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Cited by 526

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Died of Wounds on the Battlefield: Causation and Implications for Improving Combat Casualty Care

Eastridge, Brian J., Hardin, Mark, Cantrell, Joyce, Oetjen-Gerdes, Lynne, Zubko, Tamara, Mallak, Craig, Wade, Charles E., Simmons, John, Mace, James, Mabry, Robert, Bolenbaucher, Rose, Blackbourne, Lorne H.·2011·Journal of Trauma: Injury, Infection & Critical Care

Abstract

BACKGROUND: Understanding the epidemiology of death after battlefield injury is vital to combat casualty care performance improvement. The current analysis was undertaken to develop a comprehensive perspective of deaths that occurred after casualties reached a medical treatment facility. METHODS: Battle injury died of wounds (DOW) deaths that occurred after casualties reached a medical treatment facility from October 2001 to June 2009 were evaluated by reviewing autopsy and other postmortem records at the Office of the Armed Forces Medical Examiners (OAFME). A panel of military trauma experts classified the injuries as nonsurvivable (NS) or potentially survivable (PS), in consultation with an OAFME forensic pathologist. Data including demographics, mechanism of injury, physiologic and laboratory variables, and cause of death were obtained from the Joint Theater Trauma Registry and the OAFME Mortality Trauma Registry. RESULTS: DOW casualties (n = 558) accounted for 4.56% of the nonreturn to duty battle injuries over the study period. DOW casualties were classified as NS in 271 (48.6%) cases and PS in 287 (51.4%) cases. Traumatic brain injury was the predominant injury leading to death in 225 of 271 (83%) NS cases, whereas hemorrhage from major trauma was the predominant mechanism of death in 230 of 287 (80%) PS cases. In the hemorrhage mechanism PS cases, the major body region bleeding focus accounting for mortality were torso (48%), extremity (31%), and junctional (neck, axilla, and groin) (21%). Fifty-one percent of DOW casualties presented in extremis with cardiopulmonary resuscitation upon presentation. CONCLUSIONS: Hemorrhage is a major mechanism of death in PS combat injuries, underscoring the necessity for initiatives to mitigate bleeding, particularly in the prehospital environment.

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Crossref · 10.1097/ta.0b013e318221147b

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Metadata

Authors
Eastridge, B. J., Hardin, M., Cantrell, J., Oetjen-Gerdes, L., Zubko, T., Mallak, C., Wade, C. E., Simmons, J., Mace, J., Mabry, R., Bolenbaucher, R., & Blackbourne, L. H.
Venue
Journal of Trauma: Injury, Infection & Critical Care
Published
2011-07
Volume
71
Issue
1
Pages
S4-S8
ISSN
0022-5282 (ISSN-L)
OpenAlex
W2117661477
Cited by
526
References
30
FWCI
31.09
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Died of Wounds on the Battlefield: Causation and Implications for Improving Combat Casualty Care. https://app.cochat.ai/papers/10.1097/ta.0b013e318221147b
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Eastridge, B. J., Hardin, M., Cantrell, J., Oetjen-Gerdes, L., Zubko, T., Mallak, C., Wade, C. E., Simmons, J., Mace, J., Mabry, R., Bolenbaucher, R., & Blackbourne, L. H. (2011). Died of Wounds on the Battlefield: Causation and Implications for Improving Combat Casualty Care. Journal of Trauma: Injury, Infection & Critical Care. https://doi.org/10.1097/ta.0b013e318221147b

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.