Strategic Orthopedic Evacuations to the Spanish Role 4 During a Decade (2009–2018)
| Autor: | Rafael García Cañas, Javier Areta Jiménez, Rafael Tamburri Bariain, Daniel Aedo Martín, Ricardo Navarro Suay, Carlos Rodríguez Moro |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Traumatology 03 medical and health sciences Key point 0302 clinical medicine medicine Humans 030212 general & internal medicine Military Medicine Retrospective Studies Afghan Campaign 2001 Medical treatment business.industry Afghanistan Public Health Environmental and Occupational Health Authorization 030208 emergency & critical care medicine Retrospective cohort study General Medicine medicine.disease Medical support Medical services Cross-Sectional Studies Military Personnel Orthopedics Accidents Orthopedic surgery Wounds and Injuries Medical emergency business |
| Zdroj: | Military Medicine. 185:e734-e741 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.1093/milmed/usz354 |
| Popis: | Introduction Casualty evacuation is a key point in medical support to military operations, sometimes being necessary to transfer them to National Territory for a definitive diagnosis and treatment. The aim of this work is to analyze the patients evacuated from Areas of Operations to the Orthopedic Surgery and Traumatology Unit of the Spanish Role 4 Medical Treatment Facility in the last 10 years. Material and Methods A cross-sectional, descriptive, and retrospective study carried out in the period between January 1, 2009 and December 31, 2018. The study population was all personnel evacuated from the Area of Operations to Spanish Role 4. For categorical variables, absolute and relative percent frequencies were used. Spanish military authorization was obtained to perform this study. This study has been approved by the Ethics and Clinical Research Committee of the Defense Central Hospital “Gómez Ulla” (code 12/17). Results A total of 520 medical evacuations have been performed on Role 4, of which 227 were on the Orthopedic Surgery and Traumatology Unit. Seven percent of the evacuees were categorized as “combat” casualties. The areas of operations from which more patients have been evacuated were Afghanistan and Lebanon, 30.39% and 19.38%, respectively. The most frequent lesion pattern was the fracture affecting the extremities. Accidents (n = 98, 43.17%) and sport (n = 57; 25.3%) were the main causes of injury. Sixty-seven (29.51%) patients were treated surgically in Role 4. No deaths were recorded among patients in this series. Conclusion Evacuations because of trauma cause more than half of the medical repatriations carried out on the National Territory, of which the majority are due to fractures affecting the limbs, especially the bones of the hand. Sport was the first preventable cause of injury among evacuated patients. Our results are similar to the experience obtained by other allied armed forces. It is a moral imperative and a fundamental necessity for the Spanish military medical services to promote and maintain the Spanish Role 4 Medical Treatment Facility as an indispensable element in medical support for international missions. |
| Databáze: | OpenAIRE |
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