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Area of Science:

  • Military Medicine
  • Trauma Care
  • Medical Education

Background:

  • Future large-scale combat operations necessitate expectant casualty care (ECC).
  • Current military medicine lacks detailed ECC guidelines.
  • Understanding caregiver experiences and training gaps is vital for developing effective ECC protocols.

Purpose of the Study:

  • To explore the experiences of medics and physicians providing ECC in recent conflicts.
  • To investigate perceived training needs for ECC in future large-scale combat operations.
  • To inform the development of education and training guidelines for military medical personnel.

Main Methods:

  • Qualitative phenomenological study.
  • Interviews with 9 senior health care professionals (medics and physicians) with extensive combat experience.
  • Thematic analysis of interview transcripts to identify key themes and experiences.

Main Results:

  • A significant gap exists in ECC training for enlisted Role 1 caregivers.
  • ECC training requires a shift in organizational culture and should be comprehensive and deliberate.
  • Time constraints present the greatest challenge to implementing ECC training.

Conclusions:

  • Results guide the development of ECC clinical guidance and team training recommendations.
  • Improved ECC training can enhance life-saving capabilities on the battlefield.
  • Equips medical personnel to provide ethical care in resource-limited, prolonged casualty settings.