@article{ref1,
title="Trauma care at a multinational United kingdom-led role 3 combat hospital: resuscitation outcomes from a multidisciplinary approach",
journal="Military medicine",
year="2014",
author="Tubb, Creighton C. and Oh, John S. and Do, Nhan V. and Tai, Nigel R. and Meissel, Michael P. and Place, Michael L.",
volume="179",
number="11",
pages="1258-1262",
abstract="Recent conflicts have led significant advancements in casualty care. Facilities serving combat wounded operate in challenging environments. Our purpose is to describe the multidisciplinary resuscitation algorithm utilized at a United Kingdom-led, Role 3 multinational treatment facility in Afghanistan focusing on injury severity and in-hospital mortality. <br><br>METHODS: Data were extracted from our prospectively collected trauma registry on military members wounded in action. <br><br>RESULTS: From November 1, 2009 to September 30, 2011, there were 3483 military trauma admissions. Common mechanisms of injury were improvised explosive devices (48%), followed by gunshot wounds (29%). Most patients (83.1%) had an Injury Severity Score (ISS) <15. For patients with complete ISS data, 8.4% had massive transfusion and 6.1% had an initial base deficit >5. Patients admitted with signs of life had a died of wounds rate of 1.8% with an average 1.2 day hospital stay. The mortality rate for patients undergoing massive transfusion was 4.8%, and for patients with a base deficit >5, mortality was 12.3%. Severely injured patients (ISS > 24) had a mortality rate of 16.5%. <br><br>CONCLUSION: A systematic, multidisciplinary approach to trauma is associated with low in-hospital mortality. The outcomes in this study serve as a measure for future care in Role 3 facilities.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="10.7205/MILMED-D-14-00042",
url="http://dx.doi.org/10.7205/MILMED-D-14-00042"
}