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Wartime critical care air transport
Elizabeth Bridges1, Karen Evers
1Clinical Investigations Facility, 60 Medical Group, Travis AFB, CA 94535, USA.
Military Medicine
|June 3, 2009
Summary
US Air Force Critical Care Air Transport Teams (CCATT) transported thousands of casualties during Operation Enduring Freedom/Iraqi Freedom. This analysis details patient characteristics and enroute care, highlighting injury patterns from explosions.
Area of Science:
- Military Medicine
- Aeromedical Evacuation
- Trauma Care
Background:
- US Air Force Critical Care Air Transport Teams (CCATT) provide specialized enroute care.
- Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) generated unique casualty profiles.
- Data on CCATT missions during OEF/OIF were previously limited.
Purpose of the Study:
- To describe the characteristics of casualties transported by CCATT during OEF/OIF.
- To analyze the enroute care provided to these patients.
- To evaluate the utility of TRAC2ES and CCATT Mission Reports for this population.
Main Methods:
- Retrospective review of TRAC2ES and CCATT Mission Reports.
- Data collected from October 2001 to May 2006.
- Analysis of patient moves, injury types, and diagnoses.
Main Results:
- 3492 patient moves involving 2439 patients were analyzed.
- The majority of moves were between the Area of Responsibility (AOR) and Landstuhl Regional Medical Center (LRMC).
- Explosion-related polytrauma was common, with frequent injuries to extremities, head, and thorax. Disease diagnoses included cardiac and pulmonary conditions.
Conclusions:
- This is the first comprehensive analysis of OEF/OIF CCATT patients.
- TRAC2ES and CCATT Mission Reports provide valuable insights into this unique patient population.
- The study identified strengths and limitations in data collection for aeromedical evacuation.
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