Early In-Theater Management of Combat-Related Traumatic Brain Injury: A Prospective, Observational Study to Identify Opportunities for Performance Improvement

Abstract

Combat-related moderate-to-severe traumatic brain injury (CRTBI) is a significant cause of wartime morbidity and mortality. As of August 2014, moderate-to-severe traumatic brain injuries sustained by members of the Department of Defense worldwide since 2000 totaled 32,996 cases. Previously published epidemiologic reviews describe CRTBI management at a strategic level, but they lack tactical patient-specific data required for performance improvement. In addition, scarce data exist regarding prehospital CRTBI care. This is a prospective observational study of consecutive CRTBI casualties presenting to US Role 3 medical facilities. Admission variables including demographics, initial clinical findings, and laboratory results were collected. Head computed tomographic scan findings were noted.

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Document Details

Document Type
Technical Report
Publication Date
May 18, 2015
Accession Number
AD1024054

Entities

People

  • Joseph J. Dubose
  • Leopoldo C. Cancio
  • Lorne H Blackbourne
  • Manjunath Markandaya
  • Raymond Fang
  • Stacy Shackelford

Organizations

  • United States Air Force School of Aerospace Medicine

Tags

DTIC Thesaurus Topics

  • Air Force
  • Airway Management
  • Brain Injuries
  • Cardiovascular Physiological Phenomena
  • Casualties
  • Combat Casualty Care
  • Department Of Defense
  • Health Services
  • Hemorrhage
  • Medical Personnel
  • Military Medicine
  • Oxygenation
  • Respiration Disorders
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • European Security and Defence Policy (ESDP).
  • Medical Imaging.
  • Trauma or Military Medicine