Elizabeth A. M. Bhatta is the advanced practice registered nurse for the General Surgery and Trauma Service and a critical care nurse practitioner in the intensive care unit, Landstuhl Regional Medical Center, Germany.
MAJ Nathaniel J. DeCarli is assigned to the 759th Forward Resuscitative and Surgical Detachment (Airborne), Fort Liberty, North Carolina, and dually assigned to the Army Military Civilian Trauma Team Training with duty at the University of Chicago Medical Center.
Crit Care Nurse. 2024 Oct 1;44(5):42-47. doi: 10.4037/ccn2024819.
Operation Allies Refuge started in July 2021 with implications for critical care nurses, both military and civilian, serving at the US Army's Landstuhl Regional Medical Center in Landstuhl, Germany. Cultural and logistical concerns and complications were at the forefront of care provided to Afghan evacuees during the operation and were exacerbated by a mass casualty event on August 26, 2021, when a suicide bomber attacked the Abbey Gate of Hamid Karzai International Airport in Kabul, Afghanistan. This article discusses the issues that affected care, including language barriers, supply shortages, cultural differences, mass evacuation during a pandemic, and management of the mass casualty event by the critical care team. The information is compiled into a summary of lessons learned to assist in future management of emergency evacuee care within our military and civilian health care systems.
“Operation Allies Refuge”于 2021 年 7 月启动，对在德国兰施图尔的美国陆军兰施图尔地区医疗中心服务的军队和文职重症监护护士都有影响。在这次行动中，为阿富汗难民提供护理时，文化和后勤方面的关切和并发症是首要问题，2021 年 8 月 26 日，一起重大伤亡事件使情况恶化，当时一名自杀式炸弹袭击者袭击了阿富汗喀布尔的哈米德·卡尔扎伊国际机场的阿比门。本文讨论了影响护理的问题，包括语言障碍、供应短缺、文化差异、大流行期间的大规模疏散，以及重症监护团队对重大伤亡事件的管理。这些信息被汇编成一份经验教训总结，以帮助我们的军队和民用医疗保健系统在未来管理紧急疏散人员的护理。
