U.S. ARMY INSTITUTE OF SURGICAL RESEARCH
"Optimizing Combat Casualty Care"

Systems of Care for Complex Patients


RESEARCH FOCUS

Our research efforts focus on defining best evidence-based combat casualty care practice through research on practice variability and patient outcomes in all military echelons of care. There are a number of combat casualty care practices which are unique to the military and present inherent challenges in the delivery of care. For more information on our research focus, please see the sidebar to the right.


RESEARCH GOALS

To provide evidence based practice recommendations for the management of poly-trauma combat casualties by the multi-disciplinary care team from injury to definitive care in the United States.

CORE COMPETENCIES


  • Human Research Studies
  • Combat Casualty Care Expertise
  • High-Fidelity Human Patient Simulation

CURRENT RESEARCH EFFORTS

  • Evaluation of the utilization of Role 2 (forward surgical) resources in combat
  • Development of evidence-based guidelines for the en route management of the combat burned patient
  • Development of medical mobile applications to support en route critical care
  • Evaluation of devices and interventions to prevent pressure ulcers resulting from combat evacuation
  • Development of improved tools to facilitate multi-disciplinary communication among the care team to reduce workload, optimize care delivery, and develop a shared mental model of patient status
  • Use of high-fidelity simulation to determine the optimal method of training the multi-disciplinary team in extracorporeal life support therapies

Contact the SCCP Research Director, click here.


RECENT PUBLICATIONS

EA Mann, DA Allen, SL Serio-Melvin, SE Wolf, J Salinas, “Clinician Satisfaction with Computer Decision Support in the Burn Intensive Care unit, 2012, Dimensions of Critical Care Nursing, 37(1), 31-36

EA Mann, MM Baun, JC Meininger, CE Wade, “Comparison of Mortality Associated with Sepsis in the Burn, Trauma, and General Intensive Care Unit Patient: A Systematic Review”, 2012, Shock, 27(1), 4-16

EA Mann, J Engebretson, A Batchinsky, “A Complex Systems View of Sepsis: Implications for Nursing”, 2013, Dimens Crit Care Nursing, 32(1), 12-17

EA Mann, MM Baun, JC Meininger, CK Murray, SE Wolf, CE Wade, “Novel Predictors of Sepsis Outperform the American Burn Association Criteria in the Burn Intensive Care Unit Patient”, J Burn Care Research, e pub ahead of print 2012 Nov 6, PMID: 23135212

EA Mann-Salinas, EJ Hayes, JR Robbins, JM Sabido, LL Feider, DA Allen, LH Yoder, “Systematic Review of the Literature to Support an Evidence-Based Precepting Program” 2014, Burns, 40, 374-387

I Driscoll, E Mann-Salinas, N Boyer, J Pamplin, M Serio-Melvin, J Salinas, M Borgman, R Sheridan, J Melvin, W Peterson, J Graybill, J Rizzo, B King, L Cancio, K Chung, E Renz, "Burn Care Clinical Practice Guideline", in press Military Medicine

E Mann-Salinas, T Le, S Shackelford, J Bailey, Z Stockinger, MA Spott, M Wirt, R Rickard, I Lane, T Hodgetts, S Cardin, K Remick, K Gross, "Evaluation of Role 2 (R2) Medical Resources in the Afghanistan Combat Theater: Initial Review of the Joint Trauma System R2 Registry", in press Journal of Trauma

I Lane, Z Stockinger, S Sauer, M Ervin, M Wirt, S Bree, K Gross, J Bailey, T Hodgetts, E Mann-Salinas, "The Afghan Theater: A review of Doctrine for Forward Surgical Treatment Facilities from 2008 to 2014", in press Military Medicine

T Le, J Orman, Z Stockinger, MA Spott, S West, E Mann-Salinas, K Chung, K Gross, "The Military Injury Severity Score (mISS): A Better Predictor of Combat-Mortality than Injury Severity Score (ISS)", in press Journal of Trauma