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Extraction of Diatom DNA from Water Samples and Tissues
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Combat-associated drowning.

Patrick F Allan1, Raymond Fang, Kathleen D Martin

  • 1Landstuhl Regional Medical Center, Landstuhl, Germany.

The Journal of Trauma
|July 13, 2010
PubMed
Summary
This summary is machine-generated.

Military drowning incidents during combat operations resulted in high mortality, particularly for those with low Glasgow Coma Scale scores or requiring cardiopulmonary resuscitation (CPR). Survivors often faced long-term issues like acute respiratory distress syndrome.

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Area of Science:

  • Military Medicine
  • Trauma Care
  • Drowning Research

Background:

  • Drowning is a significant risk in military operations.
  • Understanding outcomes is crucial for improving care.

Purpose of the Study:

  • To detail the clinical course and outcomes of drowning incidents in US military personnel during combat.
  • To identify factors associated with mortality and morbidity.

Main Methods:

  • Retrospective case series of drowning survivors treated at a European military trauma center (2002-2009).
  • Analysis of patient demographics, scene findings, and in-theater medical care.
  • Review of care progression to the echelon IV trauma center.

Main Results:

  • Overall mortality rate was 37.5% (3 of 8 patients).
  • Advanced respiratory support and vasopressors were frequently required.
  • Low Glasgow Coma Scale (GCS) scores and on-scene cardiopulmonary resuscitation (CPR) strongly predicted mortality.
  • Survivors experienced long-term morbidity, including acute respiratory distress syndrome and hypoxic encephalopathy.

Conclusions:

  • Combat-related drowning leads to severe acute respiratory distress syndrome and shock.
  • Initial GCS score and need for CPR are critical predictors of mortality due to anoxic brain injury.