32 results on '"van Dongen, Thijs T. C. F."'
Search Results
2. Telemedicine Improves Performance of a Two-Incision Lower Leg Fasciotomy by Combat Medics: A Randomized Controlled Trial
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Stark, Pieter W, Borger van der Burg, Boudewijn L S, van Dongen, Thijs T C F, Casper, Marnalg, Wouter, 1, and Hoencamp, Rigo
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- 2024
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3. A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination
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Borger van der Burg, B. L. S., van Dongen, Thijs T. C. F., Morrison, J. J., Hedeman Joosten, P. P. A., DuBose, J. J., Hörer, T. M., and Hoencamp, R.
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- 2018
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4. Telemedicine Improves Performance of a Two-Incision Lower Leg Fasciotomy by Combat Medics:A Randomized Controlled Trial
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Stark, Pieter W., van der Burg, Boudewijn L. S. Borger, van Dongen, Thijs T. C. F., Casper, Marnalg, Wouter, L, Hoencamp, Rigo, Stark, Pieter W., van der Burg, Boudewijn L. S. Borger, van Dongen, Thijs T. C. F., Casper, Marnalg, Wouter, L, and Hoencamp, Rigo
- Abstract
Introduction: The primary aim of this randomized controlled trial was to assess if a head-mounted display (HMD) providing telemedicine support improves performance of a two-incision lower leg fasciotomy by a NATO special operations combat medic (combat medic). Materials and Methods: Thirty-six combat medics were randomized into two groups: One group performed a two-incision lower leg fasciotomy with the assistance of an HMD, while the control group completed the procedure without guidance. A Mann-Whitney U test was used to determine the possible differences in release of compartments and performance scores, as assessed by a supervising medical specialist. A Fisher's exact test was used to compare the proportions of collateral damage between groups. An independent-samples t-test was used to interpret total procedure times. The usability and technical factors involving HMD utilization were also assessed. Results: Combat medics in the HMD group released the anterior compartment (P <= .001) and deep posterior compartment (P = .008) significantly better. There was significantly more iatrogenic muscle (P <= .001) and venous damage (P <= .001) in the control group. The overall performance of combat medics in the HMD group was significantly better than that of the control group (P < .001). Combat medics in the control group were significantly faster (P = .012). The combat medics were very satisfied with the HMD. The HMD showed no major technical errors. Conclusions: This randomized controlled trial shows that a HMD providing telemedicine support leads to significantly better performance of a two-incision lower leg fasciotomy by a combat medic with less iatrogenic muscle and venous damage.
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- 2023
5. Systematic Review of Innovative Diagnostic Tests for Chronic Exertional Compartment Syndrome
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Ritchie, Ewan D., additional, Vogels, Sanne, additional, van Dongen, Thijs T. C. F., additional, van der Burg, Boudewijn L. S. Borger, additional, Scheltinga, Marc R. M., additional, Zimmermann, Wes O., additional, and Hoencamp, Rigo, additional
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- 2022
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6. Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan
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Idenburg, Floris J., van Dongen, Thijs T. C. F., Tan, Edward C. T. H., Hamming, Jaap H., Leenen, Luke P. H., and Hoencamp, Rigo
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- 2015
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7. Impact of Explosive Devices in Modern Armed Conflicts: In-Depth Analysis of Dutch Battle Casualties in Southern Afghanistan
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Hoencamp, Rigo, Huizinga, Eelco P., van Dongen, Thijs T. C. F., Idenburg, Floris J., Ramasamy, Arul, Leenen, Luke P. H., and Hamming, Jaap F.
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- 2014
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8. Systematic Review of Innovative Diagnostic Tests for Chronic Exertional Compartment Syndrome.
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Ritchie, Ewan D., Vogels, Sanne, van Dongen, Thijs T. C. F., van der Burg, Boudewijn L. S. Borger, Scheltinga, Marc R. M., Zimmermann, Wes O., and Hoencamp, Rigo
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NEAR infrared spectroscopy ,SYSTEMATIC reviews ,COMPARTMENT syndrome ,MAGNETIC resonance imaging ,SINGLE-photon emission computed tomography ,ROUTINE diagnostic tests ,DIFFUSION of innovations - Abstract
The diagnosis chronic exertional compartment syndrome is traditionally linked to elevated intracompartmental pressures, although uncertainty regarding this diagnostic instrument is increasing. The aim of current review was to evaluate literature for alternative diagnostic tests. A search in line with PRISMA criteria was conducted. Studies evaluating diagnostic tests for chronic exertional compartment syndrome other than intracompartmental pressure measurements were included. Bias and quality of studies were evaluated using the Oxford Levels of Evidence and the QUADAS-2 instrument. A total of 28 studies met study criteria (MRI n=8, SPECT n=6, NIRS n=4, MRI and NIRS together n=1, miscellaneous modalities n=9). Promising results were reported for MRI (n=4), NIRS (n=4) and SPECT (n=3). These imaging techniques rely on detecting changes of signal intensity in manually selected regions of interest in the muscle compartments of the leg. Yet, diagnostic tools and protocols were diverse. Moreover, five studies explored alternative modalities serving as an adjunct, rather than replacing pressure measurements. Future research is warranted as clinical and methodological heterogeneity were present and high quality validation studies were absent. Further optimization of specific key criteria based on a patient's history, physical examination and symptom provocation may potentially render intracompartmental pressure measurement redundant. [ABSTRACT FROM AUTHOR]
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- 2023
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9. Review of military and civilian trauma registries : Does consensus matter?
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van Dongen, Thijs T C F, de Graaf, Johan, Huizinga, Eelco P, Champion, Howard R, Hoencamp, Rigo, Leenen, Luke P H, van Dongen, Thijs T C F, de Graaf, Johan, Huizinga, Eelco P, Champion, Howard R, Hoencamp, Rigo, and Leenen, Luke P H
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- 2017
10. Amputation : Not a failure for severe lower extremity combat injury
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van Dongen, Thijs T C F, Huizinga, Eelco P., de Kruijff, Loes G M, van der Krans, Arie C., Hoogendoorn, Jochem M., Leenen, Luke P H, Hoencamp, Rigo, van Dongen, Thijs T C F, Huizinga, Eelco P., de Kruijff, Loes G M, van der Krans, Arie C., Hoogendoorn, Jochem M., Leenen, Luke P H, and Hoencamp, Rigo
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- 2017
11. Review of military and civilian trauma registries: Does consensus matter?
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Huisartsopleiding, DHS-Medisch, Zorgeenheid Traumatologie, Infection & Immunity, van Dongen, Thijs T C F, de Graaf, Johan, Huizinga, Eelco P, Champion, Howard R, Hoencamp, Rigo, Leenen, Luke P H, Huisartsopleiding, DHS-Medisch, Zorgeenheid Traumatologie, Infection & Immunity, van Dongen, Thijs T C F, de Graaf, Johan, Huizinga, Eelco P, Champion, Howard R, Hoencamp, Rigo, and Leenen, Luke P H
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- 2017
12. Amputation: Not a failure for severe lower extremity combat injury
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Huisartsopleiding, Zorgeenheid Traumatologie, Infection & Immunity, van Dongen, Thijs T C F, Huizinga, Eelco P., de Kruijff, Loes G M, van der Krans, Arie C., Hoogendoorn, Jochem M., Leenen, Luke P H, Hoencamp, Rigo, Huisartsopleiding, Zorgeenheid Traumatologie, Infection & Immunity, van Dongen, Thijs T C F, Huizinga, Eelco P., de Kruijff, Loes G M, van der Krans, Arie C., Hoogendoorn, Jochem M., Leenen, Luke P H, and Hoencamp, Rigo
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- 2017
13. Transfusion: -80°C Frozen Blood Products Are Safe and Effective in Military Casualty Care
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Noorman, Femke, primary, van Dongen, Thijs T. C. F., additional, Plat, Marie-Christine J., additional, Badloe, John F., additional, Hess, John R., additional, and Hoencamp, Rigo, additional
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- 2016
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14. Systematic review on the effects of medication under hyperbaric conditions: consequences for the diver.
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Hoencamp, Erik, van Dongen, Thijs T. C. F, van Ooij, Pieter-Jan A. M., Wingelaar, Thijs T., Vervelde, Mees L., Koch, Dave A. A., Hulst, Rob A. van, and Hoencamp, Rigo
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Background: Physiological changes are induced by immersion, swimming and using diving equipment. Divers must be fit to dive. Using medication may impact the capacity to adapt to hyperbaric conditions. The aim of this systematic review is to assess the interaction of diving/hyperbaric conditions and medication and to provide basic heuristics to support decision making regarding fitness to dive in medicated divers. Methods: This was a systematic review of human and animal studies of medications in the hyperbaric environment. Studies were subdivided into those describing a medication/hyperbaric environment interaction and those concerned with prevention of diving disorders. Studies without a relation to diving with compressed air, and those concerning oxygen toxicity, hyperbaric oxygen therapy or the treatment of decompression sickness were excluded. Results: Forty-four studies matched the inclusion criteria. Animal studies revealed that diazepam and valproate gave limited protection against the onset of the high-pressure neurological syndrome. Lithium had a protective effect against nitrogennarcosis and losartan reduced cardiac changes in repetitive diving. Human studies showed no beneficial or dangerous pressure-related interactions. In prevention of diving disorders, pseudoephedrine reduced otic barotrauma, vitamins C and E reduced endothelial dysfunction after bounce diving and hepatic oxidative stress in saturation diving. Discussion and Conclusions: Animal studies revealed that psycho-pharmaceuticals can limit the onset of neurologic symptoms and cardiovascular protective drugs might add a potential protective effect against decompression sickness. No evidence of significant risks due to changes in pharmacologic mechanisms were revealed and most medication is not a contraindication to diving. For improving decision making in prescribing medicine for recreational and occupational divers and to enhance safety by increasing our understanding of pharmacology in hyperbaric conditions, future research should focus on controlled human studies. [ABSTRACT FROM AUTHOR]
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- 2019
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15. Combat related vascular injuries : Dutch experiences from a role 2 MTF in Afghanistan
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Van Dongen, Thijs T C F, Idenburg, Floris J., Tan, Edward C T H, Rasmussen, Todd E., Hamming, Jaap F., Leenen, Luke P H, Hoencamp, Rigo, Van Dongen, Thijs T C F, Idenburg, Floris J., Tan, Edward C T H, Rasmussen, Todd E., Hamming, Jaap F., Leenen, Luke P H, and Hoencamp, Rigo
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- 2016
16. Combat related vascular injuries: Dutch experiences from a role 2 MTF in Afghanistan
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Epi Methoden Team 1, Zorgeenheid Traumatologie, Infection & Immunity, Van Dongen, Thijs T C F, Idenburg, Floris J., Tan, Edward C T H, Rasmussen, Todd E., Hamming, Jaap F., Leenen, Luke P H, Hoencamp, Rigo, Epi Methoden Team 1, Zorgeenheid Traumatologie, Infection & Immunity, Van Dongen, Thijs T C F, Idenburg, Floris J., Tan, Edward C T H, Rasmussen, Todd E., Hamming, Jaap F., Leenen, Luke P H, and Hoencamp, Rigo
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- 2016
17. Long-term impact of battle injuries; Five-year follow-up of injured dutch servicemen in afghanistan 2006-2010
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Hoencamp, Rigo, Idenburg, Floris J., Van Dongen, Thijs T C F, De Kruijff, Loes G M, Huizinga, Eelco P., Plat, Marie Christine J, Hoencamp, Erik, Leenen, Luke P H, Hamming, Jaap F., Vermetten, Eric, Hoencamp, Rigo, Idenburg, Floris J., Van Dongen, Thijs T C F, De Kruijff, Loes G M, Huizinga, Eelco P., Plat, Marie Christine J, Hoencamp, Erik, Leenen, Luke P H, Hamming, Jaap F., and Vermetten, Eric
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- 2015
18. Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan
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Epi Methoden Team 1, Zorgeenheid Traumatologie, Infection & Immunity, Idenburg, Floris J., Van Dongen, Thijs T C F, Tan, Edward C T H, Hamming, Jaap H., Leenen, Luke P H, Hoencamp, Rigo, Epi Methoden Team 1, Zorgeenheid Traumatologie, Infection & Immunity, Idenburg, Floris J., Van Dongen, Thijs T C F, Tan, Edward C T H, Hamming, Jaap H., Leenen, Luke P H, and Hoencamp, Rigo
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- 2015
19. Long-term impact of battle injuries; Five-year follow-up of injured dutch servicemen in afghanistan 2006-2010
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Verpleegafd Vaatchirurgie D4 Oost, Epi Methoden Team 1, Zorgeenheid Traumatologie, Infection & Immunity, MGGZ, Hoencamp, Rigo, Idenburg, Floris J., Van Dongen, Thijs T C F, De Kruijff, Loes G M, Huizinga, Eelco P., Plat, Marie Christine J, Hoencamp, Erik, Leenen, Luke P H, Hamming, Jaap F., Vermetten, Eric, Verpleegafd Vaatchirurgie D4 Oost, Epi Methoden Team 1, Zorgeenheid Traumatologie, Infection & Immunity, MGGZ, Hoencamp, Rigo, Idenburg, Floris J., Van Dongen, Thijs T C F, De Kruijff, Loes G M, Huizinga, Eelco P., Plat, Marie Christine J, Hoencamp, Erik, Leenen, Luke P H, Hamming, Jaap F., and Vermetten, Eric
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- 2015
20. Meta-analysis on the effect of hyperbaric oxygen as adjunctive therapy in the outcome of anastomotic healing of experimental colorectal resections in rats.
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Brouwer, Robin J., Engberts, Alexander C., Borger van der Burg, Boudewijn L. S., van Dongen, Thijs T. C. F., van Hulst, Rob A., and Hoencamp, Rigo
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Background: Colorectal cancer is the third most common form of cancer and colorectal surgery is the treatment of choice in local disease. Anastomotic leakage following colorectal surgery is a major complication with a high incidence and mortality. Adjuvant hyperbaric oxygen treatment (HBOT) may be associated with reduction of anastomotic leakage. A systematic review was conducted regarding HBOT as an adjunctive therapy to colorectal surgery. Methods: Systematic review (1900-2017) using PubMed, Cochrane, EMBASE, Web of Science and EMCARE. All original published studies on the effect of HBOT as an adjunctive therapy for colorectal surgery with the creation of an anastomosis were considered. Results: Thirteen small animal trials were included for qualitative synthesis. We found no human trials. Eleven trials used bursting pressure whilst eight used hydroxyproline levels as a marker for collagen synthesis as primary outcome to assess the strength of the anastomosis. A meta-analysis performed for normal and ischaemic anastomoses showed that postoperative HBOT improves bursting pressure and hydroxyproline levels significantly in both normal (P ≤ 0.001 and P = 0.02 respectively) and ischaemic anastomoses (P ≤ 0.001 and P = 0.04 respectively). Conclusion: Postoperative HBOT has a positive effect on colorectal anastomoses in rats. Further research should focus on a larger systematic animal study. [ABSTRACT FROM AUTHOR]
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- 2018
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21. Long-Term Impact of Battle Injuries; Five-Year Follow-Up of Injured Dutch Servicemen in Afghanistan 2006-2010
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Hoencamp, Rigo, primary, Idenburg, Floris J., additional, van Dongen, Thijs T. C. F., additional, de Kruijff, Loes G. M., additional, Huizinga, Eelco P., additional, Plat, Marie-Christine J., additional, Hoencamp, Erik, additional, Leenen, Luke P. H., additional, Hamming, Jaap F., additional, and Vermetten, Eric, additional
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- 2015
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22. Evaluating the Military Medical Evacuation Chain: Need for Expeditious Evacuation Out of Theater?
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van Dongen, Thijs T. C. F., Hoencamp, Rigo, de Graaf, Johan, Janse, Jacobine, Plat, Marie-Christine J., Huizinga, Eelco P., van der Krans, Arie C., and Leenen, Luke P. H.
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MILITARY medicine , *MILITARY personnel wounded in action , *BATTLE casualties , *MEDICAL care - Abstract
Background: An important factor within the military medical logistical chain is the capability of expeditious evacuation from point of injury, through a Medical Treatment Facility, to the country of residence where highest level of care can be provided. Although many factors can relate to patient outcome, the evaluation of the medical evacuation chain related to long-term patient outcome can be important for investigating possibilities for performance improvement in this domain. This article aims to provide a means to evaluate the quality of care of the medical evacuation chain.Methods: Repatriated service members from the Afghan theater between 2004 and 2014 were invited to participate in a survey concerning functional outcome and quality of life using Lower Extremity Functional Scale, Short Form health survey 36, and EuroQol-6D questionnaires. Possible associations between these outcomes were analyzed in respect to duration of medical evacuation from point of injury to arrival in the Dutch military hospital. The duration was dichotomized into within and after 72 hours. Ordinal regression was used to analyze a possible association with duration as a continuous variable.Findings: Sixty percent (28/47) of battle casualties arrived in The Netherlands within 72 hours. For the nonbattle injury cohort this was 30% (7/23). Of those who became ill, 18% (5/28) was evacuated in 72 hours. No significant independent associations between interval duration and measured outcomes were found.Conclusion: Repatriated battle casualties had lower outcome scores compared to the disease nonbattle injured service members. Significant differences in functional outcome and quality of life with respect to evacuation duration were not found. Specialized tactical evacuation and en route care capability during strategic evacuation contributed to relative high standards of care. Combined with our results, this could implicate that delivery of the right care to the right patient at the right time is a justifiable paradigm. The main focus of the medical support organization is to offer the highest level of care per echelon as soon as possible in conjunction with facilitating maximum social support through expeditious evacuation out of theater. Further research using semistructured interviews among the direct circle around battle casualties, including caregivers, is needed to provide insight into these complex matters. [ABSTRACT FROM AUTHOR]- Published
- 2017
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23. Review of military and civilian trauma registries: Does consensus matter?
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van Dongen, Thijs T. C. F., de Graaf, Johan, Huizinga, Eelco P., Champion, Howard R., Hoencamp, Rigo, and Leenen, Luke P. H.
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- 2017
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24. Developing a blueprint for a civilian-military collaborative program in trauma training for Northern European countries: A South African experience.
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van der Wal, Henk, van Dongen, Thijs T C F, Vermeulen, Christine F W, Bruce, John L, Bekker, Wanda, Manchev, Vassil, Kong, Victor, van Waes, Oscar, Clarke, Damian L, Hoencamp, Rigo, and van Waes, Oscar J F
- Abstract
Background: Recent terrorist attacks and mass shooting incidents in major European and North American cities have shown the unexpected influx of large volumes of patients with complex multi-system injuries. The rise of subspecialisation and the low violence-related penetrating injuries among European cities, show the reality that most surgical programs are unable to provide sufficient exposure to penetrating and blast injuries. The aim of this study is to describe and create a collaborative program between a major South African trauma service and a NATO country military medical service, with synergistic effect on both partners. This program includes comprehensive cross-disciplinary training & teaching, and scientific research.Methods: This is a retrospective descriptive study. The Pietermaritzburg hospital and Netherlands military trauma register databases were used for analysing patient data: Pietermaritzburg between September 2015 and August 2016, Iraq between May and July 2018 and Afghanistan from 2006 to 2010. Interviews were held to analyse the mutual benefits of the program.Results: From the Pietermaritzburg study, mutual benefits focus on social responsibility, exchange of knowledge and experience and further mutual exploration. The comparison showed the numbers of surgical procedures over a one-month period performed in Iraq 12.7, in Afghanistan 68.8 and in Pietermaritzburg 152.Conclusion: This study has shown a significant volume of penetrating trauma in South Africa, that can provide substantial exposure over a relatively short period. This help to prepare civilian and military surgeons and deployable military medical personnel for casualties with blast - and/or penetrating injuries. The aforementioned findings and the willingness to shape the mutual benefits, create a platform for trauma electives, research, education and training. [ABSTRACT FROM AUTHOR]- Published
- 2019
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25. European military surgical teams in combat theater: A survey study on deployment preparation and experience.
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Haverkamp FJC, Van Dongen TTCF, Edwards MJR, Boel T, Pöyhönen A, Tan ECTH, and Hoencamp R
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- Humans, Surveys and Questionnaires, Neurosurgical Procedures, Military Personnel, Military Medicine education, Surgeons
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Introduction: Adequate (predeployment) training of the nowadays highly specialized Western military surgical teams is vital to ensure a broad range of surgical skills to treat combat casualties. This survey study aimed to assess the self-perceived preparedness, training needs, deployment experience, and post-deployment impact of surgical teams deployed with the Danish, Dutch, or Finnish Armed Forces. Study findings may facilitate a customized predeployment training., Methods: A questionnaire was distributed among Danish, Dutch, and Finnish military surgical teams deployed between January 2013 and December 2020 (N = 142). The primary endpoint of self-perceived preparedness ratings, and data on the training needs, deployment experiences, and post-deployment impacts were compared between professions and nations., Results: The respondents comprised 35 surgeons, 25 anesthesiologists, and 39 supporting staff members, with a response rate of 69.7 % (99/142). Self-perceived deployment preparedness was rated with a median of 4.0 (IQR 4.0-4.0; scale: 1 [very unprepared]-5 [more than sufficient]). No differences were found among professions and nations. Skills that surgeons rated below average (median <6.0; scale: 1 [low]-10 [high]) included tropical disease management and maxillofacial, neurological, gynecological, ophthalmic, and nerve repair surgery. The deployment caseload was most often reported as <1 case per week (41/99, 41.4 %). The need for professional psychological help was rated at a median of 1.0 (IQR 1.0-1.0; scale: 1 [not at all]-5 [very much])., Conclusions: Military surgical teams report overall adequate preparedness for deployment. Challenges remain for establishing broadly skilled teams because of a low deployment caseload and ongoing primary specializations. Additional training and exposure were indicated for several specialism-specific skill areas. The need for specific training should be addressed through customized predeployment programs., Competing Interests: Declaration of competing interest The authors (except M.E.) were employed by the Defence Healthcare Organizations that participated in this study., (Copyright © 2024. Published by Elsevier Ltd.)
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- 2024
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26. The effectiveness of Foley catheter balloon tamponade versus expanding sponges and hemostatic granules for catastrophic penetrating groin hemorrhage with small skin defect: A comparative study in a live tissue porcine model with evaluation of a concise training program.
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Vrancken SM, Agelink N, van Waes OJF, Borger van der Burg BLS, van Dongen TTCF, Verhofstad MHJ, and Hoencamp R
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- Swine, Animals, Groin, Disease Models, Animal, Hemorrhage therapy, Catheters, Hemostatics, Wounds, Penetrating
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Background: Prompt bleeding control in the prehospital phase is essential to improve survival from catastrophic junctional hemorrhage. This study aimed to compare the effectiveness and practicality of Foley catheter balloon tamponade (FCBT), Celox-A, and XSTAT for the treatment of catastrophic hemorrhage from penetrating groin injuries with a small skin defect in a live-tissue porcine model. In addition, this study aimed to determine whether a training program could train military personnel in application of these advanced bleeding control adjuncts., Methods: A standardized wound was created in 18 groins from 9 anesthetized swine. Eighteen military medics participated in the training program and performed a bleeding control procedure after randomization over the swine and test products and after transection of the femoral neurovascular bundle. Primary endpoints were bleeding control, time to bleeding control, rebleeding, blood loss, medic performance, and user product rating., Results: No significant differences were found in vital signs and laboratory values between the groups. In the Celox-A group, 3/6 groins achieved hemorrhage control. This was 6/6 in the XSTAT and FCBT groups. XSTAT scored best on application time, time to obtain hemorrhage control, hemorrhage control score, and practicality. No significant differences were found between groups for rebleeding, amount of blood loss, and medic performance. Military medics had a significant higher preference for XSTAT over Celox-A. This was not significant for FCBT., Conclusion: All tested products proved effective in obtaining hemorrhage control. XSTAT has the highest effectivity and shortest application time for the treatment of catastrophic bleeding from nonpackable, penetrating junctional groin injuries with a small skin defect, compared with Celox-A and FCBT. XSTAT scored best on practicality. This study shows that our training curriculum can be used to train military medics with limited prior experience in the use of advanced bleeding control techniques for penetrating junctional groin injuries with small skin defect., (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2023
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27. Systematic review of outcome parameters following treatment of chronic exertional compartment syndrome in the lower leg.
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Vogels S, Ritchie ED, van Dongen TTCF, Scheltinga MRM, Zimmermann WO, and Hoencamp R
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- Adolescent, Adult, Aged, Botulinum Toxins, Type A administration & dosage, Child, Conservative Treatment methods, Fasciotomy, Female, Humans, Male, Middle Aged, Neuromuscular Agents administration & dosage, Patient Satisfaction, Pressure, Return to Sport, Treatment Outcome, Young Adult, Chronic Exertional Compartment Syndrome therapy, Leg
- Abstract
Objective: Surgery is the gold standard in the management of chronic exertional compartment syndrome (CECS) of the lower extremity, although recent studies also reported success following gait retraining. Outcome parameters are diverse, and reporting is not standardized. The aim of this systematic review was to analyze the current evidence regarding treatment outcome of CECS in the lower leg., Material and Methods: A literature search and systematic analysis were performed according to the PRISMA criteria. Studies reporting on outcome following treatment of lower leg CECS were included., Results: A total of 68 reports fulfilled study criteria (n =; 3783; age range 12-70 year; 7:4 male-to-female ratio). Conservative interventions such as gait retraining (n =; 2) and botulinum injection (n =; 1) decreased ICP ( x - =; 68 mm Hg to x - =; 32 mm Hg) and resulted in a 47% (±42%) rate of satisfaction and a 50% (±45%) rate of return to physical activity. Fasciotomy significantly decreased ICP ( x - =; 76 mm Hg to x - =; 24 mm Hg) and was associated with an 85% (±13%) rate of satisfaction and an 80% (±17%) rate of return to activity. Return to activity was significantly more often achieved (P < .01) in surgically treated patients, except in one study favoring gait retraining in army personnel., Conclusion: Surgical treatment of CECS in the lower leg results in higher rates of satisfaction and return to activity, compared to conservative treatment. However, the number of studies is limited and the level of evidence is low. Randomized controlled trials with multiple treatment arms and standardized outcome parameters are needed., (© 2020 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)
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- 2020
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28. Corrigendum to "Developing a blueprint for a civilian-military collaborative program in trauma training for Northern European countries: A South African experience" [Injury 51 (2020) 70-75].
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van der Wal H, van Dongen TTCF, Vermeulen CFW, Bruce JL, Bekker W, Manchev V, Kong V, van Waes OJF, Clarke DL, and Hoencamp R
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- 2020
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29. A longitudinal study of health related quality of life and functioning in severely injured Dutch service members.
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de Kruijff LGM, Plat MJ, van Dongen TTCF, Hoencamp R, and van der Wurff P
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- Adult, Female, Humans, Longitudinal Studies, Male, Netherlands, Surveys and Questionnaires, Warfare psychology, Wounds and Injuries rehabilitation, Young Adult, Adaptation, Psychological, Military Personnel psychology, Quality of Life psychology, Wounds and Injuries psychology
- Abstract
Background: Optimal health is demanded for service members in military operations. However, the strains of deployment can result in a deterioration, moreover when combat-related injuries are sustained, affecting level of participation and health related quality of life (HRQOL). Secondary health conditions may occur in time, however existing studies measure coping, level of activity and participation and HRQOL at one point in time., Aim: To assess the change over time concerning coping, mobility, level of participation and HRQOL in Dutch service members with combat-related injuries sustained during operation Task Force Uruzgan (TFU)., Methods: The lower extremity functional scale (LEFS), the cognitive emotion regulation questionnaire (CERQ), the assessment of life habits short version (LIFE-H) and the EuroQol-5D (EQ-5D), measuring HRQOL, were administered in 2010 and 2014. Change of scores between the two time points was tested with the Wilcoxon signed rank test., Results: The response rate was 53% (28/53). The score on the coping strategy self-blame showed a significant increase over time with low scores on both occasions. The coping strategies positive reappraisal and acceptance showed the highest scores. No significant change is shown in mobility, the level of participation or HRQOL., Conclusion: service members with combat-related injuries remain stable in level of activity and participation and HRQOL in time and they use adaptive coping strategies., Competing Interests: Declaration of Competing Interest The authors report no declaration of interest., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
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- 2020
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30. Developing a blueprint for a civilian-military collaborative program in trauma training for Northern European countries: A South African experience.
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van der Wal H, van Dongen TTCF, Vermeulen CFW, Bruce JL, Bekker W, Manchev V, Kong V, van Waes OJF, Clarke DL, and Hoencamp R
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- Europe, Humans, Incidence, Multiple Trauma epidemiology, Retrospective Studies, South Africa epidemiology, Wounds, Penetrating epidemiology, Military Medicine education, Military Personnel, Multiple Trauma surgery, Surgeons education, Traumatology education, Wounds, Penetrating surgery
- Abstract
Background: Recent terrorist attacks and mass shooting incidents in major European and North American cities have shown the unexpected influx of large volumes of patients with complex multi-system injuries. The rise of subspecialisation and the low violence-related penetrating injuries among European cities, show the reality that most surgical programs are unable to provide sufficient exposure to penetrating and blast injuries. The aim of this study is to describe and create a collaborative program between a major South African trauma service and a NATO country military medical service, with synergistic effect on both partners. This program includes comprehensive cross-disciplinary training & teaching, and scientific research., Methods: This is a retrospective descriptive study. The Pietermaritzburg hospital and Netherlands military trauma register databases were used for analysing patient data: Pietermaritzburg between September 2015 and August 2016, Iraq between May and July 2018 and Afghanistan from 2006 to 2010. Interviews were held to analyse the mutual benefits of the program., Results: From the Pietermaritzburg study, mutual benefits focus on social responsibility, exchange of knowledge and experience and further mutual exploration. The comparison showed the numbers of surgical procedures over a one-month period performed in Iraq 12.7, in Afghanistan 68.8 and in Pietermaritzburg 152., Conclusion: This study has shown a significant volume of penetrating trauma in South Africa, that can provide substantial exposure over a relatively short period. This help to prepare civilian and military surgeons and deployable military medical personnel for casualties with blast - and/or penetrating injuries. The aforementioned findings and the willingness to shape the mutual benefits, create a platform for trauma electives, research, education and training., (Copyright © 2019 Elsevier Ltd. All rights reserved.)
- Published
- 2020
- Full Text
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31. Amputation: Not a failure for severe lower extremity combat injury.
- Author
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van Dongen TT, Huizinga EP, de Kruijff LG, van der Krans AC, Hoogendoorn JM, Leenen LP, and Hoencamp R
- Subjects
- Adaptation, Psychological, Afghan Campaign 2001-, Blast Injuries psychology, Blast Injuries rehabilitation, Disability Evaluation, Disabled Persons rehabilitation, Female, Humans, Injury Severity Score, Leg Injuries psychology, Leg Injuries rehabilitation, Male, Military Medicine, Netherlands epidemiology, Quality of Life, Recovery of Function, Retrospective Studies, Time-to-Treatment, Treatment Outcome, Young Adult, Amputation, Surgical psychology, Amputation, Surgical rehabilitation, Amputation, Surgical statistics & numerical data, Blast Injuries surgery, Disabled Persons psychology, Leg Injuries surgery, Limb Salvage psychology, Limb Salvage rehabilitation, Limb Salvage statistics & numerical data, Military Personnel, Stress Disorders, Post-Traumatic epidemiology
- Abstract
Introduction: The use of improvised explosive devices is a frequent method of insurgents to inflict harm on deployed military personnel. Consequently, lower extremity injuries make up the majority of combat related trauma. The wounding pattern of an explosion is not often encountered in a civilian population and can lead to substantial disability. It is therefore important to study the impact of these lower extremity injuries and their treatment (limb salvage versus amputation) on functional outcome and quality of life., Patients and Methods: All Dutch repatriated service members receiving treatment for wounds on the lower extremity sustained in the Afghan theater between august 2005 and August 2014, were invited to participate in this observational cohort study. We conducted a survey regarding their physical and mental health using the Short Form health survey 36, EuroQoL 6 dimensions and Lower Extremity Functional Scale questionnaires. Results were collated in a specifically designed electronic database combined with epidemiology and hospital statistics gathered from the archive of the Central Military Hospital. Statistical analyses were performed to identify differences between combat and non-combat related injuries and between limb salvage treatment and amputation., Results: In comparison with non-battle injury patients, battle casualties were significantly younger of age, sustained more severe injuries, needed more frequent operations and clinical rehabilitation. Their long-term outcome scores in areas concerning well-being, social and cognitive functioning, were significantly lower. Regarding treatment, amputees experienced higher physical well-being and less pain compared to those treated with limb salvage surgery., Conclusion: Sustaining a combat injury to the lower extremity can lead to partial or permanent dysfunction. However, wounded service members, amputees included, are able to achieve high levels of activity and participation in society, proving a remarkable resilience. These long-term results demonstrate that amputation is not a failure for casualty and surgeon, and strengthen a life before limb (damage control surgery) mindset in the initial phase. For future research, we recommend the use of adequate coding and injury scoring systems to predict outcome and give insight in the attributes that are supportive for the resilience that is needed to cope with a serious battle injury., (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Published
- 2017
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32. Combat related vascular injuries: Dutch experiences from a role 2 MTF in Afghanistan.
- Author
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van Dongen TT, Idenburg FJ, Tan EC, Rasmussen TE, Hamming JF, Leenen LP, and Hoencamp R
- Subjects
- Afghan Campaign 2001-, Afghanistan epidemiology, Blast Injuries diagnosis, Blast Injuries mortality, Hospitals, Military, Humans, Injury Severity Score, Multiple Trauma, Netherlands epidemiology, Retrospective Studies, Vascular System Injuries complications, Vascular System Injuries diagnosis, Vascular System Injuries mortality, Amputation, Surgical statistics & numerical data, Blast Injuries surgery, Military Medicine, Military Personnel, Vascular System Injuries surgery
- Abstract
Background: In a combat environment, major vascular trauma endures as the leading cause of death. The Dutch role 2 Medical Treatment Facility (MTF), provided supportive care during the mission in Uruzgan, Afghanistan. Aim of this study was to conduct detailed analysis of the admitted major haemorrhages (vascular injuries) and to compare our findings with NATO coalition partners., Methods: Retrospective, descriptive study. Participants eligible for this study came from the role 2 MTF admission database, where they fitted the criteria 'Major haemorrhage (class 2 haemorrhage or more according to the ATLS(®) classification) between 2006 and 2010'. Results were contrasted with studies from coalition partners., Results: The query revealed 194 casualties sustaining 208 central (60% abdominal, 40% thoracic/neck), and 99 extremity major haemorrhages leading to 1.6 major haemorrhages per casualty. Survival was significantly better (p<0.05) in the peripheral vascular injuries cohort (96% versus 72%). Primary amputation was needed in 73/84 of lower, and in 8/15 of upper extremity major haemorrhages. Vascular repair or vascular Damage Control Surgery techniques (e.g. shunting) were used in 19/84 cases in the lower, and 7/15 in the upper extremity cohort, with a success rate of 69.2 percent. Amputation rates of coalition partners, using different inclusion and exclusion criteria, ranged from 5 to 60 percent., Conclusions: Only in a few cases genuine peripheral vascular surgery was needed (<1%). This limited number of reconstructions does not demonstrate the need for extensive skills in all areas of vascular surgery. Achieved success rate until discharge was almost 70%. Vascular damage control surgery seems effective as initial limb saving skill in a role 2 MTF. The difference in usage of definitions concerning vascular injuries in current literature warrants further assessment. For optimal analysis there is need for detailed (NATO wide) registration with uniform definitions for vascular injuries., Level of Evidence: Level IV--Epidemiologic study., (Copyright © 2015 Elsevier Ltd. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
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