Heterogeneity in Military Trauma Casualty Care.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Heterogeneity in Military Trauma Casualty Care.
Συγγραφείς:	Englert Z; Center for the Sustainment of Trauma and Readiness Skills, 3635 Vista Ave, St. Louis, MO 63110., Kinard J; 375 AMDS, 310 W Losey St., Scott AFB, IL 62225., Qureshi I; Naval Medical Research Unit San Antonio, 3698 Chambers Rd, San Antonio, TX 78234., Glaser J; Naval Medical Research Unit San Antonio, 3698 Chambers Rd, San Antonio, TX 78234., Hall A; Center for the Sustainment of Trauma and Readiness Skills, 3635 Vista Ave, St. Louis, MO 63110.
Πηγή:	Military medicine [Mil Med] 2020 Feb 12; Vol. 185 (1-2), pp. e35-e37.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE
Imprint Name(s):	Publication: 2018- : Oxford : Oxford University Press Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955-
Ιατρικοί όροι (MeSH):	Wounds and Injuries/epidemiology , Wounds and Injuries/therapy , Military Personnel*, Afghanistan ; Humans ; Military Medicine
Περίληψη:	Introduction: Military combat casualty care is at the forefront of military medical readiness, but there is little data on current proficiency of deployed personnel. A previous study identified a potential performance gap in military trauma teams. This study aims to evaluate a subsequent team to determine if heterogeneity of teams exists and to determine if this level of efficiency persists or can be improved. Materials and Methods: Military trauma teams at the Role 3 hospital in Bagram, Afghanistan, were evaluated over the course of a single deployment between April and October 2018. Trauma teams were directly observed and performance of the ATLS primary trauma survey timed. These results were compared to previously published times from Kandahar and Bagram Role 3 sites from Oct 2016 to Apr 2017. Results: Time to completion of the primary survey in 2018 was statistically faster than the times reported from the Role 3 sites from Oct 2016 to Apr 2017 (344.75 s vs. 482.8 s, p < 0.05). The greatest improvements of efficiency were in the time periods between assessing the airway and breathing, evaluating the patient's circulation, and completing of the primary survey. Conclusions: Trauma teams can vary significantly in their efficiency in evaluating trauma patients. Whether this is clinically significant is currently debatable, but it highlights a possible readiness gap for deploying military personnel and the heterogeneity of military combat casualty care. (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2019. This work is written by (a) US Government employee(s) and is in the public domain in the US.)
Contributed Indexing:	Keywords: Deployment Medicine; Readiness; Training; Trauma
Entry Date(s):	Date Created: 20190628 Date Completed: 20210326 Latest Revision: 20210326
Update Code:	20260130
DOI:	10.1093/milmed/usz158
PMID:	31247094
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1930-613X
DOI:	10.1093/milmed/usz158