Abstract:
OBJECTIVES:The study establishes the functional outcomes of service personnel injured in current conflicts by correlating data on initial injury to the findings of medical boards after trauma and reconstructive treatment. Data comprehensively include all casualties of the Royal Navy and Royal Marines and all functional outcomes. METHODS:Details of all casualties from 2003 to 2010 taken from the Joint Theatre Trauma Registry and records of all medical boards relating to these personnel were analysed. Population at risk and probability of survival data were calculated. RESULTS:There were 221 casualties: 54 (24%) were fatalities; of 167 survivors, 21 (9% of total) were medically discharged; 26 (12%) were placed in reduced fitness category and 120 (55%) returned to full duty. Casualty risk per year of operational service for Naval Service personnel was 4.6%. New injury severity score and functional outcome were closely correlated, with specific exceptions. There were 3 unexpected survivors and no unexpected fatalities. Extremity injuries predominate in survivors. CONCLUSIONS:The Defence Medical Service (DMS) provides excellent trauma and rehabilitative care. The authors contend that this is a valid proxy for other larger coalition formations. Specific injury patterns have higher impact on functional outcomes; future research efforts should focus on these areas.
journal_name
Mil Medjournal_title
Military medicineauthors
Penn-Barwell JG,Fries CA,Bennett PM,Midwinter M,Baker ABdoi
10.7205/MILMED-D-13-00180subject
Has Abstractpub_date
2013-11-01 00:00:00pages
1222-6issue
11eissn
0026-4075issn
1930-613Xjournal_volume
178pub_type
杂志文章abstract:OBJECTIVE:Postexposure prophylaxis (PEP) is an important strategy to prevent human immunodeficiency virus acquisition after occupational and nonoccupational exposures. Since exposures to blood and other body fluids commonly occur in a combat setting, it is important to evaluate PEP utilization in the deployed environme...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00341
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abstract::This article describes, from the perspective of Project HOPE volunteers, the precedent-setting, military-civilian partnership in staffing the USNS Mercy as part of the rapid response of the United States to the overwhelming devastation and loss of life resulting from the tsunami off the coast of Indonesia. The article...
journal_title:Military medicine
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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doi:
更新日期:1999-06-01 00:00:00
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