J Trauma Acute Care Surg 2021 Aug;91(2S Suppl 2):S186-S193
From the Joint Trauma System, Defense Health Agency (S.A.S., D.J.d.J., E.L.M., R.S.K., H.R.M., M.A.R., J.M.G., S.K.), Joint Base San Antonio Fort Sam Houston, Texas; 10th Special Forces Group (Airborne) (J.C.R.), US Army Special Operations Command, Fort Carson, Colorado; West Virginia University Heart and Vascular Institute (D.P.), Morgantown, West Virginia; USASOC Surgeon's Office (D.P.), Fort Bragg, North Carolina; Armed Forces Medical Examiner System (E.L.M.), Defense Health Agency, Dover AFB, Delaware; U.S. Army John F. Kennedy Special Warfare Center and School (P.L.), Fort Bragg, North Carolina and; US Army Institute of Surgical Research (J.M.G.), Joint Base San Antonio Fort Sam Houston, Texas.
Background: Quantification of medical interventions administered during prolonged field care (PFC) is necessary to inform training and planning.
Materials And Methods: Retrospective cohort study of Department of Defense Trauma Registry casualties with maximum Abbreviated Injury Scale (MAIS) score of 2 or greater and prehospital records during combat operations 2007 to 2015; US military nonsurvivors were linked to Armed Forces Medical Examiner System data. Medical interventions administered to survivors of 4 hours to 72 hours of PFC and nonsurvivors who died prehospital were compared by frequency-matching on mechanism (explosive, firearm, other), injury type (penetrating, blunt) and injured body regions with MAIS score of 3 or greater. Read More