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General surgical training for Operation Trenton
  1. Mansoor Khan
  1. St Mary's Hospital, Imperial College Healthcare NHS Trust Ringgold standard institution, London, UK
  1. Correspondence to Mansoor Khan, St Mary's Hospital, Imperial College Healthcare NHS Trust Ringgold standard institution, London W21NY, UK; mansoorkhan{at}


The UK military commitment to United Nations operations has led to a new challenge in identifying and developing skill sets required for humanitarian operations. The last two decades have concentrated on kinetic operations, with haemorrhage control being the main driver. The austere location and prolonged evacuation timelines have led to identifying management strategies of conditions that would previously have been evacuated to higher echelons of care. The Defence Medical Services have a multifaceted approach to training military personnel for operations, varying from regular exposure to high-acuity trauma and general surgery within their host NHS Trust, to validated training platforms that evolve continually to address the training needs demanded by differing fields of conflict.

  • trauma training
  • humanitarian operations
  • surgical preparedness: operative skills

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  • Contributors MK conceptualised and wrote the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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