Characterization of Long-range Aeromedical Transport and Its Relationship to the Development of Traumatic Extremity Compartment Syndrome: A 7-year, Retrospective Study
Abstract
Military aeromedical transport evacuates critically injured patients are for definitive care, including patients with or at risk for developing traumatic compartment syndrome of the extremities (tCSoE). Compartment pressure changes of the extremities have not been determined to be associated with factors inherent to aeromedical transport in animal models, but the influence of aeromedical evacuation (AE) transport on the timing of tCSoE development has not been studied in humans. Using a registry-based methodology, this study sought to characterize the temporal features of lower extremity compartment syndrome relative to the timing of transcontinental AE. With this approach, this study aims to inform practice in guidelines relating to the timing and possible effects of long-distance AE and the development of lower extremity compartment syndrome. Using patient care records, we sought to characterize the temporal features of tCSoE diagnosis relative to long-range aeromedical transport. In doing so, we aim to inform practice in guidelines relating to the timing and risks of long-range AE and postulate whether there is an ideal time to transport patients who are at risk for or with tCSoE.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jan 12, 2021
- Source ID
- 10.1093/milmed/usaa462
Entities
People
- Alejandra G Mora Ms
- Andrew Sheean Md, Usaf
- Crystal A Perez Bsn, Rn
- Joni A Paciocco Rn, Usa
- Joseph K Maddry Md, Usaf
- Lauren K Reeves Msph
- Melissa A Clemons Phd
- Nurani M Kester Md
- Vikhyat S Bebarta Md
Organizations
- Congressionally Directed Medical Research Programs
- San Antonio Military Medical Center
- University of Colorado
- University of Colorado School of Medicine
- University of Texas Health Science Center at San Antonio