PMID- 35877978
OWN - NLM
STAT- MEDLINE
DCOM- 20220922
LR  - 20221216
IS  - 1553-9768 (Print)
IS  - 1553-9768 (Linking)
VI  - 22
IP  - 3
DP  - 2022 Sep 19
TI  - Helicopter Crashes in the Deployed Combat Setting: The Department of Defense 
      Trauma Registry Experience.
PG  - 57-61
LID - AVOQ-PATS [pii]
LID - 10.55460/AVOQ-PATS [doi]
AB  - BACKGROUND: Military helicopter mishaps frequently lead to multiple casualty 
      events with complex injury patterns. Data specific to this mechanism of injury in 
      the deployed setting are limited. We describe injury patterns associated with 
      helicopter crashes. MATERIALS AND METHODS: This is a secondary analysis of a 
      Department of Defense Trauma Registry (DODTR) dataset from 2007 to 2020 seeking 
      to describe prehospital care within all theaters in the registry. We searched 
      within the dataset for casualties injured by helicopter crash. A serious injury 
      was defined by an abbreviated injury scale of =3 by body region. RESULTS: We 
      identified 120 casualties injured by helicopter crash within the dataset. Most 
      were Army (64%), the median age was 30 (interquartile range [IQR] 26-35), and 
      most were male (98%), enlisted service members made up the largest cohort (47%), 
      with most injuries occurring during Operation Enduring Freedom (69%). Only 2 were 
      classified as battle injuries. The median injury severity score was 9 (IQR 4-22). 
      Serious injuries by body region are the following: thorax (27%), head/neck (17%), 
      extremities (17%), abdomen (11%), facial (3%), and skin/superficial (1%). The 
      most common prehospital interventions focused on hypothermia 
      prevention/management (62%) and cervical spine stabilization (32%). Most patients 
      survived to hospital discharge (98%). CONCLUSIONS: Serious injuries to the thorax 
      were most common. Survival was high, although better data capture systems are 
      needed to study deaths that occur prehospital that do not reach military 
      treatment facilities with surgical care to optimize planning and outcomes. The 
      high proportion of nonbattle injuries highlights the risks associated with 
      helicopters in general.
CI  - 2022.
FAU - Jude, Joseph W
AU  - Jude JW
FAU - Spanier, Adam M
AU  - Spanier AM
FAU - Hiller, Hugh M
AU  - Hiller HM
FAU - Weymouth, Wells L
AU  - Weymouth WL
FAU - Cunningham, Cord W
AU  - Cunningham CW
FAU - Hill, Guyon J
AU  - Hill GJ
FAU - Schauer, Steven G
AU  - Schauer SG
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Spec Oper Med
JT  - Journal of special operations medicine : a peer reviewed journal for SOF medical 
      professionals
JID - 101158402
SB  - IM
MH  - Accidents, Traffic
MH  - Adult
MH  - Afghan Campaign 2001-
MH  - Aircraft
MH  - Female
MH  - Humans
MH  - Iraq War, 2003-2011
MH  - Male
MH  - *Military Personnel
MH  - Registries
MH  - Retrospective Studies
MH  - *Wounds and Injuries/epidemiology/therapy
OTO - NOTNLM
OT  - helicopter crash
OT  - mass casualty
OT  - military medicine
OT  - rotary wing mishap
OT  - traumatic resuscitation
EDAT- 2022/07/26 06:00
MHDA- 2022/09/23 06:00
CRDT- 2022/07/25 14:52
PHST- 2022/09/01 00:00 [accepted]
PHST- 2022/07/26 06:00 [pubmed]
PHST- 2022/09/23 06:00 [medline]
PHST- 2022/07/25 14:52 [entrez]
AID - AVOQ-PATS [pii]
AID - 10.55460/AVOQ-PATS [doi]
PST - ppublish
SO  - J Spec Oper Med. 2022 Sep 19;22(3):57-61. doi: 10.55460/AVOQ-PATS.