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首页> 外文期刊>The journal of trauma and acute care surgery >A descriptive study of US Special Operations Command fatalities, 2001 to 2018
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A descriptive study of US Special Operations Command fatalities, 2001 to 2018

机译：对美国特殊运营指挥死亡的描述性研究，2001年至2018年

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BACKGROUND Studies of fatalities from injury and disease guide prevention and treatment efforts for populations at risk. Findings can inform leadership and direct clinical practice guidelines, research, and personnel, training, and equipment requirements. METHODS A retrospective review and descriptive analysis was conducted of United States Special Operations Command (USSOCOM) fatalities who died while performing duties from September 11, 2001, to September 10, 2018. Characteristics analyzed included subcommand, military activity, operational posture, and manner of death. RESULTS Of 614 USSOCOM fatalities (median age, 30 years; male, 98.5%) the leading cause of death was injury (97.7%); specifically, multiple/blunt force injury (34.5%), blast injury (30.7%), gunshot wound (GSW; 30.3%), and other (4.5%). Most died outside the United States (87.1%), during combat operations (85.3%), in the prehospital environment (91.5%), and the same day of insult (90.4%). Most fatalities were with the US Army Special Operations Command (67.6%), followed by the Naval Special Warfare Command (16.0%), Air Force Special Operations Command (9.3%), and Marine Corps Forces Special Operations Command (7.2%). Of 54.6% who died of injuries incurred during mounted operations, most were on ground vehicles (53.7%), followed by rotary-wing (37.3%) and fixed-wing (9.0%) aircrafts. The manner of death was primarily homicide (66.0%) and accident (30.5%), followed by natural (2.1%), suicide (0.8%), and undetermined (0.7%). Specific homicide causes of death were GSW (43.7%), blast injury (42.2%), multiple/blunt force injury (13.8%), and other (0.2%). Specific accident causes of death were multiple/blunt force injury (80.7%), blast injury (6.4%), GSW (0.5%), and other (12.3%). Of accident fatalities with multiple/blunt force injury, the mechanism was mostly aircraft mishaps (62.9%), particularly rotary wing (68.4%). CONCLUSION Most USSOCOM fatalities died abroad from injury in the prehospital setting. To improve survival from military activities worldwide, leaders must continue to optimize prehospital capability and develop strategies that rapidly connect patients to advanced resuscitative and surgical care. Copyright (c) 2019 Wolters Kluwer Health, Inc. All rights reserved.)
机译：背景研究人口损伤和疾病导向治疗危险性疾病的背景研究。调查结果可以为领导和直接的临床实践指南，研究和人员，培训和设备要求提供信息。方法采用回顾性审查和描述分析，对美国特殊运营指挥（USSocom）致命，在2001年9月11日至2018年9月10日履行职责。分析的特征包括小组闻，军事活动，运营姿势和方式死亡。结果614例USSocom死亡率（中位年龄，30岁;男性，98.5％）死亡原因受伤（97.7％）;具体地，多/钝力损伤（34.5％），爆炸损伤（30.7％），枪伤（GSW; 30.3％），其他（4.5％）。大多数在美国以外死亡（87.1％），在战斗业务期间（85.3％），在前孢子环境（91.5％），侮辱的同一天（90.4％）。大多数死亡人数与美国陆军特殊运营指挥（67.6％），其次是海军特别战争指挥（16.0％），空军特殊运营指挥（9.3％），海军兵团迫使特殊运营指令（7.2％）。 54.6％死于安装在安装运营期间发生的伤害，大多数是地面车辆（53.7％），其次是旋翼（37.3％）和固定翼（9.0％）飞机。死亡方式主要是凶杀案（66.0％）和事故（30.5％），然后是天然（2.1％），自杀（0.8％），未确定（0.7％）。死亡的特定杀菌原因是GSW（43.7％），爆炸损伤（42.2％），多重/钝力损伤（13.8％），其他（0.2％）。具体事故死亡的原因是多/钝力损伤（80.7％），爆炸损伤（6.4％），GSW（0.5％）和其他（12.3％）。具有多种/钝力损伤的事故死亡，机制大多是飞机失误（62.9％），特别是旋翼（68.4％）。结论大多数Ussocom死亡率在预孢子环境中损伤死亡。为了改善全球军事活动的生存，领导者必须继续优化急性能力，并开发快速连接患者以先进的复苏和外科护理的策略。版权所有（c）2019 Wolters Kluwer Health，Inc。保留所有权利。）

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