Preclinical Evaluation of the Effects of Aeromedical Evacuation on Military-Relevant Casualties

Abstract

Aeromedical evacuation is associated with several stressors that may cause harm during casualties' transport. In addition to these stressors, timing, oxygen supplementation and altitude may have additional effects that are currently unknown. The purposes of this proposal are to better evaluate the effect of these additional variables and define an adequate timing, oxygen supplementation level and best appropriate altitude to maintain normal organ physiology. This proposal includes the use of two different animal models, rats and swine, using different and complement strategies to better understand the effects of aeromedical evacuation. So far, our results showed the feasibility of our models to monitor the effects of aeromedical evacuation on neurobehavioral damage, inflammatory response and hemodynamic changes. Specifically, we showed no changes in behavioral or pathological changes in the short term of transport after injury in the rat model but noticed modification in the inflammatory response. In addition, we established a swine model that can be used to monitor hemodynamic changes during aeromedical evacuation with different levels of oxygen and altitude. Overall, we were able to show that restricted oxygenation (21 percent) is not sufficient for a wounded warrior. However, it was not clear if 100 percent oxygenation was necessary due to the limited number of experimental animals.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2023
Accession Number
AD1206964

Entities

People

  • Carolyn Gosztyla
  • Françoise Arnaud

Organizations

  • Naval Medical Research Center

Tags

DTIC Thesaurus Topics

  • Aeromedical Evacuation
  • Anesthesia
  • Arteries
  • Biomedical Research
  • Blood
  • Brain Injuries
  • Casualties
  • Chemical Synthesis
  • Chemistry
  • Combat Casualty Care
  • Data Analysis
  • Health Services
  • Hemorrhagic Shock
  • Lung Diseases
  • Medical Evacuation
  • Medical Personnel
  • Oxygenation
  • Students
  • Surgery
  • Veins
  • Vital Signs

Readers

  • Aviation Safety Risk Assessment.
  • Cardiovascular Physiology
  • Trauma Surgery or Emergency Medicine.