Tactical Combat Casualty Care in the Canadian Forces: lessons learned from the Afghan war

Savage, Erin; Forestier, Colleen; Withers, Nicholas; Tien, Homer; Pannell, Dylan

doi:10.1503/cjs.025011

Cited by 58 publications

(38 citation statements)

References 28 publications

(31 reference statements)

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“…[1] Cite this article as: Sanak T, Brzozowski R, Dabrowski M, Kozak M, Dabrowska A, Sip M, et al Evaluation of tourniquet application in a simulated Tactical environment. Ulus Travma Acil Cerrahi Derg 2018;24: [9][10][11][12][13][14][15] should be noted that 60% of deaths on the battlefield is associated with massive hemorrhage from the limbs in this phase.…”

Section: Introductionmentioning

confidence: 99%

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An Evaluation Concerning Tourniquets Application in a Simulated Tactical Environment

Sanak¹,

Brzozowski²,

Dąbrowski³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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Section: Introductionmentioning

confidence: 99%

“…[1] Any use of tourniquets when not subjected to CUF is dictated by the inability to control bleeding by other means (bandages, gaze, etc.). [2] Types of Tourniquets…”

Section: Introductionmentioning

confidence: 99%

An Evaluation Concerning Tourniquets Application in a Simulated Tactical Environment

Sanak¹,

Brzozowski²,

Dąbrowski³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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“…TCCC har i olika versioner implementerats i andra länders försvarsmakter: Israel (Waldman et al, 2012), Storbritannien (Hawley, 1998), Kanada (Savage et al, 2011), Australien och Nya Zealand (Butler & Blackbourne, 2012 (Lundberg, 2009). Utformningen av TCCC i andra länder beror på respektive lands hälsolagstiftning som styr vilken kompetens som krävs för att utföra vissa medicinska åtgärder (White, 1990).…”

Section: Tactical Combat Casualty Careunclassified

“…Att kunna automatisera omhändertagandet innebär att utföra åtgärder som grundar sig på ett definierat protokoll enligt <C> ABCDE, vilket är grunden för allt prehospitalt omhändertagande i fält (Blaz, Woodson et al, 2013;Lundberg, 2010;Savage et al, 2011). Bedömningen av den skadade utgår ifrån fysiologiska vitalparametrar såsom puls och andning.…”

Section: Lärandet Under Förberedelseskedetunclassified

Militär akutsjukvård i fält : när den övade verkligheten blir verklig

Andersson¹

2014

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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

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“…Like the US military system, Level 1 care was provided by CF combat medical technicians, who were embedded with each fighting unit. Details of the CF prehospital trauma program and its evolution during the war in Afghanistan are discussed in more detail in the article by Savage and colleagues 21 in this special supplement of the Canadian JournalofSurgery. Evacuation to the R3MMU was carried out either by CF armoured ambulances or by US military helicopters.…”

Section: Clinical Components Of the Cf Trauma Systemmentioning

confidence: 99%

The Canadian Forces trauma care system

Tien

2011

Can J Surg

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Tactical Combat Casualty Care in the Canadian Forces: lessons learned from the Afghan war

Cited by 58 publications

References 28 publications

An Evaluation Concerning Tourniquets Application in a Simulated Tactical Environment

An Evaluation Concerning Tourniquets Application in a Simulated Tactical Environment

Militär akutsjukvård i fält : när den övade verkligheten blir verklig

The Canadian Forces trauma care system

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