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  • Title: Combat "Category A" calls: evaluating the prehospital timelines in a military trauma system.
    Author: McLeod J, Hodgetts T, Mahoney P.
    Journal: J R Army Med Corps; 2007 Dec; 153(4):266-8. PubMed ID: 18619160.
    Abstract:
    AIM: To establish the pre-hospital timelines for seriously injured UK military casualties on OP HERRICK. POPULATION: All consecutive MERT and MERT-E mobilizations from Camp Bastion, Helmand Province, between 04 May 06 and 18 Jun 07. METHODS: Interrogation of MS Access database compiled from paper patient report forms for each casualty transported. RESULTS: 528 patients were transported. 84.6% (456) were battle casualties. There were 192 GSW and 233 casualties with blast/fragmentation injuries. 189 of 528 (35.7%) were UK Service personnel. Median time from injury to handover at the emergency department for UK military T1 casualty subset was 99 minutes. CONCLUSION: The public perception of excessive timelines for pre-hospital care in Afghanistan has been distorted. The ground truth is a pre-hospital time less than one quarter of the cited 7 hours for the seriously injured subset of UK Service personnel.
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