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introduced by trench and machine gun warfare. Mitchell pro-  the development of an “air infantry.” In April 1940, a plan
              posed to drop parachutist behind German lines near Metz in   proposed by the Infantry Board was approved by the War De-
              Northeast France. Heavy aircraft would be used that could   partment. An Airborne Test Platoon was formed with 48 men
              each carry a squad of troops. The troops would be armed with   in June 1940 and they were trained at Fort Benning, Georgia.
              machine guns, supplied with airdrops, and supported with   The first mass tactical jumps were conducted in August 1940
              attack aircraft. World War I ended the next month and the   from C-47 Skytrain aircraft at Lawson Field on Fort Benning.
              operation was never realized. 1–4                  The 501st Parachute Battalion was activated in September
                                                                 1940 and training facilities rapidly improved. The US entered
              In  April 1928,  the  US  Army’s first  experimental  jump was   World War II in December 1941 with the attack on Pearl Har-
              conducted at Brooks Field near San Antonio, TX. It involved   bor and the subsequent declaration of war by Germany. In Jan-
              six soldiers jumping from a number of aircraft. The first per-  uary 1942, the War Department directed that four parachute
              son out of the aircraft was Master Sergeant Edwin Nichols   regiments be formed. Airborne divisions were later formed but
              who worked on Colonel Mitchell’s staff in France and was   consisted of only 8,400 men, as opposed to a normal infantry
              instrumental in the development of early airborne technol-  division that had 15,000. The 509th Parachute Infantry Bat-
              ogy. A larger operation was conducted at Kelly Field near San   talion made the first US Army combat jumps into North Africa
              Antonio in September 1929. It involved 18 jumpers from 12   in November 1942 as part of the largely successful Operation
              aircraft (9 Dehavillands and 3 Douglas biplanes) jumping at   Torch, an Anglo American Operation in Morocco and Alge-
              2,000 feet above ground level using manually activated para-  ria. Airborne combat operations continued throughout World
              chutes. In 3 to 4 minutes after landing, the soldiers had assem-  War II in the European and Pacific theaters. 1,2,6,9
              bled three Browning water-cooled machine guns for firing. 1,4–6
                                                                 US Military Parachuting Injuries
              Representatives from the Soviet Union observed the demon-
              stration at Kelly Field and this may have served as a stimulus   Table 1 shows studies that have examined the overall injury
              for the development of Soviet airborne operations, although   incidence in (1) US military basic airborne training, (2) oper-
              these developments may have already been underway. In Au-  ational unit training, (3) single jump operations, and (4) com-
              gust 1930, the Soviet Army made an inaugural drop of 12   bat operations. Studies were selected for this table only if they
              troops and in 1933 dropped a light company of 62 troops.   provided the number of injured Servicemembers and the num-
              The Soviet Army began dropping brigade sized units by 1935   ber of jumps associated with these injuries. Injury incidence
              and in 1936 it was reported that over 5,000 Soviet soldiers   was calculated as followed:
              jumped from aircraft in a training operation near Kiev. By
              1936, there were 559 jump towers and 115 airborne training   (Number of injured Servicemembers/number of jumps) × 1000
              sites in the Soviet Union. The first Soviet combat jump was in
              the  Russo-Finnish War in 1939. By 1941, the Soviet Army had   This provided injuries/1000 jumps. Many of these injury in-
              15 parachute brigades. 5,6                         cidences are not directly comparable because of differences in
                                                                 injury definitions, how the data were collected, and the known
              Kurt Student, who later became the commander of the Ger-  risk factors involved. Some studies only look at time-loss inju-
              man Airborne Forces in World War II, observed a Soviet air-  ries (≥1 day of limited duty), others only injuries reporting to
              borne jump of 1,500 troops in 1935 and was impressed with   emergency rooms, others collected injuries on the drop zone
              the operation. In January 1936, Hermann Goring, then Chief   which would include more minor injuries, and one involved
              of the Air Force and Air Transport Minister, issued orders to   self-reported injuries. Further, jump conditions can differ con-
              initiate a parachute regiment called the Fallschirmjager-Regi-  siderably and well established factors that increase injury risk
              ment 1 in Stendal, Northwest Germany. In the same year and   include high wind speeds, night jumps, jumps with combat
              at the same location, the Wehrmacht (German Army) formed   loads, higher temperatures, and type of aircraft (rotary vs
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              a parachute company called the Fallschirm-Infanterie-Batail-  fixed wing).  Nonetheless,  comparisons are possible  where
              lon, which was rapidly increased in size to a full battalion.   injury definitions and jump conditions are similar.
              The first German combat jumps were scheduled for October
              1938 as part of the invasion of Czechoslovakia, but the Czechs   Airborne School
              conceded without a fight and the operation was cancelled.   Tobin et al.  reported parachute-related injuries during the
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              Near the end of 1938, Chancellor Adolf Hitler ordered that   first year of instruction at the US Army Airborne School (Au-
              all airborne forces be transferred to the Luftwaffe (German   gust 1940–August 1941). Note that injury incidence in this
              Air Force), which assumed all airborne operations under Gen-  period (27 injuries/1000 jumps) was substantially higher than
              eral Student. Small airborne units were committed to action   that of later studies at the Airborne School. Later studies 12–15
              in the successful German invasions of Denmark and Norway   involved similar types of jumps. Five jumps were required for
              in April 1940, but the first major German airborne assaults   airborne qualification. Although there was some variations
              of company and battalion strength spearheaded the successful   due to weather and other condition, three jumps were con-
              German invasion into the Netherlands in May 1940. Airborne   ducted during daylight with only uniforms, helmets, and para-
              troops captured key bridges, airfields, and fortifications that   chute systems (called administrative/nontactical); one jump
              were critical for the advance of German ground troops. 7,8  was conducted at night (administrative/nontactical); and one
                                                                 jump was conducted during the day with a combat load. Two
              There were no further developments in the US after the jumps   studies 12,14  collected data in a similar manner and suggest that
              at Kelly Field in 1929 because shortly after, a directive was   injuries were lower in the 2005–2006 period  compared to
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              issued by the War Department to cease airborne experimen-  1993.  The study  that obtained self-reported injuries on a
                                                                               13
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              tation. Nonetheless, in May 1939, spurred by the develop-  questionnaire found that incidence was higher than those re-
              ments in Germany, the US Army chief of infantry proposed   ported to medical personnel suggesting some injuries were not
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