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December 1, 2022Military MedicineOpen Access

Combat Injury Profile in Urban Warfare

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Authors

ASAlexandra SatanovskyHadassah Medical CenterYGYuval GilorHebrew University of JerusalemABAvi BenovBar-Ilan University

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Overview

Observational study reveals distinct anatomical injury patterns across combat environments in wounded infantry soldiers, highlighting the need for tailored protective equipment.

Key Points

  • To determine how maneuver platforms and operational terrain influence the severity and anatomical distribution of injuries sustained by infantry personnel during urban combat.
  • Retrospective analysis of 588 injured Israel Defense Forces infantry soldiers from the 2008–2009 ("Cast Lead") and 2014 ("Protective Edge") operations in the Gaza Strip.
  • Troops were categorized into four cohorts based on platform and environment: mounted infantry (armored [n=61] and unarmored [n=20]) and dismounted infantry (urban [n=242] and open terrain [n=265]).
  • The primary outcome was trauma severity quantified by the Injury Severity Score, and the secondary outcome was the anatomical location of injuries.
  • Overall Injury Severity Scores were similar across all four platform and terrain subgroups, showing no significant dependence on environmental vehicle protection.
  • Dismounted soldiers fighting in urban environments experienced a higher frequency of facial injuries compared to those in open terrain.
  • Casualties in open terrain experienced fewer head injuries and higher rates of lower extremity trauma, reflecting the anatomical injury distribution observed in unarmored vehicle personnel.

Cite This Study

Satanovsky et al. (2022) studied this question.

synapsesocial.com/papers/6a6db29a5d37378ac1dba8a3https://doi.org/10.1093/milmed/usac366
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