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首页> 外文期刊>African Journal of Emergency Medicine >An analysis of US Africa command area of operations military medical transportations, 2008–2018
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An analysis of US Africa command area of operations military medical transportations, 2008–2018

机译：2008 - 2018年美国非洲作战指挥区的分析

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IntroductionWith personnel scattered throughout a continent 3 times larger than the United States, a lack of mature medical facilities necessitates a significant transportation network for medical evacuation in US Africa Command (AFRICOM). We describe medical evacuations analyzed from the US Air Force Transportation Command Regulating and Command & Control Evacuation System (TRAC2ES).MethodsWe performed a retrospective review of all TRAC2ES medical records for medical evacuations from the AFRICOM theater of operations conducted between January 1, 2008 and December 31, 2018. We abstracted free text data entry in TRAC2ES for diagnostic and therapeutic interventions performed prior to the patient movement request.ResultsDuring this time, there were 963 cases recorded in TRAC2ES originating within AFRICOM. 961 records were complete for analysis. Most patients were male (82%) and military personnel (92%). Most transports originated in Djibouti (72%), and Germany (93%) was the most common destination. Medical evacuations were largely routine (66%), and routine evacuations were proportionally highest amongst US military personnel compared to all other groups. A small portion of patients were evacuated for battle injuries (4%), compared to non-battle injury (33%) and disease (63%). Within disease, the largest proportion of patient complaints centered on gastrointestinal symptoms (13%), behavioral health (11%) and chest pain (8%). Prior to evacuation, only 55% of patients were document as receiving any medication. Pain control was documented in 21% of cases, most commonly being NSAIDs (7%).DiscussionExtremely low numbers of battle injuries highlight the unique nature of AFRICOM operations compared to areas with more intense combat operations. Limitations of the dataset highlight the need for a data collection mandate within AFRICOM as within other areas for optimization and performance improvement.
机译：缺乏比美国大陆散落的介绍，缺乏成熟的医疗设施，需要在美国非洲指挥（非洲）中医学疏散的重要交通网络。我们描述了从美国空军运输指挥规范和指挥和控制疏散系统（TRAC2ES）分析的医学疏散.Methodswe对所有Trac2es的回顾性审查了2008年1月1日至12月在2008年1月1日至12月之间进行的非洲剧院的医疗疏散记录我们在Trac2es中抽象了自由文本数据条目，用于在患者移动请求之前进行的诊断和治疗干预措施。这次进行，在源于非洲的Trac2es中录制了963例。 961条记录进行分析。大多数患者是男性（82％）和军事人员（92％）。大多数运输起源于吉布提（72％），德国（93％）是最常见的目的地。医学疏散在很大程度上是常规的（66％），与所有其他群体相比，美国军人之间的常规抽空性比例最高。与非战斗损伤（33％）和疾病（63％）相比，一小部分患者被疏散（4％）。在疾病中，最大比例的患者投诉以胃肠道症状（13％），行为健康（11％）和胸痛（8％）为中心。在疏散之前，只有55％的患者被记录为接受任何药物。止痛药被记录在21％的病例中，最常见的是NSAID（7％）。讨论意外较低的战斗伤害突出了与具有更激烈战斗行动的领域的非洲操作的独特性。数据集的限制突出了非洲内部数据收集授权的必要性，如其他领域，以优化和性能改进。

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