Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-wg55d Total loading time: 0 Render date: 2024-05-04T06:11:18.679Z Has data issue: false hasContentIssue false

Chapter 16 - Surgery in a Field Hospital

from Section 4 - Clinical Considerations

Published online by Cambridge University Press:  09 January 2020

By
Seema Biswas  and
Harald Veen
Edited by
Elhanan Bar-On ,
Kobi Peleg  and
Yitshak Kreiss
Elhanan Bar-On
Affiliation:
The Israel Center for Disaster Medicine and Humanitarian Response, Sheba Medical Center, Tel Hashomer, Israel
Kobi Peleg
Affiliation:
National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Health Policy and Epidemiology and Tel-Aviv University, Disaster Medicine Department
Yitshak Kreiss
Affiliation:
Sheba Medical Center, Tel Hashomer, Israel
Get access

Summary

Surgical care for the weapon wounded and sick in conflict and disaster zones is clearly defined with internationally accepted guidelines for clinical care, the provision of resources, and infrastructure. This chapter outlines priorities in the organization and delivery of surgical care, with real-life examples of surgical activity in the field and ICRC experience of field hospital surgery. ICRC hospital programmes and surgical standards are summarized.

Keywords

Surgeryconflictdisasterwoundhealth carestandards
Type
Chapter
Information
Field Hospitals
A Comprehensive Guide to Preparation and Operation
 , pp. 148 - 159
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Shrime, MG, Sleemi, A, Thulasiraj, RD. Charitable platforms in global surgery: a systematic review of their effectiveness, sustainability, and role in training. World Journal of Surgery 2015: 39: 10–20.Google Scholar
Myles, P, Haller, G. Global distribution of access to surgical services. The Lancet 2010: 376 (9746): 1027–8.CrossRefGoogle ScholarPubMed
Funk, LM, Weiser, TG, Berry, WR, et al. Global operating theatre distribution and pulse oximetry supply: an estimation from reported data. The Lancet 2010: 376(9746): 1055–61.CrossRefGoogle ScholarPubMed
Mock, C, Cherian, M, Juillard, C, et al. Developing priorities for addressing surgical condition globally: furthering the link between surgery and public health policy. World Journal of Surgery 2010: 34: 381–5.CrossRefGoogle ScholarPubMed
Marck, R, Huijing, M, Vest, D, et al. Early outcome of facial reconstructive surgery abroad: a comparative study. European Journal of Plastic Surgery 2010: 33: 193–7.CrossRefGoogle ScholarPubMed
Huijing, MA, Marck, KW, Combes, J. Facial reconstruction in the developing world: a complicated matter. British Journal of Oral and Maxillofacial Surgery 2011: 49: 292.CrossRefGoogle ScholarPubMed
International Federation of the Red Cross and Red Crescent Societies. Emergency response units. Online article. http://www.ifrc.org/eruGoogle Scholar
The many victims of war: indirect conflict deaths. Global burden of armed violence (2008). Geneva Declaration Secretariat. Chapter 2. http://www.genevadeclaration.org/fileadmin/docs/Global-Burden-of-Armed-Violence-full-report.pdfGoogle Scholar
Nott, DM, Veen, H, Matthew, P. Damage control in the austere environment. The Bulletin of the Royal College of Surgeons of England 2015: 96(3): 82–3.Google Scholar
Hayward-Karlsson, J, Jeffrey, S, Kerr, A, Schmidt, H. Hospitals for war-wounded. Chapter 3.2, The admission sheet used in ICRC hospitals, and Chapter 4.2, The operating theatre. 2005: 46: 113–16.Google Scholar
Coupland, RM, Samnegaard, HO. Effect of type and transfer of conventional weapons on civilian injuries: retrospective analysis of prospective data from Red Cross hospitals. The British Medical Journal 1999: 319: 410–2.CrossRefGoogle ScholarPubMed
Guha-Sapir, D, Rodriguez-Llanes, JM, Hicks, MH, et al. Civilian deaths from weapons used in the Syrian conflict. The British Medical Journal 2015: 351: h4736.CrossRefGoogle ScholarPubMed
Black, I (2016). The Guardian. Report on Syria conflict finds 11.5% of population killed or injured. Online article. https://www.theguardian.com/world/2016/feb/11/report-on-syria-conflict-finds-115-of-population-killed-or-injuredGoogle Scholar
Trelles, M, Dominguez, L, Tayler-Smith, K, et al. Providing surgery in a war-torn context: the Médecins Sans Frontières experience in Syria. Conflict and Health 2015.CrossRefGoogle Scholar
Torno, RR (2016). A legacy of 50 years of war: the failure of state development in South Sudan since independence. Theories of development. http://www.academia.edu/20373682/A_Legacy_of_50_Years_of_War_The_Failure_of_State_Development_in_South_Sudan_since_independenceGoogle Scholar
Acerra, JR, Iskyan, K, Qureshi, ZA, Sharma, RK. Rebuilding the health care system in Afghanistan: an overview of primary care and emergency services. International Journal of Emergency Medicine 2009: 2: 77–82.Google Scholar
Chu, K, Trelles, M, Ford, N. Rethinking surgical care in conflict. The Lancet 2010: 375: 262–3.Google Scholar
Sirwardhana, C, Wickramage, K. Conflict, forced displacement and health in Sri Lanka: a review of the research landscape. Conflict and Health 2014: 8: 22.CrossRefGoogle Scholar
Devakumar, D, Birch, M, Rubenstein, LS, et al. Child health in Syria: recognising the lasting effects of warfare on health. Conflict and Health 2015: 9: 34.CrossRefGoogle ScholarPubMed
Chu, KM, Ford, NP, Trelles, M. Providing surgical care in Somalia: a model of task shifting. Conflict and Health 2011: 5: 12.Google Scholar
Ratnayake, R, Degomme, O, Roberts, B, Spiegel, P. Conflict and health: seven years of advancing science in humanitarian crises. Conflict and Health 2014: 8(1): 1.CrossRefGoogle ScholarPubMed
Burnham, G, Hoe, C, Hung, YW, et al. Perceptions and utilization of primary health care services in Iraq: findings from a national household survey. International Health and Human Rights 2011: 11:15.CrossRefGoogle ScholarPubMed
ICRC. Management of limb injuries during disasters and conflicts. 2016.Google Scholar
The Sphere handbook (2018). http://www.spherehandbook.org/Google Scholar
Mannion, SJ, Chaloner, E. Principles of war surgery. The British Medical Journal 2005: 330: 1498–500.CrossRefGoogle ScholarPubMed
Giannou, C, Baldan, M, Molde, A. War surgery. Volume 2. ICRC; 2013.Google Scholar
Delauche, MC, Blackwell, N, Le Perff, H, et al. A prospective study of the outcome of patients with limb trauma following the Haitian earthquake in 2010 at one- and two-year (the SuTra2 study). PLOS Currents 2013.CrossRefGoogle Scholar
Norton, I, von Schreeb, J, Aitken, P, Herard, P, Lajolo, C. Classification and Minimum Standards for Foreign Medical Teams in Sudden Onset Disasters. World Health Organization. 2013. Website. http://www.who.int/hac/global_health_cluster/fmt_guidelines_september2013.pdfGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×