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Combat "Category A" calls: evaluating the prehospital timelines in a military trauma system
J McLeod1, T Hodgetts, P Mahoney
1Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham Research Park, Vincent Drive, Birmingham B15 2SQ, UK. TNC2.ADMEM@rcdm.bham.ac.uk
Aim:
To establish the pre-hospital timelines for seriously injured UK military casualties on OP HERRICK.
Population:
All consecutive MERT and MERT-E mobilizations from Camp Bastion, Helmand Province, between 04 May 06 and 18 Jun 07.
Methods:
Interrogation of MS Access database compiled from paper patient report forms for each casualty transported.
Results:
528 patients were transported. 84.6% (456) were battle casualties. There were 192 GSW and 233 casualties with blast/fragmentation injuries. 189 of 528 (35.7%) were UK Service personnel. Median time from injury to handover at the emergency department for UK military T1 casualty subset was 99 minutes.
Conclusion:
The public perception of excessive timelines for pre-hospital care in Afghanistan has been distorted. The ground truth is a pre-hospital time less than one quarter of the cited 7 hours for the seriously injured subset of UK Service personnel.
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