Navigation Links
Military Hospitals Need To Be Prepared To Treat Children

A study in the September issue of Archives of Pediatrics & Adolescent Medicine, one of the JAMA/Archives journals says that hospitals must be prepared in the event of a conflict// and have trained staff and equipment to treat injured and noninjured children who need urgent medical care. The report is based on the experience of training at a hospital in Iraq.

Military hospitals are likely to encounter injured children as wars move away from the battlefield and into civilian territories, according to background information in the article. Children sometimes serve as soldiers or are used as human shields. In addition, because war disrupts medical facilities in the affected area, children with other injuries or illnesses may seek medical care at U.S. military hospitals as well. When U.S. and coalition forces entered Iraq in 2003, Iraqi civilian hospitals were already understaffed and lacked the supplies and infrastructure needed to effectively care for citizens. From early in the conflict, medical care was offered to injured civilians in cases of severe injury, and hospital commanders could approve care for children with medical needs that could not be handled by the Iraqi system.

Lt. Col. Christopher P. Coppola, U.S.A.F., M.C., and colleagues at the Lackland Air Force Base, Texas, reported on the children treated at one level III (medical facility in a combat area) hospital in Balad, Iraq, from January 2004 to May 2005. The 332nd Air Force Theater Hospital is approximately 40 miles north of Baghdad and consists of a series of tents with concrete floors, linked by a corridor. The facility has a staff of 420 and can accommodate up to 24 intensive care unit beds and 80 additional beds; up to six surgeries can be performed at once.

"Our primary mission as a level III hospital was to provide evaluation, resuscitation and surgical care to combat-injured troops," the authors write. "However, our facility experienced 'mission creep' because of the presence of injured civilians, including children. Children additionally had dehydration and malnutrition, which contribute to increased mortality. After Jan. 1, 2005, a pediatric surgeon was available and a broader range of non-traumatic conditions were treated in children."

During the time period studied, 85 children with an average age of 8 years (age range one day to 17 years) were evaluated and treated at the hospital, accounting for 5.2 percent of all patients and 18 percent of treated Iraqi civilians. Forty-eight (56 percent) of the children were treated for traumatic injury, including 25 (52 percent) with a fragmentation wound, such as that inflicted by improvised explosive devices, mines or blasts. Of the children with injuries, 18 (38 percent) had wounds in the leg, 11 (23 percent) in the head, eight (17 percent) in the arm, eight in the abdomen and three (6 percent) in the chest. A total of 134 operations were performed on 63 children (74 percent of the total); each of the children had an average of 2.1 procedures. Five children died--two from burns, two from infection and one from complications following a traumatic head injury and transfer to a civilian facility.

The experience illuminates several key points regarding caring for children in a war zone, the authors conclude. Hospitals near battlefields should expect to treat civilians, including children. These children are likely to have fragmentation injuries, which are generally contaminated and likely to become infected, requiring multiple procedures. "Local health resources may be so disrupted that children cannot be safely discharged until they are well enough to survive under the care of their families," they continue. "To provide adequate care for children during war, expeditionary medical hospitals must prepare for them by providing the proper personnel, training and equipment."

Source-Eurekalert
RAS
'"/>




Related medicine news :

1. Testing For HIV/AIDS Compulsory For New Military Recruits
2. A Joint Venture by Golfers And Military Forces To Combat AIDS
3. Military Veterans Suffer From Increased Risk of Heart Diseases
4. Military-based Research Labs Needed To Manage Bird Flu Threat
5. Pranab Mukherjee Urged Military Doctors To Remain On The Cutting Edge
6. Joining The Military My Best Move - US Army Nursing Chief
7. Prevalence of Self-reported Snoring, Sleep-disordered Breathing in Military
8. Link Shown Between Military Service And Risk For ALS
9. Military College to Set Up Stem Cell Research Centre
10. South India to Have Modern Military Hospitals
11. Wartime Raises Stress, BP Rates in Military Offspring
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/27/2016)... ... June 27, 2016 , ... "FCPX editors can now reveal their media with ... X," said Christina Austin - CEO of Pixel Film Studios. , ProSlice Color ... users can now reveal the media of their split screens with growing colorful ...
(Date:6/27/2016)... ... 2016 , ... A revolution is underway. Brooklyn-based company, ... for the millions of people who require these medical transport services annually. ... the use of technology. Now, SmartEMS has put forth an industry-changing app that ...
(Date:6/26/2016)... ... 2016 , ... On June 10-11, 2016, A Forever Recovery, a holistic treatment ... Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is located. This ... of the world’s leading providers of cereal and other breakfast foods. Its residents often ...
(Date:6/26/2016)... ... ... blind and certified personal trainer is helping to develop a weight loss fitness plan that ... the two major problems leading the fitness industry today:, , All ... They don’t eliminate all the reasons people quit their exercise program , ...
(Date:6/25/2016)... ... 25, 2016 , ... Austin residents seeking Mohs surgery services, can now turn ... to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization ... selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that it ... (procalcitonin) assay as a dedicated testing solution for people ... Roche is the first IVD company in the U.S ... assessment and management. PCT is a sepsis-specific ... blood can aid clinicians in assessing the risk of ...
(Date:6/23/2016)... Bracket , a leading clinical trial technology ... outcomes platform, Bracket eCOA (SM) 6.0, at the 52 ... 30, 2016 in Philadelphia , Pennsylvania.  A ... product of its kind to fully integrate with RTSM, will ... 6.0 is a flexible platform for electronic clinical outcomes assessments ...
(Date:6/23/2016)... LONDON , June 23, 2016 ... environments  Oticon , industry leaders in ... the launch of Oticon Opn ™, the world,s ... world of possibilities for IoT devices.      ... Opn, Oticon introduces a number of ,world firsts,: ...
Breaking Medicine Technology: