title: Emergency medicine in the Persian Gulf War--Part 3: Battlefield casualties.
abstract: OBJECTIVE
  To report the type and frequency of battlefield casualties and the procedures performed to treat them.
  
  
  METHODS
  A prospective analysis of trauma record data incorporating anatomic categories and the Revised Trauma Score.
  
  
  METHODS
  Two military field trauma centers during the primary ground assault into Kuwait.
  
  
  METHODS
  Four hundred two trauma admissions of coalition and enemy forces.
  
  
  RESULTS
  Forty-eight percent of casualties suffered fragmentation wounds, including 43 land mine injuries. Only 10% sustained gunshot wounds. Forty-four percent of casualties had injuries limited to the extremities; 29% had combined extremity injury and injury to another anatomic region. Extremity wounds occurred nearly twice as frequently in the lower extremities as in the upper extremities. Surgical procedures were undertaken in 164 patients, with 108 debridements for major soft tissue injuries or open fractures.
  
  
  CONCLUSIONS
  The composite casualty admitted to US Navy-Marine trauma facilities was injured by shrapnel in the lower extremity and required surgical debridement only. Soldiers with land mine injuries, as in other wars, were among those in greatest need of emergency resuscitation.
authors.affiliation: Department of Surgery, University of Hawaii, John A Burns School of Medicine, Kapiolani Medical Center, Honolulu.
authors.forename: F M
authors.initials: FM
authors.lastname: Burkle
authors.forename: C
authors.initials: C
authors.lastname: Newland
authors.forename: S J
authors.initials: SJ
authors.lastname: Meister
authors.forename: C G
authors.initials: CG
authors.lastname: Blood
mesh_terms: D000293:Adolescent; D000328:Adult; D001753:Blast Injuries / Q000628:therapy; D004632:Emergency Medical Services / Q000458:organization & administration*; D005597:Fractures, Open / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D008877:Middle East; D008887:Military Medicine; D011446:Prospective Studies; D012151:Resuscitation; D012529:Saudi Arabia; D017695:Soft Tissue Injuries / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000379:methods / Q000706:statistics & numerical data; D015599:Trauma Severity Indices; D014481:United States; D014857:Warfare; D014947:Wounds and Injuries / Q000145:classification* / Q000628:therapy*; D014948:Wounds, Gunshot / Q000628:therapy