From the Department of Surgery (J.B., B.P.M., H.W.K., M.B., R.A.H., L.H., A.E.H., E.M.J., J.A.P., R.H., K.J.N., J.-C.G.D.A., M.J.B., J.M.G.), Womack Army Medical Center, Fort Bragg, North Carolina; Department of Surgery (T.P.M., M.D.B., M.E.D., C.R., B.P.M., B.A.R., P.J.M.G., H.W.K., M.B., R.A.H., B.A.L., L.H., A.E.H., E.M.J., J.A.P., K.J.N., J.C.G.D.A., M.J.B., B.K.P., J.M.G.), Uniformed Services University of the Health Sciences; Department of Orthopaedic Surgery (T.P.M., M.D.B., M.E.D., C.R., P.J.M.G., R.A.H., B.K.P.), Walter Reed National Military Medical Center, Bethesda, Maryland; Department of Surgery (O.A.R., L.H., A.E.H., E.M.J., M.J.B.), University of Alabama at Birmingham, Heersink School of Medicine; Detachment 1 (O.A.R., J.A.P.), Air Force Special Operations Surgical Team, Birmingham, Alabama; Army Trauma Training Detachment (S.E.B., M.B., K.J.N.), Ryder Trauma Center; Department of Orthopaedics (S.E.B., J.C.G.D.A.), University of Miami Miller School of Medicine, Miami, Florida; Department of Surgery (T.H., J.M.G.), Blanchfield Army Community Hospital, Fort Campbell, Kentucky; Department of Surgery (B.A.R.), Landstuhl Regional Medical Center, Landstuhl, Germany; Department of Surgery (H.W.K.), University of Nevada, Las Vegas School of Medicine; Detachment 2 (H.W.K.), Air Force Special Operations Surgical Team, Las Vegas, Nevada; Department of Surgery (M.B.), University of Miami Miller School of Medicine, Miami, Florida; Department of Surgery (R.A.H.), San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, Texas; Department of Surgery (L.H., A.E.H., E.M.J., M.J.B.), Walter Reed National Military Medical Center, Bethesda, Maryland; Vascular Surgery Division, Department of Surgery (J.A.P.), Department of Orthopaedics and Rehabilitation (K.J.N.), Womack Army Medical Center, Fort Bragg, North Carolina; Department of Orthopaedic Surgery (J.C.G.D.A.), Landstuhl Regional Medical Center, Landstuhl, Rheinland-Pfalz, Germany; and Joint Trauma System (J.M.G.), DoD Center of Excellence for Trauma, Joint Base San Antonio-Fort Sam Houston, Texas.
J Trauma Acute Care Surg. 2023 Aug 1;95(2S Suppl 1):S13-S18. doi: 10.1097/TA.0000000000004062. Epub 2023 May 29.
The objective of this study is to describe the United States and allied military medical response during the withdrawal from Afghanistan.
The military withdrawal from Afghanistan concluded with severe hostilities resulting in numerous civilian and military casualties. The clinical care provided by coalition forces capitalized on decades of lessons learned and enabled unprecedented accomplishments.
In this retrospective, observational analysis, casualty numbers, and operative information was collected and reported from military medical assets in Kabul, Afghanistan. The continuum of medical care and the trauma system, from the point of injury back to the United States was captured and described.
Prior to a large suicide bombing resulting in a mass casualty event, the international medical teams managed distinct 45 trauma incidents involving nearly 200 combat and non-combat civilian and military patients over the preceding 3 months. Military medical personnel treated 63 casualties from the Kabul airport suicide attack and performed 15 trauma operations. US air transport teams evacuated 37 patients within 15 hours of the attack.
Lessons learned from the last 20 years of combat casualty care were successfully implemented during the culmination of the Afghanistan conflict. Ultimately, the effort, teamwork, and system adaptability exemplify not only the attitudes and character of service members who provide modern combat casualty care but also the paramount importance of the battlefield learning health care system. A continued posture to maintain military surgical preparedness in unique environments remain crucial as the US military prepares for the future.Retrospective observational analysis.
Therapeutic/Care Management; Level V.
本研究旨在描述美国及其盟军在从阿富汗撤军期间的医疗反应。
阿富汗撤军行动以激烈的敌对行动结束，导致众多平民和军人伤亡。联军提供的临床护理借鉴了数十年的经验教训，取得了前所未有的成就。
在这项回顾性观察分析中，从阿富汗喀布尔的军事医疗资产中收集和报告了伤员人数和手术信息。描述了从受伤点到美国的连续医疗护理和创伤系统。
在一次大规模自杀式爆炸导致大规模伤亡事件之前，国际医疗团队在过去 3 个月中处理了 45 起不同的创伤事件，涉及近 200 名战斗和非战斗平民和军人患者。军事医务人员治疗了喀布尔机场自杀袭击中的 63 名伤员，并进行了 15 次创伤手术。美国空运队在袭击发生后 15 小时内撤离了 37 名患者。
从过去 20 年的战斗伤员护理中吸取的经验教训在阿富汗冲突的最后阶段成功实施。最终，努力、团队合作和系统适应性不仅体现了提供现代战斗伤员护理的服务人员的态度和性格，而且还体现了战场学习医疗保健系统的至关重要性。美国军方为未来做准备时，继续保持在独特环境下的军事外科准备姿态仍然至关重要。回顾性观察分析。
治疗/护理管理；等级 V。
