TY - JOUR
T1 - Mortality epidemiology in low-intensity warfare
T2 - Israel Defense Forces' experience
AU - Scope, A.
AU - Farkash, U.
AU - Lynn, M.
AU - Abargel, A.
AU - Eldad, A.
PY - 2001
Y1 - 2001
N2 - Purpose: an analysis of the mortality epidemiology in low-intensity warfare. Basic procedures: we retrospectively reviewed all cases of Israeli soldiers killed in small-scale warfare during 1996-1998, using field data, hospital charts and autopsy reports. Data on injury pattern, offending munitions and time of death were analyzed. Main findings: in the study period, 106 soldiers were killed. Penetrating trauma was the common injury mechanism (95%) most frequently due to claymore bombs and gunshot bullets. The percentage dying in the prehospital phase and in the first 30-min were 77 and 88%, respectively. The average injury severity score (ISS) was 42.5. Seriously injured body regions were thorax (38%), head (24%), abdomen and pelvis (13%) and neck (12%). Conclusions: there is no trimodal death distribution in military trauma. Most casualties of low-scale conflicts die very early after injury. Most fatal injuries involve the head and trunk regions. The distribution of injury depends on the type of assaulting munitions.
AB - Purpose: an analysis of the mortality epidemiology in low-intensity warfare. Basic procedures: we retrospectively reviewed all cases of Israeli soldiers killed in small-scale warfare during 1996-1998, using field data, hospital charts and autopsy reports. Data on injury pattern, offending munitions and time of death were analyzed. Main findings: in the study period, 106 soldiers were killed. Penetrating trauma was the common injury mechanism (95%) most frequently due to claymore bombs and gunshot bullets. The percentage dying in the prehospital phase and in the first 30-min were 77 and 88%, respectively. The average injury severity score (ISS) was 42.5. Seriously injured body regions were thorax (38%), head (24%), abdomen and pelvis (13%) and neck (12%). Conclusions: there is no trimodal death distribution in military trauma. Most casualties of low-scale conflicts die very early after injury. Most fatal injuries involve the head and trunk regions. The distribution of injury depends on the type of assaulting munitions.
UR - http://www.scopus.com/inward/record.url?scp=0035181332&partnerID=8YFLogxK
U2 - 10.1016/S0020-1383(00)00101-7
DO - 10.1016/S0020-1383(00)00101-7
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C2 - 11164393
AN - SCOPUS:0035181332
SN - 0020-1383
VL - 32
SP - 1
EP - 3
JO - Injury
JF - Injury
IS - 1
ER -