Development and Preliminary Findings of a Combat Trauma Registry for the U.S. Navy-Marine Corps
Abstract
The U.S. military services, drawing upon the experiences of civilian trauma systems in monitoring trauma care delivery, have begun to implement their own registries emphasizing injury incidence and severity in a combat environment. The current paper describes the development of the U.S. Navy-Marine Corps Combat Trauma Registry (CTR) and presents preliminary studies and analyses of combat injury patterns and casualty management within the medical chain of evacuation during Operation Iraqi Freedom (OIF). The Navy-Marine Corps CTR is configured as a data warehouse comprised of data sets that describe the events that occur to individual casualties from the point of injury, through the medical chain of evacuation, and on to long-term rehabilitative outcomes. Data was collected from Navy-Marine Corps level 1B, 2 and 3 Medical Treatment Facilities (MTFs) during OIF-1. Data from the official combat period (19 Mar 14 Apr 2003) were analyzed to show the number, type, and location of Navy-Marine Corps MTFs operational on each day of the operation. Maps diagramming these data show the gradually expanding MTF theater laydown beginning with two Navy-Marine Corps Level 1B, 2 and 3 facilities on day 1 of the operation to an eventually 14 at the conclusion of the official combat period on day 27. In addition, results are presented that indicate 37.5% of all Navy-Marine casualties evacuated were due to battle injuries, 28.0% were due to non-battle, injuries, 26.7% to disease, 4.4% were unknown, 3.4% were due to mental disorders.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 2004
- Accession Number
- ADA444914
Entities
People
- Gregory J. Walker
- James M. Zouris
- Michael R. Galarneau
- Paula J. Konoske
- Ross R. Vickers
- Ted Melcer
- William C. Hancock
Organizations
- Naval Health Research Center