Document Detail


Prospective data, experience, and lessons learned at a surgically augmented brigade medical company (Level II+) during the 2007 Iraq surge.
MedLine Citation:
PMID:  22128717     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: Provide data and experience at a surgically augmented brigade medical support company during the Iraq surge for future deployments.
METHODS: Data were prospectively aggregated.
RESULTS: Eight thousand and eighty-three patients consisting of 52% coalition military, 19% U.S. military, and 29% U.S. or local civilians were evaluated. Ninety-four percent had disease nonbattle injuries and 4% had battle injuries. Ninety-five percent returned to duty, 2.5% admitted, 2% evacuated, and < 1% died of wounds. Total occupied bed days were 416. Predominate trauma and surgical conditions included burns, explosive injury, extremity trauma, and predominate medical conditions included infections, musculoskeletal injuries, and mental health issues. One hundred and fifty-eight air evacuations were required (80% trauma and 20% medical).
CONCLUSION: Challenges included lack of mental health providers, cardiac and chronic medications, and exercise electrocardiogram capability. Without physical therapists, experienced nurses, and ancillary medical care, approximately 1500 more air evacuations would have been required, and return-to-duty would have been significantly delayed for approximately 300 patients.
Authors:
Emil Lesho
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  176     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-12-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  763-8     Citation Subset:  IM    
Affiliation:
Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910, USA.
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