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Op HERRICK primary care casualties: the forgotten many
1Dept PHC, RCDM, ICT Building, Vincent Drive, Birmingham B15. tobygnelson@doctors.org.uk
Journal of the Royal Army Medical Corps
|March 12, 2013
Summary
Hundreds of military personnel evacuated from Afghanistan are primary care casualties, often with musculoskeletal issues or hearing loss. Many receive limited follow-up care, highlighting a gap in military medical research for these non-battle casualties.
Area of Science:
- Military medicine
- Primary care research
- Operational health
Background:
- Non-battle casualties significantly outnumber combat casualties in warfare.
- Hundreds of service personnel are medically evacuated from Afghanistan annually.
- Primary care casualties from Operation HERRICK have been largely unstudied.
Purpose of the Study:
- To investigate the care pathway of primary care casualties from Operation HERRICK.
- To utilize the Defence Patient Tracking System (DPTS) for casualty research.
- To identify common conditions and follow-up care patterns.
Main Methods:
- Data collected from the Defence Patient Tracking System (DPTS).
- Included all casualties from Afghanistan discharged at the airhead (Jan 2009 - Dec 2010).
- Identified common conditions and extracted follow-up care information.
Main Results:
- 387 aeromedical evacuations were identified as primary care casualties.
- Most common conditions: musculoskeletal (183), mental health (29), noise-induced hearing loss (26).
- 53% received no care outside primary care; 81% had ≤2 consultations.
Conclusions:
- A significant portion of aeromedical evacuations are for primary care issues.
- The DPTS offers a basic overview of repatriated personnel care pathways.
- Limited medical contact and a research gap exist for these casualties.
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