Evolution of military evacuation activity in French Guiana over 10 years: a retrospective observational study.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-05-22 DOI:10.1136/military-2022-002125

Valentin Vial, G Egmann, D Jost, C Ilcinkas, C Manot, P-M Astrié, K Arrivé, S Travers, N André

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Abstract

Background: Three permanent military operations are established in French Guiana. The Cayenne medical unit is a French military search and rescue unit and provides MEDEVAC and CASEVAC for ill and injured soldiers. The main objective of this study was to describe the temporal trends of its evacuation missions over 10 years. The secondary purpose was to document the means used for these missions.

Methods: This retrospective observational study included patients who were evacuated for a medical reason or an injury during military operations in French Guiana. We collected the data from the computerised registers the medical department had stored.

Results: From 1 January 2010 to 31 December 2019, 1070 patients were included, representing a median annual incidence of 115 (IQR 91-122) evacuations. Of these, 602 (59%) were evacuated by helicopter, 214 (21%) by airplane, 182 (18%) by ambulance and 19 (2%) by pirogue.Reasons for evacuation were diseases in 664 (62%) patients, non-battle injuries in 389 (36%) patients and battle injuries in 17 (2%) patients. Finally, 286 (29%) evacuations were MEDEVAC and 712 (71%) were CASEVAC.Over the years, the increasing number of evacuations reached a maximum of 183 in 2018. Helicopter evacuations, once the primary mode of evacuation, have declined proportionately in favour of other means of evacuation.

Conclusion: Evacuation missions by the Cayenne medical unit increased over the 10-year study period, while helicopter use decreased. This evolution is a response to the constraints of adapting military operations to fight against illegal gold mining in the Amazonian Forest. Improvement of the means and procedures allows provision of the best care to patients while ensuring the ongoing conduct of military operations.

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法属圭亚那 10 年间军事撤离活动的演变：一项回顾性观察研究。

背景：法属圭亚那有三个常设军事行动。卡宴医疗队是法国的一支军事搜救队，为伤病士兵提供医疗后送和 CASEVAC。本研究的主要目的是描述其 10 年来执行后送任务的时间趋势。次要目的是记录这些任务所使用的手段：这项回顾性观察研究包括在法属圭亚那军事行动期间因医疗原因或受伤而撤离的病人。我们从医疗部门保存的电脑登记簿中收集数据：从 2010 年 1 月 1 日到 2019 年 12 月 31 日，共有 1070 名患者被纳入研究范围，年中位数为 115（IQR 91-122）次撤离。其中，602 人（59%）通过直升机后送，214 人（21%）通过飞机后送，182 人（18%）通过救护车后送，19 人（2%）通过独木舟后送。664 人（62%）的后送原因是疾病，389 人（36%）的后送原因是非战伤，17 人（2%）的后送原因是战伤。最后，286 次（29%）后送为医疗后送，712 次（71%）为 CASEVAC。多年来，后送次数不断增加，2018 年达到最多的 183 次。直升机后送曾是主要的后送方式，但现在已按比例下降，转而采用其他后送方式：在 10 年的研究期间，卡宴医疗队的后送任务有所增加，而直升机的使用则有所减少。这一演变是对亚马逊森林打击非法采金军事行动的限制因素的回应。改进手段和程序可以为病人提供最好的护理，同时确保军事行动的持续进行。

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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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.