OBJECTIVE The objective of this study is to characterize modern point-of-injury (POI) en-route care platforms and to compare mortality among casualties evacuated with conventional military retrieval (CMR) methods to those evacuated with an advanced medical retrieval (AMR) capability. BACKGROUND Following a decade of war in Afghanistan, the impact of en-route care capabilities from the POI on ...

BACKGROUND In the second Lebanon war in 2006, the Israeli Defense Forces fought against well-prepared and well-equipped paramilitary forces. The conflict took place near the Israeli border and major Israeli medical centers. Good data records were maintained throughout the campaign, allowing accurate analysis of injury characteristics. This study is an in-depth analysis of injury mechanisms, sev...

BACKGROUND The opinion that injuries sustained in Iraq and Afghanistan have increased in severity is widely held by clinicians who have deployed multiple times. To continuously improve combat casualty care, the Department of Defense has enacted numerous evidence-based policies and clinical practice guidelines. We hypothesized that the severity of wounds has increased over time. Furthermore, we ...

Introduction: Radiographic study plays an important role in diagnosis of acute vertebral injuries and helps proper management those patients. Magnetic resonance imaging (MRI) is the modality choice for evaluation ligamentous other soft tissue structures, disc, spinal cord occult osseous injuries. Due to high cost, it necessary detect best use this technique thoracolumbar The purpose was evaluat...

Abstract Introduction This study investigates the pattern of referrals thoracolumbar fractures between trauma and orthopaedic department in a district general unit (TU) affiliated Major Trauma Centre (MTC). Our TU has got no out hour emergency spinal surgeons on site. Patients who are admitted with get referred to MTC for advice management. The TLICS score AO Thoracolumbar fracture classificati...

STUDY DESIGN  Interobserver and intraobserver reliabilityObjective: To measure and compare the interobserver and intraobserver reliability of the cervical spine injury severity score (CSISS), the subaxial injury classification (SLIC) and severity scale, and the Allen-Ferguson system in patients with subaxial cervical spine injuries presenting to the emergency department. METHODS  Five examine...

OBJECTIVE The sub-axial injury classification (SLIC) and severity scale was developed to decide whether to operate the cervical injured patient or not, but the reliability of SLIC and severity scale among the different physicians was not well known. Therefore, we evaluated the reliability of SLIC among a spine surgeon, a resident of neurosurgery and a neuro-radiologist. METHODS In retrograde ...