Sanitetsst tte til forsvarets internationale missioner

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BILAG 1: UKLASSIFICERET NATO definition af Role 1-4 75 Role 1. Role 1 medical support provides for routine primary health care, specialised first aid, triage, resuscitation and stabilisation. Role 2. Role 2 provides an intermediate capability for the reception and triage of casualties, as well as being able to perform resuscitation and treatment of shock to a higher technical level than Role 1. It will routinely include Damage Control Surgery (DCS) and may include a limited holding facility for the short term holding of casualties until they can be returned to duty or evacuated. Role 2 may also include Dentistry, Environmental Health and Psychiatry or Psychology. Role 2 Light Manoeuvre (2LM) Role 2LM MTFs are light, highly mobile MTFs to support component formations(normally brigade equivalent level). Normally these are only used for initial crisis or warfighting deployments. These MTFs act as a focal point for Role 1 MTFs in the formation, but may be bypassed if situation and resources allow. A Role 2LM MTF is able to conduct triage and advanced resuscitation procedures up to DCS. It will usually evacuate its post surgical cases to Role 3 (or Role 2E) for stabilisation and possible primary surgery before evacuation to Role 4. Role 2 Enhanced (2E) Role 2 Enhanced (2E) MTFs are effectively small field hospital. They provide basic secondary health care, built around primary surgery, ICU and nursed beds. A Role 2E MTF is able to stabilise post-surgical cases for evacuation to Role 4 without needing to put them through a Role 3 MTF first. Role 3. Role 3 is designed to provide secondary care within the restrictions of the Theatre Holding Policy. Role 3 medical support is deployed hospitalisation and the elements required to support it. This includes a mission-tailored variety of clinical specialities including primary surgery and diagnostic support. Role 4. Role 4 medical support provides the full spectrum of definitive medical care that cannot be deployed to theatre or is too time consuming to be conducted there.” 75 AMedP-13 NATO Glossary of medical Terms and Definitions (NOV 2000) UKLASSIFICERET Side 62 af 67
BILAG 2: UKLASSIFICERET Parametre i standarden: Best Medical Practise Clinical Governance Systemet består af 4 basale komponenter En sammenhængende tilgang til at forbedre klinisk effektivitet Stadig brug af audits Vedvarende professionel udvikling Etablering af effektive processer til at identificere og styre risici samt håndtere dårlig kvalitet i ydelser og behandling Metoden indeholder 3 nøglebegreber: Anerkendte høje standarder som fundament for behandling Gennemskuelighed hvad angår ansvar for og ejerskab af disse standarder En konstant stræben efter faglig forbedring Af dette fremgår, at metoden ikke forholder sig til, hvorledes implementeringen af metoden foregår eks. struktur, system eller proces bortset fra at fastlægge, at ansvaret for metoden skal ligge hos den øverste fagligt ansvarlige myndighed for patientbehandlingen og at alle underliggende sundhedsfaglige behandlingssystemer skal udfærdige en årlig rapport til ansvarlige myndighed om status på behandlingsområdet baseret på review af eget system til at praktisere Clinical Governance. Metoden indebærer i forbindelse med implementering en forpligtigelse til, at den øverste ansvarlige sundhedsfaglige myndighed og alle dens underlagte behandlingssystemer omsætter metodens principper til lokalt tilpassede strukturer, processer, roller og ansvarsområder. Evidens based medicine En viden, som er baseret på forskningsresultater og erfaringer og som er dokumenteret og kvalitetsvurderet ved brug af internationalt anerkendte videnskabelige metoder eks. riskbenefit analyser, metaanalyser af medicinsk litteratur, randomiserede kontrollerede forsøg. Anvendelsen og kvalitetsvurderingen af denne viden skal være underlagt kontinuerligt systematisk review af uafhængige og uvildige organisationer eks. Cochrane Collaboration Review Group 76 Af dette fremgår, at konceptet beskriver, hvordan viden opstår, dokumenteres og især kvalificeres. Kvalificeringen er alene funderet i videnskab og derigennem på objektive parametre, hvorved subjektive parametre så som angst, tro og tryghed ikke rummes i konceptet. Anerkendte stratifikations systemer 77 til kvalitetsvurdering af viden:: LEVEL OF SOURCE OF EVIDENCE EVIDENCE Level I Evidence obtained from at least one properly designed randomized controlled trial. Level II-1 Evidence obtained from well-designed controlled trials without randomization. Level II-2 Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center or research group Level II-3 Evidence obtained from multiple time series with or without the intervention. Dramatic results in uncontrolled trials might also be regarded as this type of evidence. 76 http://en.wikipedia.org/wiki/Evidence-based_medicine 77 http://en.wikipedia.org/wiki/Evidence-based_medicine (hentet 08-02-2009) UKLASSIFICERET Side 63 af 67
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OLG Birthe Trier Henriksen VUT II/L
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UKLASSIFICERET RESUMÉ 1. KAPITEL:
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UKLASSIFICERET • ”Multi Unit”
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UKLASSIFICERET INDHOLDSFORTEGNELSE
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1.1. INDLEDNING UKLASSIFICERET Kapi
Page 11 and 12: UKLASSIFICERET udsendt i internatio
Page 13 and 14: UKLASSIFICERET HRN har med doktrine
Page 15 and 16: UKLASSIFICERET operationstyper og d
Page 17 and 18: UKLASSIFICERET • De sundhedsfagli
Page 19 and 20: UKLASSIFICERET basis af typen og va
Page 21 and 22: UKLASSIFICERET imødekommer flest b
Page 23 and 24: − Engelske forkortelser anføres.
Page 25 and 26: • Øst Afrika 2001 - • Kaukasus
Page 27 and 28: UKLASSIFICERET Ved høj intensitet
Page 29 and 30: UKLASSIFICERET baseområde i operat
Page 31 and 32: UKLASSIFICERET Fastlæggelse af den
Page 33 and 34: 3.1.2.2. Missionsafhængige kapabil
Page 35 and 36: UKLASSIFICERET DIR definerer ikke,
Page 37 and 38: UKLASSIFICERET 3.4. Analyse af part
Page 39 and 40: UKLASSIFICERET Fremskudt sanitetsst
Page 41 and 42: UKLASSIFICERET - Autorisationsloven
Page 43 and 44: UKLASSIFICERET enheder til Irak og
Page 45 and 46: UKLASSIFICERET 4.2.2. ”Multi Unit
Page 47 and 48: UKLASSIFICERET 5. KAPITEL: KOMPARAT
Page 49 and 50: Konklusion: UKLASSIFICERET - Parame
Page 51 and 52: Analyseresultat af ”Multi Unit”
Page 53 and 54: UKLASSIFICERET Der er 15 funktionsk
Page 55 and 56: UKLASSIFICERET 6.3. Koncept for væ
Page 57 and 58: UKLASSIFICERET • Fastansatte i dr
Page 59 and 60: UKLASSIFICERET BIBLIOGRAFI Artikler
Page 61: UKLASSIFICERET Phd Ringmose, Jens,
Page 65 and 66: BILAG 3: UKLASSIFICERET Fysiske kar
Page 67: UKLASSIFICERET - ikke vesteuropæis
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Sanitetsst tte til forsvarets internationale missioner

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