دورية أكاديمية
A Review of 75th Ranger Regiment Battle-Injured Fatalities Incurred During Combat Operations From 2001 to 2021.
| العنوان: | A Review of 75th Ranger Regiment Battle-Injured Fatalities Incurred During Combat Operations From 2001 to 2021. |
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| المؤلفون: | Moore CH; Headquarters, 75th Ranger Regiment, Fort Benning, GA 31905, USA.; Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA., Kotwal RS; Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.; Joint Trauma System, Defense Health Agency, Joint Base San Antonio-Fort Sam Houston, TX 78234, USA., Howard JT; Department of Public Health, College for Health Community and Policy, One UTSA Circle, University of Texas, San Antonio, TX 78249, USA., Silverman MB; Department of Emergency Medicine, Brooke Army Medical Center, Joint Base San Antonio-Fort Sam Houston, TX 78234, USA., Gurney JM; Joint Trauma System, Defense Health Agency, Joint Base San Antonio-Fort Sam Houston, TX 78234, USA.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA., Rohrer AJ; Joint Trauma System, Defense Health Agency, Joint Base San Antonio-Fort Sam Houston, TX 78234, USA.; Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.; Armed Forces Medical Examiner System, Defense Health Agency, Dover Air Force Base, DE 19902, USA., Knight RM; Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.; Troop Command, Martin Army Community Hospital, Fort Benning, GA 31905, USA. |
| المصدر: | Military medicine [Mil Med] 2024 Jul 03; Vol. 189 (7-8), pp. 1728-1737. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | 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 |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955- |
| مواضيع طبية MeSH: | Military Personnel*/statistics & numerical data, Humans ; Retrospective Studies ; Male ; Adult ; United States/epidemiology ; Female ; Afghan Campaign 2001- ; Wounds and Injuries/mortality ; Iraq War, 2003-2011 |
| مستخلص: | Introduction: The 75th Ranger Regiment is an elite U.S. military special operations unit that conducted over 20 years of sustained combat operations. The Regiment has a history of providing novel and cutting-edge prehospital trauma care, advancing and translating medical initiatives, and documenting and reporting casualty care performance improvement efforts. Materials and Methods: A retrospective case fatality rate (CFR) review, mortality review, and descriptive analysis of fatalities were conducted for battle-injured personnel assigned or attached to the 75th Ranger Regiment from 2001 to 2021 during combat operations primarily in Afghanistan and Iraq. Fatalities were evaluated for population characteristics, cause of death, mechanism of death, injury severity, injury survivability, and death preventability. Results: A total of 813 battle injury casualties, including 62 fatalities, were incurred over 20 years and 1 month of continuous combat operations. The Regiment maintained a zero rate of prehospital preventable combat death. Additionally, no fatalities had a mechanism of death because of isolated extremity hemorrhage, tension pneumothorax, or airway obstruction. When comparing the CFR of the Regiment to the U.S. military population as a whole, the Regiment had a significantly greater reduction in the cumulative CFR as measured by the difference in average annual percentage change. Conclusions: Documentation and analysis of casualties and care, mortality and casualty reviews, and other performance improvement efforts can guide combatant commanders, medical directors, and fighting forces to reduce preventable combat deaths and the CFR. Early hemorrhage control, blood product resuscitation, and other lifesaving interventions should be established and maintained as a standard prehospital practice to mitigate fatalities with potentially survivable injuries. (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2023. This work is written by (a) US Government employee(s) and is in the public domain in the US.) |
| تواريخ الأحداث: | Date Created: 20230830 Date Completed: 20240703 Latest Revision: 20240704 |
| رمز التحديث: | 20240704 |
| DOI: | 10.1093/milmed/usad331 |
| PMID: | 37647608 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1930-613X |
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| DOI: | 10.1093/milmed/usad331 |