Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan
Floris J. Idenburg,Thijs T. C. F. van Dongen,Edward C.T.H. Tan,Jaap H. Hamming,Luke P. H. Leenen,Rigo Hoencamp +5 more
TLDR
Pediatric patients made up a considerable part of the workload at the Dutch R2E-MTF in Uruzgan, Afghanistan, in line with other reports from the recent conflicts in Iraq and Afghanistan, but used definitions in reported series are inconsistent, making comparisons difficult.Abstract:
Background
From August 2006–August 2010, as part of the ISAF mission, the Armed Forces of the Netherlands deployed a role 2 enhanced Medical Treatment Facility (R2E-MTF) to Uruzgan province, Afghanistan. Although from the principle doctrine not considered a primary task, care was delivered to civilians, including many children. Humanitarian aid accounted for a substantial part of the workload, necessitating medical, infrastructural, and logistical adaptations. Particularly pediatric care demanded specific expertise and equipment. In our pre-deployment preparations this aspect had been undervalued. Because these experiences could be influential in future mission planning, we analyzed our data and compared them with international reports.read more
Citations
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Journal ArticleDOI
Transfusion: -80°C Frozen Blood Products Are Safe and Effective in Military Casualty Care
Femke Noorman,Thijs T. C. F. van Dongen,Marie-Christine J. Plat,John F. Badloe,John R. Hess,R. Hoencamp +5 more
TL;DR: Frozen blood can save the lives of casualties of armed conflict without the need for in-theatre blood collection and is described for the first time that the combination of -80°C frozen platelets, plasma and red cells is safe and at least as effective as standard blood products in the treatment of (military) trauma casualties.
Journal ArticleDOI
Prepared for Mission? A Survey of Medical Personnel Training Needs Within the International Committee of the Red Cross
Frederike J. C. Haverkamp,Harald Veen,Rigo Hoencamp,Måns Muhrbeck,Johan von Schreeb,Andreas Wladis,Andreas Wladis,Edward C.T.H. Tan +7 more
TL;DR: Key points for future ICRC pre-deployment training are to focus on pediatrics, fracture surgery, and burns treatment, and to ensure greater participation in master classes.
Journal ArticleDOI
Review of military and civilian trauma registries: Does consensus matter?
Thijs T C F van Dongen,Johan de Graaf,Eelco P Huizinga,Howard R Champion,Rigo Hoencamp,Luke P. H. Leenen +5 more
TL;DR: Well-established and reliable trauma registries and databases are fundamental in (military) trauma care and recommend implementation of a (concurrent) UN/NATO wide registry system with a track and follow-up system to further improve the quality of care and registration of casualties.
Journal ArticleDOI
Global surgery for paediatric casualties in armed conflict
Frederike J. C. Haverkamp,Lisanne van Gennip,Måns Muhrbeck,Harald Veen,Andreas Wladis,Edward C.T.H. Tan +5 more
TL;DR: Children more often sustained injuries to multiple body regions and had higher in-hospital mortality than adults and these findings could have implications for how the ICRC and other organizations prepare personnel and structure logistics to meet the treatment needs of paediatric victims of armed conflicts.
Journal ArticleDOI
Pediatric casualties in contemporary armed conflict: A systematic review to inform standardized reporting.
TL;DR: Existing data do support the conclusion that child casualties have higher mortality than adults overall; however, this difference is slighter than has been previously reported.
References
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