tick), with four different numbered coloured bracelets corresponding to the wounded person’s category. The transmission of data21 by computer is appealing, but difficult to implement in this context. The SSA has recently adopted a Medical Field Record (FMR) based on the MARCHE RYAN doctrine which makes it possible to standardize data down the medical line. It is now available in all the French field hospitals (figure 4). In any case the FMRs must evolve according to the context of registration, and this must be done jointly with the different levels of medical care.
It seems essential for us to provide every medical post with this type of technology (THURAYA or IRIDIUM) which makes ‘‘doctor to doctor’’ contact possible.
Two medical teams from different nationalities were hired. It is obviously only a small amount, but it constitutes a permanent base to face the massive inflow of casualties, for which any number of medical staff will never be enough. As Bourdais already stated22 in 1975, “every experience is unique. The differences lay in the importance and duration of the inflow of casualties, the variety of the wounding agents, the power and organisation of the device”. The Chadians’ great professionalism and good medical techniques are worth stressing. They were not familiar with combat rescue but were well versed in war injuries. Their work brought with it a great synergy. Conversely, their lack of training on how to help soldiers with SC1 medical acts and lack of individual first aid kits (personal tourniquets) increased the rate of KIA. In view of these events, the partnership with Allied Forces must be reinforced with a focus on combat rescue. This is the case today in Mali before every joint military operation. Similarly the initial training within the Centre de Formation Opérationnelle Santé (CeFOS, Operational Health Training Centre) and the continuous education
The SSA is not autonomous in the field of transmissions, this is a recurrent problem on which much has already been written1; it may handle the care of wounded soldiers as well as work of the medical staff. In our experience, we were able to transmit our results regularly via satellite phone to the medical authorities, the Patient Evacuation Coordination Center (PECC) and the MCV doctors, so as to be able to anticipate additional MEDEVAC organisations and reception in the medical treatment facilities. During the triage, doctors need to communicate extensively with the PECC doctors. The time spent on a phone call is crucial to understanding the local situation, the classification, the inventory of all the casualties and the optimal use of the means deployed to receive the casualties.
Figure 4: The present FMR for the Healthcare Service of the Franch Armed Forces.
International Review of the Armed Forces Medical Services
Revue Internationale des Services de Santé des Forces Armées