Skip to main content
×
×
Home

Disease and Non-Battle Traumatic Injuries Evaluated by Emergency Physicians in a US Tertiary Combat Hospital

  • Vikhyat S. Bebarta (a1), Alejandra G. Mora (a2), Patrick C. Ng (a3), Phillip E. Mason (a3), Andrew Muck (a4) and Joseph K. Maddry (a2)...
Abstract
Introduction

Analysis of injuries during military operations has focused on those related to combat. Non-combat complaints have received less attention, despite the need for many troops to be evacuated for non-battle illnesses in Iraq. This study aims to further characterize the disease and non-battle injuries (DNBIs) seen at a tertiary combat hospital and to describe the types of procedures and medications used in the management of these cases.

Methods

In this observational study, patients were enrolled from a convenience sample with non-combat-related diseases and injuries who were evaluated in the emergency department (ED) of a US military tertiary hospital in Iraq from 2007-2008. The treating emergency physician (EP) used a data collection form to enroll patients that arrived to the ED whose injury or illness was unrelated to combat.

Results

Data were gathered on 1,745 patients with a median age of 30 years; 84% of patients were male and 85% were US military personnel. The most common diagnoses evaluated in the ED were abdominal disorders, orthopedic injuries, and headache. Many cases involved intravenous access, laboratory testing, and radiographic testing. Procedures performed included electrocardiogram, lumbar puncture, and intubation.

Conclusion

Disease and non-battle traumatic injuries are common in a tertiary combat hospital. Emergency providers working in austere settings should have the diagnostic and procedural skills to evaluate and treat DNBIs.

Bebarta VS , Mora AG , Ng PC , Mason PE , Muck A , Maddry JK . Disease and Non-Battle Traumatic Injuries Evaluated by Emergency Physicians in a US Tertiary Combat Hospital. Prehosp Disaster Med. 2018;33(1):5357.

Copyright
Corresponding author
Correspondence: Capt Patrick C. Ng, MD, MC USAF San Antonio Military Medical Center 3551 Roger Brooke Drive Joint Base San Antonio, San Antonio Texas USA 78234-7767 E-mail: Patrickcng1@gmail.com
Footnotes
Hide All

Conflicts of interest: none

Footnotes
References
Hide All
1. Eastridge, BJ, Hardin, M, Cantrell, J, et al. Died of wounds on the battlefield: causation and implications for improving combat casualty care. J Trauma. 2011;71(1 Suppl):S4-S8.
2. Eastridge, BJ, Mabry, RL, Seguin, P, et al. Death on the battlefield (2001-2011): implication for the future of combat casualty care. J Trauma Acute Care Surg. 2012;73(6 Suppl 5):S431-S437.
3. Blood, CG, Jolly, R. Comparisons of disease and non-battle injury incidence across various military operations. Mil Med. 1995;160(5):258-263.
4. Withers, BG, Erickson, RL, Petruccelli, BP, et al. Preventing disease and non-battle injury in deployed units. Mil Med. 1994;159(1):39-43.
5. Cohen, SP, Brown, C, Kurihara, C, et al. Diagnosis and factors associated with medical evacuation and return to duty for service members participating in Operation Iraqi Freedom or Operation Enduring Freedom: a prospective cohort study. Lancet. 2010;375(9711):301-309.
6. Hauret, KG, Taylor, BJ, Clemmons, NS, et al. Frequency and causes of non-battle injuries air evacuated from Operations Iraqi Freedom and Enduring Freedom, US Army, 2001-2006. Am J Prev Med. 2010;38(1S):S94-S107.
7. Sanders, JW, Putnam, SD, Frankart, C, et al. Impact of illness and non-combat injury during Operations Iraqi Freedom and Enduring Freedom (Afghanistan). Am J Trop Med Hyg. 2005;73(4):713-719.
8. Miller, MA, Hall, BT, Agyapong, F, et al. Traumatic non-combat-related hand injuries in US troops in the combat zone. Mil Med. 2011;176(6):652-655.
9. Belmont, PJ, Goodman, GP, Waterman, B, et al. Disease and non-battle injuries sustained by a US Army Brigade Combat Team during Operation Iraqi Freedom. Mil Med. 2010;175(7):469-476.
10. Mahomed, Z, Motara, F, Bham, A. Humanitarian medical response to the Syrian Arab Republic (April 7, 2013 to April 23, 2013). Prehosp Disaster Med. 2016;31(1):114-116.
11. Bonnet, S, Bertani, A, Savoie, PH, et al. Humanitarian surgical care provided by a French forward surgical team: ten years of providing medical support to the population of the Ivory Coast. Mil Med. 2015;180(10):1075-1082.
12. Noone, M. Field Report: medical response to super typhoon Haiyan. Prehosp Disaster Med. 2015;30(5):543-544.
13. Skeehan, CD, Tribble, DR, Sanders, JW, et al. Non-battle injury among deployed troops: an epidemiologic study. Mil Med. 2009;174(12):1256-1262.
14. Maddry, JK, Ng, PC, Sessions, D, et al. A prospective observation study of medical toxicology consultation in a US combat theater. Mil Med. 2016;181(11).
15. Emergency Department Visits. National Hospital Ambulatory Medical Care Survey: 2011 Emergency Department Summary. http://www.cdc.gov/nchs/fastats/emergency-department.htm. Accessed June 14, 2016.
16. Gerhardt, RT, De Lorenzo, RA, Oliver, J, et al. Out-of-hospital combat casualty care in the current war in Iraq. Ann Emerg Med. 2009;53(2):169-174.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

" class="button small radius grey keywords">
Centers for Disease Control and Prevention
  • Combat Stress Team
  • " class="button small radius grey keywords">
    Combat Stress Team
  • disease and non-battle injury
  • " class="button small radius grey keywords">
    disease and non-battle injury
  • emergency department
  • " class="button small radius grey keywords">
    emergency department
  • emergency physician
  • " class="button small radius grey keywords">
    emergency physician
  • intensive care unit
  • " class="button small radius grey keywords">
    intensive care unit
  • Operation Enduring Freedom
  • " class="button small radius grey keywords">
    Operation Enduring Freedom
  • Operation Iraqi Freedom
  • " class="button small radius grey keywords">
    Operation Iraqi Freedom
  • operating room" class="button small radius grey keywords">
    operating room
  • Metrics

    Altmetric attention score

    Full text views

    Total number of HTML views: 3
    Total number of PDF views: 56 *
    Loading metrics...

    Abstract views

    Total abstract views: 476 *
    Loading metrics...

    * Views captured on Cambridge Core between 13th December 2017 - 17th August 2018. This data will be updated every 24 hours.