Join us as retired Army Colonel Dr. Russ Kotwal takes us through the complexities of analyzing military fatalities in combat operations discussing his recent article in Military Medicine. Drawing from his extensive experience and in-depth research, Dr. Kotwal breaks down how changes in military missions, resources, and roles of engagement over time can influence the outcome of these operations. You'll gain valuable insights into the significance of mortality reviews from previous major military operations in guiding injury prevention and future combat casualty care efforts. Also, we take time to clarify important terms such as 'DNBI' and 'Battle Injury', and their relevance to cause of death.
In our discussion, we venture into the realm of military medical terminology used to define battle injuries and casualties. Listen in as we fully define terms like killed in action, died of wounds, injury survivability, and death preventability. To help you understand these terms and their meanings better, we explore the Joint Trauma System lexicon, an indispensable tool in military trauma care.
Don't miss out as we dissect the case fatality rate for battle injuries in the context of combat casualty care. We look at data from World War II, Vietnam, Afghanistan, and Iraq, and draw comparisons between OIR and OFS. We also touch on the role of the Joint Trauma System and the Department of Defense Trauma Registry and their potential impact on the case fatality rate in large-scale combat operations. Our discussion extends to the examination of autopsy reports and the implications they carry for garrison care and the readiness of the medical force. Join us in this enlightening exploration of military trauma mortality and injury severity.
(0:00:00) - Analyzing Military Fatalities in Combat Operations
Dr. Kotwal discusses military missions, resources, mortality reviews, DNBI and Battle Injury, and injury prevention for combat casualty care.
(0:05:29) - Military Trauma Care Medical Terms
We discuss military battle injuries, casualties, KIA/DOW, survivability, death preventability, and the joint trauma lexicon.
(0:21:07) - Analyzing Case Fatality Rates and Lessons
We compare case fatality rates of battle injuries in WW2, Vietnam, Afghanistan and Iraq, examining the Joint Trauma System, DoD Trauma Registry, and autopsy reports.
(0:30:22) - Military Trauma Mortality and Injury Severity
Hemorrhage, injury severity scores, blast and gunshot wounds, and future Mortality analysis projects are discussed.
**CORRECTION**- The Army Air Corps vignette discussed at 37:55 in the podcast occurred in 1943.
Take Home Messages:
Understanding military missions, resources, and roles of engagement is crucial in analyzing the outcomes of combat operations and informing future casualty care efforts.
The terms 'DNBI' and 'Battle Injury' play a key role in understanding the cause of death in combat scenarios.
Military medical terminology such as 'killed in action', 'died of wounds', 'injury survivability', and 'death preventability' are critical in the analysis of military trauma care.
The Joint Trauma Lexicon is an invaluable tool that helps in understanding complex military medical terms and their meanings.
The case fatality rate for battle injuries has varied across different combat operations such as World War II, Vietnam, Afghanistan, and Iraq.
The Joint Trauma System and the Department of Defense Trauma Registry have significantly impacted case fatality rates in large-scale combat operations.
Autopsy reports play a critical role in understanding the prevalence of certain diseases and conditions in the military and can have implications for garrison care and the readiness of the medical force.
The role of hemorrhage in military trauma mortality reviews, the use of injury severity scores, and the development of new metrics are all important factors in the analysis of military trauma mortality.
There is a need for more research into the impact of underlying illnesses such as atherosclerosis on military service members, including better pre and post-deployment screening and prophylactic medical therapy.
Studying cases deemed survivable and potentially preventable can lead to important lessons in both prevention and care, helping improve outcomes in future combat operations.
Military Trauma Care, Mortality Reviews, Combat Operations, DNBI, BI, Killed in Action, Died of Wounds, Injury Survivability, Death Preventability, Joint Trauma Lexicon, Case Fatality Rate, World War II, Vietnam, Afghanistan, Iraq, OIR, OFS, Joint Trauma System, Department of Defense Trauma Registry, Autopsy Reports, Garrison Care, Medical Force Readiness, Hemorrhage, Injury Severity Scores, Blast Wounds, Gunshot Wounds, Survivability, Prevention
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Facebook: WarDocs Podcast
LinkedIn: WarDocs-The Military Medicine Podcast
To leave or reply to comments, please download free Podbean or
To leave or reply to comments, please download free Podbean App.