@article{ref1,
title="Multiple blast extremity injuries: is definitive treatment achievable in a field hospital for local casualties?",
journal="International orthopaedics",
year="2014",
author="Mathieu, Laurent and Saint-Macary, Erwan and Frank, Martin and Bertani, Antoine and Rongieras, Frédéric and Balandraud, Paul and Rigal, Sylvain",
volume="38",
number="12",
pages="2565-2569",
abstract="PURPOSE: The objective of this report was to analyse injury patterns and definitive management of local casualties with multiple blast extremity injuries in the Kabul International Airport Combat Support Hospital. <br><br>METHODS: A clinical prospective study was performed from July 2012 to January 2013. Afghan victims of a blast trauma with a minimum of two extremities injured and an Injury Severity Score (ISS) greater than 8 were included. Two groups were considered for analysis: group A including patients with amputations and group LS including patients with limb salvage procedures. <br><br>RESULTS: During this period 19 patients were included with a total of 57 extremity injuries. There were six patients in group A and 13 patients in group LS, with a mean number of injuries of 3.5 and 2.8, respectively. The ISS, blood products utilization and overall time of surgery were significantly greater in group A. <br><br>CONCLUSION: Reconstruction of multiple blast extremity injuries may be achieved in a field hospital despite limited resources and operational constraints. However, this activity requires the utilization of significant supplies and major investment from the caregivers deployed.<p /><p>Language: en</p>",
language="en",
issn="0341-2695",
doi="10.1007/s00264-014-2532-6",
url="http://dx.doi.org/10.1007/s00264-014-2532-6"
}