The experience of the US Marine Corps' surgical shock trauma platoon with 417 operative combat casualties during a 12 month period of operation Iraqi freedom

Lowell W. Chambers, D. J. Green, Bruce L. Gillingham, Kenneth Sample, Peter M Rhee, Carlos Brown, Stacy Brethauer, Thomas Nelson, Nalan Narine, Bruce Baker, H. R. Bohman

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Background: The Forward Resuscitative Surgical System (FRSS) is a small, mobile trauma surgical unit designed to support modern US Marine Corps combat operations. The experience of two co-located FRSS teams during 1 year of service in Operation Iraqi Freedom is reviewed to evaluate the system's efficacy. Methods: Between March 1, 2004, and February 28, 2005, two FRSS teams and a shock trauma platoon were co-located in a unit designated the Surgical Shock Trauma Platoon (SSTP). Data concerning patient care before and during treatment at the SSTP was maintained prospectively. Prospective determination of outcomes was obtained by e-mail correspondence with surgeons caring for the patients at higher echelons. The Los Angeles County medical center (LAC) trauma registry was queried to obtain a comparable data-base with which to compare outcomes. Results: During the year reviewed there were 895 trauma admissions to the SSTP. Excluding 25 patients pulseless on arrival and 291 minimally injured patients, 559 of 579 (97%) combat casualties survived; 417 casualties underwent 981 operative procedures in the two SSTP operating shelters. There were 79 operative patients with a mean injury severity score of 26 (range, 16-59) and mean revised trauma score of 6.963 (range, 4.21-7.841) who had sustained severe injuries. Ten (12.7%) of these casualties died while 43 of 337 (12.8%) deaths were seen with comparable cases treated at LAC. Conclusions: Small task-oriented surgical units are capable of providing effective trauma surgical care to combat casualties. Further experience is needed to better delineate the balance between early, forward-based surgical intervention and more prolonged initial casualty evacuation to reach more robust surgical facilities.

Original languageEnglish (US)
Pages (from-to)1155-1161
Number of pages7
JournalJournal of Trauma
Volume60
Issue number6
DOIs
StatePublished - Jun 2006
Externally publishedYes

Fingerprint

2003-2011 Iraq War
Surgical Shock
Military Personnel
Wounds and Injuries
Trauma Centers
Injury Severity Score
Los Angeles
Operative Surgical Procedures

ASJC Scopus subject areas

  • Surgery

Cite this

The experience of the US Marine Corps' surgical shock trauma platoon with 417 operative combat casualties during a 12 month period of operation Iraqi freedom. / Chambers, Lowell W.; Green, D. J.; Gillingham, Bruce L.; Sample, Kenneth; Rhee, Peter M; Brown, Carlos; Brethauer, Stacy; Nelson, Thomas; Narine, Nalan; Baker, Bruce; Bohman, H. R.

In: Journal of Trauma, Vol. 60, No. 6, 06.2006, p. 1155-1161.

Research output: Contribution to journalArticle

Chambers, LW, Green, DJ, Gillingham, BL, Sample, K, Rhee, PM, Brown, C, Brethauer, S, Nelson, T, Narine, N, Baker, B & Bohman, HR 2006, 'The experience of the US Marine Corps' surgical shock trauma platoon with 417 operative combat casualties during a 12 month period of operation Iraqi freedom', Journal of Trauma, vol. 60, no. 6, pp. 1155-1161. https://doi.org/10.1097/01.ta.0000220340.91356.7e
Chambers, Lowell W. ; Green, D. J. ; Gillingham, Bruce L. ; Sample, Kenneth ; Rhee, Peter M ; Brown, Carlos ; Brethauer, Stacy ; Nelson, Thomas ; Narine, Nalan ; Baker, Bruce ; Bohman, H. R. / The experience of the US Marine Corps' surgical shock trauma platoon with 417 operative combat casualties during a 12 month period of operation Iraqi freedom. In: Journal of Trauma. 2006 ; Vol. 60, No. 6. pp. 1155-1161.
@article{635a57ca1f074bf394b43143cbb466c7,
title = "The experience of the US Marine Corps' surgical shock trauma platoon with 417 operative combat casualties during a 12 month period of operation Iraqi freedom",
abstract = "Background: The Forward Resuscitative Surgical System (FRSS) is a small, mobile trauma surgical unit designed to support modern US Marine Corps combat operations. The experience of two co-located FRSS teams during 1 year of service in Operation Iraqi Freedom is reviewed to evaluate the system's efficacy. Methods: Between March 1, 2004, and February 28, 2005, two FRSS teams and a shock trauma platoon were co-located in a unit designated the Surgical Shock Trauma Platoon (SSTP). Data concerning patient care before and during treatment at the SSTP was maintained prospectively. Prospective determination of outcomes was obtained by e-mail correspondence with surgeons caring for the patients at higher echelons. The Los Angeles County medical center (LAC) trauma registry was queried to obtain a comparable data-base with which to compare outcomes. Results: During the year reviewed there were 895 trauma admissions to the SSTP. Excluding 25 patients pulseless on arrival and 291 minimally injured patients, 559 of 579 (97{\%}) combat casualties survived; 417 casualties underwent 981 operative procedures in the two SSTP operating shelters. There were 79 operative patients with a mean injury severity score of 26 (range, 16-59) and mean revised trauma score of 6.963 (range, 4.21-7.841) who had sustained severe injuries. Ten (12.7{\%}) of these casualties died while 43 of 337 (12.8{\%}) deaths were seen with comparable cases treated at LAC. Conclusions: Small task-oriented surgical units are capable of providing effective trauma surgical care to combat casualties. Further experience is needed to better delineate the balance between early, forward-based surgical intervention and more prolonged initial casualty evacuation to reach more robust surgical facilities.",
author = "Chambers, {Lowell W.} and Green, {D. J.} and Gillingham, {Bruce L.} and Kenneth Sample and Rhee, {Peter M} and Carlos Brown and Stacy Brethauer and Thomas Nelson and Nalan Narine and Bruce Baker and Bohman, {H. R.}",
year = "2006",
month = "6",
doi = "10.1097/01.ta.0000220340.91356.7e",
language = "English (US)",
volume = "60",
pages = "1155--1161",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - The experience of the US Marine Corps' surgical shock trauma platoon with 417 operative combat casualties during a 12 month period of operation Iraqi freedom

AU - Chambers, Lowell W.

AU - Green, D. J.

AU - Gillingham, Bruce L.

AU - Sample, Kenneth

AU - Rhee, Peter M

AU - Brown, Carlos

AU - Brethauer, Stacy

AU - Nelson, Thomas

AU - Narine, Nalan

AU - Baker, Bruce

AU - Bohman, H. R.

PY - 2006/6

Y1 - 2006/6

N2 - Background: The Forward Resuscitative Surgical System (FRSS) is a small, mobile trauma surgical unit designed to support modern US Marine Corps combat operations. The experience of two co-located FRSS teams during 1 year of service in Operation Iraqi Freedom is reviewed to evaluate the system's efficacy. Methods: Between March 1, 2004, and February 28, 2005, two FRSS teams and a shock trauma platoon were co-located in a unit designated the Surgical Shock Trauma Platoon (SSTP). Data concerning patient care before and during treatment at the SSTP was maintained prospectively. Prospective determination of outcomes was obtained by e-mail correspondence with surgeons caring for the patients at higher echelons. The Los Angeles County medical center (LAC) trauma registry was queried to obtain a comparable data-base with which to compare outcomes. Results: During the year reviewed there were 895 trauma admissions to the SSTP. Excluding 25 patients pulseless on arrival and 291 minimally injured patients, 559 of 579 (97%) combat casualties survived; 417 casualties underwent 981 operative procedures in the two SSTP operating shelters. There were 79 operative patients with a mean injury severity score of 26 (range, 16-59) and mean revised trauma score of 6.963 (range, 4.21-7.841) who had sustained severe injuries. Ten (12.7%) of these casualties died while 43 of 337 (12.8%) deaths were seen with comparable cases treated at LAC. Conclusions: Small task-oriented surgical units are capable of providing effective trauma surgical care to combat casualties. Further experience is needed to better delineate the balance between early, forward-based surgical intervention and more prolonged initial casualty evacuation to reach more robust surgical facilities.

AB - Background: The Forward Resuscitative Surgical System (FRSS) is a small, mobile trauma surgical unit designed to support modern US Marine Corps combat operations. The experience of two co-located FRSS teams during 1 year of service in Operation Iraqi Freedom is reviewed to evaluate the system's efficacy. Methods: Between March 1, 2004, and February 28, 2005, two FRSS teams and a shock trauma platoon were co-located in a unit designated the Surgical Shock Trauma Platoon (SSTP). Data concerning patient care before and during treatment at the SSTP was maintained prospectively. Prospective determination of outcomes was obtained by e-mail correspondence with surgeons caring for the patients at higher echelons. The Los Angeles County medical center (LAC) trauma registry was queried to obtain a comparable data-base with which to compare outcomes. Results: During the year reviewed there were 895 trauma admissions to the SSTP. Excluding 25 patients pulseless on arrival and 291 minimally injured patients, 559 of 579 (97%) combat casualties survived; 417 casualties underwent 981 operative procedures in the two SSTP operating shelters. There were 79 operative patients with a mean injury severity score of 26 (range, 16-59) and mean revised trauma score of 6.963 (range, 4.21-7.841) who had sustained severe injuries. Ten (12.7%) of these casualties died while 43 of 337 (12.8%) deaths were seen with comparable cases treated at LAC. Conclusions: Small task-oriented surgical units are capable of providing effective trauma surgical care to combat casualties. Further experience is needed to better delineate the balance between early, forward-based surgical intervention and more prolonged initial casualty evacuation to reach more robust surgical facilities.

UR - http://www.scopus.com/inward/record.url?scp=33745244809&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745244809&partnerID=8YFLogxK

U2 - 10.1097/01.ta.0000220340.91356.7e

DO - 10.1097/01.ta.0000220340.91356.7e

M3 - Article

C2 - 16766956

VL - 60

SP - 1155

EP - 1161

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 6

ER -