Dansk bemanding af felthospital afghanistan 2009 herrick 10b
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Dansk bemanding af felthospital Afghanistan 2009 Herrick 10b. Field Hospital Helmand Afghanistan 2009 Herrick 10b Ethical Considerations as Commander of an Allied Field Hospital. Jens Tingleff. Conscript Danish Liferegiment 1977. Sergeant – Lieutenant-R > Major-R 1999.

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Dansk bemanding af felthospital Afghanistan 2009 Herrick 10b

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Dansk bemanding af felthospital afghanistan 2009 herrick 10b

Dansk bemanding affelthospitalAfghanistan 2009Herrick 10b

Field Hospital HelmandAfghanistan 2009Herrick 10b

Ethical Considerations as Commander of an Allied Field Hospital


Dansk bemanding af felthospital afghanistan 2009 herrick 10b

Jens Tingleff

  • Conscript Danish Liferegiment 1977.

  • Sergeant – Lieutenant-R > Major-R 1999.

  • Press and Information Officer/Army. Operational Command.

  • Medical study, Copenhagen University 1980-87.

  • Thoracic Surgery: Rigshospital – Lund – Gentofte.

  • Consultant at Gentofte Hospital 2005.

  • Commanding Officer Danish Field Hospital from October 2007.


Agenda for the presentation

Agenda for the Presentation

  • What is a field hospital

  • What did we do in Afghanistan

  • Some ethical considerations


What is a field hospital

What is a Field Hospital

  • Hospital Care on a very high standard

  • The Hospital is there because the armed force is involved in the conflict

  • The Geneva Convention


Op herrick r2e bsn

Op HERRICK R2E -BSN

Training and Preparation for the Staff


Dansk bemanding af felthospital afghanistan 2009 herrick 10b

5

3

8

11

5

13

US

20

14

17

20

5

DK

21

7

4

UK

7

13

7

5

Manning and Management

HQ 35

ED 40

Hospital

ITU 32

Theatre 32

Total185

DK 97

UK 43

US 45

Ward 33

LAB – X-ray 13


Agenda for the presentation1

Agenda for the Presentation

What is a field hospital

What did we do in Afghanistan

Some ethical considerations


Admissions to the emergency department

HERRICK 10a

HERRICK 10b

Number of patients/week

Admissions to the Emergency Department


Break down by nationality

Break down by nationality


Clinical effectiveness

Clinical Effectiveness

45 patient were “Right Turn Resuscitation”

67 required Massive Transfusion

>10 Clinical Unexpected Survivors

2 Survivors of trauma pneumonectomy


Agenda for the presentation2

Agenda for the Presentation

What is a field hospital

What did we do in Afghanistan

Some ethical considerations


Dansk bemanding af felthospital afghanistan 2009 herrick 10b

Political Attention

  • War is a political instrument

  • Political leaders want to been seen in a Field Hospital

    • Respect for the wounded soldiers?

    • We do what we can to minimal the risk.


Hearts and minds

Hearts and Minds


Dansk bemanding af felthospital afghanistan 2009 herrick 10b

Then are patient ready to discharge?

MISSION COMPLETE


Unequal treatment

Unequal Treatment?


Medical intelligence

Medical Intelligence

  • Medical information about the enemy

  • Description of medical consequences of war

  • “Forensic Science” – who is shooting on who


Dansk bemanding af felthospital afghanistan 2009 herrick 10b

Strength through Confidence


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