Identification of Procedures and Capabilities Required to Ensure Survival of Prolonged Field Care and Medical Evacuation
Abstract
Emergent clinical care and patient movement through the military evacuation system improves survival. Patient management differs when transporting from the point-of-injury (POI) to the first medical treatment facility (MTF) versus transporting from the Role 2 to the Role 3 (R2-R3) MTF secondary to care rendered within the MTF, including surgery and advanced resuscitation. The objective of this study was to describe care provided to patients during in theater inter-facility transports and compare with pre-hospital transports (POI to first MTF). Methods: We performed a retrospective chart review of patients with R2-R3 transports from 2007 to 2016. Data collected included procedures and events at the MTF and during transport. We compared the intra-theater transports data (R2-R3) to data from a previous study evaluating prehospital transports (POI to first MTF). Results: We reviewed records of 869 R2-R3 transport patients. R2-R3 transports were longer in duration compared to POI transports and were more likely to be staffed by advanced personnel. Survival rates were slightly higher among R2-R3 transports. Conclusions: Inter-facility transports (R2-R3) are longer in duration, transport more complex patients, and are staffed by more advanced level provider types compared to transports from POI.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 16, 2024
- Accession Number
- AD1224591
Entities
People
- Allyson Mireles
- Joseph K Maddry
- Julie Cutright
- William T Davis
Organizations
- 59th Medical Wing