Field MedicineUsage- Medical company of Brigade Service Battalion will establish a primary care center, whose main task is the surgical primary care provision for the wounded and their evacuation
- In an emergency care centre wounded are given only the most essential measures to save life, limb, and eyesight
- An emergency care centre carries out some emergency 30 surgeries in a day
Overview of the Field MedicineRequirements for field medicine have increased sharply in recent decades. Wars and other crises, and armed battles taking place at the same time over a wide area, and there no clear fronts and front lines. Modern guns produce a lot of severe injuries, and especially the number of multi-trauma patients has increased. The are also increasing among the civilian population.
In Immoren, the Immorean Defence Forces relies on the national health care service in casualty management in the crisis conditions. The Defence Forces are responsible for field medicine and medical care, as well as the transportation to the follow-up treatment of patients in need to the civilian hospitals. The main areas of the current field medicine are combatant-specific first aid skills, rapid patient transport, emergency care, as well as liquid and field surgery. Field medical system consists of medical care establishments of different levels in the organization field troops. Field Medical System is a medical service chain that begins at platoon level and ends with the evacuation hospital. Patients are transported from "the front line" towards the evacuation hospital and medical material needed for their care towards the opposite direction.
Treatment of the wounded is one of the key aspects in the morale. Quick and right first aid can save not only life, but also prevent further injuries.
Aims of the Field MedicineObjective of the field medicine is to give the maximum benefit as many patients as possible by using the patient reports. Quality of the treatment should be as close as possible to the peacetime standards. First-aid and surgical emergency care must be provided up-front as close as possible to the location of injury. The wounded must be evacuated, ideally within an hour, but no later than six hours to the surgical emergency medical care and treatment should be unbroken through the evacuation chain.
Field Medicine in BrigadesModern doctrines poses new challenges to the brigades in field. As compared to international standards, the main shortcomings were the lack of a surgical care, as well as the ability at brigade level as well as lack of health care professionals at platoon and company level.
A solution to these problems, brigade organization has added the medical company and healthcare professionals. Brigade has taken into account the latest developments in the sector and fulfills the very international compatibility requirements of the corresponding level.
Medic is responsible for field care at the platoon level. ¤he most important functions in wounded treatment are saving the situation, securing the respiration and circulation, shock and injuries first aid and emergency medical care as well as patient handling and placing on the transportation condition. Slightly wounded give first aid to themselves. Severely wounded, emergency first aid is given by their battle buddy. Medic supplements first aid, and start the next level treatment. Medic also makes an initial patient study and organize the evacuation of patients to the company first aid spot. Evacuation is done with any vehicles platoon might have.
The company medical team sets up by the first aid spot with task to give physician level care for the wounded. The team is consists of a medical officer and medical NCO and three medics. All of them healthcare professionals. First aid Spot can be set up medical team's fighting vehicle or outside the vehicle, tent, lean, dugout or other fixed building. Medical team does not have a separate vehicle for evacuation, but patients either picked up with vehicles from battalion's field care station or company's own vehicles.
Battalion's medical platoon consists of two medical officers, four medical non-commissioned officers, as well as 12 medical specialists. Primary goal of the field care station set up by the medical platoon is the patient evacuations.
Field care station contains battalion's primary evacuation capability. Concentration makes easier to secure patient evacuations to the brigade level field hospital. Patients are primarily evacuated from battalion field care station to the brigade field hospital, but they can also be used for evacuating patients directly to the evacuation hospitals, but given that the armoured ambulances are meant for evacuations under battlefield conditions, driving them long times behind the friendly lines can be seen as waste of capability.
Medical company of the brigade support battalion sets up field care centre stationed in containers and tents. Its primary task is primary surgical care and evacuations for the patients. It consists of command and support platoon, evacuation platoon and surgery platoon. Strength of the company is 94 of which 12 is doctors and 48 is other medical personnel. Surgery platoon sets up two surgery stations. Medical company acts normally in collected manner, but can easily be split into two parts. In war evacuations are done in sequences so that the readiness of care can be ensured in all the times.Only immediate tasks to save life, limb and eye sight are done at field care centres, from which patients are evacuated to the evacuation hospitals and field hospitals.
Casualty evacuation.Instant access to treatment reduces mortality substantially and the delays in access to care increase it sharply. Casualty evacuation is usually the most critical when delivering wounded from the casualty spot to the primary care at the company. Land transport is a Basic solution, while helicopters are used where situation allows. Rough terrain vehicles are used in early parts of the Casualty evacuation. Ambulance team is responsible for evacuations behind the lines. Its use is an ambulances as well as buses and vans with medical equipment.
Field Medical EquipmentDefence Forces takes care equipping its troops with basic medical equipment. Material purchased in advance already in peacetime and packed under the field of medical titles. Medicines and other rapidly perishable materials purchased when troops are set up. Material supplies are brought from civilian factories and whole salers using logistics channels of the civilian sector up to the evacuation hospital. Here the material is divided among the troops along with patient evacuations.