Accession Number:

ADA561286

Title:

Casualty Evacuation Delay and Outcomes

Descriptive Note:

Final rept.

Corporate Author:

UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD

Personal Author(s):

• Champion, Howard R.
• Bellamy, Ronald F.
• Roberts, P.
• Leppaniemi, Ari

Report Date:

2003-01-01

Pagination or Media Count:

48.0

Abstract:

Traumatic combat injuries differ from those encountered in the civilian setting in terms of epidemiology, mechanism of wounding, pathophysiological trajectory following injury, and outcome. Except for a few notable exceptions, data sources for combat injuries have historically been inadequate. Although the pathophysiologic process of dying is the same, i.e., dominated by exsanguination and central nervous system injury, in both the civilian and military arenas, combat trauma has unique considerations with regard to acute resuscitation, including 1 the high energy and high lethality of wounding agents 2 multiple etiology of wounding 3 preponderance of penetrating injury 3 persistence of threat in tactical settings 4 austere, resource-constrained environment and 5 delayed access to definitive care. Recognition of these differences can help bring focus to resuscitation research for combat settings and can serve to foster greater civilian-military collaboration in both basic and transitional research.

Descriptors:

• *CASUALTIES
• *DELAY
• *EVACUATION
• DATA BASES
• DECISION MAKING
• LITERATURE SURVEYS
• MILITARY MEDICINE
• PATHOPHYSIOLOGY
• TRAUMA
• WOUNDS AND INJURIES

Subject Categories:

• Medicine and Medical Research
• Weapons Effects (Biological)

Distribution Statement:

APPROVED FOR PUBLIC RELEASE