{"id":"78cb66b7-6bdc-42a5-827b-307b0e404101","title":"Analysis of Battlefield Cricothyrotomy in Iraq and Afghanistan","chapterNumber":6,"elements":[{"id":"09e278b9-6d8b-45f5-9682-5523d9296bf3","type":"html","fileName":"09e278b9-6d8b-45f5-9682-5523d9296bf3.html"},{"id":"2ab3365c-ff3d-40a8-954f-e43ea72c3498","type":"panel","label":"Description with Key Points","comment":"<p>Historical review of modern military conflicts suggests that airway compromise accounts for 1-2 % of total combat fatalities. This study examines the specific intervention of pre-hospital cricothyrotomy (PC) in the military setting using the largest studies of civilian medics performing PC as historical controls</p><p>The majority of patients who underwent PC died (66%). The largest group of survivors had gunshot wounds to the face and/or neck (38%) followed by explosion related injury to the face, neck and head (33%). Military medics have a 33% failure rate when performing this procedure compared to 15% for physicians and physician assistants. Minor complications occurred in 21 % of cases. The survival rate and complication rates are similar to previous civilian studies of medics performing PC. &nbsp;However, the failure rate for military medics is three to five times higher than comparable civilian studies.</p>"},{"id":"fbe5b2c2-de38-4edd-afe3-2f7239744383","type":"image","label":"Key Chart","fileName":"7dfecf6f-a92e-4bd6-a95c-da44ad4c13fe.png","mediaId":"7dfecf6f-a92e-4bd6-a95c-da44ad4c13fe","extension":"png","contentUri":"https://learning-media.allogy.com/api/v1/images/7dfecf6f-a92e-4bd6-a95c-da44ad4c13fe/contents"},{"id":"418325af-43dd-4801-8bd6-cd9f712c8cc6","type":"pdf","label":"An Analysis of Battlefield Cricothyrotomy in Iraq and Afghanistan","fileName":"307f90c1-1f06-481c-a062-ed1401cccbe7.pdf","mediaId":"307f90c1-1f06-481c-a062-ed1401cccbe7","extension":"pdf","thumbnailFileName":"307f90c1-1f06-481c-a062-ed1401cccbe7-00001.png","contentUri":"https://learning-media.allogy.com/api/v1/pdf/307f90c1-1f06-481c-a062-ed1401cccbe7/contents"},{"id":"afa3ba13-45c8-4cfe-8723-821e4fd52a3d","type":"html","fileName":"afa3ba13-45c8-4cfe-8723-821e4fd52a3d.html"},{"id":"55a9b833-668e-4567-90f8-d4e3a2c0354b","type":"blockList","items":[{"label":"Military medics have a 33% failure rate when performing this procedure."},{"label":"Historically, combat medics have often failed to get it right on the battlefield."},{"label":"This is the most technically difficult procedure we ask medics, Corpsmen, and PJs to do."}]}]}