Advanced Product Development for Combat Casualty Care at the U.S. Army Institute of Surgical Research
Abstract
The Institute of Surgical Research (USAISR) is the U.S. Army s lead research laboratory for improving the care of combat casualties. The Institute follows a rigorous process for analyzing patterns of injury and the burden of disease to determine where research can be conducted in order to positively impact care. This analysis led the USAISR to focus research on: preventing death from bleeding; developing improved pain control techniques; developing improved vital signs analysis techniques; improving the treatment of extremity injuries; preventing burn injuries on the battlefield; and improving critical care for combat casualties. This process has resulted in numerous improvements in care on the battlefield. Highlights include development, fielding, and efficiency testing of tourniquets and improved dressings for bleeding control. Significant progress has also been made in the resuscitation of combat casualties using blood products instead of crystalloid or colloid solutions. Improvements in pain control include assessments of the effect of perioperative anesthetics on the development of Post-Traumatic Stress Disorder (PTSD). Novel vital signs analyses have been successful in identifying promising techniques which may improve the medic s ability to accurately triage patients. Current research in extremity injuries has focused on optimizing the use of negative pressure wound therapy for contaminated wounds. Burn research has focused on improving personnel protective equipment and developing continuous renal replacement therapy. This research program is soldier focused and addresses care from self aid and buddy aid through all echelons of care. Many of these advances have been adopted in civilian medical centers as well, benefiting not only the military trauma patient, but also the civilian trauma patient. The future of the USAISR includes expansion of the mission and resources to include dental, eye, and blood product research in collaboration with the U.S. Navy and U
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 01, 2010
- Accession Number
- ADA581920
Entities
People
- David G. Baer
- Joseph C Wenke
- Laura L. Mcghee
- Leopoldo C. Cancio
- Lorne H Blackbourne
- Michael A. Dubick
- Steven Wolf
- Victor A Convertino
Organizations
- United States Army Institute of Surgical Research