A U.S. Army Forward Surgical Team's experience in Operation Iraqi Freedom.
A U.S. Army Forward Surgical Team's experience in Operation Iraqi Freedom.
复制标题
美国陆军前线外科手术小组在伊拉克自由行动中的经验。
DOI：
10.1097/01.ta.0000133638.30269.38
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
S. McAtee
中科院分区：
文献类型：
--
作者：
T. Patel;Kimberly Wenner;S. A. Price;Michael A. Weber;A. Leveridge;S. McAtee
背景
前线陆军外科小组(FST)的目的是在战场上提供远方的外科能力，以稳定和复苏那些有生命和肢体威胁的士兵。伊拉克自由行动是采用FST保健服务概念的最大规模的军事行动。我们审查的目的是描述555FST在伊拉克自由行动攻击阶段的经验。
方法
在2003年3月21日开始的23天内，记录了555FST检查的所有患者的数据。这些数据包括战斗人员状态、根据解剖位置的受伤情况以及所进行的手术操作。
结果
在23天的时间里，555名FST评估了154名患者。52名EPW、79名美国士兵和23名伊拉克平民接受了治疗。肢体和胸部损伤在EPW组中最常见(48%和25%)。上肢和下肢损伤最常见的是平民(57%和39%)和美国士兵群体(32%和30%)。每名患者的受伤区域数量分别为：美国士兵1.14人，紧急救援人员1.33人，伊拉克平民1.52人(P<；0.003)。EPW组的胸部和腹部损伤比例高于其他组(p<；0.05)。
结论
评估的大多数危及生命的伤害涉及电子垃圾。美国士兵使用的防弹衣和装甲车的组合限制了提交给FST的躯干受伤数量。美国士兵、EPW和平民的早期复苏和稳定可以通过FST在前线成功完成。FST的设备将需要进一步改进，以提高其提供远期外科护理的能力。
BACKGROUND
The Forward Army Surgical Team (FST) was designed to provide surgical capability far forward on the battlefield to stabilize and resuscitate those soldiers with life and limb threatening injuries. Operation Iraqi Freedom represents the largest military operation in which the FST concept of health care delivery has been employed. The purpose of our review is to describe the experience of the 555FST during the assault phase of Operation Iraqi Freedom.
METHODS
During the 23 days beginning 21 March 2003, data on all patients seen by the 555 FST were recorded. These data included combatant status, injuries according to anatomic location, and operative procedures performed.
RESULTS
During the twenty-three day period, the 555 FST evaluated 154 patients. There were 52 EPWs, 79 U.S. soldiers, and 23 Iraqi civilians treated. Injuries to the lower extremity and chest (48% and 25%) were the most common in the EPW group. Upper extremity and lower extremity injuries were the most common in the civilian (57% and 39%) and U.S. soldier groups (32% and 30%). The number of injured regions per patient were 1.14 for U.S. soldiers, 1.33 for EPWs, and 1.52 for Iraqi civilians (p < 0.003). EPWs had proportionately more thoracic and abdominal injuries than the other groups (p < 0.05).
CONCLUSIONS
Majority of the life threatening injuries evaluated involved EPWs. A combination of body armor and armored vehicles used by U.S. soldiers limited the number of torso injuries presenting to the FST. Early resuscitation and stabilization of U.S. soldiers, EPWs, and civilians can be successfully accomplished at the front lines by FSTs. Further modification of the FST's equipment will be needed to improve its ability in providing far forward surgical care.