Direct Combat-related U.S. Army Aviation Injuries 2003-2014.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2024-11-05 DOI:10.1093/milmed/usae301
Frederick T Brozoski, Marcy Conti, Jennifer Dudek, Valeta Carol Chancey, John S Crowley
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Abstract

Introduction: The U.S. Army Aeromedical Research Laboratory (USAARL), a partner in the Joint Trauma Analysis for the Prevention of Injury in Combat (JTAPIC) partnership, conducted a series of retrospective reviews to investigate injuries sustained by occupants of U.S. Army rotary-wing aircraft involved in combat damage incidents. The reviews were conducted to provide occupant survivability information to the Aviation Survivability Development and Tactics team, an agency within the U.S. Army Aviation Center of Excellence. For these reviews, combat damage incidents that produced casualties were separated into direct events (i.e., events in which an enemy weapon system directly injured occupants) and indirect events (i.e., incidents in which occupants were injured as a result of a crash caused by the enemy weapon system). The previous USAARL reviews provided an overview of injuries sustained during direct and indirect events. The objective of this review was to conduct a detailed analysis of injuries occurring during direct events.

Materials and methods: A descriptive retrospective review was conducted on injuries sustained by occupants of U.S. Army rotary-wing aircraft involved in combat damage incidents between 2003 and 2014. All Black Hawk, Apache, and Chinook combat aviation damage incidents for the study period were reviewed. Personnel casualty information from the Defense Casualty Information Processing System (DCIPS) was linked to combat damage incident information by matching the aircraft platform, incident date, and circumstantial information found in incident narratives. Injury information for personnel identified in DCIPS as being wounded in action was obtained from the JTAPIC partnership; injury data for personnel killed in action were retrieved from the Armed Forces Medical Examiner System. All injuries were coded using the Abbreviated Injury Scale (AIS). Descriptive statistics were used to describe the frequency and distribution of injuries to personnel involved in direct events.

Results: Overall, the extremities were the most commonly injured body regions, with lower extremities suffering more injuries than upper extremities. Penetrating injuries were identified as the primary injury mechanism for all body regions. Injuries to each AIS body region were predominantly of minor (AIS 1) and moderate (AIS 2) severity.

Conclusions: Although injury severities were generally low (AIS 1 or AIS 2), the results of this effort indicate which body regions may benefit from additional protection during rotary-wing operations in hostile environments. The influence of occupant position within the aircraft and the use and effectiveness of personal protective equipment could not be effectively analyzed due to a lack of information.

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2003-2014 年与战斗直接相关的美国陆军航空伤害。
简介:美国陆军航空医学研究实验室(USAARL)是 "预防战斗中受伤的联合创伤分析"(JTAPIC)合作项目的合作伙伴,该实验室进行了一系列回顾性审查,以调查美国陆军旋转翼飞机乘员在战斗中受伤的情况。进行这些审查是为了向航空生存能力开发和战术小组提供乘员生存能力信息,该小组是美国陆军航空卓越中心的一个机构。在这些审查中,造成人员伤亡的战斗破坏事件被分为直接事件(即敌方武器系统直接伤害乘员的事件)和间接事件(即因敌方武器系统造成的坠机而导致乘员受伤的事件)。USAARL 以前的审查概述了直接和间接事件中的受伤情况。本次审查的目的是对直接事件中发生的伤害进行详细分析:对 2003 年至 2014 年期间发生的战斗破坏事件中美国陆军旋转翼飞机乘员所受伤害进行了描述性回顾。研究人员对研究期间发生的所有 "黑鹰"、"阿帕奇 "和 "支努干 "战斗航空损害事件进行了回顾。通过匹配飞机平台、事件日期和事件叙述中的环境信息,将国防伤亡信息处理系统(DCIPS)中的人员伤亡信息与战斗损伤事件信息联系起来。国防伤亡信息处理系统(DCIPS)中确定为在战斗中受伤的人员的受伤信息来自 JTAPIC 伙伴关系;阵亡人员的受伤数据来自武装部队法医系统。所有伤害均使用简略伤害量表(AIS)进行编码。使用描述性统计来描述直接事件中人员受伤的频率和分布情况:总体而言,四肢是最常受伤的身体部位,下肢比上肢受伤更多。所有身体部位的主要受伤机制都是穿透伤。每个 AIS 身体部位的受伤严重程度主要为轻度(AIS 1)和中度(AIS 2):虽然受伤严重程度普遍较低(AIS 1 或 AIS 2),但这项工作的结果表明,在恶劣环境中进行旋转翼操作时,哪些身体区域可能需要额外保护。由于缺乏信息,无法有效分析乘员在飞机内的位置以及个人防护设备的使用和效果的影响。
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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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