| An assessment of the potential for reducing future combat deaths through medical technologies and training. | |
| | |
MedLine Citation:
|
PMID: 12478044 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: We examined clinical records of combat casualties that died subsequent to reaching a medical treatment facility in an effort to determine whether new medical technologies or enhanced training might contribute to a reduction in combat deaths. METHODS: Hospital records of 210 fatal combat casualties were independently reviewed by four surgeons. The surgeons assessed each fatality to determine whether it would be preventable if the trauma were sustained today and treated with currently available technology and training. RESULTS: In 8% of the cases, the four surgeons independently agreed that the deaths would be possibly preventable if the same traumas were incurred today. In an additional 17% of the cases, three of the four surgeons judged the deaths to be possibly preventable today. Causes of death viewed as most likely to be salvageable today included hemorrhage, severe burns, pulmonary edema, and sepsis. The medical technologies most often mentioned to have a potentially lifesaving effect were ventilators/respirators, computed tomographic scanners, ultrasound, and antibiotics. Areas of training most often mentioned to have a potential impact on the salvageability of the trauma cases reviewed were damage control, ventilator management, liver packing, respiratory distress management, and burn management. CONCLUSION: Surgeons reviewing records of past combat deaths indicated that reductions in the incidence of combat deaths through deployment of improved medical technologies and training is possible. Deployment of the noted technologies and proficiency in the cited training has the potential for reducing deaths by 8% to 25% when compared with the died-in-hospital incidence among casualties in the last sustained conflict. |
| | |
Authors:
|
Christopher G Blood; Juan Carlos Puyana; Paul J Pitlyk; David B Hoyt; H Scott Bjerke; Julia Fridman; G Jay Walker; James M Zouris; J Zhang |
Related Documents
:
|
16376824 - Significance of release technology in tissue engineering. 11187614 - The french virtual medical university. 18998984 - A comparison of the diffusion of two innovations -- a pilot study: telemicroscopy versu... 10421484 - Organophosphate skin decontamination using immobilized enzymes. 12889754 - The future of medical education: a call for action. 16376824 - Significance of release technology in tissue engineering. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
|
Title: The Journal of trauma Volume: 53 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 2002 Dec |
Date Detail:
|
Created Date: 2002-12-12 Completed Date: 2003-01-09 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
|
Languages: eng Pagination: 1160-5 Citation Subset: AIM; IM |
Affiliation:
|
Naval Health Research Center, San Diego, CA 92186-5122, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Biomedical Technology* Cause of Death* Emergency Medical Services / standards*, trends Female Forecasting Health Care Surveys Humans Injury Severity Score Male Middle Aged Military Medicine / education*, trends* Probability Quality of Health Care Registries Survival Analysis United States War* Wounds and Injuries / mortality*, therapy* |
| Comments/Corrections | |
Comment In:
|
J Trauma. 2002 Dec;53(6):1189-91
[PMID:
12478052
]
J Trauma. 2003 May;54(5):1037; author reply 1037 [PMID: 12777926 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcomes and costs of acute treatment of traumatic brain injury.
Next Document: Osteonecrosis in HIV disease: epidemiology, etiologies, and clinical management.