Forward medevac during Serval and Barkhane operations in Sahel: A registry study

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• 作者：Cyril Carfantan^a ; ^{cma.carfantan@gmail.com} ; Yvain Goudard^b (MD) ; Christophe Butin^c (MD) ; Sandrine Duron-Martinaud^d (MD ; MPH) ; Jean-Philippe Even^e (MD) ; Anthony Anselme^f (MD) ; Erwan Dulaurent^g (MD) ; Mé ; lanie Gé ; hant^a (MD) ; Vicky Vitalis^h (MD) ; Christian Bayⁱ (MD) ; Jé ; rô ; me Bancarel^j (MD) ; Julien Bordes^k (MD ; MSC)
• 关键词：Forward MEDEVAC ; Trauma ; Joint trauma system ; Combat ; French military ; FLYP ; PECC
• 刊名：Injury
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：48
• 期：1
• 页码：58-63
• 全文大小：1679 K
• 卷排序：48

文摘

The French army has been deployed in Mali since January 2013 with the Serval Operation and since July 2014 in the Sahel-Saharan Strip (SSS) with the Barkhane Operation where the distances (up to 1100 km) can be very long. French Military Medical Service deploys an inclusive chain from the point of injury (POI) to hospital in France. A patient evacuation coordination cell (PECC) has been deployed since February 2013 to organise forward medical evacuation (MEDEVAC) in the area between the POI and three forward surgical units.The purpose of this work was to study the medical evacuation length and duration between the call for Medevac location accidents and forward surgical units (role 2) throughout the five million square kilometers French joint operation area.Materials and methodsOur retrospective study concerns the French patients evacuated by MEDEVAC from February 2013 to July 2016. The PECC register was analysed for patients’ characteristics, NATO categorisation of gravity (Alpha, Bravo or Charlie who must be respectively at hospital facility within 90 min, 4 h or 24 h), medical motive for MEDEVAC and the time line of each MEDEVAC (from operational commander request to entrance in role 2).ResultsA total of 1273 French military were evacuated from February to 2013 to July 2016; 533 forward MEDEVAC were analysed. 12,4% were Alpha, 28,1% Bravo, 59,5% Charlie. War-related injury represented 18,2% of MEDEVAC. The median time for Alpha category MEDEVAC patients was 145 min [100–251], for Bravo category patients 205 min [125–273] and 310 min [156–669] for Charlie. The median distance from the point of injury to role 2 was 126 km [90–285] for Alpha patients, 290 km [120–455] km for Bravo and 290 km [105–455] for Charlie.ConclusionsPatient evacuation in such a large area is a logistic and human challenge. Despite this, Bravo and Charlie patients were evacuated in NATO recommended time frame. However, due to distance, Alpha patients time frame was longer than this recommended by NATO organisation. That’s where French doctrine with forward medical teams embedded in the platoons is relevant to mitigate this distance and time frame challenge.