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Paediatrics on exercise ASKARI SERPENT: reflections and recommendations for pre-deployment training.

Daniel Wilkins¹

¹Army Medical Services Support Unit, Royal Army Medical Corps, Camberley, UK d.wilkins@doctors.org.uk.

BMJ Military Health

|February 26, 2020

Summary

British Army medical training in Kenya, Exercise ASKARI SERPENT, found children comprised nearly 40% of patients. This highlights the need for specialized pediatric training for military clinicians during health outreach missions.

Keywords:

medical education & training paediatrics tropical medicine

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Area of Science:

Military medicine
Global health
Pediatric care

Background:

The British Army has a historical presence in Kenya, conducting training exercises.
Exercise ASKARI SERPENT includes health outreach to the local Kenyan population.
Previous deployments have involved significant pediatric patient loads.

Purpose of the Study:

To analyze patient demographics from Exercise ASKARI SERPENT.
To identify challenges in treating pediatric patients during military health outreach.
To provide recommendations for improving pre-deployment training for similar missions.

Main Methods:

Retrospective data analysis of patient records from two iterations of Exercise ASKARI SERPENT.
Review of clinical case vignettes focusing on pediatric cases.
Qualitative assessment of technical and non-technical challenges.

Main Results:

Children constituted approximately 40% of all patients treated during the exercises.
Case vignettes illustrated difficulties in pediatric treatment, including resource limitations and communication barriers.
Specific challenges related to pediatric emergencies and common childhood illnesses were noted.

Conclusions:

Military medical personnel require enhanced training in pediatric care for effective deployment in similar health outreach scenarios.
Pre-deployment training should address the unique challenges of treating children in resource-limited settings.
Future exercises should incorporate tailored pediatric medical training to improve outcomes for local populations.