Training in wound ballistics: operation exercise at the Defence Medical Training Centre

Area of Science:

• Military Medicine
• Surgical Training
• Trauma Care

Background:

• The Defence Medical Training Centre uses experimental animals to simulate gunshot wound scenarios.
• This training complements theoretical education for conscript surgeons and dentists.

Purpose of the Study:

• To provide Danish National Service surgeons and dentists with practical experience in treating various gunshot wounds.
• To enhance medical officers' preparedness for demanding situations encountered in warfare or high-risk environments.

Main Methods:

• Experimental animals were shot in the abdomen and thighs using military-grade weapons (9-mm pistol, US M1 Carbine, AK-74).
• Animals were anesthetized, with spontaneous breathing encouraged and assisted ventilation available.
• Participants provided first aid, followed by surgical intervention at regimental aid posts and field hospitals, including laparotomy and debridement.

Main Results:

• The exercise successfully simulated realistic gunshot wound scenarios, allowing observation and treatment of abdominal and leg injuries.
• Medical personnel practiced advanced procedures such as laparotomy, chest tube insertion, and wound debridement.

Conclusions:

• The training exercise provides a realistic and effective method for teaching wound ballistics and surgical management of combat injuries.
• This hands-on experience is considered optimal preparation for medical officers facing real-world trauma situations.