Life and Limb In-Flight Surgical Intervention: Fifteen Years of Experience by Joint Medical Augmentation Unit Surgical Resuscitation Teams

DuBose, Joseph J.; Stinner, Daniel J.; Baudek, Aric; Martens, Daniel; Donham, Benjamin; Cuthrell, Matt; Stephens, Tony; Schofield, Jerry; Conklin, Curtis C; Telian, Simon

doi:10.55460/si6s-xhcz

Cited by 4 publications

(2 citation statements)

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“…Surgeons were directly involved in casualty triage and medical teams performed in resource-constrained environments 14 . Highly mobile and capable surgical teams provided expeditious surgical augmentation 15,16 . Resources and smartphone applications, such as Deployed Medicine (Allogy Interactive, LLC), enabled medical personnel to access Defense Health Agency and Joint Trauma System knowledge banks and guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…14 Highly mobile and capable surgical teams provided expeditious surgical augmentation. 15,16 Resources and smartphone applications, such as Deployed Medicine (Allogy Interactive, LLC), enabled medical personnel to access Defense Health Agency and Joint Trauma System knowledge banks and guidelines. The Joint Trauma System Clinical Practice Guidelines served as reference materials for austere environment sterilization procedures and unique clinical scenarios for many surgeons, including those on their first deployments.…”

Section: Discussionmentioning

confidence: 99%

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The last days: The medical response of United States and allied military teams during the Afghanistan Exodus

Bozzay,

Murphy,

Baird

et al. 2023

J Trauma Acute Care Surg

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Objectives To describe the United States (U.S.) and Allied military medical response during the withdrawal from Afghanistan. Background The military withdrawal from Afghanistan concluded with severe hostilities resulting in numerous civilian and military casualties. The clinical care provided by coalition forces capitalized on decades of lessons learned and enabled unprecedented accomplishments. Methods In this retrospective, observational analysis, casualty numbers and operative information was collected and reported from military medical assets in Kabul, Afghanistan. The continuum of medical care and the trauma system, from the point of injury back to the U.S. was captured and described. Results Prior to a large suicide bombing resulting in a mass casualty event, the international medical teams managed distinct 45 trauma incidents involving nearly 200 combat and non-combat civilian and military patients over the preceding three months. Military medical personnel treated 63 casualties from the Kabul airport suicide attack and performed 15 trauma operations. U.S. air transport teams evacuated 37 patients within 15 hours of the attack. Conclusions Lessons learned from the last 20 years of combat casualty care were successfully implemented during the culmination of the Afghanistan conflict. Ultimately, the effort, teamwork, and system adaptability exemplify the not only the attitudes and character of service members who provide modern combat casualty care but the paramount importance of the battlefield learning health care system. A continued posture to maintain military surgical preparedness in unique environments remain crucial as the U.S. military prepares for the future. Retrospective observational analysis. Level IV

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The last days: The medical response of United States and allied military teams during the Afghanistan Exodus

Bozzay,

Murphy,

Baird

et al. 2023

J Trauma Acute Care Surg

View full text Add to dashboard Cite

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Ultra-forward surgical support for special operations forces. Conception, development and certification of the French Special Operations Surgical Team (SOST) airborne capability

Hornez,

Cotte,

Thomas

et al. 2024

Injury

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The Battalion Aid Station—The Forgotten Frontier of the Army Health System During the Global War on Terrorism

et al. 2021

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Background The battalion aid station (BAS) has historically served as the first stop during which combat casualties would receive care beyond a combat medic. Since the conflicts in Iraq and Afghanistan, many combat casualties have bypassed the BAS for treatment facilities capable of surgery. We describe the care provided at these treatment facilities during 2007–2020. Methods This is a secondary analysis of previously described data from the Department of Defense Trauma Registry. We included encounters with the documentation of an assessment or intervention at a BAS or forward operating base from January 1, 2007 to March 17, 2020. We utilized descriptive statistics to characterize these encounters. Results There were 28,950 encounters in our original dataset, of which 3.1% (884) had the documentation of a prehospital visit to a BAS. The BAS cohort was older (25 vs. 24, P < .001) The non-BAS cohort saw a larger portion of pediatric (<18 years) patients (10.7% vs. 5.7%, P < .001). A higher proportion of BAS patients had nonbattle injuries (40% vs. 20.7%, P < .001). The mean injury severity score was higher in the non-BAS cohort (9 vs. 5, P < .001). A higher proportion of the non-BAS cohort had more serious extremity injuries (25.1% vs. 18.4%, P < .001), although the non-BAS cohort had a trend toward serious injuries to the abdomen (P = .051) and thorax (P = .069). There was no difference in survival. Conclusions The BAS was once a critical point in casualty evacuation and treatment. Within our dataset, the overall number of encounters that involved a stop at a BAS facility was low. For both the asymmetric battlefield and multidomain operations/large-scale combat operations, the current model would benefit from a more robust capability to include storage of blood, ventilators, and monitoring and hold patients for an undetermined amount of time.

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Life and Limb In-Flight Surgical Intervention: Fifteen Years of Experience by Joint Medical Augmentation Unit Surgical Resuscitation Teams

Cited by 4 publications

References 0 publications

The last days: The medical response of United States and allied military teams during the Afghanistan Exodus

The last days: The medical response of United States and allied military teams during the Afghanistan Exodus

Ultra-forward surgical support for special operations forces. Conception, development and certification of the French Special Operations Surgical Team (SOST) airborne capability

The Battalion Aid Station—The Forgotten Frontier of the Army Health System During the Global War on Terrorism

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