Dismounted Complex Blast Injury. Report of the Army Dismounted Complex Blast Injury Task Force

摘要

Dismounted Complex Blast Injury (DCBI) is an explosion-induced battle injury (BI) sustained by a warfighter on foot patrol that produces a specific pattern of wounds. Both line and medical communities have noted the combination of high thigh amputations with genital injury associated with dismounted patrolling. In a significant subpopulation, the casualties sustained double and triple limb amputations The severity of these injuries presents new challenges to the medical and military communities to prevent, protect, mitigate and treat. The US Army Surgeon General (SG) appointed a task force to study the causation, prevention, protection, treatment, and long-term care options of this BI pattern. The Task Force was comprised of clinical and operational medical experts from the Departments of Defense (DoD) and Veterans Affairs (VA) and solicited input from subject matter experts in both Federal and civilian sectors. This report will look at current candidates for best practice designation for prevention, mitigation, or treatment of dismounted complex blast injuries. It will address opportunities for intervention from the POI to long-term rehabilitation. The Task Force will address a systematic approach to this problem set from a medical perspective, using the Doctrine, Organization, Training, Materiel, Leadership, Personnel, Facilities and Contracting (DOTMLPF-C) approach, followed by specific recommendations for the way forward.