Journal Article

Case Report of Extracorporeal Membrane Oxygenation and Aeromedical Evacuation at a Deployed Military Hospital

Matthew S Hamm, Valerie G Sams, Maj Jeffrey D DellaVolpe, James H Lantry and Phillip E Mason

in Military Medicine

Volume 183, issue suppl_1, pages 203-206
Published in print March 2018 | ISSN: 0026-4075
Published online April 2018 | e-ISSN: 1930-613X | DOI: https://dx.doi.org/10.1093/milmed/usx160
Case Report of Extracorporeal Membrane Oxygenation and Aeromedical Evacuation at a Deployed Military Hospital

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Abstract

The U.S. Military no longer maintains overseas extracorporeal membrane oxygenation (ECMO) capability for patients with severe lung injury including acute respiratory distress syndrome (ARDS). The authors present a case of severe ARDS at a military hospital in Afghanistan with limited capability for rescue therapies to include presentation, treatment, transport, and use of ECMO in the deployed military environment at one Role 3 medical facility. Lack of ECMO in the overseas environment is a significant gap in U.S. Military medical capability. The authors propose a novel solution, “ECMO packs,” for prepositioning at strategic Role 3 facilities for early intervention in patients with severe lung injury to close this lethal and unnecessary capability gap.

Keywords: ECMO; aeromedical evacuation; Air Force; Afghanistan; military

Journal Article.  3054 words. 

Subjects: Medicine and Health ; Emergency Medicine ; Trauma and Orthopaedic Surgery ; Military Psychology ; Warfare and Defence

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