Healthcare in DangerSurgeon Rear Admiral Lionel Jarvis

CBE QHS FRCR

Healthcare in DangerSurgeon Rear Admiral Lionel Jarvis

CBE QHS FRCR

Challenges for the Defence Medical ServicesChallenges for the Defence Medical Services

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Training

• Professional Training

• Military Training

• Laws of Armed Conflict

• Medical Ethics

• Ethical Dilemmas

Medical Emergency Response Team (MERT)

Contact: casualties sustained

9-Liner sent to Brigade and forwarded to JOC

MERT to HLS

Await Apache and clearance to deploy

Fly to EHLS

Loiter if EHLS hot (gnd prep)

Time on ground

Return flight

HLS to ED

Role 3 Medical Facility BASTION

University Hospital Birmingham Foundation Trust

Nationalities

ISSUES: 1. 21st Century Conflict

• Rapid Electronic Communication

• Media Interest & Access

• Asymmetry of War Fighting

• Multi-National Coalitions

• Multiplicity of Providers

• Asymmetric Medical Advances

• Evolving Medical Audit & Governance

ISSUES: 2. Dilemmas for Medics on Front Line• Self Defence• Protection of Comrades• Protection of Casualties• Triage & Prioritization• Resources• Disposal of Casualties• Use of Protective Emblems• Support to MEDCAP

ISSUES: 3. Dilemmas in Deployed Hospitals

• Admissions

• Discharges

• Use of Resources

• Artificial Sustainment of Life

• Relationship with Other Medical Providers