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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!


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