Does the use of a Digital Cognitive Aid by Combat Casualty Care Providers improved Performance during Field Training of Simulated Crises?

Research Paper Title Use of a Digital Cognitive Aid in the Early Management of Simulated War Wounds in a Combat Environment, a Randomized Trial. Background The French army has implemented an algorithm based on the acronym “MARCHE RYAN,” each letter standing for a key action to complete in order to help first care providers during… Read More

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Is Routine VET Superior to Non-VET-Guided Resuscitation for Combat Trauma Victims?

Research Paper Title Viscoelastic Testing in Combat Resuscitation: Is It Time for a New Standard? Background Traumatic haemorrhage and coagulopathy represent major sources of morbidity and mortality on the modern battlefield. Viscoelastic testing (VET) offers a potentially more personalised approach to resuscitation. The researchers sought to evaluate outcomes of combat trauma patients who received VET-guided… Read More

What is the Impact of Disease & Nonbattle Injury (DNBI) on Casualty Burden of Military Operations?

Research Paper Title Exploring Nonbattle Injury in the Deployed Military Environment Using the Department of Defense Trauma Registry. Background The impact of disease and nonbattle injury (DNBI) on casualty burden of military operations has historically been greater than that of battle-related injuries. The ratio of battle to DNBI casualties has changed as advances in equipment,… Read More

Military Trauma Patients: Thromboelastometry & Coagulopathy

Research Paper Title A prospective evaluation of thromboelastometry (ROTEM) to identify acute traumatic coagulopathy and predict massive transfusion in military trauma patients in Afghanistan. Background Hemorrhage is the leading cause of preventable trauma-related mortality and is frequently aggravated by acute traumatic coagulopathy (ATC). Viscoelastic tests such as rotational thromboelastometry (ROTEM) may improve identification and management… Read More

Military Wounds: Interaction between the Projectile and Tissue

Research Paper Title Wound ballistics of military rifle bullets: an update on controversial issues and associated misconceptions. Abstract The wound ballistics literature contains several misconceptions about the physical effects of penetrating projectiles in tissue and tissue simulants. These can adversely affect the proper management of gunshot injuries, particularly in view of the ongoing threat of… Read More

Clinical Implementation of the Humacyte Human Acellular Vessel: Implications for Military & Civilian Trauma Care

Research Paper Title Clinical implementation of the Humacyte human acellular vessel: implications for military and civilian trauma care. Abstract The incidence of wartime vascular injury has increased and is a leading cause of mortality and mobidity. While ligation remains an option, current resuscitation and damage control techniques have resulted in vascular repair being pursued in… Read More

A Review of Diagnosis & Treatment of Traumatic Vascular Injury of Limbs in Military & Emergency Medicine

Research Paper Title Diagnosis and treatment of traumatic vascular injury of limbs in military and emergency medicine: A systematic review. Background Traumatic vascular injury is caused by explosions and projectiles (bullets and shrapnel); it may affect the arteries and veins of the limbs, and is common in wartime, triggering bleeding, and ischaemia. The increasing use… Read More