Ten Years of Surgical Practice Aboard a French Aircraft Carrier: Toward Modern Naval Trauma Care

This study evaluates the evolution of surgical activities aboard a French aircraft carrier over the past decade. Historically focused on routine surgical care, the carrier has recently upgraded its facilities to address emerging challenges posed by high-intensity conflicts.

Data were collected from surgical reports between 2013 and 2023. Key advancements, including the implementation of a Navalized Antenna of Resuscitation and Emergency Surgery (ARCS), were analyzed. The study also reviews the carrier's enhanced capabilities in trauma and mass casualty management.

From 2013 to 2023, 220 surgical procedures were performed, including 143 orthopedic (64%) and 80 visceral surgeries (36%). Local anesthesia was used in 44% of cases, regional anesthesia in 20%, general anesthesia with spontaneous ventilation in 27%, and general anesthesia with endotracheal intubation in 9%. The introduction of the ARCS system in 2024 significantly improved the carrier's ability to handle combat-related injuries, with new facilities enabling 2 simultaneous surgeries, enhanced imaging, and tele-assisted procedures.

The French aircraft carrier's surgical capabilities have evolved from routine care to readiness for high-intensity conflicts and mass casualty events. These advancements ensure hospital-standard care onboard and position the carrier to meet the demands of modern warfare.