Operation Iraqi Freedom - Perfusion.com

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Operation Iraqi Freedom - Perfusion.com

Operation Iraqi Freedom:

One Surgeon’s Experience

LTC James Obney, MD

874 th Forward Surgical Team

US Army Medical Corps

FOB Warrior, Kirkuk, Iraq


Echelons of Care on the

Battlefield

I - field medic/battalion aid station

II - forward surgical team (FST)

III - mobile field hospital

IV - combat support hospital (CSH)

V - medical center (CONUS)


Mission of the FST

• To provide emergent life-saving surgery

and procedures to wounded d soldiers on the

forward edge of the battle field and to

facilitate the safe and expedient transport of

wounded soldiers to a higher echelon of

medical care.


4 physicians

Components of the FST

3 general/trauma surgeons

1 orthopedic surgeon

3 registered nurses

triage – ER Nurse

OR – Circulating Nurse

PACU – Recovery Room/Critical Care Nurse

2 Nurse Anesthetists

3 OR scrub techs

6 LPNs – “med techs” (91B or 91D)

2 Admin officers


Map of Iraq


874 th Leaves Fort Jackson

Columbia, SC


Fort Drumm, New York


Waiting for the plane


Prague, Czech Republic


Refueling in Prague


Camp Virginia, Kuwait

Arrival 03:30


Our Home in the Kuwait Desert


Time for some rest!


Convoy into Iraq

Only 5 days to Kirkuk!


874 th Forward Surgical Team

Fort Jackson, South Carolina


Car bomb b in Baghdad

d


Mountainous region of northern Iraq


FOB Warrior / Krab Air Base:

FOB Warrior / Krab Air Base:

US Army and Air Force colocated in Kirkuk, Iraq.

Home of the 225 th FSB and the 874 th FST.


The Layout


874 th FST “Hospital”


Building the OR


Testing the ventilator


1LT Steve Dzyban tests the gas


9-line medevac : casualties en

route


Triage getting ready to

receive patients.


Casualties arrive


US Army scrub tech “prepared” for surgery


“The OR”


Casualties of War


Shrapnel evisceration


Look what I found!


Open tibial fracture:

Post reduction x-rays


Insurgent shot in the chest


67 th Combat Support Hospital

67 th Combat Support Hospital

Mosul, Iraq


Anesthesia cart


Why we wear body armor


Attack on a Stryker

• Young american soldier, passenger in a

Stryker armored vehicle which h came under

attack in Mosul.

• Grenade exploded in soldiers lap.

• Brought to 67 th CSH for treatment.


GSW to Abdomen

Iraqi news reporter attacked by insurgents.

• Brought to 67 th CSH for treatment.


RPG to the Abdomen


Carbomb victim


GSW to calf with placement of external

fixator, fasciotomy and wound washout


Burned and fractured forearm


Images of War


Humvee hit by IED


08:00 – another hot day!


Blackhawk helicopter


The expense of war

$1.5 billion / week


Stryker armored personnel carrier: $500,000


F-16c fully loaded: $37,000,000


Catching this bastard: PRICELESS!!!


Blackhawk at sunset


Remembering why


God Bless America!


Questions?

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