Understanding occipital pressure sores in UK military casualties: a pilot study in healthy military personnel
2023

Understanding Occipital Pressure Sores in UK Military Casualties

Sample size: 26 publication 10 minutes Evidence: moderate

Author Information

Author(s): Chatzistergos Panagiotis, E Scott T, Thorburn M, Chockalingam N

Primary Institution: Centre for Biomechanics and Rehabilitation Technologies, Staffordshire University

Hypothesis

The time it takes for a healthy person to feel pain at the back of the head when lying still on a military stretcher offers an initial indication of how long it is safe to maintain pressure.

Conclusion

Healthy individuals start feeling pain at the back of their heads after approximately 30 minutes of lying still on a military stretcher, which can inform repositioning strategies to prevent pressure ulcers.

Supporting Evidence

  • 20 out of 26 participants felt pain at the occiput after an average of 31 minutes.
  • Female participants were significantly more sensitive to pain than male participants.
  • The average pressure at the occiput was 59 kPa, significantly higher than the threshold for capillary occlusion.

Takeaway

If you lie still on a military stretcher, your head will start to hurt after about half an hour, which means you should change positions to avoid getting hurt.

Methodology

Participants lay on a military stretcher until they felt pain, and the time-to-pain was recorded along with pain sensitivity measurements.

Potential Biases

Participants were healthy military personnel, which may not represent the broader population at risk for pressure ulcers.

Limitations

Time-to-pain was not directly linked to the risk of overload injury or ulceration, limiting the ability to translate findings to clinical practice.

Participant Demographics

26 healthy military personnel (16 male, 10 female) aged 18-50.

Statistical Information

P-Value

0.006

Confidence Interval

95% CI 2.39 to 12.49

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1136/military-2022-002305

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