Newman Darryl A
Emergency Department, MDHU Derriford, Plymouth, Devon.
J R Nav Med Serv. 2012;98(1):16-8.
This article examines the non clinical skills and training required for effective maritime pre-hospital emergency care provision within a Role Two Afloat facility, allowing for a Primary Retrieval Team to be deployed in support of boarding operations. The provision of pre-hospital emergency care and sending a retrieval team forward has been trialled in various forms. In 2010 and 2011 a R2A team was deployed aboard RFA FORT VICTORIA. This included a Primary Retrieval Team consisting of an Emergency Nurse Specialist, a Medical Assistant which can be enhanced when required by an Emergency Care or Anaesthetic Consultant. This differs from the land operations support provided by the airborne Medical Emergency Response Team (MERT) as the maritime environment requires a bespoke solution for casualty retrieval as the method of deployment and the type of casualties and their locations may be more varied, requiring greater flexibility of approach.
本文探讨了在二级海上设施内有效提供海上院前急救所需的非临床技能和培训，以便能够部署一支初级救援小组来支持登船行动。以各种形式对提供院前急救和派遣一支救援小组上前线进行了试验。2010年和2011年，一支二级海上救护队被部署到皇家舰队辅助船“维多利亚堡”号上。这其中包括一个初级救援小组，由一名急诊护士专家、一名医疗助理组成，必要时可由一名急救或麻醉顾问加强力量。这与空中医疗应急小组（MERT）提供的陆地行动支持有所不同，因为海上环境需要针对伤员救援制定定制方案，这是由于部署方式、伤员类型及其位置可能更多样化，需要更灵活的方法。
