British Military freezing cold injuries: a 13-year review
| Autor: | K Heil, E H N Oakley, Alexander M. Wood |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Pathology
medicine.medical_specialty Databases Factual Poison control Occupational safety and health Military medicine Cohort Studies 03 medical and health sciences 0302 clinical medicine Injury prevention Medicine Humans 030212 general & internal medicine Foot Injuries Facial Injuries Frostbite business.industry Norway Hand Injuries 030208 emergency & critical care medicine General Medicine medicine.disease United Kingdom Military personnel Military Personnel Cohort business Demography Cohort study |
| Zdroj: | Journal of the Royal Army Medical Corps. 162(6) |
| ISSN: | 0035-8665 |
| Popis: | Introduction Cold injuries have been a recurrent feature of warfare for millennia and continue to present during British Military operations today. Those affecting the peripheries are divided into freezing cold injury (FCI) and non-FCI. FCI occurs when tissue fluids freeze at around −0.5°C and is commonly referred to as frostnip or frostbite. Method All FMED7 notes held at the Institute of Naval Medicine9s Cold Weather Injury Clinic (CIC) from 2002 to 2014 were searched for the terms ‘frostbite’ and ‘frostnip’ and then analysed to identify common themes. Results In total 245 results were found and from these, 149 patients with a positive FCI diagnosis were identified and formed the cohort of this study. Royal Marines (RM) represented over 50% of patients and Arctic training in Norway accounted for over two thirds of the total cases. The extremities were almost always those areas which were affected by FCI. Further analysis of the RM cases showed the majority of those injured were of the most junior rank (Marine/Private or Lance Corporal). Conclusions A lack of supporting climatic and activity data meant that it was difficult to draw additional conclusions from the data collected. In future, a greater emphasis should be placed on collection of climatic and additional data when FCIs are diagnosed. These data should be collated at the end of each deployment and published as was regularly done historically. It is hoped that these data could then be used as the starting point for an annual climatic study day, where issues related to FCIs could be discussed in a Tri-Service environment and lessons learned disseminated around all British Forces personnel. |
| Databáze: | OpenAIRE |
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