Air Medical–Evacuated Battle Injuries: French Army 2001 to 2014 in Afghanistan

Robert, Jimmy; Tourtier, Jean-Pierre; Vitalis, V.; Coste, Sébastien; Gaspard, W.; Bourrilhon, C.

doi:10.1016/j.amj.2017.08.001

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…Second, differences in the characteristics of military operations (e.g., battlefield configuration, combat intensity, enemy tactics, period of engagement, nature of military operations, and distance from medical treatment facilities) are associated with differences in the number and type of casualties, as already emphasized in other studies. 11,18,34 In the study by Jackson et al, 32 casualties were evacuated from Iraq and Afghanistan, which have theaters of operation differing from those in our study. Third, our study had a retrospective design.…”

Section: Discussioncontrasting

confidence: 60%

“…Trauma registries such as the US Department of Defense Trauma Registry and the UK Joint Theater Trauma Registry have provided better characterization of injuries, including their severity and mechanisms 8–11 . Some few and scattered French data were collected for some periods of past (e.g., Afghanistan) and recent conflicts (e.g., Mali) 12–21 . However, to date, the French armed forces do not have such unique, systematic, and exhaustive military trauma registry 4,21 .…”

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confidence: 99%

“…[8][9][10][11] Some few and scattered French data were collected for some periods of past (e.g., Afghanistan) and recent conflicts (e.g., Mali). [12][13][14][15][16][17][18][19][20][21] However, to date, the French armed forces do not have such unique, systematic, and exhaustive military trauma registry. 4,21 Recent military operations have specific characteristics different from those of past conflicts (e.g., Iraq and Afghanistan), particularly in terms of terrain configuration, combat techniques, medical support, and combat intensity.…”

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confidence: 99%

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Profile of injuries in recent warfare

Chiniard

Boutonnet

Duron

et al. 2023

J Trauma Acute Care Surg

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BACKGROUND The epidemiology of French military severe trauma patients injured during recent military operations remains poorly described, even if French operations, casualties sustained, and care rendered in a different trauma system are distinct from others. This study aimed at describing the characteristics of these patients upon arrival at hospital in France and during hospital stay. METHODS This 5-year retrospective cohort study included all French military servicemen injured during military operations and admitted to the intensive care unit. Data on the characteristics upon arrival at the Percy hospital in France and during hospital stay were obtained from a national civilian trauma registry. RESULTS Of 1,990 military trauma patients injured in military operations, 39 were finally admitted to the intensive care unit of the Percy hospital and included in the analysis. Traumas were related to battle injuries and nonbattle injuries in 27 and 12 patients, respectively. Ninety-eight wounds were described: torso (n = 32), limbs (n = 32), head and neck (n = 25), and spine (n = 9). The mechanism of injury was explosion in 19 patients, gunshot wound in 8 patients, motor vehicular crash in 7 patients, or other mechanisms in 5 patients. The median Injury Severity Score was 25.5 (interquartile range, 14–34). CONCLUSION This study highlights the small number of military severe trauma patients injured in recent warfare and their characteristics. The use of dedicated systemic military trauma registries could improve the specific epidemiological knowledge on recent warfare and help better prepare for future conflicts that may include major engagements and large-scale combat operations. LEVEL OF EVIDENCE Prognostic and Epidemiological; Level V.

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Section: Discussioncontrasting

confidence: 60%

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confidence: 99%

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confidence: 99%

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Profile of injuries in recent warfare

Chiniard

Boutonnet

Duron

et al. 2023

J Trauma Acute Care Surg

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Level of Onboard Care for Critical Patients: Analysis of the French Armed Forces Air Medical Evacuations From the Sahel Since 2013

Arnoux¹,

Corcostegui²,

Gillard³

et al. 2022

Air Medical Journal

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Aeromedical Evacuations Within the French Armed Forces: Analysis of 2,129 Patients

et al. 2019

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Introduction The doctrine of medical support during French military operations is based on a triptych: forward medical stabilization, forward damage control surgery, and early strategic aeromedical evacuation (Strategic-AE). The aim of this study was to describe the last piece, the evacuation process of the French Strategic-AE. Methods We conducted a retrospective cohort analysis using patient records from 2015 to 2017. All French service members requiring an air evacuation from a foreign country to a homeland medical facility were included. Data collected included age, medical diagnosis, priority categorization, boarding location, distance from Paris, type of plane and flight, medical team composition, timeline, and dispatch at arrival. Results We analyzed 2,129 patients evacuated from 71 countries, most from Africa (1,256), the Middle East (382), and South America (175). Most patients (1,958) were not severely injured, although some considered priority (103) or urgent (68). Diagnoses included disease (48.6%), nonbattle injuries (43%), battle stress (5.3%), and battle injuries (3%). 246 Strategic-AE used medical teams in flight, 136 of them in a dedicated Falcon aircraft. The main etiologies for those evacuations were battle injuries (24%), cardiovascular (15.4%), infections (8%), and neurologic (7.3%). The median time of management for urgent patients was about 16 hours but longer for priority patients (26 hours). Once in France, 1,146 patients were admitted to a surgery department and 96 to an intensive care unit. Conclusion This is the first study to analyze the French Strategic-AE system, which is doctrinally unique when compared to its North Atlantic Treaty Organization allies. North Atlantic Treaty Organization allies favor care in the theatre in place of the French early Strategic-AE. However, in the event of a high intensity conflict, a combination of these two doctrines could be useful.

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Air Medical–Evacuated Battle Injuries: French Army 2001 to 2014 in Afghanistan

Cited by 4 publications

References 15 publications

Profile of injuries in recent warfare

Profile of injuries in recent warfare

Level of Onboard Care for Critical Patients: Analysis of the French Armed Forces Air Medical Evacuations From the Sahel Since 2013

Aeromedical Evacuations Within the French Armed Forces: Analysis of 2,129 Patients

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