BILLED National Defense Medical Corps - Emergency Surgery July 1996

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JNDMC EMERGENCY SURGERY TRAINING - JULY 1996

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TRAINING OBJECTIVE: EMERGENCY SURGERY TRAINING I
CLASSIFIED

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Deployment
Emergency Doctors x 1,000
Field Nurses x 10,000
Field Surgery System x 200
-Operation car x 200
-Operation preparation car x
200
-Sterilization car x 200
-Sanitary supply x 200

Operation Cars: 4 Doctors, 2 Nurses
Operation Prep Cars: 1 Doctor, 4 Nurses
Sterilization Car: 5 Nurses
Sanitary Supply Car: 1 Nurse

MISSION BRIEFING

This mission’s purpose is to better train medical personnel to work in field conditions, rather than in dedicated medical facilities. Furthermore, this will help deepens their understanding of emergency surgery needs. The bulk of this training will be performing surgery on sedated pigs that were injured in various ways: gunshot wounds, stab wounds, bone fractures, lacerations, etc. The doctors will be tasked with stabilizing these pigs through surgery. The pigs would subsequently be slaughtered and used as meat.

LOGISTICS

While these surgeries are being performed in the Field Surgery Systems, the training was taking place just outside the medical college. Personnel would sleep, eat, and attend to all needs at or around the medical college and its facilities. Personnel would be monitored and ensured that all their needs were attended to. All equipment was inspected and maintained prior to use and all was found to be in working order. Equipment would be monitored while the training took place and any issues would be attended to as they arose.

 

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Training Phase I: Surgical Preparation

The goal of this phase is to train the medical staff on the procedures and practices necessary to maintain a sterile and safe environment before treating a patient, while treating a patient, and after they are done with a patient. Nurses not participating would be observing and asked questions. The nurses would rotate out after completing a successful preparation. First, the staff would be required to know where the sterilization equipment is, then how to clean the treatment trucks, and finally to prep the surgery truck. Nurses would be furthermore required to know where the surgical tools were at all times and how to prep them as needed.

 

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Phase 2: Initial Patient Triage

The goal of this step was for the medical teams to be able to quickly and accurately assess the medical needs of people in the field, diagnose the issues, assess priority of care, and begin execution. The medical teams would be presented with a set of four injured pigs presenting different injuries. The teams had to review the injured pigs and determine their injuries, assess the survivability of each, and initiate care on the pigs in the order of the triage assessment.

 

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Phase 3: Surgery

This phase was simply a reinforcement of the skills the medical staff learned in school: performing surgery. This, however, was to be done in the injured pigs, in the field surgery systems. The teams had to follow protocol for loading their “patients” onto gurneys and transporting them into the operations car. There, the surgical team needed to have the right tools prepped and ready for this particular diagnosis. Once the pig was wheeled into the operations car, the surgery team had to resolve whatever injury was given to the pig. This might include an amputation, closing of a wound, removing a bullet or bullet fragments, addressing compound fractures, and a host of other issues a soldier might face in the field. Imaginary human weights were given to the pigs for the teams to assess how much anesthesia to administer.

Once a successful surgery was performed, the team had to properly close the wound and escort the pig to a medical tent nearby. Once in the tent, a butcher would finish the pig and prep the meat.

This process was repeated five team for each team.