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Medical Aspects of the Urban Combat Environment
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What Makes Medical Care In This Environment
Different?
Multi-Etiologic / Multi-System Injury Common
High Degree of wound contamination
Long delays between time of wounding and surgery
common
Hostile care environment - Fire superiority is best
medical care in a firefight
"Reverse Triage" - Treat least wounded first to
maintain firepower
What Makes Medical Care In This Environment
Different?
Weight and Bulk considerations for medical supplies
/ equipment
Only what can be carried on back is available
Multi-casualty situations common
Treatment is provided in echelons
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Medical Aspects of the Urban Combat Environment
MS PowerPoint
5 Slides
164 KB ppt file
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 Planning Factors In MOUT
Expect helicopter evacuation to be unavailable
Plan on long delays between wounding and surgery [>6
hr] unless surgery is done in the city
Plan on limited-to-no enroute medical care
Expect large numbers of casualties
Plan on casualties arriving with explosive
munitions/weapons - On and in them
Plan for dealing with embedded munitions
Mogadishu Raid
Casualty Evacuation Issues
Helicopter evacuation impossible
Congested urban environment
High probability of being shot down
Ground extraction difficult/impossible
Congested urban environment ideal for ambushes
and road-blocks. Navigation difficult.
High probability of being shot
Delayed evac leads to higher infection rate
Have medics administer antibiotic near point
of wounding
Mogadishu Raid
Casualty Evacuation Issues
Loading of casualties
Critical casualties last on, first off
Inability to provide enroute care - medics not
available, non-medical vehicles used, circumstances of combat
"Evacuation of Dead" - Not just a
"Quartermaster Issue." Use dead as "sandbags" around living wounded
Unloading casualties
Problems with rapid identification of most
serious casualties
Continue
to the PowerPoint Lecture... Col. Cliff Cloonan USA MC
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Medical Aspects of the Urban Combat Environment
MS PowerPoint
5 Slides
164 KB ppt file
Free Download Now |
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