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Electronic Thesis and Dissertation Repository

2017

Military

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Combat Vascular Trauma: From Characterization To Innovation, Shane A. Smith Jun 2017

Combat Vascular Trauma: From Characterization To Innovation, Shane A. Smith

Electronic Thesis and Dissertation Repository

The way that soldiers are injured in modern conflicts has changed. Bullet and ballistic weapons are harming fewer casualties, and more commonly Improvised Explosive Devices (IED) are injuring them. The purpose of this thesis is to characterize the injury pattern of the antipersonnel IED (AP-IED) in victims from the Afghanistan conflict, to retrospectively examine the incidence and type of vascular trauma in a Canadian level 1 trauma center and to develop and novel device for control of junctional vascular injuries.

The injury pattern of 100 consecutive AP-IED victims was recorded. Multiple amputations occurred in 70% of IED victims: 5 quadruple …