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Titolo:
United States Army rangers in Somalia: An analysis of combat casualties onan urban battlefield
Autore:
Mabry, RL; Holcomb, JB; Baker, AM; Cloonan, CC; Uhorchak, JM; Perkins, DE; Canfield, AJ; Hagmann, JH;
Indirizzi:
Brooke Army Med Ctr, San Antonio, TX USA Brooke Army Med Ctr San Antonio TX USA Army Med Ctr, San Antonio, TX USA Joint Trauma Training Ctr, Ben Taub, TX USA Joint Trauma Training Ctr BenTaub TX USA Training Ctr, Ben Taub, TX USA Armed Forces Inst Pathol, Off Armed Forces Med Examiner, Washington, DC USA Armed Forces Inst Pathol Washington DC USA Examiner, Washington, DC USA USA, John F Kennedy Special Warfare Ctr & Sch, Joint Special Operat Med Training Ctr, Ft Bragg, NC USA USA Ft Bragg NC USA nt Special Operat Med Training Ctr, Ft Bragg, NC USA Keller Army Med Ctr, Dept Surg, W Point, NY USA Keller Army Med Ctr W Point NY USA y Med Ctr, Dept Surg, W Point, NY USA Walter Reed Army Med Ctr, Washington, DC 20307 USA Walter Reed Army Med Ctr Washington DC USA 20307 Washington, DC 20307 USA Evans Army Community Hosp, Ft Carson, CO USA Evans Army Community Hosp FtCarson CO USA unity Hosp, Ft Carson, CO USA Uniformed Serv Univ Hlth Sci, Casualty Care Res Ctr, Bethesda, MD 20814 USA Uniformed Serv Univ Hlth Sci Bethesda MD USA 20814 Bethesda, MD 20814 USA
Titolo Testata:
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
fascicolo: 3, volume: 49, anno: 2000,
pagine: 515 - 528
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLANNED REOPERATION; MILITARY EXPERIENCE; INJURED PATIENTS; TRAUMA; WOUNDS; SWINE; RESUSCITATION; HEMORRHAGE; IMMEDIATE; CARE;
Keywords:
urban warfare; combat; casualties; trauma; military personnel; body armor; Kevlar; gunshot wound;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
48
Recensione:
Indirizzi per estratti:
Indirizzo: Mabry, RL 1800 Archers Bow Rd, San Antonio, TX 78232 USA 1800 Archers BowRd San Antonio TX USA 78232 onio, TX 78232 USA
Citazione:
R.L. Mabry et al., "United States Army rangers in Somalia: An analysis of combat casualties onan urban battlefield", J TRAUMA, 49(3), 2000, pp. 515-528

Abstract

Background: This study was undertaken to determined the differences in injury patterns between soldiers equipped with modern body armor in an urban environment compared with the soldiers of the Vietnam War. Methods: From July 1998 to March 1999, data were collected for a retrospective analysis on all combat casualties sustained by United States military forces in Mogadishu, Somalia, on October 3 and 4, 1993. This was the largest and most recent urban battle involving United States ground forces since the Vietnam War. Results:There were 125 combat casualties. Casualty distribution was similar to that of Vietnam; 11% died on the battlefield, 3% died after reaching amedical facility, 47% were evacuated, and 39% returned to duty. The incidence of bullet wounds in Somalia was higher than in Vietnam (55% vs. 30%), whereas there were fewer fragment injuries (31% vs. 48%). Blunt injury (12%)and burns (2%) caused the remaining injuries in Somalia. Fatal penetratinginjuries in Somalia compared with Vietnam included wounds to the head and face (36% vs. 35%), neck (7% vs. 8%), thorax (14% vs. 39%), abdomen (14% vs. 7%), thoracoabdominal (7% vs. 2%), pelvis (14% vs. 2%), and extremities 17% vs. 7%). No missiles penetrated the solid armor plate protecting the combatants' anterior chests and upper abdomens. Most fatal penetrating injuries were caused by missiles entering through areas not protected by body armor, such as the face, neck, pelvis, and groin. Three patients with penetrating abdominal wounds died from exsanguination, and two of these three died after damage-control procedures. Conclusion: The incidence of fatal head wounds was similar to that in Vietnam in spite of modern Kevlar helmets. Body armor reduced the number of fatal penetrating chest injuries. Penetrating wounds to the unprotected face, groin, and pelvis caused significant mortality. These data may be used to design improved body armor.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 13:32:33