scholarly journals Incidence of cancer among U.S. combat casualties: a DoD Trauma Registry study

2021 ◽  
Author(s):  
Christin B. DeStefano ◽  
Krista Shaw ◽  
Adi V. Gundlapalli ◽  
Kevin K. Chung ◽  
Eduard Poltavskiy ◽  
...  
Keyword(s):  
Trauma Registry ◽  
Registry Study ◽  
Incidence Of Cancer ◽  
Combat Casualties

scholarly journals 282 NESTED: National Trauma Registry Study of Deprivation

2015 ◽  
Vol 66 (4) ◽  
pp. S101-S102 ◽  
Author(s):  
A. Corfield ◽  
J. Pell ◽  
D. MacKay
Keyword(s):  
Trauma Registry ◽  
Registry Study ◽  
National Trauma

The impact of alcohol intoxication in patients admitted due to assault at an Australian major trauma centre: a trauma registry study from 1999 to 2009

2013 ◽  
Vol 31 (5) ◽  
pp. 390-393 ◽  
Author(s):  
Michael M Dinh ◽  
Kendall J Bein ◽  
Susan Roncal ◽  
Alexandra L C Martiniuk ◽  
Soufiane Boufous
Keyword(s):  
Major Trauma ◽  
Trauma Registry ◽  
Alcohol Intoxication ◽  
Trauma Centre ◽  
Registry Study ◽  
Major Trauma Centre ◽  
The Impact

scholarly journals Knee injuries in severe trauma patients: a trauma registry study in 3.458 patients

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Hagen Andruszkow ◽  
◽  
Emmanouil Liodakis ◽  
Rolf Lefering ◽  
Christian Krettek ◽  
...  
Keyword(s):  
Trauma Registry ◽  
Knee Injuries ◽  
Severe Trauma ◽  
Trauma Patients ◽  
Registry Study

scholarly journals Adherence to a Balanced Approach to Massive Transfusion in Combat Casualties

2021 ◽  
Author(s):  
Michael D April ◽  
Andrew D Fisher ◽  
Ronnie Hill ◽  
Julie A Rizzo ◽  
Kennedy Mdaki ◽  
...  
Keyword(s):  
Department Of Defense ◽  
Blood Product ◽  
Trauma Registry ◽  
Massive Transfusion ◽  
Secondary Analysis ◽  
Descriptive Statistics ◽  
Packed Red Blood Cells ◽  
Optimal Outcomes ◽  
Balanced Approach ◽  
Combat Casualties

ABSTRACT Background Hemorrhage is the most common cause of potentially preventable death on the battlefield. Balanced resuscitation with plasma, platelets, and packed red blood cells (PRBCs) in a 1:1:1 ratio, if whole blood (WB) is not available, is associated with optimal outcomes among patients with hemorrhage. We describe the use of balanced resuscitation among combat casualties undergoing massive transfusion. Materials and Methods We conducted a secondary analysis of data from the Department of Defense Trauma Registry (DODTR) spanning encounters from January 1, 2007, to March 17, 2020. We included all casualties who received at least 10 units of either PRBCs or WB. We categorized casualties as recipients of plasma-balanced resuscitation if the ratio of plasma to PRBC units was 0.8 or greater; similarly, we defined platelet-balanced resuscitation as a ratio of platelets to PRBC units of 0.8 or greater. We portrayed these populations using descriptive statistics and compared characteristics between non-balanced and balanced resuscitation recipients for both plasma and platelets. Results We identified 28,950 encounters in the DODTR with documentation of prehospital activity. Massive transfusions occurred for 2,414 (8.3%) casualties, among whom 1,593 (66.0%) received a plasma-balanced resuscitation and 1,248 (51.7%) received a platelet-balanced resuscitation. During the study period, 962 (39.8%) of these patients received a fully balanced resuscitation with regard to both the plasma:PRBC and platelet:PRBC ratios. The remaining casualties did not undergo a balanced resuscitation. Conclusions While a majority of massive transfusion recipients received a plasma-balanced and/or platelet-balanced resuscitation, fewer patients received a platelet-balanced resuscitation. These findings suggest that more emphasis in training and supply may be necessary to optimize blood product resuscitation ratios.

scholarly journals Battlefield Vital Sign Monitoring in Role 1 Military Treatment Facilities: A Thematic Analysis of After-Action Reviews from the Prehospital Trauma Registry

2020 ◽  
Author(s):  
Brandon M Carius ◽  
Jason F Naylor ◽  
Michael D April ◽  
Andrew D Fisher ◽  
Ian L Hudson ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Hemodynamic Monitoring ◽  
Vital Sign ◽  
Trauma Registry ◽  
Vital Signs ◽  
Medical Officer ◽  
Pressure Cuff ◽  
Treatment Facilities ◽  
Combat Casualties ◽  
After Action Reviews

ABSTRACT Introduction The Prehospital Trauma Registry (PHTR) captures after-action reviews (AARs) as part of a continuous performance improvement cycle and to provide commanders real-time feedback of Role 1 care. We have previously described overall challenges noted within the AARs. We now performed a focused assessment of challenges with regard to hemodynamic monitoring to improve casualty monitoring systems. Materials and Methods We performed a review of AARs within the PHTR in Afghanistan from January 2013 to September 2014 as previously described. In this analysis, we focus on AARs specific to challenges with hemodynamic monitoring of combat casualties. Results Of the 705 PHTR casualties, 592 had available AAR data; 86 of those described challenges with hemodynamic monitoring. Most were identified as male (97%) and having sustained battle injuries (93%), typically from an explosion (48%). Most were urgent evacuation status (85%) and had a medical officer in their chain of care (65%). The most common vital sign mentioned in AAR comments was blood pressure (62%), and nearly one-quarter of comments stated that arterial palpation was used in place of blood pressure cuff measurements. Conclusions Our qualitative methods study highlights the challenges with obtaining vital signs—both training and equipment. We also highlight the challenges regarding ongoing monitoring to prevent hemodynamic collapse in severely injured casualties. The U.S. military needs to develop better methods for casualty monitoring for the subset of casualties that are critically injured.

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