There is an increasing threat that chemical and biological weapons will be used on a civilian population in an act of domestic terrorism. Casualties among adults and children could be significant in such an event. Federal, state, and local authorities have begun extensive planning to meet a chemical-biological incident by developing methods of rapid identification of potential agents and protoc...

There has been little systematic analysis of casualty data from the Iraq invasion and postinvasion conflict since 2003. Here we combine well known sources on military casualties and little known or understood sources on non-combatant mortality to identify major trends and impacts. This conflict is unique in many ways. It is associated with high risk of death to previously little affected groups...

BACKGROUND Following more than a decade of civil conflict, Nepal is among the countries affected by landmines, victim-activated improvised explosive devices (IED) and other explosive remnants of war (ERW). OBJECTIVES To assess the magnitude of injuries due to landmines, victim-activated IED and other ERW in Nepal and to describe epidemiological patterns and risk factors for these events. ME...

Introduction. Explosive explosive injuries account for more than 50% of all received in military battles, and the proportion casualties among civilian population is also increasing [1]. However, only limited research has been conducted on pathophysiology blast-induced brain injury, effect changes cerebral blood flow (CBF) or vascular reactivity injury not investigated [2]. Although secondary hy...

BACKGROUND Forward Surgical Teams (FST) provide forward deployed surgical care within the battle space. The next level of care in theater, the Combat Support Hospitals (CSH), are distinguished from the FST by advanced resource capabilities including more complex diagnostic imaging, laboratory support with blood banking, and intensive care units. This study was intended to assess the effect of F...

Editorials 160 Landmines and explosive remnants of war (ERW) continue to kill, injure and destroy lives and livelihoods. They cause an estimated 11 to 12 casualties daily and are not confined to a single part of the world. The six countries with the highest landmine and ERW casualties in 2011 – Afghanistan, Cambodia, Colombia, Myanmar, Pakistan and South Sudan – belonged to different regions. 1...

Terrorism poses a clear and present danger to civilian populations. Although terrorist cells may gain access to traditional chemical weapons,there are literally thousands of other industrial chemicals to choose from. Common chemicals used on a daily basis in an industrialized society can be readily obtained from the local shopping center, rail yard. or from nearby industrial parks. and terroris...

BACKGROUND: Historically, emergency physicians and trauma surgeons have referred to a systolic blood pressure (SBP) of 90 mm Hg as hypotension. Recent evidence from the civilian trauma literature suggests that 110 mm Hg may be more appropriate based on associated acidosis and outcome measures. In this analysis, we sought to determine the relationship between SBP, hypoperfusion, and mortality in...

BACKGROUND Historically, emergency physicians and trauma surgeons have referred to a systolic blood pressure (SBP) of 90 mm Hg as hypotension. Recent evidence from the civilian trauma literature suggests that 110 mm Hg may be more appropriate based on associated acidosis and outcome measures. In this analysis, we sought to determine the relationship between SBP, hypoperfusion, and mortality in ...