XXXX among survivors of USS COLE attack.

@entity1 @entity3614 @entity174 @entity4422 @entity130
The objective of this article is to describe the range of orthopaedic injuries and outcomes of acute treatment regimens among survivors of the USS COLE terrorist attack and to reemphasize basic treatment principles for @entity3614 . With the current geopolitical environment, the average community orthopaedic surgeon may be involved in treating injuries due to an explosive terrorist attack. This is a retrospective review of a consecutive series of the 39 @entity1 who were injured during the USS COLE attack on October 12, 2000, and were received at Naval Medical Center, Portsmouth, Virginia, from the MEDEVAC (Medical Evacuation) system. The 17 casualties from the attack were not included in this study. Data were retrospectively collected from @entity1 charts for all @entity1 who survived the USS COLE attack. The 39 @entity1 who survived the USS COLE attack sustained 81 injuries. Fourteen @entity1 sustained 32 orthopaedic injuries, of which 61% were lower extremity injuries. Of the 10 @entity1 who required hospitalization, 6 had orthopaedic injuries (60%). Three of five @entity4422 (60%) became infected, and two of two (100%) open @entity174 wounds treated with primary closure in the initial setting were infected. Lower @entity130 may predominate in a shipboard blast scenario. Even minor injuries require prolonged time before @entity1 return to active duty. Complex wounds have high infection rates and should be treated according to previously established protocols for wartime injuries. Principles of provisional @entity174 stabilization prior to transport, adequate wound d  bridement, and delayed wound closure are reviewed.
