Subject(s)
Emergency Medical Services , Military Medicine , Military Personnel , Humans , United KingdomABSTRACT
OBJECTIVES: To determine the number of medical emergency response team (MERT) patients undergoing advanced airway management in the peri-evacuation phase and to determine the indications for airway interventions undertaken in flight. METHODS: This was a retrospective study. Data was collected from patient report and mission debrief forms completed after each MERT mission during Operation HERRICK 10 (April-October 2009). All patients that received advanced airway interventions before or during evacuation were identified. RESULTS: MERTs were involved in the primary transfer of 534 patients during the period studied, 56 (10.5%) underwent advanced airway management, of which 31 (5.8% of total) were initiated by the MERT in the peri-evacuation phase. Twenty five cases (4.7%) underwent advanced airway management by other pre-hospital providers prior to MERT arrival. Of the 31 advanced airway interventions undertaken in-flight, cardiac arrest was the primary indication in only nine cases. CONCLUSIONS: The figure of 56 patients requiring advanced airway management is at the higher end of the range expected from the study of historical military data. This may reflect the doctrine of "intelligent tasking", that is sending this physician-led team to the most seriously injured casualties.
Subject(s)
Airway Obstruction/therapy , Emergency Medical Services/statistics & numerical data , Intubation, Intratracheal/statistics & numerical data , Adult , Child , Heart Arrest/therapy , Humans , Military Medicine , Patient Care Team , Retrospective Studies , Transportation of PatientsSubject(s)
Analgesia/methods , Anesthesia, Conduction/methods , Military Medicine , Afghan Campaign 2001- , HumansABSTRACT
The contribution of anaesthesia to the care of injured military personnel at Role 4 is described with particular emphasis on the working relationship between the Royal Centre for Defence Medicine and the civilian department of anaesthesia. The implications for operating theatre activity are discussed.
Subject(s)
Anesthesia , Hospitals, University , Military Medicine , Analgesia , Anesthesia/methods , Humans , Interprofessional Relations , Patient Admission , Perioperative Care , Postoperative Care , United KingdomABSTRACT
Pneumorrhachis or intraspinal air is an increasingly encountered phenomenon in the management of severe trauma. The case of a 23-year-old soldier, who sustained a gunshot wound to the chest, is presented and the subsequent discussion illustrates that while often benign this phenomenon may indicate serious occult injury.
