Identification of Procedures and Capabilities Required to Ensure Survival of Prolonged Field Care and Medical Evacuation : 59th Medical Wing , January 16 , 2024
January 16, 2024
59th Medical Wing
From the document: “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.”
Authors - Maddry, Joseph, Mireles, Allyson, Cutright, Julie, Davis, William T.Subjects
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