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Dansk bemanding af felthospital Afghanistan 2009 Herrick 10b

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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  1. Dansk bemanding affelthospitalAfghanistan 2009Herrick 10b Field Hospital HelmandAfghanistan 2009Herrick 10b Ethical Considerations as Commander of an Allied Field Hospital

  2. 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.

  3. Agenda for the Presentation • What is a field hospital • What did we do in Afghanistan • Some ethical considerations

  4. 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

  5. Op HERRICK R2E -BSN Training and Preparation for the Staff

  6. 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 Total 185 DK 97 UK 43 US 45 Ward 33 LAB – X-ray 13

  7. Agenda for the Presentation What is a field hospital What did we do in Afghanistan Some ethical considerations

  8. HERRICK 10a HERRICK 10b Number of patients/week Admissions to the Emergency Department

  9. Break down by nationality

  10. Clinical Effectiveness 45 patient were “Right Turn Resuscitation” 67 required Massive Transfusion >10 Clinical Unexpected Survivors 2 Survivors of trauma pneumonectomy

  11. Agenda for the Presentation What is a field hospital What did we do in Afghanistan Some ethical considerations

  12. 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.

  13. Hearts and Minds

  14. Then are patient ready to discharge? MISSION COMPLETE

  15. Unequal Treatment?

  16. Medical Intelligence • Medical information about the enemy • Description of medical consequences of war • “Forensic Science” – who is shooting on who

  17. Strength through Confidence

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