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Open Access

Maintaining vascular trauma proficiency for military non-vascular surgeons

Andrew Hall, Iram Qureshi, Kegan Brumagen, Jacob Glaser
DOI: 10.1136/tsaco-2020-000475 Published 23 June 2020
Andrew Hall
1Surgery, 96th Medical Group, US Air Force Regional Hospital, Eglin AFB, Florida, USA
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Iram Qureshi
2Biomaterials and Epidemiology, Naval Medical Research Unit San Antonio, San Antonio, Texas, USA
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Kegan Brumagen
3Surgery, Keesler Air Force Base, Biloxi, Mississippi, USA
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Jacob Glaser
4Austin Shock Trauma, St. David's South Austin Medical Center, Austin, Texas, USA
5Naval Medical Research San Antonio, San Antonio, Texas, USA
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    Figure 1

    Timeline visually demonstrating the distribution of urgent vascular cases between October 1, 2016 and September 30, 2018.

Tables

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  • Table 1

    Breakdown of vascular trauma cases by location and type performed at Saint Louis University Hospital by trauma/general surgery, orthopedic, and vascular surgery between October 1, 2016 and September 30, 2018

    Vascular surgery procedures
    Anatomic location
     Head and neck22
     Abdominal33
     Extremity233
     Thoracic27
     Not Otherwise Specified1
    Extremity subcategory
     Lower extremity185
     Upper extremity48
    Procedure type
     Ligation30
     Repair42
     Graft37
     Fasciotomy38
     Amputation13
     Shunt6
     Unspecified150
    Graft type
     Autogenous28
     Synthetic8
     Unspecified1
  • Table 2

    Number of cases per several possible number of shifts and number of shifts to achieve a specific number of cases

    Number of 24-hour shiftExpected urgent vascular cases, n (95% CI)Expected urgent fasciotomies, n (95% CI)Expected urgent vascular repairs requiring a graft, n (95% CI)
    52.1 (0 to 9)0.2 (0 to 2)0.3 (0 to 2)
    104.3 (0 to 14)0.5 (0 to 3)0.5 (0 to 2)
    125.1 (0 to 16)0.6 (0 to 4)0.6 (0 to 3)
    208.6 (1 to 22)1.1 (0 to 4)1.0 (0 to 3)
    Minimum number of cases24-hour shifts resulting in 95% certainty of experiencing at least the stated minimum number of urgent vascular cases24-hour shifts resulting in 95% certainty of experiencing at least the stated minimum number of urgent fasciotomies24-hour shifts resulting in 95% certainty of experiencing at least the stated minimum number of urgent graft repairs
    534200186
    1051332316
    2083578550
    • The table includes evaluations for urgent vascular cases in general, fasciotomies, and graft repairs, both autologous and synthetic.

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Maintaining vascular trauma proficiency for military non-vascular surgeons
Andrew Hall, Iram Qureshi, Kegan Brumagen, Jacob Glaser
Trauma Surg Acute Care Open Jun 2020, 5 (1) e000475; DOI: 10.1136/tsaco-2020-000475

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Maintaining vascular trauma proficiency for military non-vascular surgeons
Andrew Hall, Iram Qureshi, Kegan Brumagen, Jacob Glaser
Trauma Surg Acute Care Open Jun 2020, 5 (1) e000475; DOI: 10.1136/tsaco-2020-000475
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Maintaining vascular trauma proficiency for military non-vascular surgeons
Andrew Hall, Iram Qureshi, Kegan Brumagen, Jacob Glaser
Trauma Surgery & Acute Care Open Jun 2020, 5 (1) e000475; DOI: 10.1136/tsaco-2020-000475
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