Journal of the Royal Army Medical Corps
-
To establish the pre-hospital timelines for seriously injured UK military casualties on OP HERRICK. ⋯ The public perception of excessive timelines for pre-hospital care in Afghanistan has been distorted. The ground truth is a pre-hospital time less than one quarter of the cited 7 hours for the seriously injured subset of UK Service personnel.
-
To determine the prevalence of tourniquet use in combat trauma, the contribution to lives saved and the complications of their use in this environment. ⋯ ISS and TRISS are poorly representative of injury severity and outcome for combat trauma involving isolated multiple limb injuries and cannot be used to discriminate whether a tourniquet is life-saving. The presence of severe isolated limb injuries, profound hypovolaemic shock and the requirement for massive transfusion reasonably identifies a cohort where the use of one or more tourniquets pre-hospital to control external bleeding can be said to be life-saving.
-
This case is of an 8-year-old child who had a cardiac arrest and an Emergency Department thoracotomy (EDT) following a penetrating fragmentation injury to the chest. The management included damage control resuscitation, recombinant Factor VIIa and a successful emergency department thoracotomy.