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Performance Indicators for Prehospital Command and Control Developed for Civilian Use Tested in a Military Training Setting, A Pilot Study
  1. Lt Col Lars Lundberg1,
  2. A Jonsson1,
  3. T Vikström2 and
  4. A Rüters2
  1. 1Swedish Armed Forces Centre for Defence Medicine, Gothenburg, Sweden
  2. 2Centre for Teaching and Research in Disaster Medicine and Traumatology, Linköping, Sweden
  1. Swedish Armed Forces Centre for Defence Medicine, Box 5155, SE-426 05 Västra Frölunda, Sweden lars.lundberg{at}


Objectives The aim of this study was to determine if a set of performance indicators for command and control (C2) primarily developed for civilian use could be applied also to a military training context as well.

Method The initial decision-making in the on-scene medical management in a multinational military medical evacuation exercise in Afghanistan was studied, using this set of indicators.

Results Two performance indicators were appropriate to this setting. Of the nine applicable indicators, the standards set for civilian use were met in four, in three other they were not met, and there was a lack of documentation in two indicators.

Conclusion Measurable performance indicators for prehospital command and control were to some extent found to be applicable also to a military environment. Future developments may make it possible for the concept of measuring results using civilian performance indicators to become a quality control tool in a military setting.

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