Evacuation Strategies for U.S. Casualties with Traumatic Brain Injury (TBI) with and without Polytrauma
Abstract
According to the Military Health System Traumatic Brain Injury (TBI) Center of Excellence, 51,261 service members suffered moderate to severe TBI in the last 21 years. Moderate to severe TBI in service members is usually related to blast injury in combat operations, which necessitates medical evacuation to higher levels of care. Prevention of secondary insult, and mitigation of the unique challenges associated with the transport of TBI patients in a combat setting are important in reducing the morbidity and mortality associated with this injury. The primary goal of this study was a secondary analysis comparing the impact of time to transport on clinical outcomes for TBI patients without polytrauma versus TBI patients with polytrauma transported out of the combat theater via Critical Care Air Transport Teams (CCATT). Our secondary objective was to describe the occurrence of in-flight events and interventions for TBI patients without polytrauma versus TBI with polytrauma to assist with mission planning for future transports.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jan 05, 2022
- Source ID
- 10.1093/milmed/usab543
Entities
People
- Allyson A. Araña
- Crystal A. Perez
- Joseph K Maddry
- Julie Cutright
- Patrick C. Ng
- Shelia C. Savell
- Vikhyat S Bebarta
- William T Davis
Organizations
- Defense Health Agency
- San Antonio Military Medical Center
- University of Colorado School of Medicine