Jurnal Internasional Afrika vol. 10 issue 1 2020
African Journal of Emergency Medicine
An analysis of US Africa command area of operations military medical transportations, 2008–2018
Dublin Core
Title
Jurnal Internasional Afrika vol. 10 issue 1 2020
African Journal of Emergency Medicine
An analysis of US Africa command area of operations military medical transportations, 2008–2018
African Journal of Emergency Medicine
An analysis of US Africa command area of operations military medical transportations, 2008–2018
Subject
Medical
Evacuation
Military
Africa
Transport
Trauma
Evacuation
Military
Africa
Transport
Trauma
Description
Introduction: With personnel scattered throughout a continent 3 times larger than the United States, a lack of
mature medical facilities necessitates a significant transportation network for medical evacuation in US Africa
Command (AFRICOM). We describe medical evacuations analyzed from the US Air Force Transportation
Command Regulating and Command & Control Evacuation System (TRAC2ES).
Methods: We performed a retrospective review of all TRAC2ES medical records for medical evacuations from the
AFRICOM theater of operations conducted between January 1, 2008 and December 31, 2018. We abstracted free
text data entry in TRAC2ES for diagnostic and therapeutic interventions performed prior to the patient movement
request.
Results: During this time, there were 963 cases recorded in TRAC2ES originating within AFRICOM. 961 records
were complete for analysis. Most patients were male (82%) and military personnel (92%). Most transports
originated in Djibouti (72%), and Germany (93%) was the most common destination. Medical evacuations were
largely routine (66%), and routine evacuations were proportionally highest amongst US military personnel
compared to all other groups. A small portion of patients were evacuated for battle injuries (4%), compared to
non-battle injury (33%) and disease (63%). Within disease, the largest proportion of patient complaints centered
on gastrointestinal symptoms (13%), behavioral health (11%) and chest pain (8%). Prior to evacuation, only
55% of patients were document as receiving any medication. Pain control was documented in 21% of cases, most
commonly being NSAIDs (7%).
Discussion: Extremely low numbers of battle injuries highlight the unique nature of AFRICOM operations
compared to areas with more intense combat operations. Limitations of the dataset highlight the need for a data
collection mandate within AFRICOM as within other areas for optimization and performance improvement.
mature medical facilities necessitates a significant transportation network for medical evacuation in US Africa
Command (AFRICOM). We describe medical evacuations analyzed from the US Air Force Transportation
Command Regulating and Command & Control Evacuation System (TRAC2ES).
Methods: We performed a retrospective review of all TRAC2ES medical records for medical evacuations from the
AFRICOM theater of operations conducted between January 1, 2008 and December 31, 2018. We abstracted free
text data entry in TRAC2ES for diagnostic and therapeutic interventions performed prior to the patient movement
request.
Results: During this time, there were 963 cases recorded in TRAC2ES originating within AFRICOM. 961 records
were complete for analysis. Most patients were male (82%) and military personnel (92%). Most transports
originated in Djibouti (72%), and Germany (93%) was the most common destination. Medical evacuations were
largely routine (66%), and routine evacuations were proportionally highest amongst US military personnel
compared to all other groups. A small portion of patients were evacuated for battle injuries (4%), compared to
non-battle injury (33%) and disease (63%). Within disease, the largest proportion of patient complaints centered
on gastrointestinal symptoms (13%), behavioral health (11%) and chest pain (8%). Prior to evacuation, only
55% of patients were document as receiving any medication. Pain control was documented in 21% of cases, most
commonly being NSAIDs (7%).
Discussion: Extremely low numbers of battle injuries highlight the unique nature of AFRICOM operations
compared to areas with more intense combat operations. Limitations of the dataset highlight the need for a data
collection mandate within AFRICOM as within other areas for optimization and performance improvement.
Creator
Brandon Carius, William T. Davis, Carlissa D. Linscomb, Mireya A. Escandon, Dylan Rodriguez, Nguvan Uhaa, Joseph K. Maddry, Kevin K. Chung, Steve Schauer
Source
www.elsevier.com/locate/afjem
Date
25 September 2019
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Brandon Carius, William T. Davis, Carlissa D. Linscomb, Mireya A. Escandon, Dylan Rodriguez, Nguvan Uhaa, Joseph K. Maddry, Kevin K. Chung, Steve Schauer, “Jurnal Internasional Afrika vol. 10 issue 1 2020
African Journal of Emergency Medicine
An analysis of US Africa command area of operations military medical transportations, 2008–2018,” Repository Horizon University Indonesia, accessed March 13, 2025, https://repository.horizon.ac.id/items/show/2410.
African Journal of Emergency Medicine
An analysis of US Africa command area of operations military medical transportations, 2008–2018,” Repository Horizon University Indonesia, accessed March 13, 2025, https://repository.horizon.ac.id/items/show/2410.