title: Physical medicine and rehabilitation in the military: Operation Iraqi Freedom.
abstract: This article describes the role of a physical medicine and rehabilitation (physiatry) physician (physiatrist) as a general medical officer within a forward support battalion during the invasion and nation-building phases of Operation Iraqi Freedom. Between March 10 and May 3, 2003 (invasion phase), 364 patients were evaluated. Thirty-two percent had musculoskeletal noncombat injuries, 9% had combat-related traumatic injuries, and the remaining 59% had nontrauma/nonmusculoskeletal conditions. Between May 4 and July 25, 2003 (nation-building phase), 1,387 patients were evaluated. Of these, 19% had musculoskeletal injuries, 1% had combat-related traumatic injuries, and the remaining 80% had nontrauma/nonmusculoskeletal conditions. During this nation-building phase, the musculoskeletal workload seen at the division-level combat support hospital was 4 times the workload seen in the forward support battalion. This experience underscores the role of physiatry in wartime casualty management and profiles the combat support hospital as the most suitable place for the physiatrist during wartime. Interventions focused on acute management and rehabilitation counseling for all musculoskeletal injuries, as well as consultation services to the combat support hospital and local civilian hospitals for the evaluation of complex neuromusculoskeletal trauma cases.
authors.affiliation: Physical Medicine and Rehabilitation Service, Department of Orthopedics and Rehabilitation, Walter Reed Army Medical Center, Washington, DC 20307, USA.
authors.forename: Raul
authors.initials: R
authors.lastname: Marin
mesh_terms: D000328:Adult; D001753:Blast Injuries / Q000534:rehabilitation; D006801:Humans; D007493:Iraq; D008887:Military Medicine / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000706:statistics & numerical data*; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D009141:Musculoskeletal System / Q000293:injuries*; D010810:Physical and Rehabilitation Medicine / Q000706:statistics & numerical data*; D012017:Referral and Consultation; D014481:United States; D014857:Warfare; D016526:Workload; D014947:Wounds and Injuries / Q000453:epidemiology / Q000534:rehabilitation*; D014948:Wounds, Gunshot / Q000534:rehabilitation