medical decision support medical decision support
Sign In

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


To read more or access our algorithms and calculators, please log in or register.

Specialty