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Maritime in transit care.

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    Area of Science:

    • Military Medicine
    • Emergency Medical Services
    • Maritime Health

    Background:

    • The need for advanced pre-hospital emergency care (PHEC) on contingency operations was identified.
    • Previous operations highlighted the capability of military medical teams, but maritime deployment required further exploration.
    • Role 2 (Enhanced) (R2(E)) Medical Treatment Facilities offer damage control surgery and patient holding capabilities.

    Purpose of the Study:

    • To report on the first operational deployment of the Maritime In Transit Care team during Operation GRITROCK.
    • To evaluate the effectiveness of the R2(E) Medical Treatment Facility on board RFA ARGUS for maritime medical evacuation.
    • To identify lessons learned and opportunities for developing PHEC in a maritime environment.

    Main Methods:

    • Deployment of the Maritime In Transit Care team from the R2(E) MTF on RFA ARGUS.
    • Provision of medical evacuation capability across a large Joint Operation Area.
    • Observation and analysis of patient care and logistical support during the operation.

    Main Results:

    • The first operational deployment of the Maritime In Transit Care team was successfully executed.
    • The R2(E) MTF provided essential medical support and evacuation capabilities in a maritime setting.
    • Although patient numbers were low, valuable insights into medical and logistical development were gained.

    Conclusions:

    • Operation GRITROCK demonstrated the viability of maritime PHEC from an R2(E) platform.
    • Key lessons were learned to further develop the sub-speciality of maritime PHEC.
    • Opportunities for enhancing medical and logistical support for future contingency operations were identified.