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首页> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >The First 30 Months Experience in the Non-Doctrinal Operation Inherent Resolve Medical Theater
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The First 30 Months Experience in the Non-Doctrinal Operation Inherent Resolve Medical Theater

机译：前30个月在非教义行动固有的分辨医学剧院经验

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Introduction: U.S. military forces were redeployed in 2014 in support of Operation Inherent Resolve (OIR), operating in an austere theater without the benefit of an established medical system. We seek to describe the prehospital and hospital-based care delivered in this medically immature, non-doctrinal theater. Materials and Methods: We queried the Department of Defense Trauma Registry (DODTR) for all encounters associated with OIR from August 2014 through June 2017. We sought all available prehospital and hospital-based data. Results: There were a total of 826 adults that met inclusion; 816 were from Iraq and the remaining 10 were from Syria. The median age was 21 years and the most frequent mechanism of injury was explosives (47.7%). Median composite injury severity scores were low (9, IQR 2.75-14) and the most frequent seriously injured body region was the extremities (23.0%). Most subjects (94.9%) survived to hospital discharge. Open fractures were the most frequent major injury (26.0%). In the prehospital setting, opioids were the most frequently administered medication (9.3%) and warming blanket application (48.7%) and intravenous line placement (24.8%) were the most frequent interventions. In the emergency department, Focused Assessment with Sonography in Trauma exams (64.3%) was the most frequently performed study and endotracheal intubations were the most frequent (29.9%) procedure. In the operating room, the most frequently performed procedure was exploratory laparotomy (12.3%). Conclusions: Host nation military males injured by explosion comprised the majority of casualties. Open fracture was the most common major injury. Hence, future research should focus upon the unique challenges of delivering care to members of partner forces with particular focus upon interventions to optimize outcomes among patients sustaining open fractures.
机译：介绍：美国军事部队于2014年重新部署，以支持运作固有的解决（oIr），在AUSTERE剧院中运营，没有既定的医疗系统。我们试图描述在这个医学上未成熟，非教义剧院中送出的卓越医院护理。材料和方法：从2014年8月到2017年6月，我们查询了与OIR相关联的所有遇到的防御创伤者注册表（Dodtr）。我们寻求所有可用的盛孢子和医院的数据。结果：共有826名成年人符合纳入; 816来自伊拉克，剩下的10来自叙利亚。中位年龄是21岁，最常见的伤害机制是爆炸物（47.7％）。中位复合损伤严重程度得分低（9，IQR 2.75-14），最常见的严重受伤的体积是四肢（23.0％）。大多数科目（94.9％）幸存到医院放电。打开骨折是最常见的主要损伤（26.0％）。在预孢子症环境中，阿片类药物是最常施用的药物（9.3％）和暖橡胶涂层（48.7％）和静脉线放置（24.8％）是最常见的干预措施。在急诊部门，在创伤考试中的超声检查（64.3％）的重点评估是最常见的研究，并且气管插管是最常见的（29.9％）程序。在手术室中，最常进行的程序是探索性剖腹产术（12.3％）。结论：爆炸受伤的东道国军事雄性包括大多数伤亡人员。打开骨折是最常见的重大伤害。因此，未来的研究应该关注为合作伙伴部队提供关注的独特挑战，特别关注干预措施，以优化维持开放骨折的患者的结果。

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