Analysis of injury patterns and roles of care in US and Israelmilitaries during recent conflicts: Two are better than one

Ben Antebi, Avi Benov, Elizabeth A. Mann-Salinas, Tuan D. Le, Leopoldo C. Cancio, Joseph C. Wenke, Haim Paran, Avraham Yitzhak, Bader Tarif, Kirby R. Gross, David Dagan, Elon Glassberg

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


BACKGROUND: As new conflicts emerge and enemies evolve, military medical organizations worldwide must adopt the "lessons learned." In this study, we describe roles of care (ROCs) deployed and injuries sustained by both US and Israeli militaries during recent conflicts. The purpose of this collaborative work is facilitate exchange of medical data among allied forces in order to advance military medicine and facilitate strategic readiness for future military engagements that may involve less predictable situations of evacuation and care, such as prolonged field care. METHODS: This retrospective study was conducted for the periods of 2003 to 2014 from data retrieved from the Department of Defense Trauma Registry and the Israel Defense Force (IDF) Trauma Registry. Comparative analyses included ROC capabilities, casualties who died of wounds, as well as mechanism of injury, anatomical wound distribution, and Injury Severity Score of US and IDF casualties during recent conflicts. RESULTS: Although concept of ROCswas similar amongmilitaries, the IDF supports increased capabilities at point of injury and Role 1 including the presence of physicians, but with limited deployment of other ROCs; conversely, the US maintains fewer capabilities at Role 1 but utilized the entire spectrum of care, including extensive deployment of Roles 2/2+, during recent conflicts. Casualties from US forces (n = 19,005) and IDF (n = 2,637) exhibited significant differences in patterns of injury with higher proportions of casualties who died of wounds in the US forces (4%) compared with the IDF (0.6%). CONCLUSIONS: As these data suggest deployed ROCs and injury patterns of US and Israeli militaries were both conflict and system specific. We envision that identification of discordant factors and common medical strategies of the two militaries will enable strategic readiness for future conflicts as well as foster further collaboration among allied forces with the overarching universal goal of eliminating preventable death on the battlefield. (J Trauma Acute Care Surg. 2016;81: S87-S94.

Original languageEnglish (US)
Pages (from-to)S87-S94
JournalJournal of Trauma and Acute Care Surgery
Issue number5
StatePublished - 2016
Externally publishedYes


  • Combat casualty care
  • Israel Defense Forces
  • Prolonged field care
  • Roles of care
  • Trauma
  • US

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine


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