For debate: health service support planning for large-scale defensive land operations (part 1)

Bricknell, Martin; Finn, A; Palmer, John

doi:10.1136/jramc-2018-000993

Cited by 6 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These two papers5 have examined the HSS challenges associated with large-scale defensive operations. It is important that the medical services align to emerging thoughts about the organisation of combat and combat services support capabilities as a result of the change in the threats to UK national security.…”

Section: Discussionmentioning

confidence: 99%

For debate: health service support planning for large-scale defensive land operations (part 2)

Bricknell

Finn²,

Palmer³

2018

J R Army Med Corps

Self Cite

View full text Add to dashboard Cite

This is the second of two articles that considers the medical planning implications of large-scale defensive military operations. This paper describes a unified approach to theatre level health services support planning based on four phases: collection, hospitalisation, evacuation and reception. It highlights the need for a modular and agile system of medical capability building blocks that can be grouped together for specific military medical challenges. It also reintroduces the concepts of mass casualty and the medical reserve. These two papers are designed to encourage debate around how we should be organised to face the new challenges of health services support in potential peer-on-peer military operations.

show abstract

Section: Discussionmentioning

confidence: 99%

For debate: health service support planning for large-scale defensive land operations (part 2)

Bricknell

Finn²,

Palmer³

2018

J R Army Med Corps

Self Cite

View full text Add to dashboard Cite

show abstract

“…The Korean War demonstrated the importance of inter-Service (army, navy, and air force) and multinational co-operation in the regulation and movement of casualties within a military medical system. This is likely to be a feature of all subsequent conflicts, though the exact balance between ground ambulance, railways, helicopters, aircraft or ships will depend on the nature, location and intensity of military operations ( Bricknell, et al, 2019: 173-175 ; Bricknell, et al, 2019: 176-179 ).…”

Section: Medical Evacuationmentioning

confidence: 99%

Observations from the Korean War for Modern Military Medicine

Bricknell

2023

Korean J Med Hist

View full text Add to dashboard Cite

This paper reviews developments in military medicine during the Korean War and places them in the evolution of military medical lessons from the Second World War and the subsequent development of military medicine through the Vietnam War to the present day. The analysis is structured according to the ‘10 Instruments of Military Healthcare.’ Whilst there were incremental developments in military medicine in all these areas, several innovations are specifically attributed to the Korean War. The introduction of helicopters to the battlefield led to the establishment of dedicated medical evacuation helicopters crewed with medical personnel and the evolution into the DUSTOFF system during the Vietnam War. Helicopter evacuation was the primary medical evacuation system in the wars in Iraq and Afghanistan. The establishment of the Mobile Army Surgical Hospital during the Korean War were founded upon the US Auxiliary Surgical Groups or the UK Casualty Clearing Stations of World War II. The requirement for resuscitation and surgical teams close to the battlefield has endured through the development of mobile hospitals of varying sizes from Field Surgical Teams to the current ‘modular’ Hospital Centre and other international equivalents. There were many innovations in the clinical care of battle casualties covering wound shock, surgical techniques, preventive medicine, and acute psychiatric care that refreshed or advanced knowledge from the Second World War. These were enabled through the establishment of medical research programs that were managed within the theatre of operations. Further advances in all these clinical topics can be observed through the Vietnam War to the wars in Iraq and Afghanistan – all of which were underpinned by institutional directed research programs. Finally, collaboration between international military medical services and the development of Korean military medical services is a major theme of this review. This ‘military-tomilitary’ and ‘civil-military’ medical engagement was also a major activity during the Vietnam War and more recently in Iraq and Afghanistan. Overall, the topics and themes in military medicine that were important during the Korean War can be considered to be part of trajectory of innovation in military medicine have been replicated in many subsequent wars. The paper also highlights some ‘lessons’ from World War II that had to be relearned in the Korean War, and some observations from the Korean War that had to be relearned in subsequent wars.

show abstract

Evolution of hot zone care: MARA

Miles¹,

Crook²

2020

BMJ Mil Health

View full text Add to dashboard Cite

Modern conflict and terrorist events have moved from linear two-dimensional battlespaces into complex, continuously evolving three-dimensional environments. Contested spaces make traditional definitions of zones of response confusing and lead to delays in care. The presence of actual or perceived ongoing threats creates an environment in which the initiation of tactical field care (TFC) may be inappropriate, despite the absence of an immediate risk to life. This risks a ‘time and space gap’ between care under fire and TFC. Major haemorrhage, airway, respiration, analgesia is proposed as a rethought approach to care in such environments.

show abstract

For debate: health service support planning for large-scale defensive land operations (part 1)

Cited by 6 publications

References 9 publications

For debate: health service support planning for large-scale defensive land operations (part 2)

For debate: health service support planning for large-scale defensive land operations (part 2)

Observations from the Korean War for Modern Military Medicine

Evolution of hot zone care: MARA

Contact Info

Product

Resources

About