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Aeromedical evacuation: experiences from the UK military level 2 hospital in Bentiu, South Sudan, during Op TRENTON
  1. Leanne Jane Eveson1,
  2. W Nevin2,
  3. N Cordingley3 and
  4. M Almond4
  1. 1Department of Cardiology, Frimley Health NHS Foundation Trust, Frimley, UK
  2. 2Department of Infectious Diseases, Royal Free London NHS Foundation Trust, London, UK
  3. 3Tactical Medical Wing, Royal Air Force Brize Norton, Oxfordshire, UK
  4. 4Aviation Medicine Clinical Service, Royal Air Force Henlow, Bedfordshire, UK
  1. Correspondence to Sqn Ldr Leanne Jane Eveson, Department of Cardiology, Frimley Health NHS Foundation Trust, Frimley GU16 7UJ, UK; leanne.eveson{at}nhs.net

Abstract

Introduction Aeromedical Evacuation (AE) is a vital role of the Defence Medical Services (DMS). With a far-reaching defence global footprint, an AE capability is crucial to enable movement of patients in the fastest, safest and least stressful way that meets or exceeds the level of care an injured or ill person may expect to receive in the UK. Operation (Op) TRENTON is a UK military humanitarian operation in support of the United Nations (UN) Mission in South Sudan.

Methods A retrospective analysis was carried out of all patients who underwent AE from the UK level 2 hospital at Bentiu during Op TRENTON over a 17-month period from June 2017 to October 2018.

Results 14 patients underwent AE. The median age was 36 (22–64) years and all patients were male. 21% of AEs were for UK personnel and 79% were for UN personnel. 29% of AEs were due to non-battle injury with the remainder due to disease. Musculoskeletal was the largest diagnostic group (n=4) followed by respiratory (n=3), cardiovascular (n=2), undifferentiated febrile illness (n=2), neurology (n=1), renal medicine (n=1) and psychiatry (n=1).

Conclusions Patients requiring AE from the level 2 hospital at Bentiu mostly had musculoskeletal and medical pathology, a stark contrast to the trauma patient cohort from operations in the past. The majority of patients had definitive care under the medical team highlighting the requirement for DMS physicians and the AE team, to be trained in acute, general and aviation medicine. The majority of AE moves were for UN personnel and on UN airframes, highlighting the importance of a sound understanding of the nations we are working with.

  • aviation medicine
  • general medicine (see internal medicine)
  • internal medicine
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Footnotes

  • Contributors LJE and WN carried out the data analysis. All authors contributed to the preparation of the paper.

  • Funding Study approval not required as our paper does not meet National Health Service Health Research Authority criteria. CC1 approval was obtained.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Data availability statement Data are available upon reasonable request.

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