System for Initial Assessment, Management, and Physiologic Monitoring of Battlefield Casualties
Abstract
In combat, the evaluation, management, and monitoring of the critically injured may involve handling mass casualties in a confused and hostile environment. If so, it will be advantageous to have a combat casualty management system which provides maximum decision-making assistance to medical personnel in minimum time. Key features of the proposed system include: (1) modularity, (2) sequencing of data acquisition, (3) quantitative scoring systems, (4) computers to store and manage data and guide decision making and therapy, (5) use of commercially available hardware, (6) optimal layout of the second echelon facility, (7) establishment of clinical test sites, and (8) peacetime practice use. Data will be collected by using: (1) observation and a hand-held computer, (2) portable, noninvasive monitors, and (3) nonportable/invasive monitors. Of the scoring systems proposed or in use, the trauma score and injury severity score appear to be most accurate. National efforts now exist to improve their accuracy by assessment of data from major university trauma centers. Modifications to account for the effects of chemical, biological, and radiological warfare will be needed.
Document Details
- Document Type
- Technical Report
- Publication Date
- Mar 01, 1986
- Accession Number
- ADA170067
Entities
People
- Bruce A. Houtchens
- Reed M. Gardner
Organizations
- University of Utah