Matched-pair hybrid test paradigm for behind armor blunt trauma using an experimental animal model.

IF 2.1 Q3 CRITICAL CARE MEDICINE
Trauma Surgery & Acute Care Open Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI:10.1136/tsaco-2023-001194
Narayan Yoganandan, Alok Shah, Jamie Baisden, Brian Stemper, Mary Otterson, Lewis Somberg, Cameron Bass, Robert Salzar, Justin McMahon, Carol Chancey, Joseph McEntire
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引用次数: 0

Abstract

Background: The current behind armor blunt trauma (BABT) injury criterion uses a single penetration limit of 44 mm in Roma Plastilina clay and is not specific to thoracoabdominal regions. However, different regions in the human body have different injury tolerances. This manuscript presents a matched-pair hybrid test paradigm with different experimental models and candidate metrics to develop regional human injury criteria.

Methods: Live and cadaver swine were used as matched pair experimental models. An impactor simulating backface deformation profiles produced by body armor from military-relevant ballistics was used to deliver BABT loading to liver and lung regions in cadaver and live swine. Impact loading was characterized using peak accelerations and energy. For live swine, physiological parameters were monitored for 6 hours, animals were euthanized, and a detailed necropsy was done to identify injuries to skeletal structures, organs and soft tissues. A similar process was used to identify injuries to the cadaver swine for targeted thoracoabdominal regions.

Results: Two cadavers and one live swine were subjected to BABT impacts to the liver. One cadaver and one live swine were subjected to BABT impacts to the left lung. Injuries to both regions were similar at similar energies between the cadaver and live models.

Conclusions: Swine is an established animal for thoracoabdominal impact studies in automotive standards, although at lower insult levels. Similarities in BABT responses between cadaver and live swine allow for extending testing protocols to human cadavers and for the development of scaling relationships between animal and human cadavers, acting as a hybrid protocol between species and live and cadaver models. Injury tolerances and injury risk curves from live animals can be converted to human tolerances via structural scaling using these outcomes. The present experimental paradigm can be used to develop region-based BABT injury criteria, which are not currently available.

利用实验动物模型对装甲钝伤背后进行配对混合测试范例。
背景:目前的装甲钝伤 (BABT) 伤害标准使用的是 Roma Plastilina 粘土 44 毫米的单一穿透极限,并不针对胸腹部位。然而,人体的不同区域具有不同的损伤容限。本手稿介绍了一种配对混合测试范例,采用不同的实验模型和候选指标来制定人体区域性损伤标准:方法:使用活猪和尸体猪作为配对实验模型。方法:将活体猪和尸体猪作为配对实验模型,使用模拟军事相关弹道的防弹衣所产生的背面变形轮廓的冲击器,对尸体猪和活体猪的肝脏和肺部区域施加 BABT 负荷。冲击负荷的特征是峰值加速度和能量。对活体猪进行 6 小时的生理参数监测,然后对动物实施安乐死,并进行详细的尸体解剖,以确定骨骼结构、器官和软组织的损伤情况。对尸体猪的胸腹部目标损伤也采用了类似的鉴定过程:结果:两具尸体和一头活猪的肝脏受到了 BABT 碰撞。一具尸体和一头活猪的左肺受到 BABT 碰撞。在相似的能量下,尸体和活体模型的两个区域受到的伤害相似:结论:在汽车标准中,猪是研究胸腹部撞击的一种成熟动物,尽管伤害程度较低。尸体和活猪的 BABT 反应相似,因此可以将测试协议扩展到人类尸体,并开发动物和人类尸体之间的比例关系,作为物种、活体和尸体模型之间的混合协议。活体动物的损伤容限和损伤风险曲线可通过这些结果的结构缩放转换为人体容限。本实验范例可用于制定基于区域的 BABT 损伤标准,而目前还没有这种标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
5.00%
发文量
71
审稿时长
12 weeks
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