Head Face and Neck Surgeon Deployment in the New French Role 2: The Damage Control Resuscitation and Surgical Team.

Autor: Fawaz R; Department of Neurosurgery, Percy Military Teaching Hospital, Clamart Cedex 92140, France., Dagain A; Department of Neurosurgery, Sainte Anne Military Teaching Hospital, Toulon Cedex 83000, France., Pons Y; Department of ENT and Maxillo Facial Surgery, Percy Military Teaching Hospital, Clamart Cedex 92140, France., Haen P; Department of Maxillo Facial Surgery, Laveran Military Teaching Hospital, Marseille Cedex 13384, France., Froussart F; Department of Ophthalmology, Percy Military Teaching Hospital, Clamart Cedex 92140, France., Caruhel JB; Department of ENT and Maxillo Facial Surgery, Percy Military Teaching Hospital, Clamart Cedex 92140, France.
Jazyk: angličtina
Zdroj: Military medicine [Mil Med] 2023 Aug 29; Vol. 188 (9-10), pp. e2868-e2873.
DOI: 10.1093/milmed/usac329
Abstrakt: Introduction: High-intensity conflict is back after decades of asymmetric warfare. With the increase in the incidence of head, face, and neck (HFN) injuries, the French Medical Military Service has decided to deploy HFN surgeons in the new French Role 2: the Damage Control, Resuscitation, and Surgical Team (DCRST). This study aims to provide an overview of HFN French surgeons from their initial training, including the surgical skills required, to their deployment on the DCRST.
Materials and Methods: The DCRST is a tactical mobile medico-surgical structure with several configurations depending on the battlefield, mission, and flux of casualties. It represents the new French paradigm for the management of combat casualties, including HFN injuries.
Results: The HFN's military surgeon training starts during residency with rotation in the different subspecialties. The HFN surgeon follows a training course called "The French Course for Deployment Surgery" that provides sufficient background to manage polytrauma, including HFN facilities on modern warfare. We have reviewed the main surgical procedures required for an HFN military surgeon.
Conclusion: The systematic deployment of HFN surgeons in Role 2 is a specificity of the French army as well as the HFN surgeon's training.Currently, the feedback from an asymmetric conflict is encouraging. However, it will have to innovate to adapt to modern warfare.
(© The Association of Military Surgeons of the United States 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje