Operation Enduring Freedom: The 48th Combat Support Hospital in Afghanistan

Abstract

The 48th CSH supported military and humanitarian operations with an ongoing process of re-evaluation, adaptation, and medical education that resulted in low morbidity and mortality rates.

Epidemiology of Infections Associated With Combat-Related Injuries in Iraq and Afghanistan

“…Assets at this level of care include a myriad of surgical specialties and support and are equivalent to a well-staffed community hospital. 16 Care provided at level IV during the current conflict is delivered at the Landstuhl Regional Medical Center, Germany, rendering more definitive surgical care outside the combat zone. 6 Level V care is the most definitive rehabilitative and tertiary level of care and is provided in military and Veterans Affairs medical centers located in the United States.…”

Utilization profile of the trauma intensive care unit at the Role 3 Multinational Medical Unit at Kandahar Airfield between May 1 and Oct. 15, 2009

“…2 This facility had similar patient demographics and injury patterns to the R3MMU ICU. At the 48th US CSH, the mean age of the patients was 25 years, and the most common causes of injury were IEDs (36%) and GSWs (20%).…”

“…At the 48th US CSH, the mean age of the patients was 25 years, and the most common causes of injury were IEDs (36%) and GSWs (20%). 2 In comparison, at the R3MMU, the mean age of the patients was also 25 years, and the most common causes of injury were IEDs (46%) and GSWs (26%; Table 1). The patient demographics, injury patterns and facilities of the 48th US CSH and the R3MMU were similar, allowing for a …”

Análisis del agente lesivo en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán)

“…A pesar Tabla 5. Distribución por autores del mecanismo lesivo empleado [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] . de ser conflictos diferentes, presentan gran similitud desde un punto de vista logístico-operativo y asistencial.…”

“…Este dato es semejante al obtenido en prácticamente la totalidad de estudios anglosajones que analizan las bajas atendidas en los conflictos más recientes 36-38, 40-42,45-50 . Este hecho también es característico del enfrentamiento entre tropas profesionales e insurgentes, ocurrido en ambiente urbano, desértico o montañoso y en la denominada «guerra asimétrica» [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] . Entre otros factores, se puede destacar que las medidas de protección pasiva (blindaje de vehículos, casco y chaleco antifragmentos) y la rápida evacuación hasta una instalación médica, reducen la morbimortalidad en los heridos que han sufrido lesiones por arma de fuego y por explosivos (en inglés Improvised Explosive Device, IED).…”