Militär akutsjukvård i fält : när den övade verkligheten blir verklig

Abstract

Aims: Governing for the Armed Forces health care is respect for human dignity and the view of each individual as irreplaceable. The quality of the military care will be at a level equivalent to that of today's civil peace healthcare, which requires that the training is of high quality. Casualty care in the military environment is a complex, challenging and dangerous task. Today there is a lack of knowledge about how to learn these skills. The purpose of the research was to identify the knowledge area pre-hospital care in the military environment by examining what doctors, nurses, paramedics and officers learn about military health care during preparation and exercise. Method: A phenomenographic approach was used in all sub-studies, and empirical data were collected by means of semi-structured interviews. Study I‐III are cross-sectional studies and study IV is a longitudinal study. Twelve registered nurses who had served in Bosnia were interviewed for study I, and 24 conscript paramedics were interviewed for study II. Study III included 20 officers in their pre-deployment training for service in Afghanistan and Liberia, and Study IV included 7 doctors and twenty nurses who previously had served in Afghanistan, Bosnia, Kosovo and Liberia. Results: Learning military health care by training and gaining experience can be seen as different abilities; interaction, action and reflection. In-depth analysis at a meta--‐level revealed that the integration between the military and military medical fields of knowledge was missing. The results indicate that participants' understanding of their respective fields of knowledge is inadequate and needs to be integrated in education in a clearer way. Implications: To create opportunities for better education and integration in these fields of knowledge are proposed (1) that the findings of the thesis could be utilised to develop the design of the curriculum (2) the inter-professional learning is introduced as a part of creating a safer and more effective pre-hospital care, (3) the clinical competence becomes part of the development of pre-hospital emergency care in the field, and (4) that the training is built according to the principle of "train as you fight" with emphasis on the requirements in the combat zone

The History of Swedish Military Healthcare System and Its Path Toward Civilian-Military Collaboration From a Total Defense Perspective

“…In addition to their civilian skills, that is, skills equivalent to advanced trauma life support (ATLS), they also needed basic military training, as well as military trauma-focused specialized training, for example, Battlefield Advanced Trauma Life Support (BATLS) and Definitive Surgical Trauma Care (DSTC). 20 , 24 , 25 All soldiers were trained to use tourniquets as well as some medications such as fentanyl in the prehospital setting. In each group of eight soldiers, a “combat lifesaver” (CLS) was included, given 7 weeks of additional medical training and who carried more medical equipment.…”

Dual loyalties: Everyday ethical problems of registered nurses and physicians in combat zones

“…Also included is specific training aimed at imparting knowledge and understanding of problem-solving in combat zone contexts, that is, of how to supply the required nursing and medical skills in a specific combat zone. 24…”