Split Forward Surgical Teams

Split Forward Surgical Teams PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 67

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Book Description
In the last 20 years, the Army's Field and Combat Support Hospitals have found it difficult to deploy rapidly and to keep pace with maneuver forces. The Forward Surgical Team (FST) was the bridge for this gap in capabilities. Until recently, the FST had not been deployed and utilized in combat. With the recent conflicts in Afghanistan and Iraq, FSTs have been extensively utilized. Using the data and experiences from these conflicts, should updates to the doctrine be made? One unexpected outcome from these conflicts was the use of split FSTs in Afghanistan. Using the data from evacuation logs from Afghanistan, the Joint Trauma Center, and the recent experiences of FST staffs the effectiveness of split FSTs was investigated based on the Died of Wounds (DOW) rate and evacuation times. Additionally the personnel, Doctrinal employment, and equipment were investigated to determine if significant changes were needed to employ split FSTs or what would prevent split FSTs being written into doctrine? From the data collected, split FSTs had DOW rates that were lower than the DOW rate at the end of Vietnam, which is considered the standard. As such, the split FSTs in Afghanistan were determined to be effective and the doctrine could be changed with minimal additional cost in equipment. The split FST would give commanders another option to employ FSTs with the risks having been already studied. The benefits of the split FST would be the ability to serve wider areas of coverage with limited resources and possibly the ability to get surgical units on the ground earlier in entry operations due to having smaller transportation requirements.

Split Forward Surgical Teams

Split Forward Surgical Teams PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 67

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Book Description
In the last 20 years, the Army's Field and Combat Support Hospitals have found it difficult to deploy rapidly and to keep pace with maneuver forces. The Forward Surgical Team (FST) was the bridge for this gap in capabilities. Until recently, the FST had not been deployed and utilized in combat. With the recent conflicts in Afghanistan and Iraq, FSTs have been extensively utilized. Using the data and experiences from these conflicts, should updates to the doctrine be made? One unexpected outcome from these conflicts was the use of split FSTs in Afghanistan. Using the data from evacuation logs from Afghanistan, the Joint Trauma Center, and the recent experiences of FST staffs the effectiveness of split FSTs was investigated based on the Died of Wounds (DOW) rate and evacuation times. Additionally the personnel, Doctrinal employment, and equipment were investigated to determine if significant changes were needed to employ split FSTs or what would prevent split FSTs being written into doctrine? From the data collected, split FSTs had DOW rates that were lower than the DOW rate at the end of Vietnam, which is considered the standard. As such, the split FSTs in Afghanistan were determined to be effective and the doctrine could be changed with minimal additional cost in equipment. The split FST would give commanders another option to employ FSTs with the risks having been already studied. The benefits of the split FST would be the ability to serve wider areas of coverage with limited resources and possibly the ability to get surgical units on the ground earlier in entry operations due to having smaller transportation requirements.

The Evolution of Forward Surgery in the US Army

The Evolution of Forward Surgery in the US Army PDF Author: Lance P. Steahly
Publisher: Department of the Army
ISBN: 9780160947841
Category : Medicine, Military
Languages : en
Pages : 496

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Book Description
"This volume in the Borden Institute's history series will describe forward US Army surgery from the 1700s to the present time. The book will look at advances in medicine and surgery that improved the lot of the American soldier. In particular, the book will examine the impact of disease upon troop strength, which had special impact in the Revolutionary War through the post-Civil War period. Forward surgery in the modern sense came of age in World War I. The challenge of so many different theaters of conflict in World War II will be examined from the portable surgical hospital of the China-Burma-India Theater of Operations to the surgical evacuation hospital teams of the European Theater of Operations. The evolving care models will feature the story of the Korean War mobile army surgical hospital. The defining performance of helicopter air evacuation in Vietnam, along with improved surgical techniques, will be discussed. Finally, the many advances of forward surgery from the post-Vietnam era to the present will be presented."--Provided by publisher.

U.S. ARMY AEROMEDICAL EVACUATION CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES (2023-2024)

U.S. ARMY AEROMEDICAL EVACUATION CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES (2023-2024) PDF Author: U.S. Army
Publisher: Jeffrey Frank Jones
ISBN:
Category : Medical
Languages : en
Pages : 2599

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Book Description
CONTENTS: 1. U.S. ARMY AEROMEDICAL EVACUATION CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES - CY23 Version Published January 2023, 318 pages 2. TCCC Guidelines for Medical Personnel - 15 December 2021, 19 pages 3. JTS Clinical Practice Guidelines, 2,260 total pages - current as of 19 September 2023: INTRODUCTION The SMOG continues to go through significant improvements with each release as a result of the collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, and the Defense Committees on Trauma. Our shared goal is to ensure the highest quality en route care possible and to standardize care across all evacuation and emergency medical pre-hospital units. It is our vision that all of these enhancements and improvements will advance en route care across the services and the Department of Defense. Unit medical trainers and medical directors should evaluate Critical Care Flight Paramedics (CCFP) ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide CCFPs and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and combat theater environments. Unit medical providers are not expected to employ these guidelines blindly. Unit medical providers are expected to manipulate and adjust these guidelines to their unit’s mission and medical air crew training / experience. Medical directors or designated supervising physicians should endorse these guidelines as a baseline, appropriately adjust components as needed, and responsibly manage individual unit medical missions within the scope of practice of their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers. The medication section of this manual is provided for information purposes only. CCFPs may administer medications only as listed in the guidelines unless their medical director and/or supervising physician orders a deviation. Other medications may be added, so long as the unit supervising physician and/or medical director approves them. This manual also serves as a reference for physicians providing medical direction and clinical oversight to the CCFP. Treatment direction, which is more appropriate to the patient’s condition than the guideline, should be provided by the physician as long as the CCFP scope of practice is not exceeded. Any medical guideline that is out of date or has been found to cause further harm will be updated or deleted immediately. The Medical Evacuation Concepts and Capabilities Division (MECCD) serves as the managing editor of the SMOG and are responsible for content updates, managing the formal review process, and identifying review committee members for the annual review. The Standard Medical Operating Guidelines are intended to provide medical procedural guidance and is in compliment to other Department of Defense and Department of the Army policies, regulatory and doctrinal guidance. Nothing herein overrides or supersedes laws, rules, regulation or policies of the United States, DoD or DA.

FM 4-02.25 Employment of Forward Surgical Teams

FM 4-02.25 Employment of Forward Surgical Teams PDF Author: U S Army
Publisher:
ISBN:
Category :
Languages : en
Pages : 80

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Book Description
The forward surgical team (FST) is a 20-man team which provides far forward surgical intervention to render non-transportable patients sufficiently stable to allow for medical evacuation to a Level III hospital (combat support hospital [CSH]). There are 57 patient condition codes (Appendix A) that identify patients with the type of injuries that would benefit most from FST intervention. Surgery performed by the FST is resuscitative surgery; additional surgery may be required at a supporting Level III hospital in the area of operations (AO). Patients remain at the FST until they recover from anesthesia, once stabilized they are evacuated as soon as possible. The postoperative intensive care capacity of the FST is extremely limited, there is no holding capability. The FST is not a self-sustaining unit and must be deployed with or attachedto a medical company or hospital for support. Further, the FST is neither staffed nor equipped to provide routine sick call functions.

Handbook for Going Veggie

Handbook for Going Veggie PDF Author: Helen McKibbens
Publisher:
ISBN: 9781601701114
Category : Technology & Engineering
Languages : en
Pages :

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Book Description


Employment of Forward Surgical Teams: Tactics, Techniques, and Procedures (FM 4-02. 25)

Employment of Forward Surgical Teams: Tactics, Techniques, and Procedures (FM 4-02. 25) PDF Author: Department Army
Publisher: CreateSpace
ISBN: 9781480124707
Category :
Languages : en
Pages : 88

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Book Description
The forward surgical team (FST) is a 20-man team which provides far forward surgical intervention to render nontransportable patients sufficiently stable to allow for medical evacuation to a Level III hospital (combat support hospital [CSH]). There are 57 patient condition codes (Appendix A) that identify patients with the type of injuries that would benefit most from FST intervention. Surgery performed by the FST is resuscitative surgery; additional surgery may be required at a supporting Level III hospital in the area of operations (AO). Patients remain at the FST until they recover from anesthesia, once stabilized they are evacuated as soon as possible. The postoperative intensive care capacity of the FST is extremely limited, there is no holding capability. The FST is not a self-sustaining unit and must be deployed with or attached to a medical company or hospital for support. Further, the FST is neither staffed nor equipped to provide routine sick call functions. This field manual (FM) outlines doctrine for the employment of the FST. It is the primary reference document for the Active Component (AC) and the Reserve Component (RC) of the Army. It presents tactics, techniques, and procedures for employing FSTs. It is primarily intended for the use of the FST chief, his team, and the medical company/troop commanders and their staff. Other intended users include senior medical commanders, senior medical staff advisors, and joint and Army health service support (HSS) planners.

Combat Orthopedic Surgery

Combat Orthopedic Surgery PDF Author: Brett Owens
Publisher: CRC Press
ISBN: 1040141315
Category : Medical
Languages : en
Pages : 351

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Book Description
During the course of the Iraq and Afghanistan Wars, military orthopedic surgeons have made significant technical and philosophic changes in the treatment of musculoskeletal combat casualties. The widespread use of individual and vehicular body armor, evolution of enemy tactics to include its reliance on improvised explosive devices, and the effectiveness of treatment rendered at military treatment facilities have resulted in a large burden of complex orthopedic injuries. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan represents and recognizes the latest advances in musculoskeletal surgical care performed to treat today’s US military servicemembers. Editors LTC Brett D. Owens, MD and LTC Philip J. Belmont Jr., MD have brought together the leading military orthopedic surgeons to relay their clinical orthopedic surgery expertise, as well as to discuss how to provide optimal care for combat casualties both initially in theater and definitively at tertiary care facilities within the United States. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan is divided into five sections, with the first being devoted to an overview of general topics. The second section covers scientific topics and their clinical application to musculoskeletal combat casualties. The final three sections are clinically focused on the upper extremity, lower extremity, and spine and pelvic injuries, with many illustrative case examples referenced throughout. Most clinical chapters contain: Introduction/historical background Epidemiology Management in theater Definitive management Surgical techniques Outcomes Complications Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan will be the definitive academic record that represents how orthopedic surgeons currently manage and treat musculoskeletal combat casualties.

Out of the Crucible

Out of the Crucible PDF Author: Arthur Kellermann
Publisher: Government Printing Office
ISBN: 9780160941795
Category : Afghan War, 2001-
Languages : en
Pages : 470

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Book Description
Out of the Crucible: How the U.S. Military Transformed Combat Casualty Care in Iraq and Afghanistan edited by Arthur L. Kellermann, MD and MPH, and Eric Elster, MD is now available by the US Army, Borden Institute. This comprehensive resource, part of the renowned Textbooks of Military Medicine series, documents one of the most extraordinary achievements in the history of American medicine - the dramatic advances in combat casualty care developed during Operations Enduring Freedom and Operation Iraqi Freedom. Each chapter is written by one or more military health professionals who played an important role in bringing the advancement to America's military health system. Written in plain English and amply illustrated with informative figures and photographs, Out of the Crucible engages and informs the American public and policy makers about how America's military health system, devised, tested and widely adopted numerous inventions, innovations, technologies that collectively produced the highest survival rate from battlefield trauma in the history of warfare.

Front Line Surgery

Front Line Surgery PDF Author: Matthew J. Martin,
Publisher: Springer
ISBN: 3319567802
Category : Medical
Languages : en
Pages : 913

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Book Description
The second edition of Front Line Surgery expands upon the success of the first edition, providing updated discussion of practical management of commonly encountered combat injuries.This edition reflects the cutting edge of combat casualty care, refined principles of surgical management of specific injury patterns, and incorporation of the spectrum of recent research advancements in trauma care. Each chapter continues to follow the same organization as the first edition. The “BLUF”, or bottom line up front, headlines each topic, providing the critical pearls for the reader, followed by a focused and straight forward discussion of management, pitfalls, and recommendations. In addition, select chapters conclude with a section discussing the application of this topic in civilian practice, as potentially encountered by the rural or humanitarian relief surgeon. Additional new topics include: REBOA and endovascular techniques for hemorrhage control, updates in transfusion and resuscitation practice, active shooter situations, rural trauma management in developed nations, advancements in prehospital care and the Tactical Combat Casualty Care (TC3) course, and discussion of the newest generations of topical hemostatic agents and tourniquets. These additions serve to both enhance the breadth and depth of the material relevant to military surgeons, but should also further expand the applicability and interest in this work to all civilian trauma surgeons.

Testimony of the Military Compensation and Retirement Modernization Commission

Testimony of the Military Compensation and Retirement Modernization Commission PDF Author: United States. Congress. Senate. Committee on Armed Services
Publisher:
ISBN:
Category : Military dependents
Languages : en
Pages : 836

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Book Description