Return to contingency: developing a coherent strategy for future R2E/R3 land medical capabilities

Ingram, Mike; Mahan, Jean M.

doi:10.1136/jramc-2014-000255

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…Role 2/3 contains senior clinicians and an improved level of diagnostic equipment and treatment resources compared with Role 1 28. When fully operational they should be able to provide 12-lead ECG, diagnostic radiography including CXR, CT and ultrasound, and laboratory blood tests including troponin and D-dimer assays.…”

Section: Discussionmentioning

confidence: 99%

Acute chest pain in contingency operations at a Role 1 facility

Barker¹,

White

Bailey³

et al. 2015

J R Army Med Corps

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Acute chest pain is a common medical presenting complaint which can be difficult to diagnose and treat outside of a fully equipped emergency department. In future contingency operations the number of personnel deployed is likely be smaller, with the medical cover appropriate for the population at risk, such that the deployed medical facilities will be smaller than the Role 3 unit with which we have become familiar over the last 10 years of operations in Afghanistan. Physician involvement in these smaller medical facilities is crucial to maintain clinical effect when dealing with patients presenting with disease and non-battle injury, which can often make up the majority of deployed healthcare work. Patients presenting with chest pain require rapid assessment and stabilisation prior to medical evacuation to a suitable definitive care unit. This article focuses on emergency acute chest pain presentations, non-cardiac causes of chest pain, risk reduction and how contingency will affect patient care.

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Section: Discussionmentioning

confidence: 99%

Acute chest pain in contingency operations at a Role 1 facility

Barker¹,

White

Bailey³

et al. 2015

J R Army Med Corps

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“…Working in the future operating environment (FOE)3 will require moving away from a ‘Bastion Mindset’ (working in the established Role 3 trauma hospital in Afghanistan) and medical paradigms 4. Defence cadre anaesthetists need to develop new mental models in order to prepare for managing FOE unknown unknowns, working in resource-limited and dispersed areas of operations with logistical challenges for medical resupply, lack of airframes for pre-hospital emergency medicine (PHEM) and longer evacuation timelines, with stretched lines of communications.…”

Section: Introductionmentioning

confidence: 99%

Military Anaesthesia in contingencies: what skill sets are required and how will we prepare our trainees?

et al. 2017

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The Defence Medical Services are now in an established period of contingency operations. In 2008, the Royal College of Anaesthetists approved a Military Anaesthesia Higher Training Module which could be easily achieved by deploying to the field hospital in Camp Bastion, Afghanistan, for two months under the supervision of a consultant anaesthetist. This opportunity no longer exists but the need to assure quality training and to demonstrate military skill sets is still essential. This article discusses the revised Military Higher Module and how it will be implemented in the future either during deployment or during times of peace.

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