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A three-year review of emergency department admissions--Op HERRICK 4 to 9

A Stalker1, J Ollerton, S Everington

  • 1Kings Mill Hospital, Sherwood Forest Hospital NHS Trust. andrewjohnstalker@mac.com

Journal of the Royal Army Medical Corps
|October 8, 2011
PubMed

Insights

This study analyzed UK military emergency department attendances from 2006-2009, finding increased explosive and gunshot injuries. The data aids in medical planning and pre-deployment training for current operations.

Area of Science:

  • Military Medicine
  • Trauma Care
  • Operational Health

Background:

  • The UK Field Hospital in Afghanistan served as a critical medical facility during Operations HERRICK 4-9 (April 2006-April 2009).
  • Understanding patient demographics and injury patterns is crucial for optimizing medical support in deployed environments.

Purpose of the Study:

  • To describe the key themes and trends in Emergency Department (ED) attendances at the UK Field Hospital.
  • To analyze the types of injuries and conditions presenting to the ED.

Main Methods:

  • Analysis of electronic ED attendance records from the Operational Emergency Department Attendance Register (OpEDAR).
  • Validation of data by the Defence Analytical Services Agency and commentary from ADMEM clinical staff.

Main Results:

  • A total of 11,158 ED attendances were recorded.
  • Explosive (15.2%) and gunshot (7.3%) injuries increased over the study period.
  • Battle injuries accounted for 23.3% of attendances with a 10.9% fatality rate, while non-battle injuries comprised 38.8% with a 0.4% fatality rate.

Conclusions:

  • The hospital workload was characterized by a rise in explosive and gunshot injuries, fulfilling its role in managing combat trauma.
  • A significant proportion of attendances were for non-battle injuries and illnesses, including local nationals.
  • The data provides valuable insights for medical planning, pre-deployment training, and preparation for ongoing military operations.
Abstract

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