Risc management: the medical support system in contemporary armed conflict
Introduction. Contemporary armed conflicts are characterized by a multifaceted blend of combat strategies, encompassing conventional and unconventional weaponry, regular and irregular forces, terrorist actions and acts of organized crime, indiscriminate violence and outside international law. Mat...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Asociatia de Biosiguranta si Biosecuritate
2024-10-01
|
| Series: | One Health & Risk Management |
| Subjects: | |
| Online Access: | https://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/571/528 |
| _version_ | 1827330857851944960 |
|---|---|
| author | Sergiu CIRLAN Andrei MARFIN Vasile DUMITRAS |
| author_facet | Sergiu CIRLAN Andrei MARFIN Vasile DUMITRAS |
| author_sort | Sergiu CIRLAN |
| collection | DOAJ |
| description | Introduction. Contemporary armed conflicts are characterized by a multifaceted blend of combat strategies, encompassing conventional and unconventional weaponry, regular and irregular forces, terrorist actions and acts of organized crime, indiscriminate violence and outside international law.
Material and methods. A retrospective bibliographic study was conducted on the evolution of combat strategies employed by the U.S. Armed Forces, NATO member countries, and international UN Peacekeeping Operations over the past 25 years.
Results. The way of organizing and providing medical assistance in local military conflict differs from the principles governing medical support in major armed conflicts. The staging of the treatment system and the evacuation of the wounded follows a crucial time-based framework known as the '10-1-2(+2)' rule: "10"– immediate measures to stop bleeding within 10 minutes of the injury; "1" – evacuation to the medical treatment facility capable of performing resuscitation and stabilizing vital functions.; "2" – timely transfer to a medical formation equipped for Damage Control Surgery and Resuscitation within 2 hours of the injury; "+2" – performing the surgical intervention, stabilization of vital functions, and diagnostic preparations for strategic evacuation within 4 hours of the injury.
Conclusions. Resulting from the specific particularities of the local military conflict, the planning of medical support as well as the complex treatment and evacuation measures, force health protection, and medical logistics, require adaptation to the real tactical and medical situation created. |
| first_indexed | 2024-03-07T16:23:32Z |
| format | Article |
| id | doaj.art-4bf652672b3043288191373e56cc3450 |
| institution | Directory Open Access Journal |
| issn | 2587-3458 2587-3466 |
| language | English |
| last_indexed | 2024-03-07T16:23:32Z |
| publishDate | 2024-10-01 |
| publisher | Asociatia de Biosiguranta si Biosecuritate |
| record_format | Article |
| series | One Health & Risk Management |
| spelling | doaj.art-4bf652672b3043288191373e56cc34502024-03-03T21:07:50ZengAsociatia de Biosiguranta si BiosecuritateOne Health & Risk Management2587-34582587-34662024-10-0144131810.38045/ohrm.2023.4.06Risc management: the medical support system in contemporary armed conflictSergiu CIRLAN0https://orcid.org/0009-0008-0110-6487Andrei MARFIN1https://orcid.org/0009-0003-2504-8916Vasile DUMITRAS2https://orcid.org/0000-0002-9444-706XMilitaryAcademy of the Armed Forces“Alexandru cel Bun”, Chisinau, Republic of MoldovaOutpatient Clinic of Ministry of Defence, Chisinau, Republic of MoldovaNicolae TestemitanuState University of Medicine and Pharmacy, Chisinau,Republic of MoldovaIntroduction. Contemporary armed conflicts are characterized by a multifaceted blend of combat strategies, encompassing conventional and unconventional weaponry, regular and irregular forces, terrorist actions and acts of organized crime, indiscriminate violence and outside international law. Material and methods. A retrospective bibliographic study was conducted on the evolution of combat strategies employed by the U.S. Armed Forces, NATO member countries, and international UN Peacekeeping Operations over the past 25 years. Results. The way of organizing and providing medical assistance in local military conflict differs from the principles governing medical support in major armed conflicts. The staging of the treatment system and the evacuation of the wounded follows a crucial time-based framework known as the '10-1-2(+2)' rule: "10"– immediate measures to stop bleeding within 10 minutes of the injury; "1" – evacuation to the medical treatment facility capable of performing resuscitation and stabilizing vital functions.; "2" – timely transfer to a medical formation equipped for Damage Control Surgery and Resuscitation within 2 hours of the injury; "+2" – performing the surgical intervention, stabilization of vital functions, and diagnostic preparations for strategic evacuation within 4 hours of the injury. Conclusions. Resulting from the specific particularities of the local military conflict, the planning of medical support as well as the complex treatment and evacuation measures, force health protection, and medical logistics, require adaptation to the real tactical and medical situation created.https://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/571/528armed conflictmedical supportdeploymentmedical serviceroles |
| spellingShingle | Sergiu CIRLAN Andrei MARFIN Vasile DUMITRAS Risc management: the medical support system in contemporary armed conflict One Health & Risk Management armed conflict medical support deployment medical service roles |
| title | Risc management: the medical support system in contemporary armed conflict |
| title_full | Risc management: the medical support system in contemporary armed conflict |
| title_fullStr | Risc management: the medical support system in contemporary armed conflict |
| title_full_unstemmed | Risc management: the medical support system in contemporary armed conflict |
| title_short | Risc management: the medical support system in contemporary armed conflict |
| title_sort | risc management the medical support system in contemporary armed conflict |
| topic | armed conflict medical support deployment medical service roles |
| url | https://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/571/528 |
| work_keys_str_mv | AT sergiucirlan riscmanagementthemedicalsupportsystemincontemporaryarmedconflict AT andreimarfin riscmanagementthemedicalsupportsystemincontemporaryarmedconflict AT vasiledumitras riscmanagementthemedicalsupportsystemincontemporaryarmedconflict |