RESUMEN
The management of trauma in the field intensive care unit has evolved in recent years. Key issues in current practice and organisation are discussed, with particular attention to areas where civilian and military practice differs. Possible future improvements are explored.
Asunto(s)
Toma de Decisiones , Unidades de Cuidados Intensivos/organización & administración , Heridas y Lesiones/terapia , Analgesia/métodos , Trastornos de la Coagulación Sanguínea/terapia , Dióxido de Carbono , Cuidados Críticos , Ética Médica , Circulación Extracorporea , Humanos , Hipnóticos y Sedantes/administración & dosificación , Admisión del Paciente , Alta del Paciente , Transferencia de Pacientes , Guerra , Recursos HumanosRESUMEN
There remains a significant paediatric workload through the military hospital in Camp Bastion. In this paper the authors review and discuss particular problems with resuscitation, investigation, anaesthetic and surgical issues in dealing with children suffering from ballistic injuries. Personal experience and recent papers are used for a qualitative analysis of difficult decisions in the management of paediatric ballistic trauma. Key questions are answered in separate paragraphs for each specialty. The information described in this paper should assist any deployed physician deal with paediatric casualties particularly if they are unaccustomed to paediatric patients in their normal practice.
Asunto(s)
Heridas y Lesiones/terapia , Campaña Afgana 2001- , Anestesia/métodos , Transfusión Sanguínea/métodos , Niño , Preescolar , Humanos , Lactante , Guerra de Irak 2003-2011 , Procedimientos Neuroquirúrgicos , Cuidados Posoperatorios , Resucitación/métodosRESUMEN
Our recent experience of paediatric critical care during UK military operations in Afghanistan is discussed alongside consideration of the background to the paediatric critical care service on deployment. We describe the intensive care unit's capabilities, details of recent paediatric critical care admissions during July to September 2008 and some of the ethical issues arising. Some desirable future developments will be suggested.
Asunto(s)
Cuidados Críticos , Hospitales Militares/organización & administración , Unidades de Cuidados Intensivos/organización & administración , Unidades Móviles de Salud/organización & administración , Pediatría/organización & administración , Adolescente , Campaña Afgana 2001- , Afganistán , Niño , Preescolar , Humanos , Lactante , Recién Nacido , Reino UnidoRESUMEN
The British Field Hospital facility in Southern Iraq has seen a continuous turnover of patient admissions since the start of offensive operations during the 2003 Gulf conflict (Operation TELIC). During the war a number of procedures were carried out and these have been well described to date. On May 1st 2003 President Bush declared an end to high intensity operations with a subsequent reduction in medical activity. However, the facility has continued to provide medical care to large numbers of service and civilian patients from the end of hostilities to the present day. The purpose of this review is to present anaesthetic and demographic data relating to procedures carried out at the Field Hospital over a 12-month period from the end of the war-fighting phase of the conflict.