In all kinds of military operations, it is essential to provide for the transport of casualties. While Air Medevac remains the most frequent means of casualty transport, land-based transport of casualties will continue to be of importance. The following article focuses on the armoured land-based casualty evacuation concept employed by the German Armed ... more
This paper discusses the principles of tactical aeromedical evacuation (TACEVAC) planning and execution with specific consideration of the command and control arrangements for TACEVAC. UK personnel may be familiar with TACEVAC procedures using UK national aircraft and aeromedical evacuation crews between national medical facilities. Recent operations, most particularly in Afghanistan, have illustrated the requirement to understand TACEVAC within a multi-national context as both our military hospitals have moved patients using other nations aircraft and medical escort crews, and UK aeromedical aircraft and crews have moved other nations’ patients.
Forward Medical Evacuation from point of injury to the initial medical treatment facility is MEDEVAC, whereas medical evacuation between medical treatment facilities within a Joint Operational Area (JOA) is tactical aeromedical evacuation (TACEVAC).It is a separate entity to strategic evacuation (STRATEVAC) from the JOA to a home or allied nation.STRATEVAC ... more
NATO Patient Evacuation Coordination Cell (PECC) Course – COE-MED-M4-008
“…I arrived in Afghanistan in March 2011 without really knowing what to expect. You can only prepare yourself to a certain level and the rest depends on the circumstances during your mission. My work as a shift officer in a multinational PECC was more than interesting, it was a major challenge. Not only was I working with German, Norwegian, Swedish and ... more
Division VI, Bundeswehr Medical Service Headquarters¹, Koblenz (Chief of Division: Oberstarzt Dr. Thomas Harbaum), Bundeswehr Institute of Preventive Medicine², Andernach (Director: Oberstarzt Prof. Dr. Dr. Dieter Leyk), Department of Nuclear Medicine³, Department of Radiology and Neuroradiology⁴, Department of Urology⁵ of the Bundeswehr Central Hospital³, Koblenz (Commander and Medical Director: Generalarzt Dr. Norbert Weller)
Manuela A. Hoffmann¹,²,³, Helmut J. Wieler³, Kerstin Smolka⁴, Hans-Ulrich Schmelz⁵, Stephan Waldeck⁴ ... more
The NATO Centre of Excellence for Military Medicine
Since its NATO accreditation in 2009, the NATO Centre of Excellence for Military Medicine (MILMED COE) has reached a highly appreciated position within the NATO medical community. The Centre provides subject matter expertise on medical training and evaluation, lessons learned, standards and doctrine development and deployment health surveillance. ... more
From the department of military hygiene, Faculty of Military Health Sciences University of Defence, Hradec Králové, Czech Republic
The article describes the hygienic and epidemiological situation in Afghanistan, mainly the current hygienic conditions, water supply and waste disposal. The most frequent infectious diseases in this Asian country are mentioned. At the same time it describes standard hygienic condition at the military camp of the Headquarters ISAF in Kabul.
From the Public Health Department, United Kingdom Defence Dental Services
The British Armed Forces Defence Dental Service (DDS) provide dental treatment to all serving personnel and until recently have predominantly been clinical care delivery focused. In recent times it has been recognised that a health promotion based strategy would better serve our population, help reduce dental morbidity on operations and minimise the ... more
Water Purification Campaign Experience in Gonaives, Haiti
The experience of producing drinkable water in an unfavorable campaign environment, as that of Gonaives (Haiti) and getting excellent results in terms of quality of treated water, is the sum of continuous adaptation and improvement of intermediate purification processes, from improving the acquisition to remineralization of water filtered by reverse osmosis. ... more
Crimean-Congo haemorrhagic fever – a significant risk in the field?
After dengue fever, Crimean-Congo haemorrhagic fever is of tick-borne arbovirus-induced disease worldwide. One of the unusual features of this essentially zoonotic virus is the way that it is transmitted. Infection in humans is not only the result of tick bites, but the virus ... more
From the department of anaesthesiology, resuscitation and intensive care of the field hospital of Central Airmobile Rescue Team of EMERCOM of Russia
The problem of crush syndrome management still remains urgent over a period of two hundred years. Medical consequences of earthquakes and medical organization of emergency response do not have a full scientific development so far. The technology of medical aid rendering in case of the extrication of a victim with crush syndrome who ... more
The complex nature of burn medicine made it necessary to divide this subject. While the first part (published in MCIF 4/11) dealt with emergency treatment of the seriously burned or of casualties with combined thermodynamic injuries in an operational context, the aim of this article is to present further procedures and the priorities of intensive ther-apy, ... more
Clinical demand from the perspective of a field surgeon and a field anaesthetist *
*The content of this article is a personal summary of the contributions presented at a GER Armed Forces Medical Conference - “Damp 2012”
The German Armed forces have been involved in asymmetrical warfare as part of the ISAF deployment for many years now. The majority of the mission-related injuries presented to our treatment facilities in Afghanistan result from gunshot or blast. They include not only perforating and blunt force injuries of the abdomen and thorax, but also extensive soft ... more
German Armed Forces run five military hospitals. One is located the North of Germany in Hamburg, the beautiful and well-known german harbour city.
The German Armed Forces Hospital in Hamburg was founded in 1958. It was established in buildings that were used by a british military hospital after WW II. Initially responsible only for military service members, in 1969 the hospital was opened for civilian patients also. In 1973, the emergency helicopter service for the Hamburg region ... more
As training resources and time become increasingly scarce new training methods and venues must be utilized to ensure mission readiness of Aerovac units to Airlift Wounded Warriors.
The 94th Aeromedical Evacuation Squadron of the US Air Force Reserve Command is integrating simulation into initial and continuation training for flight nurses and flight medics. These simulations include not only classroom and simulation lab training but live flights with simulators flown onboard training missions as patients in need of care. ... more
Report: J. M. MULVEY*, A. A. QADRI†, M. A. MAQSOOD†
The October 8, 2005 earthquake in Northern Pakistan had widespread destructive effects throughout the northern subcontinent.
Large numbers of people were killed or severely injured and many medical services destroyed. This report describes the experience of the only standing surgical hospital in the Kashmir region of Bagh District. More than 1,500 people were triaged in 72 hours, many critically injured; 78.4% of patients had upper or lower limb injuries; 50.3% of patients had ... more
Humanitarian aid in TUNESIA in February/March 2011 – Medical service experiences from the point of view of the German Navy
During the revolutionary struggles in Libya in the spring of 2011 a German Naval Task Group secured the air evacuation of German citizens from this disputed territory from the sea using a naval rescue centre embarked. Several hundred Egyptian refugees were then taken aboard the ships and evacuated from Tunisia to Egypt. ... more
Article: CAPT(R) Stephan Hofmeister, MD CIOMR International Vice President (2010-2012)
CIOMR (Interallied Confederation of Medical Reserve Officers) is developing rapidly from a cold war
reserve officer organization mainly ensuring mutual understanding and deepening international
bonds to a modern provider of information and international network platform for medical specialist
in the military reserves.
Nations challenged by global threats human or nature born, involved in operations on large scale in dangerous or even hostile environment share a common burden: Medical care for those sent harm´s way as well as those innocently inflicted in such demise. ... more
NATO Emergency Medical Pre-deployment Team Training
On 16-20 January 2012, the NATO Centre of Excellence for Military Medicine (MILMED COE) - in close cooperation with the German Armed Forces Military Hospital Hamburg (Bundeswehrkrankenhaus Hamburg, DEU) - organized the first deployed course pilot outside NATO MILMED COE’s home base in Budapest, Hungary. The venue of this pilot course was in Hamburg, ... more
Article: M. Reksoprodio, H. Mulijadi, I. Trihapsoro, W. Mulyawan
Aeromedical Evacuation (AME) is the best choice for a rapid and relatively safe evacuation using air transportation.AME has several limitations caused by environmental influences on the human physiology. The operation of AME can work well when there is a good support organisation in place.
A dental surgeon is not always on board or near at hand to provide dental care to personnel serving on sea-going naval units. However, it is essential to ensure that appropriate dental treatment can be provided in emergencies that occur at sea by either an on-board dentist or naval surgeon.
The particular nature of service at sea means that special framework conditions apply with regard to the provision of dental treatment to on-board naval personnel. There are specific factors that must be taken into account that deviate markedly from those relevant to the treatment situation on land, such as spatial restrictions, swell, vibration, ... more
How The Second Deadliest Earthquake in History Can Teach us to be Better Prepared for Future Large Scale Natural Disasters
As a colonel and physician in the United States Air Force, I’m honored to have served a senior role in the Air Force Special Operations Command (AFSOC) following the devastating January 12, 2010 earthquake in Haiti, the second deadliest quake in recorded history. AFSOC was part of the massive humanitarian interagency mission of the United States ... more
Bumps, bruises, and third-degree burns – just like their colleagues on dry land, naval physicians have to be ready for anything.
The patient – a crew member – was suffering from a high fever, an intense headache, and he was shivering. His mouth was dry as dust, his muscles aching. As if that wasn’t enough, he also had diarrhea and nausea – both much more prominent than would have been the case for a normal dose of influenza. The ship’s doctor, Commander MC Dr. Axel ... more