Department of Surgery/ Traumatology, Red Cross Hospital Beverwijk, Beverwijk, The Netherlands.
BMC Emerg Med. 2012 Oct 10;12:12. doi: 10.1186/1471-227X-12-12.
In November 2008, a surgical team from the Red Cross Hospital Beverwijk, the Netherlands, was deployed in Afghanistan for three months to attend in the army hospital of Kandahar.During their stay, four incidents of armored personnel carriers encountering an improvised explosive device were assessed. In each incident, two soldiers were involved, whose injuries were strikingly similar.
The described cases comprise paired thoracic vertebral fractures, radial neck fractures, calcaneal fractures and talar fractures. Moreover, the different types of blast injury are mentioned and related to the injuries described in our series. Acknowledging the different blast mechanisms is important for understanding possible injury patterns.
From this case series, as well as the existing literature on injury patterns caused by blast injuries, it seems appropriate to pay extra attention to bodily areas that were injured in other occupants of the same vehicle. Obviously, the additional surveillance for specific injuries should be complementary to the regular trauma work-up (e.g., ATLS).
2008 年 11 月，来自荷兰红十字医院贝弗韦克的一个外科手术团队在阿富汗部署了三个月，在坎大哈的陆军医院提供服务。在他们逗留期间，评估了四起装甲运兵车遭遇简易爆炸装置的事件。在每起事件中，都有两名士兵受伤，他们的伤势惊人地相似。
所描述的病例包括配对的胸椎骨折、桡骨颈骨折、跟骨骨折和距骨骨折。此外，还提到了不同类型的爆炸伤，并将其与我们系列中的损伤进行了相关联。承认不同的爆炸机制对于理解可能的损伤模式很重要。
从这个病例系列以及关于爆炸伤引起的损伤模式的现有文献来看，似乎有必要特别注意同一车辆中其他乘员受伤的身体部位。显然，对特定损伤的额外监测应该是对常规创伤检查（例如 ATLS）的补充。
