5 BRONZE MEDALS awarded to Air Force Surgical Team for actions in Afghanistan скачать в хорошем качестве

5 BRONZE MEDALS awarded to Air Force Surgical Team for actions in Afghanistan

BIRMINGHAM, Ala. Five members of the SOST Gold Team were awarded Bronze Star Medals by the Air Force for their actions during that 2016 deployment. “A SOST is a mobile surgical team with advanced medical and tactics training which can deploy to austere or hostile areas to provide surgical support,” said Lt. Col. Ben Mitchell, SOST leader and emergency room medical doctor with the 720th Operations Support Squadron. “Our mission is to provide early, potentially life-saving surgery to wounded American military personnel or to the local population.” In 2016, the UAB Gold Team deployed in support of Operation INHERENT RESOLVE, setting up at an austere, forward location that served as a collection point for injured local fighters. “When we arrived on location, we basically were jumping into a fast-moving river of trauma,” said Lt. Col. Matt Uber, the team’s nurse-anesthetist. There were some local medical personnel at the farmhouse, and some U.S .military medics, but no surgical capacity. As word spread of their arrival, the river of trauma began to flow. “We had patients on site within two hours of arrival at our location,” Mitchell said. “We treated more than 750 patients during our deployment, working 24/7.” Mitchell, Uber and the rest of the six-man team experienced 19 mass casualty events — when the river of patients would have overwhelmed even a good-sized emergency department in the states. They performed 16 lifesaving surgeries, sometimes while mortar rounds whistled overhead. Supplies were limited. Capt. Cade Reedy donated his own blood for one wounded fighter, while Maj. Nelson Pacheco organized other locals to donate multiple units. At times, the patients dramatically outnumbered the providers. Tech. Sgt. Richard Holguin, the team’s respiratory therapist, established an airway on one casualty while single-handedly managing another patient’s chest injury. For the first time ever in a forward wartime environment, Maj. Justin Manley, the team’s surgeon, performed a REBOA procedure, in which a balloon catheter is placed into a patient’s femoral artery. The balloon is inflated to stop severe bleeding. It is a difficult, even risky procedure, but it allowed the patient to survive until arrival at an operating room. The team used the same procedure three more times during the deployment, saving four patients who otherwise would not have survived. UAB hosts three, six-man SOST teams, who rotate on deployments that usually last about four months, followed by 11-12 months at the host medical facility. “We are adjuncts to the UAB staff, not replacements,” Mitchell said. “We train with our SOST teammates, but also work alongside the incredible medical professionals at UAB as much as possible.” “It is gratifying to know that we can play a role in helping the team reach and maintain peak proficiency in their medical skills prior to a deployment where those skills might be needed to save lives on a battlefield,” said Reid Jones, Chief Operating Officer of UAB Medicine. The team shares their experiences with their UAB counterparts in an exchange of learning that flows both ways. “Most of the major, significant contributions in trauma surgery have been made during times of military conflict,” Kerby said. “This affiliation with the Air Force, tapping into their experience and their expertise, certainly has a positive impact on what we are trying to do at UAB as a trauma center. At the same time, their opportunity to work as a team, in a busy, high-volume trauma center, has a positive impact on what they are trying to accomplish.” SOST members are involved in teaching residents and medical students at UAB through presentations and side-by-side training. The team has worked with over 200 first responders on proper techniques for using tourniquets to stop bleeding after trauma. “The tourniquet is a great example of how military medicine can change civilian practice,” Kerby said. “Tourniquets had fallen out of favor until recent battlefield experiences re-affirmed their utility in stopping major bleeds following severe trauma. SOST is now helping us re-introduce this lifesaving technique through our Stop the Bleed campaign.” Kerby says the whole approach to resuscitation has been amended by military experiences. UAB is looking at adding REBOA to its array of available medical procedures, and the SOST’s use of whole blood transfusion might also have applications in civilian medicine. “This is a win/win situation,” he said. “We help prepare them for their mission, and they come back with new ideas and new thinking that just might save lives in Birmingham, in Alabama and across the nation.”