OBJECTIVE To evaluate battlefield survival in a novel command-directed casualty response system that comprehensively integrates Tactical Combat Casualty Care guidelines and a prehospital trauma registry. DESIGN Analysis of battle injury data collected during combat deployments. SETTING Afghanistan and Iraq from October 1, 2001, through March 31, 2010. PATIENTS Casualties from the 75th Ran...

In any accident scene, rapid removal of the casualty to hospital improves their chances of survival. The term the "Golden Hour" was first introduced in 1961, but because of misinterpretation as to what period this actually referred to, a second concept, the "Platinum Ten Minutes" was proposed as the time taken to move a casualty to the ambulance. To achieve this rapid removal, the ambulance and...

Care of the combat casualty with spinal column or spinal cord injury has not been previously described, particularly in regards to spinal immobilization. The ultimate goal of spinal immobilization in the combat casualty is to first ``do no further harm'' and then provide a stable, painless spine and an optimal neurologic recovery. The protocol for treatment of the combat casualty with suspected...

OBJECTIVE The objective of this study is to determine the extent of ultrasound availability in Norwegian casualty clinics and estimate the prevalence of its use. DESIGN A retrospective study based on a national casualty clinic registry and data from reimbursement claims. SETTING Out-of-hours primary health care in Norway. SUBJECTS All Norwegian casualty clinics in 2016 and reimbursement c...

OBJECTIVES Recent events have reiterated the need for well-coordinated planning for mass-casualty events, including those that involve children. The objective of this study was to document the preparedness of prehospital emergency medical services agencies in the United States for the care of children who are involved in mass-casualty events. METHODS A national list of all licensed prehospita...

Background: Mass Casualty incidents usually overwhelm the capabilities of any centre. It is an event whose nature is undetermined, unexpected and disrupts the normal trauma care in a hospital. Hospitals have established protocols to deal with mass casualty when it arises. Objectives: We sought to profile the presentations of mass casualty incidents and challenges in management in a regional tra...

This study identified casualty crash types for which teen drivers experience excess risk relative to adults. Michigan State Police crash records were used to examine casualty crashes in two statewide populations of drivers who experienced at least one crash from 1989-1996 (pre-graduated driver licensing in Michigan): teens (ages 16-19) and adults (ages 45-65). Rates and rate ratios (RR) based o...

BACKGROUND Low-threshold and out-of-hours services play an important role in the emergency care for people with mental illness. In Norway casualty clinic doctors are responsible for a substantial share of acute referrals to psychiatric wards. This study's aim was to identify patients contacting the casualty clinic for mental illness related problems and study interventions and diagnoses. METH...

Principles For the purpose of this article casualty fractures are defined as those which may be treated totally in the Accident Department, or treated there initially and then referred to a fracture clinic. The exact definition varies with different hospitals and the seniority of the casualty officer. The casualty officer generally has not the knowledge or experience to treat many fractures, an...