Ten-year reduction in thoracic injury-related mortality among Israel Defense Forces soldiers

Autor: Jacob Chen, A M Tsur, R Nadler, E Beit Ner, A Sorkin, I Radomislensky, K Peleg, R Ben Avi, G Shushan, E Glassberg, A Benov
Rok vydání: 2021
Předmět:
Zdroj: BMJ Military Health. :e001986
ISSN: 2633-3775
2633-3767
Popis: IntroductionThis 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.MethodsThe 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.Results458 (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 (pConclusionsAmong 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.
Databáze: OpenAIRE