengths and risks of this population. Featured in the coverage: · The burden of musculoskeletal injuries in the military. · Traumatic combat injuries. · Deployment and non-battle injuries. · Epidemiology of musculoskeletal injuries by anatomic region. · Application of the public health model for injury prevention. · Barriers to injury prevention in the military. Its depth of detail makes Musculoskeletal Injuries in the Military critical reading for orthopedic surgeons, physical therapists, athletic trainers, military leaders, military and VA healthcare staff including physicians and policymakers, public health and injury prevention professionals, occupational health and safety professionals, musculoskeletal injury and disease researchers, and veterans' health advocacy groups.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 531 |
| Release | : 2016-10-12 |
| Genre | : Medical |
| ISBN | : 0309442850 |
Download A National Trauma Care System Book in PDF, ePub and Kindle
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
| Author | : James P. Kennedy |
| Publisher | : |
| Total Pages | : 398 |
| Release | : 1992 |
| Genre | : Extremities (Anatomy) |
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Download Extremity Trauma Book in PDF, ePub and Kindle
| Author | : Alexander Lerner |
| Publisher | : Springer Science & Business Media |
| Total Pages | : 420 |
| Release | : 2011-04-28 |
| Genre | : Medical |
| ISBN | : 3642161553 |
Download Armed Conflict Injuries to the Extremities Book in PDF, ePub and Kindle
This book is designed to meet the continued need to re-learn the principles of treatment of complex war injuries to the extremities in order to minimize post-traumatic and post-treatment complications and optimize functional recovery. Most of the chapters are based on the unique experience gained in the treatment of military personnel who have suffered modern combat trauma and civilian victims of terror attacks at a single, large level 1 trauma center. The remaining chapters present the experience of leading international authorities in trauma and reconstructive surgery. A staged treatment protocol is presented, ranging from primary damage control through to definitive functional limb reconstruction. The organization of medical aid, anesthesiology, diagnostic imaging, infection prophylaxis, and management of complications are reviewed, and a special chapter is devoted to the challenging dilemma of limb salvage versus amputation in the treatment of limbs at risk.
