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Preparing a deployed role 3 medical treatment facility for COVID-19 in Afghanistan

Ivor J S Lewin1, D J Krasucki2, R P Stuart2

  • 1Joint Hospital Group (South East), Frimley, Surrey, UK ijslewin@doctors.org.uk.

BMJ Military Health
|October 31, 2020
PubMed

Insights

The Craig Joint Theater Hospital adapted to COVID-19 challenges by implementing enhanced force protection measures. This ensured continued high-quality care for battlefield trauma in a resource-limited environment.

Area of Science:

  • Military Medicine
  • Infectious Disease Control
  • Public Health in Deployed Settings

Background:

  • The COVID-19 pandemic posed significant challenges to healthcare operations at the Role 3 facility in Afghanistan.
  • Maintaining essential medical services, including trauma care, while mitigating viral transmission was a primary concern.

Discussion:

  • Enhanced force protection measures, including surveillance testing and restricted movement, were implemented.
  • Personal protective equipment, structural, procedural, and personnel changes were adopted to protect healthcare workers and patients.
  • These adaptations aimed to limit viral exposure and transmission within the hospital.

Key Insights:

  • The Role 3 facility successfully managed COVID-19 risks without compromising clinical capabilities.
  • Adaptability and stringent infection control were crucial for sustained healthcare delivery.
  • Protecting healthcare workers was paramount to maintaining operational readiness.

Outlook:

  • The strategies employed offer valuable lessons for future pandemic preparedness in deployed military settings.
  • Sustaining high-quality care amidst global health crises requires robust and flexible healthcare infrastructure.
  • Continued research into optimizing medical responses in austere environments is essential.

Keywords:
accident & emergency medicineanaestheticsinfectious diseasessurgerytrauma management

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