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Dismounted Complex Blast Injuries Including Invasive Fungal Infections

Clinton K Murray1, Kirby Gross, Robert J Russell

  • 1US Army Medical Department Center and School, JBSA Fort Sam Houston, Texas.

U.S. Army Medical Department Journal
|May 25, 2016
PubMed

Insights

Combat injuries involving amputations and perineal wounds led to invasive fungal infections. Interventions focused on risk assessment, protective gear, and standardized clinical guidelines to reduce combat casualty mortality.

Area of Science:

  • Military medicine
  • Infectious disease epidemiology
  • Trauma surgery

Background:

  • Large blast injuries in Afghanistan operations resulted in major limb amputations and perineal trauma.
  • High-volume blood resuscitation in these casualties correlated with invasive fungal infections, predominantly molds.

Purpose of the Study:

  • To outline interventions aimed at mitigating morbidity and mortality from invasive fungal infections in combat casualties.
  • To detail strategies for managing and preventing fungal infections in deployed military personnel.

Main Methods:

  • Systematic data collection and analysis to define the problem and associated risks.
  • Development of enhanced protective body armor for the thigh and perineal areas.
  • Standardization of management through clinical practice guidelines and multidisciplinary case conferences.

Main Results:

  • Implementation of a comprehensive strategy addressing risk identification, protective measures, and standardized treatment protocols.
  • Improved communication and knowledge sharing through the Theater Combat Casualty Care Conference.

Conclusions:

  • A multi-faceted approach involving risk assessment, technological advancements (body armor), and standardized clinical guidelines is crucial.
  • Sustained knowledge and skills through an "inner-war" approach are vital for long-term management of combat-related fungal infections.

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