Combat casualty care research at the U.S. Army Institute of Surgical Research.

D. G. Baer, M. A. Dubick, J. C. Wenke, K. V. Brown, L. L. McGhee, V. A. Convertino, L. C. Cancio, S. E. Wolf, L. H. Blackbourne

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

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 improved pain control techniques; developing improved vital signs analysis techniques; improving the treatment of extremity injuries; preventing burn injuries on the battlefield; and improving critical care for combat casualties. This process has resulted in numerous improvements in care on the battlefield. Highlights include development, fielding, and efficiency testing of tourniquets and improved dressings for bleeding control. Significant progress has also been made in the resuscitation of combat casualties using blood products instead of crystalloid or colloid solutions. Improvements in pain control include assessments of the effect of perioperative anaesthetics on the development of post-traumatic stress disorder [PTSD]. Novelvital signs analyses have been successful in identifying promising techniques which may improve the medic's ability to accurately triage patients. Current research in extremity injuries has focused on optimizing the use of negative pressure wound therapy for contaminated wounds. Burn research has focused on improving personnel protective equipment and implementing continuous renal replacement therapy. This research program is soldier focused and addresses care from self aid and buddy aid through all echelons of care. Many of these advances have been adopted in civilian medical centres as well, benefiting not only the military trauma patient, but also the civilian trauma patient.

Original languageEnglish (US)
Pages (from-to)327-332
Number of pages6
JournalJournal of the Royal Army Medical Corps
Volume155
Issue number4
StatePublished - Dec 2009

Fingerprint

Wounds and Injuries
Research
Extremities
Hemorrhage
Negative-Pressure Wound Therapy
Pain
Tourniquets
Aptitude
Renal Replacement Therapy
Vital Signs
Triage
Military Personnel
Colloids
Critical Care
Bandages
Self Care
Post-Traumatic Stress Disorders
Resuscitation
Anesthetics
Efficiency

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Baer, D. G., Dubick, M. A., Wenke, J. C., Brown, K. V., McGhee, L. L., Convertino, V. A., ... Blackbourne, L. H. (2009). Combat casualty care research at the U.S. Army Institute of Surgical Research. Journal of the Royal Army Medical Corps, 155(4), 327-332.

Combat casualty care research at the U.S. Army Institute of Surgical Research. / Baer, D. G.; Dubick, M. A.; Wenke, J. C.; Brown, K. V.; McGhee, L. L.; Convertino, V. A.; Cancio, L. C.; Wolf, S. E.; Blackbourne, L. H.

In: Journal of the Royal Army Medical Corps, Vol. 155, No. 4, 12.2009, p. 327-332.

Research output: Contribution to journalArticle

Baer, DG, Dubick, MA, Wenke, JC, Brown, KV, McGhee, LL, Convertino, VA, Cancio, LC, Wolf, SE & Blackbourne, LH 2009, 'Combat casualty care research at the U.S. Army Institute of Surgical Research.', Journal of the Royal Army Medical Corps, vol. 155, no. 4, pp. 327-332.
Baer DG, Dubick MA, Wenke JC, Brown KV, McGhee LL, Convertino VA et al. Combat casualty care research at the U.S. Army Institute of Surgical Research. Journal of the Royal Army Medical Corps. 2009 Dec;155(4):327-332.
Baer, D. G. ; Dubick, M. A. ; Wenke, J. C. ; Brown, K. V. ; McGhee, L. L. ; Convertino, V. A. ; Cancio, L. C. ; Wolf, S. E. ; Blackbourne, L. H. / Combat casualty care research at the U.S. Army Institute of Surgical Research. In: Journal of the Royal Army Medical Corps. 2009 ; Vol. 155, No. 4. pp. 327-332.
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