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Ten-year reduction in thoracic injury-related mortality among Israel Defense Forces soldiers.
Chen, Jacob; Tsur, A M; Nadler, R; Beit Ner, E; Sorkin, A; Radomislensky, I; Peleg, K; Ben Avi, R; Shushan, G; Glassberg, E; Benov, A.
Afiliación
  • Chen J; Medical Corps, Surgeon General's Headquarters, Israel Defense Forces, Ramat Gan, Israel jacopo669@gmail.com.
  • Tsur AM; Hospital Management, Meir Medical Center, Kefar Saba, Israel.
  • Nadler R; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Beit Ner E; Medical Corps, Surgeon General's Headquarters, Israel Defense Forces, Ramat Gan, Israel.
  • Sorkin A; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Radomislensky I; Department of Medicine B, Zabludowicz Center for Autoimmune Diseases Israel, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
  • Peleg K; Medical Corps, Surgeon General's Headquarters, Israel Defense Forces, Ramat Gan, Israel.
  • Ben Avi R; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Shushan G; General Surgery B, Sheba Medical Center, Ramat Gan, Israel.
  • Glassberg E; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Benov A; Orthopedic, Shamir Medical Center, Zerifin, Israel.
BMJ Mil Health ; 169(6): 510-516, 2023 Nov 22.
Article en En | MEDLINE | ID: mdl-34930818
INTRODUCTION: This study aims to describe injury patterns, prehospital interventions and mortality rates of combat-related thoracic injuries during the past decade among Israel Defense Forces (IDF) soldiers before and after implementation of the 2012 IDF-Military Corps 'My Brother's Keeper' plan which included the publication of clinical practice guidelines (CPGs) for thoracic injuries, emphasis on adequate torso protection, introduction of modern life-saving procedures and encouragement of rapid evacuation. METHODS: The IDF prehospital trauma registry was reviewed to identify all patients who sustained thoracic injuries from January 2006 to December 2017. IDF soldiers who were injured, died of wounds or killed in action (KIA) were included. These were cross-referenced with the Israel National Trauma Registry. The periods before and after the plan were compared. RESULTS: 458 (12.3%) of 3733 IDF soldiers wounded on the battlefield sustained combat-related thoracic injuries. The overall mortality was 44.3% before the CPG and 17.3% after (p<0.001). Most were KIA: 97% (95 of 98) died by 30 June 2012, and 83% (20 of 24) after (p<0.001). Casualties treated with needle thoracostomy before and after CPG were 6.3% and 18.3%, respectively (p=0.002). More tube thoracostomies were performed after June 2012 (16.1% vs 5.4%, p=0.001). Evacuation was faster after June 2012 (119.4 min vs 560.8 min, p<0.001), but the rates of casualties evacuated within 60 min were similar (21.1% vs 25%, p=0.617). CONCLUSIONS: Among military casualties with thoracic injuries, the rate of life-saving interventions increased, evacuation time decreased and mortality dropped following the implementation of My Brother's Keeper plan.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos Torácicos / Medicina Militar / Personal Militar Tipo de estudio: Guideline Límite: Humans País/Región como asunto: Asia Idioma: En Revista: BMJ Mil Health Año: 2023 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos Torácicos / Medicina Militar / Personal Militar Tipo de estudio: Guideline Límite: Humans País/Región como asunto: Asia Idioma: En Revista: BMJ Mil Health Año: 2023 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Reino Unido