Mitchell J, Simpson R, Whitaker J
30th Signal Regiment, Gamecock Barracks, Bramcote.
J R Army Med Corps. 2012 Sep;158(3):248-51. doi: 10.1136/jramc-158-03-21.
To describe the cases of cold injury sustained during the most recent winter operational tour of Afghanistan, Op HERRICK 15.
Retrospective review of all notified British military cases of cold injury sustained between 1 Oct 11 and 30 Mar 12 recorded by UK Medical Group Environmental Health Team.
14 patients with 13 Non-freezing Cold Injuries (NFCI) and two hypothermic injuries were identified. Five patients were of African ethnic decent. Eight out of 13 NFCI patients had probably suffered a previous injury, injuries were sustained from December until February and 9/13 NFCI patients had periods of static duties implicated in the injury mechanism. Eight patients were able to remain in operational theatre on restricted duties whilst 6/14 were evacuated home after sustaining their injuries.
Although awareness and equipment have improved, cold injuries remain an important cause of Disease and Non Battle Injury on current operations within the British Military. Cases of cold injury are probably under reported and often stem from situations where risk would seem predicable. It is hoped this article will assist in enabling greater understanding of contemporary operational cold injuries and continuing the development of preventative strategies.
描述在阿富汗最近一次冬季作战任务“赫里克行动15”期间发生的冷损伤病例。
对英国医疗集团环境卫生团队记录的2011年10月1日至2012年3月31日期间所有通报的英国军人冷损伤病例进行回顾性研究。
共识别出14例患者，其中13例为非冻结性冷损伤（NFCI），2例为体温过低损伤。5例患者为非洲裔。13例NFCI患者中有8例可能曾受过伤，损伤发生在12月至2月期间，13例NFCI患者中有9例在损伤机制中涉及长时间静态任务。8例患者在伤情受限的情况下能够留在战区执行任务，而14例中有6例在受伤后被疏散回国。
尽管意识和装备有所改善，但冷损伤仍是英国军队当前行动中疾病和非战斗损伤的重要原因。冷损伤病例可能报告不足，且往往源于看似可预测风险的情况。希望本文有助于更深入了解当代作战中的冷损伤，并继续制定预防策略。
