The Dismounted Complex Blast Injury (DCBI) injury pattern consists of (generally proximal) bilateral lower extremity amputations with associated pelvic/perineal injuries and frequently also includes upper extremity injuries (which may be bilateral but most commonly involve the left side due to weapon carrying stance at the
Jul 21, 2020 · Of this variety, the most critical injuring pattern involves bilateral proximal-level LE amputations with open pelvic fractures and destructive blasting wounds to the perineum and genitourinary (GU) system (17).
The Dismounted Complex Blast Injury (DCBI) injury is a devastating trauma incurred when a casualty operating in a foot patrol posture either steps on or is in extremely close proximity to an improvised explosive device (IED)/buried explosive.
Initial predictors associated with outcome in injured multiple ...
Early 30-day follow-up demonstrated that IED injuries with bilateral LE amputations with and without pelvic and perineal involvement are survivable injuries. Standard measures of injury and predictors of survival bore little relationship to observed outcomes and …
Complex dismounted IED blast injuries: the initial management of ...
The most complex and challenging injury pattern is the emerging frequency of high-energy IED casualties presenting in extremis with traumatic bilateral lower extremity amputations with and without pelvic and perineal blast involvement.
Injury profile suffered by targets of antipersonnel improvised ...
Aug 7, 2017 · Therefore, the typical injury profile suffered by targeted victims of AP-IEDs included: bilateral lower extremity amputations (often above the knee); mangling or amputation of an upper extremity; extensive soft tissue injury with deep contamination by soil, extending into gluteal and perineal regions and pelvic ring disruption and genital ...
DCBI pattern consists of bilateral lower extremity amputations with associated pelvic/perineal injuries. Most often proximal amputations. Frequently includes upper extremity injuries. High incidence of mortality and morbidity.
Lower limb injuries caused by improvised explosive devices: …
Seventy-six of 103 casualties (74%) suffered significant bilateral lower limb injuries. For 50 casualties (49%) these injuries resulted in bilateral lower limb amputations, whether traumatic or surgical.
Lower limb injuries caused by improvised explosive devices: …
The validation cohort confirms that the injury burden from IEDs in the Helmand Province of Afghanistan remains high, with most casualties sustaining amputation through or above the knee. The rates of associated injury to the abdomen, perineum, pelvis and upper limbs are high.
Patients with multiple traumatic amputations: An analysis of ... - Injury
Improvised Explosive Devices (IED) are the primary wounding mechanism for casualties in Operation Enduring Freedom. Patients can sustain devastating traumatic amputations, which are unlike injuries seen in the civilian trauma sector. This is a database analysis of the largest patient registry of multiple traumatic amputations.