Operation Iraqi Freedom - Perfusion.com
Operation Iraqi Freedom - Perfusion.com
Operation Iraqi Freedom - Perfusion.com
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<strong>Operation</strong> <strong>Iraqi</strong> <strong>Freedom</strong>:<br />
One Surgeon’s Experience<br />
LTC James Obney, MD<br />
874 th Forward Surgical Team<br />
US Army Medical Corps<br />
FOB Warrior, Kirkuk, Iraq
Echelons of Care on the<br />
Battlefield<br />
I - field medic/battalion aid station<br />
II - forward surgical team (FST)<br />
III - mobile field hospital<br />
IV - <strong>com</strong>bat support hospital (CSH)<br />
V - medical center (CONUS)
Mission of the FST<br />
• To provide emergent life-saving surgery<br />
and procedures to wounded d soldiers on the<br />
forward edge of the battle field and to<br />
facilitate the safe and expedient transport of<br />
wounded soldiers to a higher echelon of<br />
medical care.
4 physicians<br />
Components of the FST<br />
3 general/trauma surgeons<br />
1 orthopedic surgeon<br />
3 registered nurses<br />
triage – ER Nurse<br />
OR – Circulating Nurse<br />
PACU – Recovery Room/Critical Care Nurse<br />
2 Nurse Anesthetists<br />
3 OR scrub techs<br />
6 LPNs – “med techs” (91B or 91D)<br />
2 Admin officers
Map of Iraq
874 th Leaves Fort Jackson<br />
Columbia, SC
Fort Drumm, New York
Waiting for the plane
Prague, Czech Republic
Refueling in Prague
Camp Virginia, Kuwait<br />
Arrival 03:30
Our Home in the Kuwait Desert
Time for some rest!
Convoy into Iraq<br />
Only 5 days to Kirkuk!
874 th Forward Surgical Team<br />
Fort Jackson, South Carolina
Car bomb b in Baghdad<br />
d
Mountainous region of northern Iraq
FOB Warrior / Krab Air Base:<br />
FOB Warrior / Krab Air Base:<br />
US Army and Air Force colocated in Kirkuk, Iraq.<br />
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<br />
route
Triage getting ready to<br />
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:<br />
Post reduction x-rays
Insurgent shot in the chest
67 th Combat Support Hospital<br />
67 th Combat Support Hospital<br />
Mosul, Iraq
Anesthesia cart
Why we wear body armor
Attack on a Stryker<br />
• Young american soldier, passenger in a<br />
Stryker armored vehicle which h came under<br />
attack in Mosul.<br />
• Grenade exploded in soldiers lap.<br />
• Brought to 67 th CSH for treatment.
GSW to Abdomen<br />
• <strong>Iraqi</strong> news reporter attacked by insurgents.<br />
• Brought to 67 th CSH for treatment.
RPG to the Abdomen
Carbomb victim
GSW to calf with placement of external<br />
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<br />
$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?