Emergency Department Patients Support the Use of Combat Medics in Their Clinical Care

Abstract

As US military combat operations draw down in Afghanistan, the military health system will shift focus to garrison- and hospital-based care. Maintaining combat medical skills while performing routine healthcare in military hospitals and clinics is a critical challenge for Combat medics. Current regulations allow for a wide latitude of Combat medic functions. The Surgeon General considers combat casualty care a top priority. Combat medics are expected to provide sophisticated care under the extreme circumstances of a hostile battlefield. Yet, in the relatively safe and highly supervised setting of contiguous US-based military hospitals, medics are rarely allowed to perform the procedures or administer medications they are expected to use in combat. This study sought to determine patients opinions on the use of combat medics in their healthcare. Methods: Patients in hospital emergency department (EDs) were offered anonymous surveys. Examples of Combat medic skills were provided. Participants expressed agreement using the Likert scale (LS), with scores ranging from strongly agree (LS score, 1) to strongly disagree (LS score, 5). The study took place in the ED at Bayne-Jones Army Community Hospital, Fort Polk, Louisiana. Surveys were offered to adult patients when they checked into the ED or to adults with other patients. Results: A total of 280 surveys were completed and available for analysis. Subjects agreed that Combat medic skills are important for deployment (LS score, 1.4). Subjects agreed that Combat medics should be allowed to perform procedures (LS score, 1.6) and administer medications (LS score, 1.6). Subjects would allow Combat medics to perform procedures (LS score, 1.7) and administer medications (LS score, 1.7) to them or their families. Subjects agreed that Combat medic activities should be a core mission for military treatment facilities (MTFs) (LS score, 1.6). Conclusion: Patients support the use of Combat medics during clinical care.

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Document Details

Document Type
Technical Report
Publication Date
Jul 01, 2015
Accession Number
ADA621544

Entities

People

  • Jeffrey T. Howard
  • Robert Mabry
  • Shawn M. Varney
  • Steven G Schauer

Organizations

  • United States Army Institute of Surgical Research

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Active Duty
  • Battlefields
  • Catheters
  • Combat Casualty Care
  • Combat Injuries
  • Deployment
  • Emergencies
  • Health Care
  • Health Services
  • Hospitals
  • Medical Personnel
  • Military Hospitals
  • Personnel Management
  • Regulations
  • Training
  • United States

Fields of Study

  • Medicine

Readers

  • Instructional Design and Training Evaluation.
  • Snow Cover Descriptors for Reptiles and Their Illustrations.
  • Trauma Surgery or Emergency Medicine.