scholarly journals (P1-67) Collaboration of Military and Civil EMS during Russian Georgian War 2008

2011 ◽  
Vol 26 (S1) ◽  
pp. s120-s120
Author(s):  
K. Chikhradze ◽  
T. Kereselidze ◽  
T. Zhorzholiani ◽  
D. Oshkhereli ◽  
Z. Utiashvili ◽  
...  
Keyword(s):  
Emergency Care ◽  
Medical Personnel ◽  
Disaster Medicine ◽  
Military Hospital ◽  
Emergency Medical Care ◽  
Field Hospital ◽  
Occupied Territory ◽  
Long Time ◽  
The Military ◽  
The Village

IntroductionDuring 2008 Russian Federation realized major aggression against its direct neighbor, the sovereign republic of Georgia. It was Russia's attempt to crown its long time aggressive politics by force, using military forces. EMS physicians from Tbilisi went to the Gori district on August 8 at first light, 14 brigades were sent. At noontime of August 8, their number was increased up to 40. 6 brigades of disaster medicine experts joined them as well.ResultsDestination site for the beginning was the village Tkviavi, where a military field hospital was assembled and a Military Hospital in Gori. Later 6 brigades were withdrawn towards the village Avnevi. During fighting, wounded victims were evacuated from the battlefield, where initial triage was done. Evacuated victims were brought to the military hospital where the medical triage, emergency medical care and transportation to Gori military hospital or to Tbilisi hospitals was done. A portion of the wounded was directly taken to Gori military hospital and later to different civil hospitals in Tbilisi. Corpses were transported to Gori morgue as well. On August 9, the emergency care brigades and field hospital left Tkviavi and moved to the village Karaleti, then to Gori. On August 12, the occupied territory was totally evacuated by civil and military medical personnel. Although withdrawal of wounded was done on following days. Up to 2232 military and civil persons were assisted by EMS brigades during war period (8–12 August), from them 721 patients were transported among which 120 were severely injured.ConclusionClose collaboration between military and civil EMS gave the system opportunity to work in an organized manner. On the battlefield prepared military rescuers were active taking out wounded victims to the field or front-line hospitals from which civil emergency care brigades transported them to Tbilisi hospitals. Only 3 fatalities occurred during transportation.

Beyond HOSPEX: what is the additional training value of military hospital exercises (HOSPEX)?

2020 ◽  
pp. bmjmilitary-2020-001438
Author(s):  
Madelaine Gimzewska ◽  
K Hunter ◽  
S Al Azzawi ◽  
A Boreham
Keyword(s):  
Medical Training ◽  
Medical Personnel ◽  
Military Hospital ◽  
Operational Experience ◽  
Leadership Roles ◽  
Field Hospital ◽  
Basic Field ◽  
Patient Pathways ◽  
Job Role ◽  
The Military

BackgroundThe use of simulation in clinical environments is a frequently used adjunct to training individuals and teams. The military uses clinical simulation to train large numbers of personnel, standardise patient pathways and sustain specific skills to ensure medical personnel are prepared to deploy in their clinical roles.MethodsAs part of a North Atlantic Treaty Organization (NATO) exercise, 256 Field Hospital (Reserves) deployed a team of clinicians to simulate a role 2 basic field hospital. This hospital exercise (HOSPEX) involved training, and a 4-day real-time exercise with casualty simulation. A retrospective survey of all clinical personnel was conducted to analyse the utility of the exercise on their understanding of their job role, the workings of the field hospital and their confidence in deploying on operations.Results39 personnel were surveyed, with questions graded on a modified Likert scale. 41% had previous operational experience in their current job role. A significantly higher proportion of respondents graded their understanding of their job role, and the field hospital overall, as good or excellent having completed the exercise (p<0.01), and 90% felt more confident in fulfilling their operational role postexercise. 90% of respondents had previous experience of simulation, and 94% of these rated the military simulation as being more beneficial than civilian equivalents.DiscussionWith a shift towards simulation in medical training, opportunities have arisen within HOSPEX to develop additional skills for teams and individuals. Simulation is especially important in personnel who have not had previous operational experience, who may deploy on first time operations in senior clinical and leadership roles.ConclusionHOSPEXs are perceived as being extremely useful by clinical personnel preparing for future operational deployment. HOSPEX simulation has prepared the military for varied operations since its inception, and the paradigm has potential for extension into civilian training for high intensity medical responses.

scholarly journals Ernest John Maskell, 1895-1958

1961 ◽  
Vol 7 ◽  
pp. 161-171 ◽  
Keyword(s):  
High School ◽  
Natural Sciences ◽  
Military Hospital ◽  
Cambridge University ◽  
Governing Body ◽  
Long Time ◽  
High Regard ◽  
Close Friendship ◽  
The Military ◽  
Sixth Form

Ernest John Maskell was born in Cambridge on 1 February 1895. He went to the Cambridge County School (now Cambridgeshire High School for Boys) with a scholarship. His brothers recall that he was very studious, generally preferring a book to games, in which, however, he played his part. His studious inclination, aided by a retentive memory, reaped its reward of prizes. He became a school prefect, in which capacity he showed a quality he retained throughout his life: a marked ability to get on with his juniors, his equals, and his seniors. He had the privilege of being taught by Dr M. Dawson who later became H.M. Inspector of Schools. She encouraged and stimulated his early interest in botany, and Maskell always, and rightly, held her in high regard. When he reached the Sixth Form, or a little later, he, with nine others, formed ‘The Honourable Order of the Upper Ten’ whose motto was ‘Speak truth, live pure, right wrong, follow the Christ the King’. One of their rules was ‘That it be incumbent upon every Knight to correspond with every other and with the Rev. C. J. N. Child at least every Christmas’. Many did so maintain contact. Another rule was ‘That the Order continue until the death of the last Knight’—Maskell’s was the first death. He maintained his connexion with his old school by serving on the Old Boys Society, of which he became President. He was also, for a long time, one of the members of the Governing Body of the school appointed by Cambridge University. At the age of eighteen he went to Emmanuel College as an Entrance Scholar. In 1915 he was placed in the First Class of Part I of the Natural Sciences Tripos and was awarded the Frank Smart Prize in Botany. At this stage his academic studies were interrupted by his joining the Friends’ Ambulance Unit. In this service he formed a close friendship with a Fellow of his college, Mr L. H. G. Greenwood, who writes: ‘I first came to know him when he was an undergraduate here before 1914, but I remember little about that time. We became close friends during the war at the military hospital in York, mainly staffed by the Friends’ Ambulance Unit, of which we were both members. In the often trying conditions of service there, his unselfish and co-operative friendliness, together with his complete efficiency, did much to make things go smoothly and happily. Later, for a shorter time, we were together at the hospital in Courtrai also run by the Unit, and the same remarks apply to his service there.’

scholarly journals EMERGENCY MEDICINE: PROBLEMS OF VIOLENCE AND SAFETY AT WORK

2019 ◽  
Vol 7 (4) ◽  
pp. 351-357
Author(s):  
Yu. V. Shkatula ◽  
Y. O. Badion ◽  
M. V. Novikov ◽  
Ya. V. Khyzhnia
Keyword(s):  
Medical Care ◽  
Close Contact ◽  
Medical Personnel ◽  
Disaster Medicine ◽  
Third Parties ◽  
Emergency Medical Care ◽  
Medical Worker ◽  
Emergency Medical ◽  
Emergency Medical Personnel ◽  
Victims Of Violence

The work of medical workers is associated with constant psycho-emotional stress, which is caused by close contact with human suffering, the need to make immediate decisions, uncomfortable conditions of the pre-hospital stage and cases of aggressive and violent actions by patients or third parties. Statistics show that 54 to 84.8 % of medical workers have become victims of verbal or physical aggression annually. In 2013-2017, 543 crimes against life and health of medical workers on duty were registered in Ukraine. The purpose of the research was to study the causes, nature and risk factors of violent actions against emergency medical personnel with finding the ways to normalize the situation. Material and methods. An anonymous non-personified survey was conducted among 127 workers of the Sumy Regional Centre for Emergency Medical Care and Disaster Medicine. A modified questionnaire “Violence and aggression in the Health Service” (B. Mullan, F. Badger, 2007) was used in the study. It has been established that 74.8 % of emergency medical care and disaster medicine personnel were victims of violence caused by patients, their relatives or friends. Most often, the reasons for aggressive behaviour of the patient or third parties were the time of waiting for a medical worker and the suspicion of incompetence. According to the results of the survey, 35.43 % of employees believe that it is possible to improve the situation by completing and forming ambulance teams of a mixed type. Almost a third of the surveyed medical workers (24.41 %) indicated the need to provide personal protective equipment, another 14.96 % of respondents wanted better legal support and assistance. The authors come to the conclusion that it is necessary to solve the problem of the safety of a medical worker during an emergency call at the state legislative level. Particular attention should be paid to the further improvement of legal assistance, as well as to the development of measures to prevent violence.

The Role of the Military in International Military-Civilian Collaboration for Disaster Medicine in the USA

1985 ◽  
Vol 1 (1) ◽  
pp. 21-22 ◽  
Author(s):  
Jay C. Bisgard
Keyword(s):  
Armed Forces ◽  
Medical Personnel ◽  
The United States ◽  
Disaster Medicine ◽  
Military Health ◽  
Life Saving ◽  
Ready Availability ◽  
The Usa ◽  
Rapid Deployment ◽  
The Military

The United States Military Health Care System exists primarily to ensure the ready availability of medical support to U.S. Armed Forces at any level of conflict anywhere in the world. Many military medical units are therefore organized and equipped to permit their rapid deployment on short warning to relatively remote areas. They can provide life-saving services within hours and can operate almost independently in any climate, provided they have the means to evacuate patients and to receive supplies. The military mission demands that the medical personnel assigned to these units be trained in peacetime to do their jobs in wartime.

Application of new approaches in the organization and conduct of classes on combat and special training of military medical personnel

2020 ◽  
Vol 22 (3) ◽  
pp. 217-220
Author(s):  
R. R. Kasimov ◽  
A. A. Zavrazhnov ◽  
I. V. Blinda ◽  
K. S. Puchin
Keyword(s):  
Medical Care ◽  
High Efficiency ◽  
Medical Personnel ◽  
Emergency Medical Care ◽  
Major Life ◽  
Military Hospitals ◽  
Special Training ◽  
Hospital Units ◽  
Emergency Medical ◽  
The Military

Abstract. Considers an example of organizing and conducting practice-oriented classes on providing emergency medical care for injuries with medical personnel of the military level, garrison and base military hospitals in the Western military district. In large garrisons of the military district in 2019, we conducted four rounds of field training on the organization of emergency medical care for major life-threatening conditions. The format of classes included master classes and blitz lectures on various topics: cardiopulmonary resuscitation, stopping ongoing external bleeding, eliminating asphyxia and pneumothorax, transport immobilization, and features of the use of modern means of emergency medical care. An important practical part of the training was training with surgeons of military and hospital units on living biological objects. At the beginning and end of the course, primary and control tests of the level of knowledge were conducted. During the initial testing, the percentage of correct answers in the groups averaged: surgeons (n=20) 53,9%, doctors of other specialties (n=25) 56,5%, average medical staff (n=34) 52,8%, health instructors (n=52) 52,6%. During the control testing, the following results were obtained: 71,5; 83,5; 84,3 and 83,9% respectively. The format of classes reliably (p˂0,05) showed their high efficiency in all groups. Thus, the need to actively introduce a practice-oriented form of training in the form of demonstration classes, including the use of biological models and simulators, into the combat and special training of military medical personnel is obvious and beyond doubt.

Hand Injuries at a British Military Hospital on Operations

2006 ◽  
Vol 31 (2) ◽  
pp. 240-243 ◽  
Author(s):  
R. E. B. ANAKWE ◽  
D. M. STANDLEY
Keyword(s):  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Hand Injuries ◽  
Military Hospital ◽  
Hand Trauma ◽  
Field Hospital ◽  
Aeromedical Evacuation ◽  
Post Conflict ◽  
British Military ◽  
The Military

The nature of military medical support necessarily changes in the transition from war fighting to the post-conflict phase. This paper examines the activity in the only British Military Hospital serving a multi-national divisional area in Iraq over 2004 during this post-conflict phase. Hand injuries were common and formed a large proportion of the workload seen at the military field hospital on operations. The overwhelming majority of hand trauma resulted in soft tissue injury. There was a clear predisposition to hand trauma for males, manual workers, combat soldiers and engineers/mechanics. While most hand injuries do not require surgical intervention, they impact on the effectiveness of the military population as a result of the large proportion of patients who are placed on restricted duties following hand trauma, 157 of 241 in this study, and the number of soldiers who require aeromedical evacuation for further treatment, 38 of 360 in this study. These injuries require that military surgeons and emergency physicians should be experienced in the initial management of hand trauma and hand trauma should be a core component of their training. The skills of the specialist hand surgeon may be required for definitive management of these injuries at a later stage.

scholarly journals Alcohol intoxication: evaluation of the population appealability and emergency medical care in Kazan

2017 ◽  
Vol 98 (2) ◽  
pp. 243-247
Author(s):  
V L Paykov ◽  
E I Zamaleeva ◽  
D A Zhukov ◽  
O L Chernova
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Alcohol Intoxication ◽  
Care Service ◽  
Medical Personnel ◽  
Urgent Care ◽  
Emergency Medical Care ◽  
Calendar Time ◽  
Emergency Medical ◽  
Medical Care Service

Aim. To study population appealability for emergency medical care with alcohol intoxication as well as the features of medical care service for them in Kazan at modern stage. Methods. The data from emergency call cards from 2015 with the diagnosis «alcohol intoxication» (form No.11/u) were studied. A survey of 271 responders (medical personnel of mobile teams of emergency care and admission departments of the hospitals) of medical care service for people with alcohol intoxication in the streets was performed. Results. In the structure of performed calls for adult popultion the ratio of patients who called an ambulance because of alcohol intoxication was 2.1% and because of the need for urgent care - 5.7%. Males were more prevalent than females: 82.1 and 17.9% respectively. Predominantly people younger than 60 years appealed: among males 82.7%, among females - 79%. Maximum appealability was registered in July (7.4 calls per 10 000 adults); during the week - on Saturday (11.9 per 10 000 adults), and during the day - during the period from 5 to 6 pm. The survey of the teams of ambulances and admission departments demonstrated the need for re-establishment of medical sobering-up stations (83.5 and 80% respectively) and more rarely the responders suggested development of specialized medical departments and active delivery of people with alcohol intoxication to specialized institutions involving law enforcement officials and personnel of specialized sobering-up stations (13 and 14.3% respectively). Conclusion. In the structure of the calls performed by emergency care stations the ratio of patients who called an ambulance because of alcohol intoxication among adults was 2.1% and because of the need for urgent care - 5.7%; the appealability was affected by sex, age and calendar time; analysis of the survey results demonstrated the need for re-establishment of recently closed medical sobering-up stations and for development of specialized medical departments.

scholarly journals CPR performed in battlefield emergency care

2019 ◽  
Vol 16 ◽  
Author(s):  
Anna Abelsson ◽  
Lars Lundberg
Keyword(s):  
Hospital Setting ◽  
Armed Forces ◽  
Ground Level ◽  
Military Hospital ◽  
Field Hospital ◽  
Compression Depth ◽  
Common Task ◽  
Study Participants ◽  
The Military

IntroductionDuring military missions medical care is provided to military personnel as well as civilians. Although cardiopulmonary resuscitation (CPR) may not be a common task in a military field hospital, all personnel need to be trained to deal with cardiac arrest.MethodsThis study was a comparative simulation study. Participants (n=36) from the Swedish armed forces performed CPR for 2 minutes at one of three different locations: at ground level, a military bed, or a transportable military stretcher. Compression depth and rate after 2 minutes of CPR and at the time of the participants’ own request to be relieved were measured. Descriptive and inferential analysis was conducted. ResultsThere is a direct correlation between compression depth and working level, concluding that the higher working level, the lower the compression depth. There is in total an overall low percentage of participants within limits for correctly conducted CPR regarding both compression depth and rate. Time to fatigue is related to working level, where increased level results in early fatigue. ConclusionThe quality of CPR is affected by the level at which it is performed. The quality of CPR was satisfactory when working at ground level, but suboptimal when working at hospital bed level or military stretcher level. When working at raised levels, participants appeared to misjudge their own compression depth and rate. This may indicate that changes are needed when CPR is practised in the military hospital setting. Future studies regarding the use footstools are required due to the height of military beds and transportable stretchers.

scholarly journals Seventy Years Since the Establishment of the Skopje Military Hospital, 1944-2014

PRILOZI ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 219-231
Author(s):  
Doncho Donev ◽  
Ilija Gligorov ◽  
Andreja Naumovski
Keyword(s):  
Relevant Literature ◽  
Military Hospital ◽  
Sources Of Information ◽  
Military Health ◽  
Personal Experiences ◽  
The Status ◽  
Health Institutions ◽  
The Military ◽  
Military Units ◽  
The Village

AbstractAim: To present the phases and activities over the period of the existence and work of the Military Hospital in Skopje, from its establishment in 1944 to its transformation on 01.01.2010.Methods: A retrospective study based on available archive materials, encyclopaedias and other sources of information and review of the relevant literature, and personal experiences, observations and memories of the authors and others.Results: During the War of 1941-1945, the larger military units formed hospitals. On 15.11.1944, the hospital of the Headquarters of the People's Liberation Army and Partisan Detachments of Macedonia was moved from the village Gorno Vranovci to Skopje. The Military Hospital in Skopje received the status of permanent hospital of the 5th Army, and from 1945-1963 worked at the “Crescent” facility. After the earthquake in 1963, due to damage, it was partly moved to the hospital in Nish, and partly dispersed in pavilions. In 1971 a new military medical complex was put into operation, in which most belonged to the Military Hospital in Skopje. Until 1992 the military sanitation service was under the command of the then Yugoslav People's Army, and then was under the jurisdiction of the Ministry of Defence of R. Macedonia. From 10.04.1992 to 2.06.1992 it served as a Military Hospital of the Army of R. Macedonia and then as the “Centre of Military Health Institutions” until 26.10.2001. Then it was renamed the Military Hospital of the Army of R. Macedonia until March 2008, when converted to the Ministry of Defence as “Military Health Service - Military Hospital”. On 01.01.2010 the Military Hospital was reshaped into: PHI Eighth of September City General Hospital, Skopje, and the Military Medical Centre.Conclusion: The Military Hospital in Skopje over the period of its existence has been one of the key specialist-consultative and hospital facilities in the health system in R. Macedonia for providing health care to military beneficiaries and the civilian population.

HEALTHCARE CHALLENGES IN GILGIT BALTISTAN: THE WAY FORWARD

1970 ◽  
Vol 7 (2) ◽  
pp. 113-116
Author(s):  
Amimah Fatima Asif
Keyword(s):  
Health Care ◽  
Healthcare Delivery ◽  
Medical Personnel ◽  
Political Regime ◽  
Quality Healthcare ◽  
Accident And Emergency ◽  
Long Time ◽  
The Common ◽  
Gilgit Baltistan ◽  
And Child Health

Quality healthcare delivery is the bedrock to exponentially accelerate the development of a country. Unfortunately, in Pakistan healthcare has been neglected since a long time, with the common man bearing the brunt of this acute situation. There are critical challenges in health care, with paucity of trained human resource and deficit of regulated infrastructure and service delivery being the predominant dilemmas. Primary and secondary healthcare are in an unseemly state, to say the least. Maternal and child health care, accident, and emergency departments and mental health are among the most undermined and forsaken areas of healthcare, primarily in the far flung Gilgit Baltistan region of Pakistan. The only way forward is if the political regime, administration and the medical personnel work in concurrence to revise the health infrastructure of the country.

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