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Type, Severity of Iraq War Injuries Change Over Time


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Since the start of the insurgency, it has taken longer for injured Marines to reach surgical units than it did during the initial phase of the war. Patients wounded during the insurgency reached surgical units, on average, 59 minutes after injury, compared with 30 minutes during the initial phase of the war, Brethauer said.

Also, the number of Marines killed in action before reaching a surgical unit has risen to 20.2 percent since the insurgency, from 13.5 percent during the initial phase of the war. And Marines who died from their wounds also increased during the insurgency, from 0.88 percent to 5.5 percent, Brethauer said.

Mortality rates during the insurgency have risen to rates seen in other wars, such as Vietnam, Brethauer said. "The invasion had an exceptionally low rate of people being killed in action and dying of wounds," he said. "When we got into the insurgency, we saw what we had seen in prior major conflicts, which is around a 20 percent killed-in-action rate and a 5 percent died-of-wounds rate."

Text Continues Below



To cut down on deaths, Brethauer recommended moving the surgical units closer to the battle site and bypassing battalion aid stations for the most critically injured patients.

More information

For more on Iraq war deaths and injuries, visit iCasualties.org.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 6/17/2008

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SOURCES: Stacy A. Brethauer, M.D., staff surgeon, Cleveland Clinic; June 16, 2008, Archives of Surgery


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