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Fixing the Wounded or Keeping Lead in the Air: Tactical Officers’ Views of Emergency Care on the Battlefield
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences. Centre for Defence Medicine, Swedish Armed Forces, Göteborg, Sweden. (Medicinsk pedagogik)
Centre for Defence Medicine, Swedish Armed Forces, Göteborg, Sweden/Borås University, School of Health Sciences,Borås Sweden.
Centre for Defence Medicine, Swedish Armed Forces, Göteborg, Sweden/Borås University, School of Health Sciences,Borås Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences. (Medicinsk pedagogik)
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2015 (English)In: Military medicine, ISSN 0026-4075, E-ISSN 1930-613X, Vol. 180, no 2, 224-229 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to identify tactical officers’ views of pre-hospital emergency care in the field before an international mission. A qualitative study with a phenomenographic approach based on interviews was used. The result of this study is a set of descriptive categories on a collective level, showing the variation in how the tactical officers perceived the phenomenon of emergency care in the battlefield. The result can be viewed as (1) noncombat oriented including being able to do one’s specialist task, being able to talk with local people and being able to give first aid, (2) combat oriented including soldiers’ skills and roles in the unit, being able to act in the unit and being able to lead the care of  injured These findings are important for officers’ preparation for international missions. The interaction between military and medical knowledge on-site care should be developed between the tactical officer and the medical personnel in order to minimize suffering and to enhance the possibility for survival of the casualty.

Place, publisher, year, edition, pages
Association of Military Surgeons Us , 2015. Vol. 180, no 2, 224-229 p.
National Category
Social Sciences Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-111668DOI: 10.7205/MILMED-D-13-00558ISI: 000349101900016PubMedID: 25643391OAI: oai:DiVA.org:liu-111668DiVA: diva2:758868
Note

Funding Agencies|Swedish Armed Forces; Centre for Defence Medicine; VastraFrolunda; Department of Medical and Health Sciences, University of Linkoping

Available from: 2014-10-28 Created: 2014-10-28 Last updated: 2017-12-05Bibliographically approved
In thesis
1. Militär akutsjukvård i fält: när den övade verkligheten blir verklig
Open this publication in new window or tab >>Militär akutsjukvård i fält: när den övade verkligheten blir verklig
2014 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aims: Governing for the Armed Forces health care is respect for human dignity and the view of each individual as irreplaceable. The quality of the military care will be at a level equivalent to that of today's civil peace healthcare, which requires that the training is of high quality. Casualty care in the military environment is a complex, challenging and dangerous task. Today there is a lack of knowledge about how to learn these skills. The purpose of the research was to identify the knowledge area pre-hospital care in the military environment by examining what doctors, nurses, paramedics and officers learn about military health care during preparation and exercise.

Method: A phenomenographic approach was used in all sub-studies, and empirical data were collected by means of semi-structured interviews. Study I‐III are cross-sectional studies and study IV is a longitudinal study. Twelve registered nurses who had served in Bosnia were interviewed for study I, and 24 conscript paramedics were interviewed for study II. Study III included 20 officers in their pre-deployment training for service in Afghanistan and Liberia, and Study IV included 7 doctors and twenty nurses who previously had served in Afghanistan, Bosnia, Kosovo and Liberia.

Results: Learning military health care by training and gaining experience can be seen as different abilities; interaction, action and reflection. In-depth analysis at a meta--‐level revealed that the integration between the military and military medical fields of knowledge was missing. The results indicate that participants' understanding of their respective fields of knowledge is inadequate and needs to be integrated in education in a clearer way.

Implications: To create opportunities for better education and integration in these fields of knowledge are proposed (1) that the findings of the thesis could be utilised to develop the design of the curriculum (2) the inter-professional learning is introduced as a part of creating a safer and more effective pre-hospital care, (3) the clinical competence becomes part of the development of pre-hospital emergency care in the field, and (4) that the training is built according to the principle of "train as you fight" with emphasis on the requirements in the combat zone.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2014. 76 inkl. 3 bilagor p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1411
National Category
Pedagogy
Identifiers
urn:nbn:se:liu:diva-111670 (URN)10.3384/diss.diva-111670 (DOI)978-91-7519-284-0 (ISBN)
Public defence
2014-11-24, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2014-10-28 Created: 2014-10-28 Last updated: 2014-10-31Bibliographically approved

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Andersson, Sten-OveTingström, PiaAbrandt Dahlgren, Madeleine

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