The Maritime Medical Emergency Response Team: what do we really need?

S J Mercer, M A Khan, C M Hillman, J Robin, J J Matthews
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Abstract

Since 2006, the Defence Medical Services (DMS) pre-hospital care focus has been the Medical Emergency Response Team (MERT), which has enabled the projection of Damage Control Resuscitation (DCR) to the point of wounding as part of consultant- delivered care. Now in a period of contingency operations, the Royal Navy (RN)’s Role 2 medical capability, Role 2 Afloat (R2A) delivers DCR (including surgery) on a maritime platform. This article will focus on the development of the Maritime MERT component of R2A (termed Maritime In Transit Care (MITC) in Maritime Medical Doctrine) and will discuss the requirements based on experience of and preparation for an operation in 2016. Also discussed are the individual competencies and training required to be part of the Maritime MERT; it is hoped that this will simulate debate around this evolving team.

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海上医疗应急反应小组:我们真正需要什么?
自2006年以来,国防医务处院前护理的重点一直是医疗紧急反应小组,该小组能够将伤害控制复苏(DCR)作为顾问提供护理的一部分,预测到受伤点。现在,在应急行动期间,皇家海军(RN)的第二角色医疗能力,第二角色漂浮(R2A)在海上平台上提供DCR(包括手术)。本文将重点介绍R2A的海事医疗(在海事医学理论中称为海上过境医疗(MITC))部分的发展,并将根据2016年行动的经验和准备讨论相关要求。还讨论了个人能力和培训要求成为海事应急反应的一部分;希望这将模拟围绕这支不断发展的球队的辩论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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