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Forward surgery on Operation Telic--Iraq 2003.

P J Parker1, S A Adams, D Williams

  • 1Parachute Field Surgical Team, 16 Close Support Medical Regiment, Goojerat Barracks, Colchester, Essex. paul.parker@stees.nhs.uk

Journal of the Royal Army Medical Corps
|January 31, 2006
PubMed
Summary
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Two Air Assault Surgical Groups deployed to Kuwait, performing 51 surgical procedures on 31 patients, including complex trauma and the first British Army use of activated factor VII in a combat setting. This demonstrates the vital role of forward military surgery.

Area of Science:

  • Military Medicine
  • Surgical Operations
  • Trauma Care

Background:

  • Two Air Assault Surgical Groups (AASGs) deployed to Kuwait in February 2003 as part of Operation Telic.
  • Each AASG comprised a resuscitation facility, a forward surgical team (FST), and an intensive therapy unit (ITU).
  • Medical personnel included consultants, surgeons, anaesthetists, nurses, radiographers, and technicians.

Purpose of the Study:

  • To report on the surgical procedures undertaken by AASGs during Operation Telic.
  • To evaluate the effectiveness of forward military surgical capabilities in a modern operational environment.
  • To highlight the successful application of novel treatments, such as activated factor VII, in combat trauma.

Main Methods:

  • Deployment of two AASGs, each equipped with advanced surgical and diagnostic tools, including X-ray, ultrasound, and laboratory analysis.

Related Experiment Videos

  • Provision of comprehensive surgical support, including resuscitation, forward surgical intervention, and intensive care.
  • Detailed recording of all surgical procedures performed and patient demographics.

    • Main Results:

    • A total of 51 surgical procedures were performed on 31 patients, including Iraqi prisoners of war and civilians.
    • Major cases included wound debridements, amputations, laparotomies, femoral fracture fixation, and vascular repair.
    • Successful resuscitation using activated factor VII for a patient with severe pelvic fracture and exsanguinating hemorrhage was documented.

    Conclusions:

    • Forward military surgery remains essential on the modern battlefield, supporting expeditionary operations and special forces.
    • The experience gained during Operation Telic provides valuable insights for future military medical planning and deployment.
    • The capabilities of AASGs are crucial for managing complex trauma in deployed settings.