Trauma care at a multinational United Kingdom-led Role 3 combat hospital

Resuscitation outcomes from a multidisciplinary approach

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

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
Volume179
Issue number11
DOIs
StatePublished - Jan 1 2014

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Resuscitation
Wounds and Injuries
Injury Severity Score
Hospital Mortality
Mortality
Afghanistan
Gunshot Wounds
Registries
United Kingdom
Length of Stay
Outcome Assessment (Health Care)
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Tubb, Creighton C. ; Oh, John ; Do, Nhan V. ; Tai, Nigel R. ; Meissel, Michael P. ; Place, Michael L. / Trauma care at a multinational United Kingdom-led Role 3 combat hospital : Resuscitation outcomes from a multidisciplinary approach. In: Military medicine. 2014 ; Vol. 179, No. 11. pp. 1258-1262.
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Trauma care at a multinational United Kingdom-led Role 3 combat hospital : Resuscitation outcomes from a multidisciplinary approach. / Tubb, Creighton C.; Oh, John; Do, Nhan V.; Tai, Nigel R.; Meissel, Michael P.; Place, Michael L.

In: Military medicine, Vol. 179, No. 11, 01.01.2014, p. 1258-1262.

Research output: Contribution to journalArticle

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