Bastion Classification of Lower Limb Injuries Caused by an Improvised Explosive Device (IED)

Description

Jacobs et al reported the Bastion classification for lower limb injuries caused by an improvised explosive device (IED). This can aid in communication about wounds which can improve patient management. The authors are from military services of the United Kingdom and the United States.

Bastion refers to Camp Bastion which is a military base in Afghanistan

Type of Injury	Class
confined to foot	1
injury of the lower leg that permits effective placement of a tourniquet below the knee	2
injury of the lower leg or thigh that permits effective placement of a tourniquet above the knee	3
proximal thigh trauma with insufficient space for effective placement of a tourniquet	4
buttock involvement	5

Alternatively

Injury Location	Effective Tourniquet Placement	Class
confined to foot	NA	1
lower leg	yes, below the knee	2
lower leg or distal thigh	yes, above the knee	3
proximal thigh	no	4
buttock	NA	5

Additional designations:

S: segmental injury, with viable tissue distal to the most proximal injury

A: intraperitoneal abdomen

B: genitalia and perineum

C: pelvic ring

D: upper limb

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Bastion Classification of Lower Limb Injuries Caused by an Improvised Explosive Device (IED)

Description

Specialty