Cyprus, Republic of
Nicolaos Michaelides MD
Military Medical Headquarters
Cpt Vasili Kapota Military Station
Basic Task of the Military Medical Service
The basic task of CY Military Medical Service is the provision of medical care to the military and civilian personnel of the National Guard, both in peacetime and in wartime.
Cyprus has an autonomous unified military medical service with overall responsibility for the medical care of personnel of all armed forces. In peacetime, there is a core medical service, which evolves into its full potential in wartime following the recruitment of both medical and nursing personnel from the reserve.
The Director-general (Surgeon General) reports directly to the Chief of Staff and has all medical units and personnel under his command.
The following medical services are incorporated into the armed forces:
- Primary care by General Physicians at the unit level.
- Secondary care by specialist physicians/surgeons at the Military Hospital.
- Dental care is provided in the military hospital and in some peripheral medical units.
- Biochemical, haematological and radiological investigation is only possible at the military hospital and in local civilian hospitals.
- A Veterinary service, responsible for food and water hygiene.
- An Occupational Medicine service, operating in close cooperation with the Health & Safety Department of CY National guard.
- A network of Psychologists, taking care of the troop’s psychological health.
A number of field units and medical units have a medical capability limited to offering primary health care and dental care.
There is only one military hospital in Nicosia with 22 beds. It incorporates 8 specialist clinics (Internal Medicine, General Surgery, Cardiology, Orthopaedics, Ophthalmology, ENT, Psychiatry, and Dermatology) and 4 departments (Radiology, Biochemistry/Haematology, Physiotherapy and Pharmacy). The main diagnostic equipment includes x-ray machine, Haematological/Biochemical analyzers, Echocardiography, ECG (including exercise ECG), EEG, specialist devices for the assessment of hearing and vision.
A new Annex to this hospital is currently under construction and it is expected to house the ER department, an Operating Theatre, the Haematology/Biochemistry laboratories and a patient holding ward. Tertiary care is provided exclusively by civilian hospitals.
Although the medical service does not run any specialist institutes, it employs a number of physicians with special training in Aviation or Diving/Marine Medicine to cater for the special needs of the corresponding branches of the armed forces.
Number of Medical Service Personnel
(permanent; a number of qualified nurses seconded from civilian hospitals on an ad-hoc basis)
The treatment chain for wounded soldiers is as follows:
The equipment supplied at each MTF (Role 1-3) is in the form of standard packages the content of which is dictated by requirements of their mission. Protected transport vehicles of the medical services. The medical service operates a small number of protected transport vehicles and ambulances.
The medical service has a very limited tactical Air MedEvac capability, exploiting the potentials of multi-purpose helicopters with appropriate medical equipment. This capability has been upgraded, following the acquisition of AW139 helicopters equipped with Aerolite Self-Contained EMS kits, which serve a dual Search and Rescue and Air Medevac role. There is a lack of any strategic Air MedEvac Capability.
Experience of active deployments
Cyprus military medical service includes a medical contingent which has been committed to providing part of the medical support for a multinational European Union Battle Group (HELBROC). Although it has been appropriately trained and has participated in multinational training exercises with Greece, Bulgaria, Romania and Ukraine, it has not as yet been actively deployed for a mission. At the same time, we have been actively and consistently involved in the activities of the European Defence Agency (EDA) specialized medical groups and ad-hoc subgroups, addressing issues of Medical support.
In this context we are currently participating in an EDA medical pooling and sharing initiative, aiming at the setting up of European Multinational Military Medical Units (M3U), equivalent to a Role 2/3 Field Hospital.
Medical and nursing staffs are trained ab initio, in either civilian universities (local or overseas) or military medical/nursing schools in Greece. Continuous professional development opportunities are offered in the form of periodic lectures and seminars as well as attendance of national and international conferences and training courses.
In the context of our participation in EU CSDP and EDA medical activities, military medical personnel from Cyprus has been granted access to training courses run at the Centre of Excellence for Military Medicine (MILMED CoE) in Budapest as well as to NATO military medical meetings. In this context, one of our medical officers, after successful completion of a relevant course, has been accredited as a Medical Evaluator.
Soldiers, as part of their basic training, are acquiring competency in self and comrade help in case of trauma and are provided with a very basic first aid kit. We are also running a program, aimed at formally training our personnel in Tactical Combat Casualty Care (TCCC). All military personnel is periodically trained in the skills of Basic Life Support (BLS) and the use of Automatic External Defibrillators (AED).
In peacetime, the military medical services work in very close cooperation with the civilian health system, which augments the former in terms of services it cannot provide. Furthermore, the nursing staff is seconded to the military medical service on ad hoc basis, from civilian hospitals to respond to periods of increased need. In wartime, the capabilities of the civilian health system are incorporated into the military medical services. Civilian hospitals exclusively provide Role 4 medical care for military personnel both in peace and wartime. In addition, beyond basic hygiene measures, highly infectious diseases are managed in special units of civilian hospitals. The medical service has a limited capability in terms of detection of and protection from NBC agents. Decontamination from such agents is a function of a specialized appropriately equipped branch of Civil Defence, which renders support to the armed forces should the need arise. Civilian hospitals and Civil Defence also contribute with medical personnel to the support of search and rescue and aeromedical evacuation activities, carried out by the armed forces for the benefit of the civilian population.