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Cost per Soldier vs Wounded per Killed Ratio

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    Posted: 14 February 2009 at 5:22am



So what do you guys think? Is the increase in tax payer money worth the increase in wounded/dead ratio? Is that increase a product of our increased lead throwing during those times of warfare where it increased? Do we really give our soldiers currently on the front lines the best body armor they deserve given that many spend their own hard earned, low paid dollars buying better body armor than the gov supplies?

Does the "future system" seem worth it to you?

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Post Options Post Options   Thanks (0) Thanks(0)   Quote merc Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 8:10am
i would also like to see the numbers for kills of each soldier in each of those time periods.

addition to that you need to take inflation into account... i think the contract price colt sells rifles to the US gov is 1300 each? (its a BS contract they muscled their way into)

the argument of how much soldiers get paid is for another thread, but they were told they are no longer allowed to wear non issue body armor. on top of that they are redesigning GI body armor.

i think they need to take politics out of govt contracts, they say lowest bidder, but its whoever is on their knees for the govt, they charge an outrageous amount for a shoddy product.

all that being said i dont think a price tag should be put on American lives. if theres a product that will reduce injuries/deaths of ours or increase injuries/deaths of theirs im all for it.

EDIT:im purity sure when a soldier gets wounded or killed and gear is damaged or lost they pay for it. if GI joe gets shot in the chest and they cut his body armor off and leave it on the road he flips the bill. all this gear isent so much given to them but checked out and there is a tab kept.

someone want to chime in on this?

Edited by merc - 14 February 2009 at 8:14am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brihard Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 9:17am
The number of kills per soldier is about as irrelevant a statistic as one could possibly collect.

Infantry combat does not resemble what you see in Call of Duty 4. It's not a bunch of brave riflemen charging into an enemy held building and clearing it room by room. The infantry exist to take and hold ground, but do so with a ludicrous amount of supportive fire from other assets. If a threat arises within two or three hundred meters, then yeah, by all means our rifles are perfectly capable of dealing with it. But why expose ourselves needlessly to danger when, at the other end of a radio, we can call in aircraft, helicopters, precision artillery, mortars, armoured vehicles or tanks. Or we can employ our own medium or heavy machineguns, grenade launchers, our own vehicles, or manportable rockets.

I'd say that here in Afghanistan right now the majority of cassualties in warfare are being inflicted at great distance. Artillery and airstrikes would easily be the number one killer. Missiles fired from UAVs (Predators, Reapers) are hugely effective. By the time an infantry platoon manouevres under cover of fire onto an enemy position, odds are the threat that has roused their ire is already dead from the heavy support fire.

As infantry we are the only trade capable of holding ground against enemy infiltration or assault, but in an offensive role we mostly are spotters for the heavier weapons and close security for the tanks and other vehicles. It's only when a compound or building needs to be searched or entered that the infantry are on their own, and those ops can be hella dangerous for the guys doing them. However, if it's known that a particular compound is held by the enemy, it'll generally eat a missile or two (or a couple of aircraft delivered bombs, or artillery shells) before the infantry go in to clear out what's left.

Bear in mind that in modern combat it's not straightforward conventional warfare, but instead counterinsurgency in which only a few thousand out of apopulation of millions may be enemy combatants.

FYI, any soldier whose kit is destroyed in action doesn't get charged with it. There has been some stupidity by overzealous bean-counters, but that's very much the exception, and usually that gets sorted out by someone higher up and the idiot who tried to charge the soldier for that gets a slap on the dick.

Regarding pay- your guys aren't paid worth crap. 'Nuff said.


Edited by brihard - 14 February 2009 at 9:20am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote merc Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 9:32am
being that i was not specifically talking about infantry men and the point i was trying to make is that not only the defensive capabilities increase with the money so does the offensive capabilities.

the more effective a soldier is (infantry, armor or support.) the less soldiers we need to put in harms way.

being a government worker and in a military family i can tell you firsthand that 90% of US military and government workers are overpaid for the AMOUNT of work they do. (thats why we can hire contractors for less and get more done)

edit: another big factor in the injury to death ratio is advances in the medical industry, that along with better communication, and faster evacuation times increase the survival rate in wounded soldiers.

Edited by merc - 14 February 2009 at 9:36am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Linus Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 9:52am
This is a misleading graph. The REAL life-saver is the medical side of the equation.

Back in WW2, combat medicine was nill, and at times you only had a 1 medic in the squad who was a somewhat advanced level of care, but more often then not was just the morphine provider. It took a long time to get the wounded to definitive care.


Now, the Army teaches EVERY soldier to something called CLS level, or combat life saver level. Think of it as first aid.

Now, the medics are trained to an ALS level, or advanced life support. They can do IVs and intubate, which is a THOUSAND times more then what they could do in WW2. Add on top of that quicker transportation to definitive care, and that right there is the REAL life saver.


Now, does the extra money spent on armor hurt? Nope. But the real money and real difference is at the healthcare providing level.

Plus, combat medical aid has revealed a bunch of info to be used in the civilian sector as well. When it comes to major bleeding, elevating and using pressure points DOES NOT WORK. They now go from direct pressure straight to tourniquet.


But to answer your question; is it worth it? Hell yes. Can more be done? Of course.

Edited by Linus - 14 February 2009 at 9:59am

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Post Options Post Options   Thanks (0) Thanks(0)   Quote tallen702 Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 10:03am
I'll post on this when I get to work around noon. I've got more than a few cents to add.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brihard Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 10:56am
Merc- the incredible effectiveness of the modern U.S. Army soldier has not precluded the need to send as much of your army as could possibly be sustained overseas and then some in support of the wars in Iraq and Afghanistan. You're still thinking conventional warfare. The U.S. army handily destroyed any resistance encountered in Iraq, but garrissoning a country with several hostile regions eats up manpower like you wouldn't believe. The survivability and lethality of the modern soldier has increased significantly, but not in proportion with the demands upon manpower of the modern conflict. Afer the Allies retook towns in France and the Low Countries, they didn't need to leave troops behind to guard their supply lines, just small detachments of Military Police and logistical depots to keep things running smoothly. Now everything we do and everywhere we go outside any forward operating base is conducted as a combat mission.

You and Linus both raise excellent points about how combat medecine has advanced in leaps and bounds, and this has resulted in far greater survivability. The ubiquitous availability of helicopter CASEVAC gives us as good a chance as can be had of being evaced to a trauma facility withint he 'golden hour'. Individual soldiers are carrying combat tourniquets, pressure dressings and hemostatic agents like QuikClot or HemCon. In my platoon, about fifteen or sisteen of the fifty of us are qualified as tactical combat casualty care, and can do nasal intubations, can deedle decompress a tension pneumothorax (an inflated chest wall from a sucking chest wound that can collapse the lungs and heart), and have mroe extensive training on 'normal' first aid procedures and kit, plus training on triage management and casualty evacuation care.

Interestingly a lot of the techniques and equipment we use comes from the Israelis. The constant low intensity insurgency there has given them a continuous process by which tactical medecine is carried out and validated and new first aid supplies are developed and tested. One of the three kinds of field dressings I carry is Israeli. They're right at the forefront in the development of this field.




Linus: have you guys authorized QuikClot and Hemcon for domestic use yet? I know Canada hasn't...

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Linus Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 11:09am
It's allowed to be used in the US, it just really hasn't taken off. There are a few places that I know of, one in Mo, that use it, but in general it hasn't seen widespread use sadly. It is pretty much deemed as too costly.

I don't see many urban places using it because the transport times to a ED are very low. The place where I see it will be used the most are rural areas with extended transport times. It's much cheaper for a medic to start and IV and do use saline then it is to spend $40 on a small QuikClot sponge.

Fantastic item, but until private companies, and public entities, realize that the cost is worth it when needed, it might be a while.



PS-- What do you guys to for a hemo-pneumo? Are any of your medics trained on chest tubes?

Edited by Linus - 14 February 2009 at 11:12am

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Post Options Post Options   Thanks (0) Thanks(0)   Quote oldsoldier Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 11:56am
Having actually been on the recieving end, if the government needs to spend $10,000 to issue me armored underwear I am all for it. LIke stated combat is not Call of Duty or some other perception of the media, it is one of the mosr horrific expieriences known to man. In our day we were forced to sacrafice what little protection offered ie Steel Pot and a Fragmentation Jacket for a little more speed and less dehydration based mainly on our logistical system. In studying the way of the warrior the WW2 infantryman maybe spend 30 consecutive days in combat, Vietnam average was 240 days, and todays study is not out yet. With the advances in Combat Medicine, Evacuation procedures and post wound care yes the survival rate has risen significantly. If hanging $60,000 worth of protective gear on a smaller force capable of performing as a force 3 to 4 times its size means 1 more trooper survives that conflict, yes it is worth it. MBRO you need to visit a VA Hospital waiting room and ask these sorts of questions to the Veterans, a bunch of "kids" with no real knowledge except for the few, this question means nothing, and I feel you are looking for a desired answer.

FYI- It is the American TAXPAYER and POLITITIANS who force the current soldiers to purchase higher grade protective equipment based on the media spouting how much the Military spends and this "illegal" war bravo sierra. NOt what do the soldiers need to accomplish the mission and get home faster and safer.

Edited by oldsoldier - 14 February 2009 at 12:02pm
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brihard Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 12:28pm
Linus,

I'm not sure what our medics have for hemothorax. We've got very quick caevac here; pretty much nothing we have is more than 50 miles as the Blackhawk flies from Kandahar Airfield. The multinational medical unit here runs one of the best trauma hospitals in the world, so in the timeframe a hemothorax will kill we've easily got them back to KAF and into proper care.

We use QuikClot for traumatic bleeds- open arteries that can't be controlled with direct pressure or a tourniquet. The sort of thing where transport time simply does not come into play; the casualty will be bled out in three minutes. We have the poured powder though, not the sponges. I haven't used those ones. The powder can clot up a femoral bleed right up near the pelvis- it's incredible stuff.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Linus Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 1:06pm
In my experience, hemostatic agents are much better for thoracic injuries, as you can't really put a tourniquet on the abdomen or chest. But when it comes to limbs, tourniquets are better because it helps prevent dead cells from getting recirculated (bad for the body). Embolisms are never good.


I believe medics in the army are taught chesttubes. I know some civilian paramedics are, though it isn't widely used because of the unsterilized conditions surrounding prehospital care.


It's simply amazing the amount of changes that traumatic care has gone through just since the wars in Afghanistan and Iraq started--- much better knowledge on bleeding control and head injuries because of IEDs.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote tallen702 Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 1:51pm
Bri, quick clotting agents haven't caught on so quickly for hospitals and EMT units over here, but you find them in ever ZEE Medical (R) first-aid kit in restaurants stateside. That stuff is a lifesaver for serious cuts in my industry.

I wanted to tack some thoughts onto the whole medic/vs soldier cost bit that was posted before.

Medical advances are only part of a triumvirate of advances in warfare that have kept the the dead-to-casualty rate low over the past half-century.

It started in WWII with the establishment of aid stations and field hospitals just a short distance from the front which aided in expediting the process of lifesaving. While the death rate was still higher, it wasn't as high as the chart above would suggest. Many woundings were never reported unless they were serious enough to have a man taken off the line for an extended period (over 2 days). Furthermore, if you made it to an aid station within 30 minutes of a serious wound, your chances of survival increased by 75%. If you made it to field hospital with a serious wound, you chances went up another 75% from there. It was the first war in which anything more than a grazing shot didn't spell death or amputation for soldiers in the US and allied armies. (well, maybe not Russia)

However, the medical advances are only one part of the increased survivability of warfare. Our tactics have adapted and evolved to the point where we no longer rely on the massed infantry charge to obtain objectives. We continue to use more remote means to neutralize an enemy threat and use the infantryman as the mop-up and holding element. As Bri stated, infantry are used to hold real-estate. The British learned this the hard way in WWII when they attempted to hook around the right flank of Caen in the early days of Overlord. Their armored units were made up of ex-cavalrymen who saw the infantry as un-necessary. They quickly found out that tanks cannot hold a line by themselves. Now, more than ever, with our adapted UAVs and their incursions into enemy strongholds, the need to put men into harms way is greatly reduced.

That brings me to the third part of what is keeping our soldiers alive at a far greater rate; the equipment. Not only have our defensive equipment capabilities (composite body armor, kevlar, etc) increased, but our offensive capabilities have as well. In WWII, the casualty breakdown for an operation usually went something like this:

Infantry: 35%
Armor: 30%
Artillery: 25%
Non combat personnel: 10%

Now, the Artillery and Armor rates of casualty are significantly lower than the Infantry rates due to the fact that the enemy has no counter-battery capabilities to speak of, our tanks are tougher to knock out than an older German Tiger MK-IV, and the traditional combat operations that these two positions used to take part in are long-gone.

Rear unit casualties and infantry casualties have also gone down in number, but their percentage of a whole have gone up because they are the most exposed and the use of suicide bombs and now, IEDs put the rear echelons at more risk than they saw in traditional warfare.

None the less. It is simply stunning that we have lost fewer troops in the two fronts of Iraq and Afghanistan over 6 years than in any other conflict for the same amount of time.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Linus Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 2:06pm
Tallen;

Those kits are so darn expensive. You can get a fully stocked BLS bag for half the price of what some of those things cost.

OSHA induced?

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lightningbolt Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 3:11pm
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Post Options Post Options   Thanks (0) Thanks(0)   Quote choopie911 Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 3:46pm
We should have just kept the equipment the same.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tallen702 Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 3:49pm
Originally posted by Linus Linus wrote:

Tallen;

Those kits are so darn expensive. You can get a fully stocked BLS bag for half the price of what some of those things cost.

OSHA induced?



You have to ask? Of course it's OSHA and FIOSH. The service isn't bad though, just the original start-up costs. They contract for a year at a time and re-fill the kit every 2-weeks to 1-month depending on how much stuff you go through.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Linus Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 4:26pm
And how much stuff DO you go through?

I can only picture a few burn sheets, some bandaids, MAYBE some 4x4's or 2x2s and curlex, and a CPR mask. Anything more and I'd expect an ambulance call.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote tallen702 Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 4:32pm
not that many accidents, but we go through a metric ton of bandaids just for replacement dressings. Also, they make pills. Their pain-aid is a gift from God above. It's basically excedrine but I don't have to pay for it.

So, we don't go through as much supplies as it would make it expensive to re-stock. It's just nice that I don't have to keep an eye on it and run to the local safety-supply store myself.

I will say that we go through quick clotting powder with bartenders a whole lot given the fact that they break so many freaking glasses. Those Guinness pints.... not as sturdy as they look folks.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Linus Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 4:39pm
I was about to say, if you need the kit stocked every couple of weeks, I might not want to go there ;)

Funny thing I noticed was when my parents bought a few first aid kits for our 3 stores, the Tylenol and aspirin was gone within a matter of days... bandaids were next. Plenty of 3x3's and 4x4s left because no one knows how to use them. I'm probably going to have to steal the cold packs and 4x4's from them.


Whats the monthly cost run for the restocking?

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Post Options Post Options   Thanks (0) Thanks(0)   Quote tallen702 Quote  Post ReplyReply Direct Link To This Post Posted: 14 February 2009 at 9:11pm
I'd have to check with the owner as he's the one that writes the checks, but it's much cheaper than running out to the store and purchasing at retail. The bandaids and bandages tend to be of a better quality as well. For instance, we use a blue adhesive bandage that has metal threads laced into it. The reason for the metal threads is that if you're working at a food processing plant, everything runs under a metal-detector before passing on to the next stage of processing. If one of those bandages makes it into the food prep, it'll halt the entire line.

I use them because the blue makes them very visible so I can see if someone's got a cut, and if so, are they wearing gloves.

It's also a better quality adhesive than you get with J&J or other companies. Sticks really well. So well, in fact, that you don't want to hydrogen-peroxide the area being bandaged if you want to get it off easily. Otherwise, it's stuck on there for a while.
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