INTRODUCTION The US military forces developed and implemented the Joint Theater Trauma System (JTTS) and Joint Theater Trauma Registry (JTTR) using US civilian trauma system models with the intent of improving outcomes after battlefield injury. METHODS The purpose of this analysis was to elaborate the impact of the JTTS. To quantify these achievements, the JTTR captured mechanism, acute physi...

iran is one of the countries with a high rate of accident casualties in highways and cities. we are amongst the pioneers in accident related deaths and casualties in the world. in just 2014, road and highway casualties and fatalities were 315,719 and 17,994 respectively. motorcycles passengers and pedestrians are the main victims of these casualties. definitely, by appropriate measures, the suf...

The siege of Sarajevo, which holds an important but tragic position in the history of war, lasted for more than 45 months, from April 6, 1992 to March 19, 1996. Shelling of the Markale city market on August 28, 1995, was the attack with the largest number of civilian casualties. There were 23 persons killed on the spot. Another 104 were injured, of whom 15 died immediately after the explosion o...

BACKGROUND Recombinant activated human coagulation factor VII (rFVIIa), an intravascular strategy to promote clotting, is being used as an adjunct to surgical control of bleeding in combat trauma patients. OBJECTIVE To describe the initial experiences with rFVIIa administered to combat casualties at US Navy-Marine Corps medical treatment facilities in Iraq, and to compare survival outcomes of...

BACKGROUND Hemorrhage remains a leading cause of death in both civilian and military trauma patients. The HemCon chitosan-based hemostatic dressing is approved by the US Food and Drug Administration (FDA) for hemorrhage control. Animal data have shown the HemCon dressing to reduce hemorrhage and improve survival. The purpose of this article is to report preliminary results of the hemostatic eff...

BACKGROUND Hemorrhage in trauma is a significant challenge, accounting for 30% to 40% of all fatalities, second only to central nervous system injury as a cause of death. However, hemorrhagic death is the leading preventable cause of mortality in combat casualties and typically occurs within 6 to 24 hrs of injury. In cases of severe hemorrhage, massive transfusion may be required to replace mor...

In recent years, we have witnessed many unfortunate events across Europe, whose culprits are Islamic extremists. They carry out terrorist attacks, which cause numerous civilian casualties and a sense of fear defeatism in society, is one the main goals terrorism. It simply impossible not to notice that actors such often Albanians from Kosovo Metohija (hereinafter referred as KiM), sympathizers e...

BACKGROUND Incomplete or delayed fasciotomies are associated with muscle necrosis and death in civilian trauma. Combat explosions severely damage tissue and distort normal anatomy making fasciotomies challenging. Rapid air evacuation may delay treatment of patients with evolving extremity compartment syndrome. We investigated the impact of fasciotomy revision and delayed compartment release on ...

BACKGROUND The Iraq war has vividly brought the problem of traumatic brain injury to the foreground. The costs of death and morbidity in lost wages, lost taxes, and rehabilitative costs, let alone the emotional costs, are enormous. Military personnel with traumatic brain injury and acute respiratory distress syndrome may represent a substantial problem. Each of these entities, in and of itself,...