Review of Military Casualties in Modern Conflicts-The Re-emergence of Casualties From Armored Warfare.

Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE

Publication: 2018- : Oxford : Oxford University Press
Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955-

Brain Injuries* ; Burns* ; Military Personnel*; Humans ; Registries ; Warfare

Introduction: The re-emergence of armored warfare in modern conflicts has resulted in a higher number of extremity injuries, burns, and brain injuries. Despite this dramatic increase, little is reported on the type of injuries caused and their management. This review summarizes the publicly available literature and reports on the rate and type of injuries related to armored warfare, their medical outcomes, and management limitations.
Materials and Methods: This rapid evidence review involves a systematic literature search, followed by a non-systematic literature review. The reason for choosing this approach was the inherent lack of quantitative outcome data in the literature to satisfy the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The study also used content analysis to study all peer-reviewed articles, focusing on similarities and differences in the findings necessary to formulate tentative results. The electronic search included PubMed, Scopus, and Web of Science, using the following search string: "Armored; Injuries; Mechanized; Morbidity; Mortality; War; Warfare", alone or in combination.
Results: Modern conflicts are associated with higher number of extremity injuries, burns, and brain injuries among military casualties. Several publications claim that the characteristics of armored warfare and anticipated injuries in this type of warfare might require the far forward deployment of medical support supported by a reliable casualty evacuation chain. Still the quality of the available casualty data is low.
Conclusions: Because of the limited availability of reliable data or military trauma registries, up-to-date military casualty estimation remains a recognized knowledge gap, which needs to be addressed by armed forces worldwide. The future management of modern war casualties requires professional and well-trained staff in all levels, indicating a need for educational initiatives to provide both nurses and medics a greater proportion of medical care and management capabilities and responsibilities than in past conflicts.
(© The Association of Military Surgeons of the United States 2021.)

Front Neurol. 2020 Aug 25;11:836. (PMID: 32982907)
PLoS Med. 2009 Jul 21;6(7):e1000097. (PMID: 19621072)
Mil Med. 1990 Sep;155(9):417-20. (PMID: 2120628)
Mil Med. 2009 Jun;174(6):588-92. (PMID: 19585770)
Ann Surg. 2013 Feb;257(2):330-4. (PMID: 23291661)
Crit Care Med. 2018 Mar;46(3):447-453. (PMID: 29474326)
Health Res Policy Syst. 2016 Nov 25;14(1):83. (PMID: 27884208)
J R Army Med Corps. 2002 Jun;148(2):200-7. (PMID: 12174566)
Mil Med. 2020 Feb 13;185(1-2):e138-e145. (PMID: 31334769)
J Spec Oper Med. 2015 Summer;15(2):25-41. (PMID: 26125162)
Injury. 2014 Jul;45(7):1028-34. (PMID: 24878294)
J Trauma Acute Care Surg. 2012 Dec;73(6 Suppl 5):S438-44. (PMID: 23192067)
J R Army Med Corps. 2016 Oct;162(5):355-360. (PMID: 26468431)
Ann Emerg Med. 1994 Apr;23(4):748-54. (PMID: 8161043)
Disaster Med Public Health Prep. 2019 Dec;13(5-6):1074-1082. (PMID: 31203832)
Prehosp Disaster Med. 2007 Nov-Dec;22(6):507-12. (PMID: 18711835)
Ann Emerg Med. 1994 Apr;23(4):755-60. (PMID: 8161044)
Injury. 2017 Jul;48(7):1439-1443. (PMID: 28583417)
J Trauma. 2011 Jul;71(1 Suppl):S4-8. (PMID: 21795876)
J R Army Med Corps. 2007 Sep;153(3):210-5. (PMID: 18200921)
Mil Med. 2021 Jan 30;186(3-4):e442-e450. (PMID: 33135765)
J Spec Oper Med. 2017 Summer;17(2):21-38. (PMID: 28599032)
World Neurosurg. 2013 Feb;79(2):346-58. (PMID: 22929108)
Mil Med. 2000 Nov;165(11):824-8. (PMID: 11143427)
Eur J Trauma Emerg Surg. 2020 Jun;46(3):649-656. (PMID: 30542745)
N Engl J Med. 2004 Dec 9;351(24):2471-5. (PMID: 15590948)
Mil Med. 2012 Mar;177(3):326-32. (PMID: 22479922)
J Bone Joint Surg Am. 2013 Aug 21;95(16):e114(1-6). (PMID: 23965708)
Disaster Med Public Health Prep. 2021 Feb;15(1):15-19. (PMID: 31910930)
J Trauma. 2003 May;54(5 Suppl):S13-9. (PMID: 12768096)
Ann R Coll Surg Engl. 1983 Sep;65(5):281-5. (PMID: 6614760)
J Neurosurg. 2009 Feb;110(2):319-26. (PMID: 18976060)
J Med Biogr. 2018 Feb;26(1):10-22. (PMID: 26956700)

Date Created: 20210320 Date Completed: 20220420 Latest Revision: 20220716

20240513

PMC8963150

10.1093/milmed/usab108

33742659