Head Face and Neck Surgeon Deployment in the New French Role 2: The Damage Control Resuscitation and Surgical Team

Fawaz, Rayan; Dagain, Arnaud; Pons, Y.; Haen, P.; Froussart, F.; Caruhel, Jean Baptiste

doi:10.1093/milmed/usac329

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…20 A procedure was performed in 76.5% of these cases, and the procedures were primarily performed by the MNSU surgeon in 76.9%. 21…”

Section: The French Mobile Neurosurgical Unitmentioning

confidence: 99%

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French Military Neurosurgery: At Home and Abroad

Fawaz,

Robert,

Maison

et al. 2023

Neurosurgery

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The origins of military neurosurgery are closely linked to those of neurosurgery in France and more particularly in Paris. The history of the field starts with its origins by 2 men, Thierry de Martel and Clovis Vincent. The first note about the creation of military neurosurgery was in 1942, when Marcel David was reassigned from the Sainte Anne Hospital to practice at the Val-de-Grâce Military Hospital. David trained the first military neurosurgeon. The field of military neurosurgery was subsequently developed at the Val-de-Grâce Military Hospital, at Sainte Anne Military Teaching Hospital in Toulon in 1990 and then at Percy Military Teaching Hospital in 1996. Over 29 military neurosurgeons were trained in these institutions. Since 2000, French military neurosurgeons have been deployed from France in the Mobile Neurosurgical Unit. This Mobile Neurosurgical Unit represents 12% of all medical evacuation of casualties categorized as the high dependency level. Neurosurgeons were able to adapt to asymmetrical wars, such as in the Afghanistan campaign where they were deployed in the Role 3 medical treatment facility, and more recently in sub-Saharan conflicts where they were deployed in forward surgical roles. To manage the increasing craniocerebral war casualties in the forward surgical team, the French Military Health Service Academy established a training course referred to as the “Advanced Course for Deployment Surgery” providing neurosurgical damage control skills to general surgeons. Finally, military neurosurgery is reinventing itself to adapt to future conflicts through the enhancement of surgical practices via the addition of head, face, and neck surgeons.

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“…20 A procedure was performed in 76.5% of these cases, and the procedures were primarily performed by the MNSU surgeon in 76.9%. 21…”

Section: The French Mobile Neurosurgical Unitmentioning

confidence: 99%

“…33 However, patients who undergo head and neck (and more broadly face) surgeries are at high risk of intraoperative and postoperative complications, and with the return of high-intensity conflicts, the FMHS has decided to deploy new Role 2 head, face, and neck (HFN) surgeons. 34…”

Section: Neurosurgical Damage Control Performed By the French Militar...mentioning

confidence: 99%