BACKGROUND Nepal is one of the post-conflict countries affected by violence from explosive devices. We undertook this study to assess the magnitude of injuries due to intentional explosions in Nepal during 2008-2011 and to describe time trends and epidemiologic patterns for these events. METHODS We analyzed surveillance data on fatal and non-fatal injuries due to intentional explosions in Nep...

THE HOSPITALS AND THEIR PURPOSE During the planning for the invasion of Mainland Europe in 1944, (D-Day), one consideration was the possibility of there being large numbers of Civilian casualties, which together with the possibility of severe damage to the local Hospitals, might lead to the Military hospitals being unable to cope. The idea therefore arose of creating small 50 bed mobile Hospita...

The improvised explosive device (IED) has been the most significant threat by terrorists worldwide. Blast trauma has produced a wide pattern of combat spinal column injuries not commonly experienced in the civilian community. Unfortunately, explosion-related injuries have also become a widespread reality of civilian life throughout the world, and civilian medical providers who are involved in e...

Pain management in the U.S. Military, particularly in combat, shares many of the same principles found in civilian heath care organizations and institutions. Pain is one of the most common reasons for which soldiers seek medical attention in the combat environment, which mirrors the civilian experience.However, the combat environment exacerbates the typical challenges found in treating acute pa...

Pain management in the U.S. Military, particularly in combat, shares many of the same principles found in civilian heath care organizations and institutions. Pain is one of the most common reasons for which soldiers seek medical attention in the combat environment, which mirrors the civilian experience. However, the combat environment exacerbates the typical challenges found in treating acute p...

Blast injuries are an increasing problem in both military and civilian practice. Primary blast injury to the lungs (blast lung) is found in a clinically significant proportion of casualties from explosions even in an open environment, and in a high proportion of severely injured casualties following explosions in confined spaces. Blast casualties also commonly suffer secondary and tertiary blas...

BACKGROUND Posttraumatic stress disorder (PTSD) has been identified in 12% to 20% of noninjured veterans and in 32% of combat casualties. Eight percent of the US general population experience PTSD symptoms, whereas 25.5% of civilians with major burns have PTSD. Known predictors of physical outcomes of patients with burn are age, total body surface area (TBSA) burned, and Injury Severity Score (...

The Institute of Surgical Research is the U.S. Army's lead research laboratory for improving the care of combat casualties. The Institute follows a rigorous process for analyzing patterns of injury and the burden of disease to determine where research can be conducted in order to positively impact care. These analyses led the ISR to focus research on: preventing death from bleeding; developing ...

Injury of the subclavian artery following trauma is an uncommon finding. Hughes (1958) reported 304 vascular injuries in Korean war casualties but in only three of these was rupture of the subclavian artery documented. Chandler and Knapp (1967) reported the operative repair of 126 vascular injuries in 118 casualties in Vietnam. Only one subclavian artery injury was found, an incidence of 0-8 %....