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Published on: May 10, 2024
Acute nontraumatic general surgical conditions on a combat deployment
Dylan Pannell1, Avery B Nathens2, Jacques Ricard3
1The Royal Canadian Medical Service, Department of National Defence, Ottawa, Ont. and the Department of Surgery, Division of General Surgery, University of Toronto, Toronto, Ont.
Military deployments present acute surgical challenges. Focused predeployment screening could reduce non-traumatic surgical conditions and optimize resource use for deployed personnel.
Area of Science:
- Military Medicine
- Surgical Epidemiology
- Deployment Health
Background:
- Limited literature exists on acute surgical problems during military deployment.
- Research is needed on whether predeployment screening can prevent surgical issues.
Purpose of the Study:
- Determine the burden of acute non-traumatic general surgical problems in deployed military personnel.
- Identify opportunities for improved predeployment screening to reduce surgical resource utilization.
Main Methods:
- Retrospective study of Canadian Armed Forces (CAF) members deployed to Afghanistan (2006-2011).
- Analysis of personnel requiring treatment for non-traumatic general surgical conditions.
Main Results:
- 0.34% of deployed personnel (100/28,990) developed acute surgical conditions.
- Urologic diagnoses, appendicitis, and hernias were most common.
- Identified 5 areas for enhanced predeployment screening.
Conclusions:
- Acute care surgery is a significant component of combat deployment.
- Surgeons must be prepared for non-traumatic surgical emergencies in deployed settings.
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