Trauma care at a multinational United Kingdom-led Role 3 combat hospital: Resuscitation outcomes from a multidisciplinary approach

Creighton C. Tubb, John S. Oh, Nhan V. Do, Nigel R. Tai, Michael P. Meissel, Michael L. Place

Research output: Contribution to journalArticle

8 Scopus citations


Recent conflicts have led significant advancements in casualty care. Facilities serving combat wounded operate in challenging environments. Our purpose is to describe the multidisciplinary resuscitation algorithm utilized at a United Kingdom-led, Role 3 multinational treatment facility in Afghanistan focusing on injury severity and in-hospital mortality. Methods: Data were extracted from our prospectively collected trauma registry on military members wounded in action. Results: From November 1, 2009 to September 30, 2011, there were 3483 military trauma admissions. Common mechanisms of injury were improvised explosive devices (48%), followed by gunshot wounds (29%). Most patients (83.1%) had an Injury Severity Score (ISS) <15. For patients with complete ISS data, 8.4% had massive transfusion and 6.1% had an initial base deficit >5. Patients admitted with signs of life had a died of wounds rate of 1.8% with an average 1.2 day hospital stay. The mortality rate for patients undergoing massive transfusion was 4.8%, and for patients with a base deficit >5, mortality was 12.3%. Severely injured patients (ISS > 24) had a mortality rate of 16.5%. Conclusion: A systematic, multidisciplinary approach to trauma is associated with low in-hospital mortality. The outcomes in this study serve as a measure for future care in Role 3 facilities.

Original languageEnglish (US)
Pages (from-to)1258-1262
Number of pages5
JournalMilitary medicine
Issue number11
StatePublished - Jan 1 2014


All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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