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Published on: January 8, 2020
United States Military Fatalities During Operation Inherent Resolve and Operation Freedom's Sentinel
Russ S Kotwal1,2, Jud C Janak1, Jeffrey T Howard1,3
1Joint Trauma System, Defense Health Agency, Joint Base San Antonio-Fort Sam Houston, TX 78234, USA.
Military mortality reviews reveal injury and disease as leading causes of death in Operation Inherent Resolve and Operation Freedom's Sentinel. Findings guide future injury prevention and casualty care strategies for military personnel.
Area of Science:
- Military medicine
- Trauma research
- Public health surveillance
Background:
- Military operations aim to achieve national objectives.
- Mortality reviews are crucial for improving injury prevention and casualty care.
- Understanding causes of death in military operations is vital for force protection.
Purpose of the Study:
- To analyze U.S. military fatalities from Operation Inherent Resolve (OIR) and Operation Freedom's Sentinel (OFS).
- To identify causes, mechanisms, and preventability of death in military operations.
- To inform strategies for reducing mortality in military forces.
Main Methods:
- Retrospective study of all U.S. military fatalities from OIR (2014-2021) and OFS (2015-2021).
- Data extracted from autopsy reports and existing records.
- Analysis included population characteristics, manner/cause/location of death, atherosclerosis, injury severity, and death preventability.
Main Results:
- 213 fatalities analyzed; leading cause of death was injury (OIR 81.1%, OFS 98.1%).
- Manner of death varied: more homicides in OFS (72.9%), more natural causes/suicides in OIR (18.9%/29.2%).
- Most trauma fatalities had non-survivable injuries (80.8%) and were non-preventable (97.3%).
Conclusions:
- Routine comprehensive mortality reviews are recommended for all military operations.
- Understanding both injury and disease-related deaths is key to reducing military fatalities.
- Findings can guide preemptive and responsive efforts to enhance military force protection.
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