Case Study on the Advancements in Diagnosis and Treatment Technologies for Military Personnel with Complex Explosive Injuries
DOI:
https://doi.org/10.56294/sctconf20241023Keywords:
Explosive Injuries, Diagnosis and Treatment, Mine Injuries, Military Personnel HealthAbstract
A 51-year-old military personnel with severe limb injury from mortar shelling, admitted to Orthopedic Traumatology Department, Ternopil Regional Hospital, Ukraine.
Conclusions: explosive injuries typically arise from the detonation of devices such as landmines, improvised explosive devices, or grenades, causing harm through blast, fragmentation, and thermal effects. Despite a delayed presentation to medical care, the patient underwent multiple debridement procedures, including Vacuum-Assisted Closure therapy, and vascular reconstruction, leading to limb salvage. This case underscore needs for timely medical care, addressing risks of mine blasts and cold weather injuries through training
References
1. Robinson A, Smith D. To clear deadly land mines, science turns to drones and machine learning. Scientific American [Internet]. [cited 2024 Jun 10]; Available from: https://www.scientificamerican.com/video/to-clear-deadly-land-mines-science-turns-to-drones-and-machine-learning/
2. Schmitt KU, Niederer PF, Cronin DS, Morrison III B, Muser MH, Walz F. Trauma Biomechanics [Internet]. Cham: Springer International Publishing; 2019. Ballistic and Blast Trauma; [cited 2024 Jun 10]; p. 247-80. Available from: https://doi.org/10.1007/978-3-030-11659-0_11
3. Maitland L, Middleton L, Veen H, Harrison DJ, Baden J, Hettiaratchy S. Analysis of 983 civilian blast and ballistic casualties and the generation of a template of injury burden: An observational study. eClinicalMedicine [Internet]. 2022 Dec [cited 2024 Jun 10];54:101676. Available from: https://doi.org/10.1016/j.eclinm.2022.101676
4. Serhiyenko V, Holzmann K, Holota S, Derkach Z, Nersesyan A, Melnyk S, et al. An exploratory study of physiological and biochemical parameters to identify simple, robust and relevant biomarkers for therapeutic interventions for ptsd: Study rationale, key elements of design and a context of war in Ukraine. Proceeding Shevchenko Sci Soc Med Sci [Internet]. 2022 Dec 30 [cited 2024 Jun 10];69(2). Available from: https://doi.org/10.25040/ntsh2022.02.14
5. Kamel IS. The role of robotics and automation in surgery: critical review of current and emerging technologies. Futur Med [Internet]. 2023 Mar 30 [cited 2024 Jun 10]:23-35. Available from: https://doi.org/10.57125/fem.2023.03.30.03
6. Syrian Revolution 12 years on | Nearly 614,000 persons killed since the onset of the revolution in March 2011 - The Syrian Observatory For Human Rights n.d. Syriahr.com. [cited 2024 Jun 10]. Available from: https://www.syriahr.com/en/291981/
7. Hu QR, Shen XY, Qian XM, Huang GY, Yuan MQ. The personal protective equipment (PPE) based on individual combat: A systematic review and trend analysis. Def Technol [Internet]. 2022 Dec [cited 2024 Jun 10]. Available from: https://doi.org/10.1016/j.dt.2022.12.007
8. 1 Introduction | Alternative Technologies to Replace Antipersonnel Landmines | The National Academies Press n.d. [cited 2024 Jun 10]. Available from: https://nap.nationalacademies.org/read/10071/chapter/3
9. Amin M, Rehman AU, Akhtar A. Antipersonnel improvised explosive device (AP-IED) blast at Muzaffarabad, AJK: orthopaedic injury profile of victims. Pakistan Armed Forces Med J. 2020;70:346-51.
10. Bosse MJ, Ficke JR, Andersen RC. Extremity war injuries: Current management and research priorities. J Am Acad Orthop Surg [Internet]. 2012;20:viii–x. Available from: http://dx.doi.org/10.5435/jaaos-20-08-viii
11. Military health and readiness improved through collaboration with small business [Internet]. DVIDS. [cited 2024 Jun 10]. Available from: https://www.dvidshub.net/news/455954/military-health-and-readiness-improved-through-collaboration-with-small-business
12. Robledo L, Carrasco M, Mery D. A survey of land mine detection technology. Int J Remote Sens [Internet]. 2009 May [cited 2024 Jun 10];30(9):2399-410. Available from: https://doi.org/10.1080/01431160802549435
13. Home- Defense Centers for Public Health - Aberdeen [Internet]. Cold Weather Casualties and Injuries- Defense Centers for Public Health - Aberdeen; [cited 2024 Jun 10]. Available from: https://ph.health.mil/topics/discond/cip/Pages/Cold-Weather-Casualties-and-Injuries.aspx
14. Shakargy JD, Gendler S, Talmy T, Shushan G, Radomislensky I, Tsur AM, Almog O, Avital G, Benov A, Gelikas S. Blast Injury Patterns Among Israel Defense Forces Fatalities. Mil Med [Internet]. 2022 Oct 7 [cited 2024 Jun 10]. Available from: https://doi.org/10.1093/milmed/usac280
15. Mathews ZR, Koyfman A. Blast Injuries. J Emerg Med [Internet]. 2015 Oct [cited 2024 Jun 10];49(4):573-87. Available from: https://doi.org/10.1016/j.jemermed.2015.03.013
16. Kujirai D, Fujii R, Kaito D, Nakama R, Izawa Y. Blast injuries by an improvised explosive device in japan: A case report. Cureus [Internet]. 2022; Available from: http://dx.doi.org/10.7759/cureus.32118
17. Lerner EB, Schwartz RB, Coule PL, Pirrallo RG. Use of SALT triage in a simulated mass-casualty incident. Prehosp Emerg Care [Internet]. 2010;14(1):21–5. Available from: http://dx.doi.org/10.3109/10903120903349812
18. Counter improvised explosive devices (C-IED) [Internet]. Dtic.mil. DEFENSE INNOVATION MARKETPLACE; 2018 [cited 2024 Jun 10]. Available from: https://defenseinnovationmarketplace.dtic.mil/communities-of-interest/counter-improvised-explosive-devices-c-ied/
19. Capineri L, Pochanin G, Bechtel T, Lande T-S, Capan I, Pastuovic Z, et al. NATO advanced research workshop on explosives detection. In: NATO Science for Peace and Security Series B: Physics and Biophysics. Dordrecht: Springer Netherlands; 2019. p. 1–32.
20. Harjai MM, Agarwal DC, Dave P, Jog SS, Arora P SM, VSM. Mine blast injuries - our experience. Med J Armed Forces India [Internet]. 2005;61(2):143–7. Available from: http://dx.doi.org/10.1016/s0377-1237(05)80010-3
21. Muzaffar W. Mine blast injuries: ocular and social aspects. Br J Ophthalmol [Internet]. 2000;84(6):626–30. Available from: http://dx.doi.org/10.1136/bjo.84.6.626
22. Smith S, Devine M, Taddeo J, McAlister VC. Injury profile suffered by targets of antipersonnel improvised explosive devices: prospective cohort study. BMJ Open [Internet]. 2017;7(7):e014697. Available from: http://dx.doi.org/10.1136/bmjopen-2016-014697
23. Ritenour AE, Blackbourne LH, Kelly JF, McLaughlin DF, Pearse LA, Holcomb JB, et al. Incidence of primary blast injury in US military overseas contingency operations: A retrospective study. Ann Surg [Internet]. 2010;251(6):1140–4. Available from: http://dx.doi.org/10.1097/sla.0b013e3181e01270
Published
Issue
Section
License
Copyright (c) 2024 Petro Bodnar (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.