Table 8.
mechanism of injury | number | primary injury sustained (body region) | number | life-saving interventiona | number |
---|---|---|---|---|---|
IED | 5 | lower extremities (3) | catastrophic bleeding (haemostatics) | ||
mine | 4 | traumatic amputation–unilateral | 2 | Combat Application Tourniquet (CAT) | 4 |
GSW | 11 | lower limb fracture | 1 | QuikClot | 1 |
RPG | 3 | thorax (2) | airway | ||
mortar | 3 | heart laceration perforation | 1 | pre-hospital rapid sequence induction (PH RSI) | 8 |
MVC | 1 | avulsion chest wall | 1 | emergency department (ED RSI) | 16 |
bomb | 3 | head (23) | intubation (no drugs) | 3 | |
assault | 1 | blunt (4) | surgical airway | 2 | |
grenade | 1 | base (basilar) of skull fracture | 2 | breathing | |
UXO | 1 | cerebrum haematoma | 1 | intercostal drainage | 4 |
unknown | 1 | vault fracture | 1 | Asherman chest seal | 1 |
penetrating (19) | thoracostomy | 1 | |||
vault fracture, complex, open | 7 | thoracotomy | 2 | ||
penetrating injury to skull >2 cm | 6 | circulation | |||
cerebrum haematoma | 3 | massive transfusion protocol | 10 | ||
cerebrum contusion | 1 | recombinant factor VIIa (rFVIIa) | 4 | ||
brain stem injury with haemorrhage | 1 | intraosseous access | 6 | ||
base (basilar) of skull fracture | 1 | pericardiocentesis | 1 | ||
external (1) | |||||
burns–partial/full thickness 40–89% | 1 | ||||
abdomen (4) | |||||
jejunum–ileum laceration | 2 | ||||
kidney laceration | 1 | ||||
liver laceration | 1 | ||||
spine (1) | |||||
cord contusion | 1 | ||||
total | 34 | total | 34 |
aTotal number of lifesaving interventions does not equal number of cases as some individuals received more than one.