Jørgensen H O, Heier-Madsen K, Stokkebye J E
Policy, Plans and Advisory Division, Danish Armed Forces Health Services,Roskilde, Denmark.
J R Army Med Corps. 2012 Mar;158(1):10-3. doi: 10.1136/jramc-158-01-04.
In 2002 - 2009 Danish forces suffered a mortality rate of 0.09% in Iraq and 0.38% in Afghanistan, and a morbidity rate of 0.30% in Iraq and 1.01% in Afghanistan, as a result of weapons effects. In Afghanistan the survival rate is 97.0% for Danish wounded who were alive on arrival at UK R3 Hospital. British data from Afghanistan are compared to the Danish figures and there is no significant difference. We found an increase in injuries and deaths caused by mines/IEDs from 33% in 2006 to 72.7% in 2009 of all weapon effects causes. The more offensive war fighting posture of the Danish forces in Afghanistan has resulted in greater numbers of casualties. The study also indicates that the great majority of fatalities occur almost immediately at the point of injury. Most of the wounded survive, and a large of number of them are only lightly injured with a partial incapacity level of less than five percent. Haemostatic's and active employment of tourniquets, improved first aid training and training of medics, better evacuation methods including optimised in-flight diagnostics and treatment (including blood transfusion) by Medical Emergency Response Teams, Damage Control Surgery as well as access to quicker diagnostic methods have increased survivability.
2002年至2009年期间，丹麦部队在伊拉克因武器袭击导致的死亡率为0.09%，在阿富汗为0.38%；在伊拉克的发病率为0.30%，在阿富汗为1.01%。在阿富汗，抵达英国皇家国防医学院（R3 Hospital）时尚存活的丹麦伤员的存活率为97.0%。英国来自阿富汗的数据与丹麦的数据相比较，并无显著差异。我们发现，在所有武器袭击致伤原因中，地雷/简易爆炸装置造成的伤亡从2006年的33%上升至2009年的72.7%。丹麦部队在阿富汗采取的更具进攻性的作战态势导致了更多的人员伤亡。该研究还表明，绝大多数死亡几乎在受伤瞬间发生。大多数伤员存活下来，其中许多人只是轻伤，部分失能程度低于5%。止血带的有效使用、急救培训的改进、医护人员培训的加强、包括医疗应急反应小组优化飞行中的诊断和治疗（包括输血）在内的更好的后送方法、损伤控制手术以及更快诊断方法的应用提高了存活率。
