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      Contribución de la inteligencia sanitaria a la formación Translated title: Contribution of medical intelligence to training

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          Abstract

          RESUMEN Introducción: La inteligencia sanitaria contribuye de forma importante a la mejora de la práctica clínica y la formación del personal militar de sanidad como es a través del análisis de la información sanitaria y aplicación de los resultados de este análisis a la mejora de la atención del paciente traumático grave. Los registros de trauma recogen datos que son de utilidad para su posterior análisis colaborando en el desarrollo, mejora, actualización e implantación de programas de enseñanza para el personal de sanidad en los que tiene un papel fundamental la simulación clínica. Material y métodos: Se ha realizado una búsqueda no sistemática en distintas bases de datos como Medline, Revista Military Medicine o Google Académico. Resultados y discusión: En Europa existen distintos registros de trauma, tanto civiles como militares, que recogen datos de distintos aspectos de la atención al paciente politraumatizado. Conclusión: El análisis por parte de la inteligencia sanitaria de los datos registrados y una formación eficaz con la inclusión de simulación clínica, contribuirá a la mejora de la formación del personal sanitario, tanto civil como militar, y por lo tanto al aumento de la supervivencia del paciente con trauma grave.

          Translated abstract

          SUMMARY Introduction: Medical Intelligence contributes significantly to the improvement of clinical practice and training of military health personnel, such as through health information analysis and application of the results of this analysis to the improvement of patient severe trauma care. Trauma registries collect data that are useful for further analysis by collaborating in the development, improvement, updating and implementation of education programmes for health personnel where clinical simulation plays a key role. Material and methods: An unsystematic review has been carried out on different databases such as Medline, Military Medicine Magazine or Google Scholar. Results and discussion: In Europe there are different trauma registries, both civilian and military, which collect data on different aspects of the care of the trauma patient. Conclusion: Analysis by the Medical Intelligence of the registered data and effective training, including clinical simulation, will contribute to the improvement of the training of health personnel, both civilian and military, and therefore to increase the patient survival with severe trauma.

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          Implementing and preserving the advances in combat casualty care from Iraq and Afghanistan throughout the US Military.

          Thirteen years of continuous combat operations have enabled the US Military and its coalition partners to make a number of major advances in casualty care. The coalition nations have developed a superb combat trauma system and achieved unprecedented casualty survival rates. There remains, however, a need to accelerate the translation of new battlefield trauma care information, training, and equipment to units and individuals deploying in support of combat operations. In addition, the US Military needs to ensure that these advances are sustained during peace intervals and that we continue to build upon our successes as we prepare for future conflicts. This article contains recommendations designed to accomplish those goals. For the proposed actions to benefit all branches of our armed services, the direction will need to come from the Office of the Secretary of Defense in partnership with the Joint Staff. Effective translation of military advances in prehospital trauma care may also increase survival for law enforcement officers wounded in the line of duty and for civilian victims of Active Shooter or terrorist-related mass-casualty incidents.
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            Calidad y registros en trauma

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              Description of trauma among French service members in the Department of Defense Trauma Registry: understanding the nature of trauma and the care provided

              Background Since 2001, the French Armed Forces have sustained many casualties during the Global War on Terror; however, even today, there is no French Military trauma registry. Some French service members (SMs) were treated in US Military Medical Treatment Facilities (MTFs) and were recorded in the US Department of Defense Trauma Registry (DoDTR). Our objective was to conduct a descriptive analysis of the injuries sustained by French SMs reported in the DoDTR and subsequent care provided to them to assist in understanding the importance of building a French Military trauma registry. Methods Using DoDTR data collected from 2001 to 2017, a retrospective descriptive analysis was conducted. We identified 59 French SMs treated in US MTFs. The characteristics of the SMs’ demographics, injuries, care provided to them, and discharge outcomes were summarized. Results Among the 59 French SMs identified, 46 (78%) sustained battle injuries (BIs) and 13 (22%) sustained nonbattle injuries (NBIs). There were 47 (80%) SMs injured in Afghanistan (Opération Pamir), while 12 (20%) were injured in Opération Chammal in Iraq and Syria. Explosives accounted for 52.5% of injuries, while 25.4% were due to gunshot wounds; all were BIs. The majority of reported injuries were penetrating (59.3%), most of which were BIs (71.7%). The mean Injury Severity Score for BIs was 12 (SD = 8.9) compared to 6 (SD = 1.7) for NBIs. Around half of SMs (n = 30; 51%) were injured in Afghanistan between the years 2008–2010. Among a total of 246 injuries sustained by 59 patients, extremities were the body part most prone to BIs followed by the head and face. Four SMs died after admission (6.8%). Conclusions The DoDTR provides extensive data on trauma injuries that can be used to inform injury prevention and clinical care. The majority of injuries sustained by French SMs were BIs, caused by explosives, and predominantly occurring to the extremities; these findings are similar to those of other studies conducted in combat zones. There is a need to establish a French Military trauma registry to improve the combat casualty care provided to French SMs, and its creation may benefit from the DoDTR model.
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                Author and article information

                Journal
                sm
                Sanidad Militar
                Sanid. Mil.
                Ministerio de Defensa (Madrid, Madrid, Spain )
                1887-8571
                September 2022
                : 78
                : 3
                : 188-190
                Affiliations
                [1] Madrid orgnameEscuela Militar de Sanidad orgdiv1Departamento de Enfermería España
                [2] Madrid orgnameEscuela Militar de Sanidad orgdiv1Departamento de Simulación España
                Article
                S1887-85712022000300011 S1887-8571(22)07800300011
                10.4321/s1887-857120220003000011
                9081d347-134f-4ac9-aa18-4b3238a37043

                http://creativecommons.org/licenses/by/4.0/

                History
                : 29 July 2021
                : 19 July 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 14, Pages: 3
                Product

                SciELO Spain

                Categories
                Informes

                clinical simulation,Inteligencia sanitaria,formación,simulación clínica,Medical Intelligence,training

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