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A Retrospective Cohort Analysis of Battle Injury Versus Disease, Non-Battle Injury-Two Validating Flight Surgeons'
William P Butler1, Lawrence W Steinkraus2, Brittany L Fouts1
1U.S. Air Force School of Aerospace Medicine, 2510 5th Street, Building 840, Wright-Patterson Air Force Base, OH 45433.
Military medical care has improved due to regulated U.S. Air Force aeromedical evacuation (AE). Theater Validating Flight Surgeons (TVFS) manage patient readiness for flight, with battle injuries being most common.
Area of Science:
- Military Medicine
- Aeromedical Evacuation
- Patient Care
Background:
- Military combat medical care has significantly advanced.
- Regulated U.S. Air Force aeromedical evacuation (AE) plays a crucial role in this improvement.
- The Theater Validating Flight Surgeon (TVFS) is essential for validating patient fitness for flight.
Purpose of the Study:
- To examine the clinical and prescriptive practices of Theater Validating Flight Surgeons (TVFS).
- To provide an initial accounting of TVFS experiences based on operational data.
- To establish a foundation for future research utilizing aeromedical evacuation databases.
Main Methods:
- Descriptive analysis of patient data managed via a unique operational worksheet.
- Study focused on the experiences of two TVFS deployed successively in 2007.
- Analysis included approximately 5 months of data from 1,389 patients.
Main Results:
- The patient population was predominantly male (94%), with a median age of 30, and primarily Army enlisted soldiers (63%).
- Battle Injuries (55%) were more prevalent than Disease, Non-Battle Injury (45%).
- Common prescriptions included no "remain overnights" (79%), head of bed elevation (78%), and cabin altitude restriction (57%).
Conclusions:
- This study offers a novel insight into the TVFS role and practices.
- The findings highlight key clinical decisions and prescriptions made by TVFS.
- The data serves as a basis for further investigations into aeromedical evacuation practices and outcomes.
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