In this paper we present an analysis of the 2811 chest casualties of the Korean Conflict which were treated at Tokyo Army Hospital between the beginning of the war and March 1953. A previous report covering 1535 of these casualties has been published.21 However, this paper adds more than 1000 cases and contains data w hich was not available at the time of the previous report. Some conclusions a...

INTRODUCTION Proper management of mass-casualty incidents (MCIs) relies on triage as a critical component of the disaster plan. OBJECTIVE [corrected] The objective of this study was to assess the precision of triage in mass-casualty incidents. METHODS The precision of decisions made by two experienced triage officers was examined in two large MCIs. These decisions were compared to the real ...

BACKGROUND Burn patients constitute approximately 5% of casualties injured in support of US military operations in Iraq (Operation Iraqi Freedom [OIF]) and Afghanistan (Operation Enduring Freedom [OEF]). Since the onset of these conflicts, there have been numerous casualties infected with multidrug-resistant bacteria. It is currently unclear if bacteremia with these multidrug-resistant organism...

OBJECTIVE To evaluate accident and emergency (A&E) room activity at a Role 3 Multinational Integrated Medical Unit (R3 MIMU) facility in Bosnia-Herzegovina. METHODS Retrospective analysis of all patients attending the A&E room from 1st October 1999-30th September 2002. RESULTS 1864 casualties are included in the analysis. 52.1% of casualties were Bosnian, 43.8% were military. Mean age of ca...

PURPOSE To review potential clinical uses of erythrocyte substitutes in treating military battlefield casualties, with specific emphasis on combat injury rates and wounding patterns, resuscitation doctrine and logistic requirements. METHODS Review of published medical literature and of unclassified documents from the U.S. Armed Forces Blood Program. RESULTS Hemorrhage is the leading cause o...

BACKGROUND We aimed to examine the accuracy of triage decision-making among emergency physicians, using a multiple casualty scenario. This will assist in determining the necessity of triage training, which is the foundation of emergency medical ethics. METHODS A self-administered questionnaire including a multiple casualty scenario requiring each casualty to be prioritized for treatments by S...

BACKGROUND The leading cause of preventable death in the military setting is haemorrhage. Accumulating evidence has established the benefit of tranexamic acid (TXA), an antifibrinolytic, for treating traumatic haemorrhage in the hospital setting. The use of TXA in the prehospital setting, however, has not been previously described. The present study details our initial experience with a field p...