Bott G, Barnard J, Prior K
J R Nav Med Serv. 2015;101(2):104-6.
Operation GRITROCK saw the first operational deployment of the Maritime In Transit Care team from the Role 2 (Enhanced) (R2(E)) Medical Treatment Facility, which is able to provide Damage Control Surgery and the limited holding of patients, situated on board RFA ARGUS. Whilst the Medical Emergency Response Team demonstrated the capability of advanced military Pre-Hospital Emergency Care (PHEC) on Op HERRICK, the need to provide a similar high level of care on contingency operations was recognised. Op GRITROCK allowed for the continued exploration of a maritime capability from an established R2(E) platform whilst providing medical evacuation capability for a significant population at risk distributed over a large Joint Operation Area. Although the patient load during the operation was low, key lessons were learnt and opportunities identified to further develop the newly recognised sub-speciality of PHEC, both medically and logistically, and these will be discussed in this article.
“坚毅磐石行动”见证了来自二级（强化）（R2(E)）医疗设施的海上转运护理团队的首次作战部署，该设施位于皇家舰队辅助船“阿格斯”号上，能够实施损伤控制手术并有限度地收治患者。虽然医疗应急反应小组在“赫里克行动”中展示了先进的军事院前急救（PHEC）能力，但人们认识到在应急行动中也需要提供类似的高水平护理。“坚毅磐石行动”使得能够从已有的R2(E)平台继续探索海上能力，同时为分布在广大联合作战区域的大量高危人群提供医疗后送能力。尽管行动期间的患者数量较少，但还是吸取了关键经验教训，并发现了在医疗和后勤方面进一步发展新认可的院前急救专科的机会，本文将对此进行讨论。
