A previous study of military MCI regarding Thai military units in the southern trauma registry reported that mechanism of injury about 71%, blast injury and 29%, firearm or gunshot wound [6]. This present study showed a higher ratio of blast injury (90.2%) while the second most common injury was gunshot wound (6.5%) implying that weapons of mass destruction (WMDs) will be one of the major concerns in our armed conflict casualties Inhibitors,research,lifescience,medical in the future even though the incident

was in the capital city. The previous study of southern conflict in Thailand demonstrated the anatomic distribution of injured body regions Autophagy inhibitor indicating head & neck was 21.8%, the torso (chest, abdomen, trunk and

pelvis) was 24.5% and the most common injured body region was the extremities 51.6% [6]. Compared with a previous study, this represented a lower Inhibitors,research,lifescience,medical distribution, i.e., head & neck (5.1%), abdomen (7.9%) and chest (10.1%). Perhaps this is due to effective protective body armour vests and helmets. However, the injury to the extremities still exhibits a high percentage, 48.5% Inhibitors,research,lifescience,medical (134 of 276 injured body regions) implying that protection in this areas is not effective enough. In this study, prehospital treatment received cooperation from many government sectors and the Ministry of Defence to prepare field-operation military medical teams to transport injured soldiers to PMK Hospital where prehospital time was recorded Inhibitors,research,lifescience,medical by military health care officers. Although this MCI occurred April 10, 2010, many injured soldiers had to be transported at the same time, leading to unreliable accuracy of time recordings. Unreliable prehospital time data was found in 14 of 153 cases, so the prehospital Inhibitors,research,lifescience,medical time records of the remaining 139 cases were analyzed for accuracy. About 29% of injured soldiers presented to the hospital within the first hour of trauma care that may be inappropriate in prehospital transportation during this MCI because health care providers could

PDK4 not suddenly evacuate casualties during continuous firing and bombing in those dangerous areas and transportation was blocked by crowds. The analysis finally showed that the factors influencing ISS with a statistically significant difference at the 0.05 level were age (p = 0.04), abdomen injury (adjusted OR = 29.9; 95% CI, 5.8-153.5; P < 0.01), head & neck injury (adjusted OR = 13.8; 95% CI, 2.4-80.4; P < 0.01) and chest injury (adjusted OR = 9.9; 95% CI, 2.1-47.3; P < 0.01). This study emphasized report only MCI April 10, 2010. Soldiers with high ISS, more than 16 points, totalled 18 of 153 victims (11.8%). This low percentage of severe injury is the characteristics of this MCI; the protective equipments, that lower ISS, may be effectively used.