TY - JOUR PY - 2022// TI - Combat injury profile in urban warfare JO - Military medicine A1 - Satanovsky, Alexandra A1 - Gilor, Yuval A1 - Benov, Avi A1 - Chen, Jacob A1 - Shlaifer, Amir A1 - Talmy, Tomer A1 - Radomislensky, Irina A1 - Siman-Tov, Maya A1 - Peleg, Kobi A1 - Weil, Yoram A. A1 - Eisenkraft, Arik SP - ePub EP - ePub VL - ePub IS - ePub N2 - INTRODUCTION: Combat ground maneuvers consist of various platforms and have several environmental characteristics, influenced by the terrain, the operational mission, and the force's capabilities. This study assesses data on injuries sustained during urban warfare, aiming to evaluate the relationship between injury characteristics, maneuver platform, and personal protective gear on the battlefield.

MATERIALS AND METHODS: IDF soldiers injured infantry soldiers from the "Cast Lead" and the "Protective Edge" operations in the Gaza Strip (2008-2009 and 2014, respectively) were divided into four groups according to the maneuver platform and the environment: mounted infantry (armored and unarmored vehicle) and dismounted infantry (urban and open area). The primary outcome was the severity of the injury, and the secondary outcome was the injured body part.

RESULTS: Overall, 588 casualties were included in the final analysis, of whom 507 were dismounted infantry soldiers (265 in open terrain and 242 in urban area) and 81 were mounted infantry soldiers (20 in unarmored and 61 were injured in armored vehicles). The Injury Severity Score was similar in all subgroups. Open terrain subgroups were found to have fewer head injuries and higher levels of lower extremity injuries, similar to the unarmored vehicle group. More facial injuries were documented in the urban area group.

CONCLUSIONS: The Injury Severity Score was not influenced by environmental protection. Although we found differences in the injured body parts, further studies on the exact mechanism of injury are needed to elucidate further the relationship and differences between the various platforms used and injuries seen in urban warfare, aiming for tailor-made protection.

Language: en

LA - en SN - 0026-4075 UR - http://dx.doi.org/10.1093/milmed/usac366 ID - ref1 ER -