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Insights and lessons from recent conflicts: A narrative review from the military medicine perspective
Shih-Hung Tsai1, Wen-I Liao2, Ching-Tsung Peng3
1Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan; Taichung Armed Forces General Hospital, Taichung, Taiwan; Department of Physiology and Biophysics, Graduate Institute of Physiology, National Defense Medical University, Taipei, Taiwan.
Abstract:
The article provides insights and lessons learned from recent conflicts, further elaborating on crucial issues in medical preparedness and medical planning from the perspective of military medicine. It highlights the unique challenges due to its geographical and political situation, predicting scenarios that involve urban casualties and evacuation difficulties. This article describes the evolving nature of warfare, noting the increased frequency of urban combat and the use of advanced weaponry like drones and thermobaric explosives, necessitating enhanced protective equipment and medical protocols to address the new injury patterns. The need for improved civilian-military coordination, advanced medical training, strategic stockpiling of medical supplies, and the blood supply chain is emphasized. The role of Forward Resuscitation and Surgical Detachment is highlighted as crucial for providing urgent surgical care in forward areas. Furthermore, this article emphasizes the importance of realistic medical and operational planning, incorporating simulations and war gaming to estimate medical supply needs. It advocates for the inclusion of advanced airway management kits, burn wound management supplies, and effective pain management protocols in medical stockpiles. The review concludes with a need for continuous training and strategic allocation of medical resources to ensure optimal operational effectiveness and resilience in the face of potential conflicts.
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