During Herrick 19, Main Operating Base Price Role 1 treatment facility saw one of the busiest periods of Role 1 trauma care within the British Afghanistan campaign. Within 5 months 73 trauma casualties were treated, 48 of whom were category A. This article shares the experiences of this Role 1 and its unusual context, and discusses the relevance with regard to future medical planning. The focus is on the human element; a fundamental of all military operations yet one that is often overlooked. We consider the team construct and the team members of Role 1 and suggest how this team and its leaders can be optimally prepared, supported and maintained, and then safely disassembled. We also consider how best this team can be placed within the battle group formation in order to provide the highest standard of care.
- ACCIDENT & EMERGENCY MEDICINE
- MEDICAL EDUCATION & TRAINING
- PRIMARY CARE
- Received May 30, 2016.
- Revision received July 25, 2016.
- Accepted August 1, 2016.
- Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
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Contributors AD wrote the article and was the lead clinician for the Role 1 facility cited in the article on H19. SD provided guidance in an editorial capacity and was co-responsible with AD for devising the theme of the article; he was lead primary care clinician on H19. LB provided further editorial guidance and ‘staff’ input; he was also deployed within the med support group on H19.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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