Authors: Murray, Clinton K.¹; Reynolds, Joel C.²; Schroeder, Jodelle M.³; Harrison, Matthew B.³; Evans, Osceola M.³; Hospenthal, Duane R.¹

Source: Military Medicine, Volume 170, Number 6, June 2005 , pp. 516-520(5)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

Abstract:

We describe the types of medical problems encountered at a U.S. Army echelon II medical facility during Operation Iraqi Freedom in the period after completion of major ground combat operations, a time of nation restructuring and intermittent, intense, armed conflict. A total of 4,831 patients were assessed between October 1, 2003 and June 30, 2004, 74% with disease and nonbattle injury presentations, 19% with dental complaints, and 7% wounded in action (WIA). Disease and nonbattle injury evaluations were predominantly musculoskeletal. Improvised explosive devices or mortars caused 78% of the WIA casualties. The most frequent dental evaluations were for restorations (47%). Thirty-eight individuals were admitted to holding beds, most commonly to receive intravenous antibiotic treatment for cellulitis (29%). Three hundred forty-one individuals were evacuated, including 150 WIA. Determining the types of casualties seen at forward echelons of medical care during different phases of conflict can aid medical planning and help predict the type of medical resources required.

Document Type: Research article

Affiliations: 1: Infectious Disease Service, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234. 2: Nephrology Service, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234. 3: 1st Brigade Combat Team, 1st Infantry Division, APO AE 09394.

Publication date: 2005-06-01

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• Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
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