A Lesson Not Yet Learned

Becker, GW; Laundy, T.J.

doi:10.1136/jramc-149-04-06

Cited by 8 publications

(4 citation statements)

References 1 publication

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“…22 Field Hospital was tasked with the provision of all levels of hospital support for Ex SSII.This divided into 3 separate hospital sites: a 100 bed hospital at Thumrait from 21 Aug to 5 Nov 01, a 10 bed hospital at the Convoy Support Centre from 23 Sep -7 Nov 01 and a 100 bed hospital at the Forward Support Group (FSG) from 3 Oct to 7 Nov 01. A previous paper has reported the clinical activity in the hospital facility based in Thumrait for both Ex SAIF SERREA and subsequent military operations in Afghanistan (1).This paper compliments the previous report by providing the complete field hospital data set for Ex SAIF SERREA.…”

Section: Introductionsupporting

confidence: 59%

EX SAIF SEREEA II - The Field Hospital Clinical Report

Bricknell¹,

Wright²

2004

J R Army Med Corps

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This paper places on record the clinical activity of the hospital facilities run by 22 Field Hospital on Exercise SAIF SEREEA II in Oman from August to November 2001. There were 1322 episodes of illness resulting in a hospital admission. The mean rate of admission was 1.96 patients per thousand per day (SD 13.62). The main causes of admission were gastrointestinal illness, conditions related to the heat and injuries. The reporting of health service utilisation data is an important duty of medical personnel during overseas deployments in order to add to the dataset available for the estimation of medical workload for future operations.

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Section: Introductionsupporting

confidence: 59%

EX SAIF SEREEA II - The Field Hospital Clinical Report

Bricknell¹,

Wright²

2004

J R Army Med Corps

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“…In the Crimea 17,225 died from disease and only 4102 from battle injury (1). Despite the great advance in medical science in the last 150 years, including the development of antibiotics, during a 6 month military exercise in Oman in 2001, 74% of patients admitted required the attention of a physician (2). Yet still the emphasis of medical mobilisation for military operations is on surgical teams to deal with battlefield trauma (3), the roles of the physician and preventative medicine are too often forgotten.…”

Section: Introductionmentioning

confidence: 99%

The Role Of The Physician In Modern Military Operations: 12 Months Experience In Southern Iraq

Grainge

Heber

2005

J R Army Med Corps

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ObjectivesTo examine the profile of medical morbidity and the role of the physician in modern conflict. MethodsRetrospective survey of admission records at a British Military Field Hospital on operational duty in Southern Iraq. Results 62.5% of 4870 admissions to the Field Hospital in Shaibah during the first 12 months of military operations in Iraqwere under the care of physicians. Of these 1531 (31.4%) were due to diarrhoea and vomiting (D&V) and 764 (15.7%) due to heat illness. The incidence of heat illness rose with ambient temperature, but soldiers were more likely to be admitted with heat illness shortly after arrival in theatre than when fully acclimatised. There was also a steady flow of admissions with a broad spectrum of medical pathology requiring the clinical skills of a general physician. ConclusionsA general physician is a necessary part of the clinical team in modern conflict. The incidence of D&V and of heat illness on military operations remains high. Planners for any operation in tropical climates should take this into consideration and put preventative measures into place early.

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“…Surveying hospital cases inevitably underestimates the true scale of the problem faced by military units in Iraq. The fact that 71% of patients were seen by internal medicine physicians is typical of the disease-to-trauma ratio that occurs in military conflicts ( 1 ) and overseas training exercises ( 12 ). …”

Section: Discussionmentioning

confidence: 99%