Injury Pattern and Mortality of Noncompressible Torso Hemorrhage in UK Combat Casualties

Abstract

Hemorrhage following traumatic injury is a leading cause of military and civilian mortality. Noncompressible torso hemorrhage (NCTH) has been identified as particularly lethal, especially in the prehospital setting. All patients sustaining NCTH between August 2002 and July 2012 were identified from the UK Joint Theatre Trauma Registry. NCTH was defined as injury to a named torso axial vessel, pulmonary injury, solid-organ injury (Grade 4 or greater injury to the liver, kidney, or spleen) or pelvic fracture with ring disruption. This study demonstrates that the majority of patients sustaining NCTH die before hospital admission, with exsanguination and central nervous system disruption contributing to the bulk cause of death. Major arterial and pulmonary hilar independent predictors of mortality.

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Document Details

Document Type
Technical Report
Publication Date
Aug 01, 2013
Accession Number
ADA614682

Entities

People

  • Adam Stannard
  • Jan O. Jansen
  • Jonathan Morrison
  • Mark J. Midwinter
  • Nigel R. Tai
  • Todd E Rasmussen

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Blood
  • Body Regions
  • Cardiovascular Physiological Phenomena
  • Casualties
  • Central Nervous System
  • Data Acquisition
  • Health Services
  • Hemorrhage
  • Hospitals
  • Intensive Care Units
  • Medical Personnel
  • Military Personnel
  • Multivariate Analysis
  • Nervous System
  • Shock (Pathology)
  • Therapy
  • Vascular System Injuries

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Materials Science
  • Neurotrauma and Rehabilitation Medicine.