Post-traumatic stress disorder (PTSD) is a common adverse mental health outcome among seriously injured civilians and military personnel who are survivors of trauma. Pharmacotherapy in the aftermath serious physical injury or exposure to traumatic events may be effective for secondary prevention PTSD.We identified 696 U.S. without brain from Navy-Marine Corps Combat Trauma Registry Expeditionary Medical Encounter Database. Complete data on medications administered were available all...

Object The purpose of this study was to characterize traumatic brain injuries (TBIs) among military personnel (primarily Marines) during the second phase Operation Iraqi Freedom from early in medical care chain evacuation through Landstuhl Regional Medical Center, a Level 4 American hospital Germany. Methods Data were obtained Navy–Marine Corps Combat Trauma Registry (CTR) and included both battle nonbattle injuries. Follow-up patients with TBI conducted examine short-term personnel-related...

The U.S. military services, drawing on the experiences of civilian trauma systems in monitoring care delivery, have begun to implement their own registries, emphasizing injury incidence and severity a combat environment. This article introduces describes development Navy-Marine Corps Combat Trauma Registry presents several preliminary inquiries its database regarding patterns casualty management during Operation Iraqi Freedom. is composed data sets describing events that occur from point...

This investigation examined the wounds incurred by 279 U.S. Navy-Marine personnel (97% Marines and 3% sailors) identified as wounded in action during Operation Iraqi Freedom, from March 23 through April 30, 2003. The goal was to assess potential impact of each causative agent comparing differences anatomical locations, types injuries caused, medical specialists needed treat casualties. overall average number diagnoses per patient 2.2, locations 1.6. agents were classified into six major...

Background: Head, face, and neck injuries (HFNIs) are an important source of combat mortality morbidity. The objective this study was to document the characteristics causes HFNIs during Operation Iraqi Freedom II. Methods: A retrospective review sustained by US military casualties between March 1, 2004 September 30, performed. Data were collected from Navy-Marine Corps Combat Trauma Registry. Results: During period, 39% all injury in registry had HFNIs. Of 445 HFNI patients, one-third...

Combat injury patterns differ from civilian trauma in that the former are largely explosion-related, comprising multiple mechanistic and fragment injuries high-kinetic-energy bullets. Further, unlike civilians, U.S. armed forces combatants usually heavily protected with helmets Kevlar body armor ceramic plate inserts. Searchable databases providing actionable, statistically valid knowledge of surface entry wounds resulting organ severity essential to understanding combat trauma.Two tools...

Objective To describe the prevalence and psychological correlates of traumatic brain injury (TBI) among injured male combatants in Iraq conflict. Participants A total 781 men during military combat between September 2004 February 2005. Main Outcome Measures Mental health diagnosis (ICD-9 290–319), particularly posttraumatic stress disorder mood/anxiety disorders, assigned through November 2006. Results 15.8% met criteria for TBI (13.4% mild, 2.4% moderate-severe TBI), 35.0% other head...

The prevalence of traumatic brain injury (TBI) has increased during the wars in Iraq and Afghanistan compared with 20th century military conflicts. aim this study was to elucidate injury-specific correlates combat-related TBI that have yet be clearly defined.Predominately Marine US service members who sustained injuries between March 2004 April 2008 identified from clinical records completed theater combat operations (n = 2074).Severity classified as mild, moderate, or severe....

BACKGROUND Treatment of military combatants who sustain leg-threatening injuries remains one the leading challenges for providers. The present study provides systematic health outcome data to inform decisions on definitive surgical treatment, namely amputation versus limb salvage, most serious leg injuries. METHODS This was a retrospective analysis records patients sustained lower-extremity in Iraq and Afghanistan conflicts, 2001 2008. Patients had (1) during first 90 days after injury...

Blast-related ear injuries are a concern during deployment because they can compromise servicemember's situational awareness and adversely affect operational readiness. The objectives of this study were to describe blast-related Operation Iraqi Freedom, identify the effect hearing protection worn at point injury, explore loss tinnitus outcomes within one year after injury. Expeditionary Medical Encounter Database was used military personnel who survived it linked with outpatient medical...

Primary objective: To assess the occurrence of ocular and visual disorders following blast-related traumatic brain injury (TBI) in Operation Iraqi Freedom.

Background: This study compares open tibia fractures in US Navy and Marine Corps casualties from the current conflicts with those a civilian Level I trauma center to analyze effect of blast mechanism on limb-salvage rates. Methods: Data 28,646 records University California San Diego Trauma Registry 1985 2006 was compared 2,282 Combat Expeditionary Medical Encounter Database for period March 2004 August 2007. Injuries were categorized by Gustilo-Anderson (G–A) fracture classification....

Objective: To examine the association between postconcussive symptoms and mild traumatic brain injury (MTBI) among combat veterans while adjusting for posttraumatic stress disorder (PTSD) depression. Patients: Military personnel with provider-diagnosed MTBI (n = 334) or nonhead 658) were identified from Expeditionary Medical Encounter Database. Main Outcome Measures: Post-Deployment Health Assessments Re-Assessments used to self-rated health. Results: Personnel more likely report headache...

Objective: Warfighters who sustained combat amputations in Operation Enduring Freedom or Iraqi (OEF/OIF) have unique challenges during rehabilitation. This study followed their outcomes. Methods: Subjects were 382 U.S. warfighters with major limb after injury OEF/OIF between 2001 and 2005. Outcome measures diagnoses, treatment codes, personnel events captured by health databases 24 months postinjury. Results: Most patients had multiple complications generally within 30 days postinjury (e.g.,...

We investigated the association of length time spent at home between deployments, or dwell time, with posttraumatic stress disorder (PTSD) and other mental health disorders.We included US Marine Corps personnel identified from military deployment records who deployed to Operation Iraqi Freedom once (n = 49,328) twice 16,376). New-onset diagnoses medical databases were included. calculated ratio dwell-to-deployment (DDR) as deployments divided by first deployment.Marines 2 had higher rates...

In Afghanistan, care of the acutely injured trauma patient commonly occurred in facilities with limited blood banking capabilities. Apheresis platelets were often not available. Component therapy consisted 1:1 packed red cells and fresh frozen plasma. Fresh, whole transfusion augmented severely patient. This study analyzed safety fresh, use a resource-limited setting.A retrospective analysis was performed on prospectively collected data set US battle injuries presenting to three Marine Corps...

Background The U.S. military conflicts in Iraq and Afghanistan had the most casualties since Vietnam with more than 53,000 wounded action. Novel injury mechanisms, such as improvised explosive devices, higher rates of survivability compared previous wars led to a new pattern combat injuries. purpose present study was use latent class analysis (LCA) identify profiles among personnel who survived serious wounds. Methods A total 5,227 casualty events an Injury Severity Score (ISS) 9 or greater...

The use of temporary vascular shunts (TVS)s in the management wartime extremity injuries has received an increasing amount attention. However, overall impact this adjunct remains incompletely defined. objective study is to characterize outcomes those patients who suffered managed with TVSs.This a retrospective review Navy and Marine Corps Combat Trauma Registry examining peripheral treated during military conflicts Middle East. Patient demographics, injury severity score, mechanism injury,...

Little research has described the long-term health outcomes of patients who had combat-related amputations or leg-threatening injuries. We conducted retrospective analysis Department Defense and Veterans Affairs data for lower extremity combat-injured with (1) unilateral amputation within 90 days postinjury (early amputation, n = 440), (2) more than (late 78), (3) injuries without (limb salvage, 107). Patient medical records were analyzed four years postinjury. After adjusting group...

Objectives Airway stabilization is critical in combat maxillofacial injury as normal anatomical landmarks can be obscured. The study objective was to characterize the epidemiology of airway management trauma. Study Design Retrospective database analysis. Setting Military treatment facilities Iraq and Afghanistan stateside tertiary care centers. Subjects In total, 1345 military personnel with combat‐related injuries sustained March 2004 August 2010 were identified from Expeditionary Medical...

Pain is a significant public health issue that may be particularly problematic among injured service members who are at high risk of chronic physical and mental conditions. The goals this study were to describe the prevalence types low back pain (acute vs. recurrent) while on combat deployments, examine differences in posttraumatic stress disorder (PTSD) depression severity, as well quality life, for individuals with compared those without.Baseline assessment data from subset participants (n...

Management of penetrating colorectal injuries in the civilian trauma population has evolved away from diversionary stoma into primary repair or resection and anastomosis. With this mind, we evaluated how to colon rectum were managed ongoing war Iraq.The records Operation Iraqi Freedom patients evacuated National Naval Medical Center (NNMC) March 2004 until November 2005 retrospectively reviewed. Patients with identified characterized by following: (1) injury type; (2) mechanism; (3)...