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In response to the long-drawn-out crises in the Middle East and North Africa (MENA) region, the Global Health Institute (GHI) Academy at the American University of Beirut (AUB) in partnership with the David Nott Foundation organized a surgical training in hostile environments workshop (May 28-30 at AUB). The David Nott Foundation Hostile Environment Surgical Training (HEST) course is a satellite of the Surgical Training for the Austere Environment (STAE) course that Dr. Nott directs at the Royal College of Surgeons of England. The interactive three-day HEST course taught the essential surgical decision-making strategies and techniques for surgeons working in austere conditions. The course covered penetrating and crushing injuries as well as the management of trauma of the limbs, head, thorax and torso. A further focus is on post-disaster and conflict procedures including skin flaps, grafts, and the management of orthopedic fractures using external fixation and traction. #SurgicalTraining #war #HostileEnvironment #Surgeons #training #globalhealth #globalhealthinstitute