Photo 4: Example of the medical care of a casualty (personal collection).
Table 3: Former and present SSA classifications and classification used for the triage.
CLASSIFICATION SAN 01 EU/U1 SSA CLASSIFICATION T1: IMMEDIATE CLASSIFICATION DURING MASCAL INSTABLE DEFINITION The victim has a life-threatening injury that demands immediate attention in order to save his life: surgical damage control or medical reanimation. Injuries do not jeopardize the victim’s life. The victim may require professional care but surgical treatment can be delayed. Walking wounded or generally ambulatory: minor surgical procedure. Casualty so critically injured that only complicated and prolonged treatment offers any hope of improving life expectancy.
T3: MINOR T4 : EXPECTANT
LIGHT MORI TURI
first”. It was necessary to fight against the less seriously injured who were more mobile and could embark on their own. Last, the aircrafts were very quickly and sometimes roughly set up: Because they were most vulnerable on the ground, MH could only be stationary for a limited period only (less than five minutes were authorized). This sometimes made it difficult to know exactly how many injured soldiers were on board. It is easy to understand that the inflight monitoring (a thirty-minute journey), before arriving in the forward operating base, was rather basic. The local VSM received all the victims. With the help of other French Role 1 medical teams a surgical triage was set up during the night in order to distribute the casualties between all the Mobile Army Surgical Hospitals and hospitals of the Sub-Saharan region: Gao and Bamako in Mali and Niamey in Niger.
It must be noted that a day later, six more people died as a result of their injuries (N° 7, 8, 14, 29, 41, 63).
Triage specificities * Continuous inflow of casualties from the battlefield to the wounded nest:
The medical care was managed directly on the battlefield in a hostile environment while the fight was still raging. In this context, Courbil’s definition of a5 “medicine of the sudden and unexpected” makes sense. The Army orders one to ensure one’s own safety first. Contrary to events limited in time and space (earthquakes, gunfire…), the uncertainty of combat situations makes it necessary to think carefully when choosing the
International Review of the Armed Forces Medical Services
Revue Internationale des Services de Santé des Forces Armées