Dynamic Insights on Surgical Activity in a New Modern Warfare: The French Role 2 in Bangui, Central African Republic

Barbier, Olivier; Pasquier, Pierre; Racle, Maelle; Baudoin, Y.; Malgras, Brice

doi:10.7205/milmed-d-16-00121

Cited by 10 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found an average age of 28.9 years, with a male predominance of 98%. This mean age is close to that of Barbier et al [6] who found an average age of 29, with a male predominance of 86%. The exposed population is essentially made up of young men.…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

P Sando,

HD Sama,

Y Akala

et al. 2023

World J. Adv. Res. Rev.

View full text Add to dashboard Cite

Objective: To report on anesthesia activities at the Togo Armed Forces Hospital deployed to Kidal in northern Mali as part of the Minusma. Patients and methods: This is a retrospective descriptive study carried out from 1er March 2015 to 29 February 2020. Results: One hundred and six (106) patients were treated under anaesthesia, i.e. an average of 21.2 per year. The mean age was 28.9 years, with extremes of 4 and 57 years. The patients were predominantly male, with a sex ratio of 25.5. Military personnel accounted for 74% of patients. Traumatic emergencies were the most frequent (56.4%), including 42.3% war injuries. Trauma and visceral surgeries were the most common at 48.1% and 47.2%. 66.1% of patients were classified as ASA1u. General anesthesia with orotracheal intubation (GA + OTI) was used in 56.6%. Ketamine (68.4%) and Propofol (31.6%) were most commonly used. Rocuronium was used in 88.3% of cases, and Fentanyl was the only morphine used. All patients received minimal monitoring of blood pressure, pulse, electrocardiogram, oxygen saturation and capnogram. Twenty (20) % of patients received a transfusion of packed red blood cells; only one patient received a transfusion of lyophilized plasma. Tranexamic acid was used in 9.4% of patients. Multimodal analgesia was provided with Paracetamol, Nefopam, Ketoprofen and Morphine. Forty-two patients were evacuated after stabilization, 59.5% to level 3 (Dakar) and 40.5% to level 2+ (Bamako). Intraoperative complications were dominated by arterial hypotension (35.2%) and shivering (19.6%). We recorded 0.6% intraoperative deaths. Conclusion: The organization of anesthesia care remains a major challenge in areas with limited medical resources and in conflict zones. It is possible thanks to improved medical equipment and ongoing simulation of medical and paramedical staff in emergency and disaster medicine.

show abstract

Section: Discussionsupporting

confidence: 90%

“…In our series, 74.5% of patients were military personnel. Barbier et al had also found in their study 60% military patients [6]. Coulibaly et al in Côte d'Ivoire observed a predominance of civilians (68.6%) [7].…”

Section: Discussionmentioning

confidence: 76%

Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

P Sando,

HD Sama,

Y Akala

et al. 2023

World J. Adv. Res. Rev.

View full text Add to dashboard Cite

show abstract

“…Since 2003, the French Military Health Service (Service de Santé des Armées) [7] has managed an electronic database that contains a prospective surgical record of procedures performed by deployed surgeons at Role 2 (Forward Surgical Teams that provide primary care and basic emergency treatment) and Role 3 (Combat Support Hospitals that provide the highest level of medical care in combat zones) levels. This registry was the source of several studies that focused on the surgical workload of French MTFs (e.g., Bonnet et al, 2012 [5]; Barbier et al, 2014 [3]; Malgras et al, 2016 [8]; de Lesquen et al, 2016 [9]; Beranger et al, 2017 [10]; Barbier et al, 2017 [11]).…”

Section: Introductionmentioning

confidence: 99%

Description of trauma among French service members in the Department of Defense Trauma Registry: understanding the nature of trauma and the care provided

Schweizer

Janak

Stockinger³

et al. 2019

Military Med Res

View full text Add to dashboard Cite

Background Since 2001, the French Armed Forces have sustained many casualties during the Global War on Terror; however, even today, there is no French Military trauma registry. Some French service members (SMs) were treated in US Military Medical Treatment Facilities (MTFs) and were recorded in the US Department of Defense Trauma Registry (DoDTR). Our objective was to conduct a descriptive analysis of the injuries sustained by French SMs reported in the DoDTR and subsequent care provided to them to assist in understanding the importance of building a French Military trauma registry. Methods Using DoDTR data collected from 2001 to 2017, a retrospective descriptive analysis was conducted. We identified 59 French SMs treated in US MTFs. The characteristics of the SMs’ demographics, injuries, care provided to them, and discharge outcomes were summarized. Results Among the 59 French SMs identified, 46 (78%) sustained battle injuries (BIs) and 13 (22%) sustained nonbattle injuries (NBIs). There were 47 (80%) SMs injured in Afghanistan ( Opération Pamir) , while 12 (20%) were injured in Opération Chammal in Iraq and Syria. Explosives accounted for 52.5% of injuries, while 25.4% were due to gunshot wounds; all were BIs. The majority of reported injuries were penetrating (59.3%), most of which were BIs (71.7%). The mean Injury Severity Score for BIs was 12 (SD = 8.9) compared to 6 (SD = 1.7) for NBIs. Around half of SMs ( n = 30; 51%) were injured in Afghanistan between the years 2008–2010. Among a total of 246 injuries sustained by 59 patients, extremities were the body part most prone to BIs followed by the head and face. Four SMs died after admission (6.8%). Conclusions The DoDTR provides extensive data on trauma injuries that can be used to inform injury prevention and clinical care. The majority of injuries sustained by French SMs were BIs, caused by explosives, and predominantly occurring to the extremities; these findings are similar to those of other studies conducted in combat zones. There is a need to establish a French Military trauma registry to improve the combat casualty care provided to French SMs, and its creation may benefit from the DoDTR model.

show abstract

“… Military Surgical Mission 1 article -Does not include education -Post-op follow-up and outcomes applicable -Does not include post-op follow-up or outcomes -Does not assess the attitudes of the local population Surgery outreach performed by foreign military personnel in a country in SSA for a defined period. Must include operations on local civilians in addition to war-related surgeries [ 72 ]. 22-month mission.…”

Section: Resultsmentioning

confidence: 99%

International pediatric surgery partnerships in sub-Saharan Africa: a scoping literature review

Woods

Shofner

Hodge

2022

Global Health Action

View full text Add to dashboard Cite

Background Sub-Saharan Africa (SSA) faces a critical shortage of pediatric surgical providers. International partnerships can play an important role in pediatric surgical capacity building but must be ethical and sustainable. Objective The purpose of this study is to perform a scoping literature review of international pediatric surgery partnerships in SSA from 2009 to 2019. We aim to categorize and critically assess past partnerships to aid in future capacity-building efforts. Methods We performed a scoping literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. We searched the PubMed and Embase databases for articles published from 2009 to 2019 using 24 keywords. Articles were selected according to inclusion criteria and assessed by two readers. Descriptive analyses of the data collected were conducted in Excel. Results A total of 2376 articles were identified. After duplicates were removed, 405 articles were screened. In total, 83 articles were assessed for eligibility, and 62 were included in the review. The most common partnership category was short-term surgical trip (28 articles, 45%). A total of 35 articles (56%) included education of host country providers as part of the partnership. Only 45% of partnerships included follow-up care, and 50% included postoperative outcomes when applicable. Conclusions To increase sustainability, more partnerships must include education of local health-care providers, and short-term surgical trips must be integrated into long-term partnerships. More partnerships need to report postoperative outcomes and ensure follow-up care. Educating peri-operative providers, training general surgeons in common pediatric procedures, and increasing telehealth use are other goals for future partnerships.

show abstract

Dynamic Insights on Surgical Activity in a New Modern Warfare: The French Role 2 in Bangui, Central African Republic

Cited by 10 publications

References 17 publications

Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

Anesthesia practice in collective emergency situations: Example of Togo army peacekeeping hospital

Description of trauma among French service members in the Department of Defense Trauma Registry: understanding the nature of trauma and the care provided

International pediatric surgery partnerships in sub-Saharan Africa: a scoping literature review

Contact Info

Product

Resources

About