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US Military Casualities: Amputations at Record Numbers

JC Jones MA RN

Last summer a report from the Congressional Research Service based on Department of Defense information was sent to Congress detailing the US military casualty statistics in Operation Iraqi Freedom and Operation Enduring Freedom. Twenty percent of soldiers injured have multiple injuries - and may have traumatic brain injury (TBI) as well as traumatic amputations. All most half of the amputations are caused by IED's. These could be prevented if the transportation vehicles our troops are using had undersides designed to bear the impact of this well known threat. The MRAP is one such vehicle that the Marine Corp is now contracted to produce. It has a V-shaped underbelly desgned to protect against underground devices.

Advances in battlefield medicine have saved many combatants who might have died - but is the rehabilitation they receive up to par? The Center for the Intrepid, a $50M rehabilitation center in opened its doors in San Antonio, Texas in January, 2007 to treat the record number of amputees and troops with severe burns. Amputee rehabilitation programs are run at Brooke Medical Center in Texas, Walter Reed Medical Center and Bethesda Naval Medical Center. Housing has been built at Center of the Intrepid for families of the soldiers in rehab. The Center was funded by private donations from 600,000 US citizens, which means the world to the beneficiaries of the services provided. State-of-the-art technology is provided to military amputees including advanced prosthetics, computerized and video monitoring, biomechanical studies and advanced physical therapy methods.

One of these programs is the art program at the Center, a collaboration between the General Services Administration (GSA) and the Fallen Heroes Fund. The art work was chosen to complement the architecture, to remind visitors of the heroes and the sacrifices they have made for the US, and to support the physical rehabilitation programs and motivate participation in extreme sports. The Intrepid Fallen Heroes Fund and the Wounded Warrior Project has also just made available a publication " A Handbook for Injured Service Members and Their Families". The handbook provides information about what to expect, resources available and issues that will crop up. The handbook is available at www.fallenheroesfund.org.

New generation prosthetic devices are being designed by researchers at Arizona State University's Polytechnic campus and the Military Amputee Research Program at Walter Reed Army Medical Center. The Otto Bock C-Leg has a microprocessor knee and was introduced in 1997. It allows the wearer to go up or down hills and slopes and provides greater freedom of movement. Otto Bock also makes a myoelectric hand that is lightweight, compact and responsive.

If you want to get up close and personal with some of the amputees returning from Iraq, watch HBO's Alive Day Memories: Home From Irag from Executive Producer James Gandolfini. The documentary film premieres on September 9, 2007 at 10:30 PM and continues through September 16, 2007. Don't miss it - I have had a chance to see it and it is very moving. These American heroes have sacrificed their health and well being - they don't want us to forget them.



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REMEMBER SEPTEMBER 9 10:30 HBO: ALIVE DAY MEMORIES:HOME FROM IRAQ

JC Jones MA RN

Beginning Sunday September 9 through September 16, 2007 HBO will be airing the very special documentary by Executive Producer James Gandolfini Alive Day Memories: Home From Iraq. I had the opportunity to see the film this weekend and was struck by how unsentimental it is. Filmed on a black, blank stage, Mr. Gandolfini quietly interviews some truly tough men and women about what lead them to enlist in the service (Army or Marines), what they remember about the day they almost died, and the aftermath. There are no cheap attempts to manipulate our emotions. There are no judgments about the right or wrong of war or this war in particular. There are just ten human beings, aged 21-41, unique, full of life, energy, love, ideas, desires, hopes and dreams sharing their stories with Mr. Gandolfini.

Interspersed with the interviews are videos of the servicemen and women at home or at play or in Iraq before they were injured. There are videos of them in the hospitals and rehab centers or dancing after the injuries. Each has a story to tell.

Some of the facts Alive Day Memories: Home From Iraq educates us about:
  • 90% of the wounded of this war survive their injuries
  • the majority of the wounded cope with amputations, traumatic brain injury (TBI), post-traumatic stress disorder (PTSD)
  • this war is seeing the highest percentage of amputees since the Civil War
  • 50% of those wounded suffer from PTSD
  • 33% of the injured suffer from TBI
Mr. Gandolfini calls them "True American heroes." And as HBO has observed, their fight has just begun. For the 30,000 wounded troops among us, and no doubt many more who will return to our shores, we need to rally round them, and help them with this fight. Watch this movie to gain a better understanding of their struggle.

See previous posts: War of Disabilities: HBO's Alive Day Memories: Home From Iraq Tells the Stories
Home From Iraq: HBO, James Gandolfini Focus on New Veterans

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