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Hornez E, Cotte J, Thomas G, Prat N, Vauchaussade de Chaumont A, Daban JL, Boddaert G, Pasquier P, Castel F, Mahe P, Balandraud P. Ultra-forward surgical support for special operations forces. Conception, development and certification of the French Special Operations Surgical Team (SOST) airborne capability. Injury 2024; 55:111002. [PMID: 37633765 DOI: 10.1016/j.injury.2023.111002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 07/11/2023] [Accepted: 08/09/2023] [Indexed: 08/28/2023]
Abstract
When special operations forces (SOF) are in action, a surgical team (SOST) is usually ground deployed as close as possible to the combat area, to try and provide surgical support within the golden hour. The French SOST is composed of 6 people: 2 surgeons, 1 scrub nurse, 1 anaesthetist, 1 anesthetic nurse and 1 SOF paramedic. It can be deployed in 45 min under a tent or in a building. However, some tactical situations prevent the ground deployment. A solution is to deploy the SOST in a tactical unprepared aircraft hold, to make it possible to offer DCS, to treat non-compressible exsanguinating trauma, without any ground logistical footprint. This article describes the stages of the design, development and certification process of the airborne SOST capability. The authors report the modifications and adaptations of the equipment and the surgical paradigms which make it possible to solve the constraints linked to the aeronautical and combat environment. Study type/level of evidence Care management Level of Evidence IV.
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Affiliation(s)
- Emmanuel Hornez
- Digestive surgery, Percy Military teaching hospital, 1 rue Raoul Batany, 92140, Clamart, France; École du Val-de-Grâce, French Military Medical Service Academy, Paris, France.
| | - Jean Cotte
- Intensive care unit, Sainte Anne Military teaching hospital, Toulon, France
| | - Gil Thomas
- 1 CSS/FS, French Military Medical Service, Villacoublay, France
| | - Nicolas Prat
- French Military Biomedical Research Institute, bretigny, France; École du Val-de-Grâce, French Military Medical Service Academy, Paris, France
| | | | - Jean Louis Daban
- Intensive care unit, Percy Military teaching hospital, 1 rue Raoul Batany, 92140, Clamart, France
| | - Guillaume Boddaert
- Thoracic surgery, Percy Military teaching hospital, 1 rue Raoul Batany, 92140, Clamart, France; École du Val-de-Grâce, French Military Medical Service Academy, Paris, France
| | - Pierre Pasquier
- 1 CSS/FS, French Military Medical Service, Villacoublay, France; École du Val-de-Grâce, French Military Medical Service Academy, Paris, France
| | - Fabrice Castel
- 1 CSS/FS, French Military Medical Service, Villacoublay, France
| | - Pierre Mahe
- 1 CSS/FS, French Military Medical Service, Villacoublay, France
| | - Paul Balandraud
- Digestive surgery, Sainte Anne Military teaching hospital, Toulon, France; École du Val-de-Grâce, French Military Medical Service Academy, Paris, France
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