The deployment of an intensive care facility with a military field hospital to the 2003 conflict in Iraq.
The deployment of an intensive care unit with a forward British military field hospital to the conflict in Iraq in March 2003 is described. The 10 bedded unit treated 47 patients in the first month of activity. Thirty seven were adults and 10 were children. Forty two (89%) were trauma patients, mostly related to the conflict. Sixty eight percent of patients were ventilated and mortality to discharge was 6%. Mean bed occupancy was five beds and the mean duration of patient stay was 3.3 days. The difficulties of the working environment are described including the problems of a desert climate and close proximity to a conflict. Several critical incidents occurred including total power failure, extreme ambient temperatures and gas attack alarms. Despite these challenges, the facility attempted to provide a standard of intensive care similar to that seen in UK practice.
Department of Anaesthesia, Frenchay Hospital, Bristol BS 16 LE, UK. dlockey@doctors.org.uk
D J
DJ
Lockey
G R
GR
Nordmann
J M
JM
Field
D
D
Clough
J D R
JD
Henning
D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D016265:Conflict of Interest; D004638:Emergency Treatment; D005260:Female; D006772:Hospitals, Military / Q000458:organization & administration*; D006775:Hospitals, Packaged / Q000458:organization & administration*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007400:Interprofessional Relations; D007493:Iraq; D008297:Male; D013514:Surgical Procedures, Operative; D017749:Total Quality Management; D006113:United Kingdom; D014857:Warfare