NAMRU-D will also be using the aircraft to study en route care
and determine the most useful way to load and employ aircraft in that role, Doubrava said.
Because medics were not trained in en route care
, another medical provider, ie, physician, physician assistant, or critical care nurse, would have to accompany the patient during medical evacuation.
That is the foundation for our en route care
of providing that initial stabilization forward.
Joint doctrine provides that battlefield casualties flow through five phases of treatment: first responder, forward resuscitative surgery, theater hospitalization, en route care
, and care outside the theater.
Many advances in medical care have been and are continuing to be made as a result of wars and conflicts--management of shock, psychology of combat stress, blood transfusions, resuscitation, behavioral health, and en route care
just to name a few.
Between September 2007 and September 2008, Army nurses provided en route care
in approximately 60% of all medical evacuation missions.
In their article, MAJ Scott Davis and COL Linda Connelly look at Army Nursing involvement with airborne en route care
, developing their discussion from an historical perspective.
En route care
occurs between levels II and III, and beyond--level III to level III, and out of theater, involving Air Force evacuation airplanes.
The intratheater patient movement and en route care
during medical evacuation occurs at the battlefront (tactical), between echelons of care (level II and level III) within the theater (operational), and during intertheater transfers (strategic).
Within weeks of identifying the insufficiency of documentation and lack of standardization of en route care
, a solution was developed and disseminated widely throughout the combat theater.
(19) A rugged, hands-free, high-fidelity voice recorder was considered as an effective entry-level mechanism for capturing the PCCR data that compose the DA 7656/TCCC card, as well as follow-on treatment interventions at forward resuscitative surgery and during en route care
. A prototype combat medical voice documentation system (CMVDS) is being developed under the guidance of USAISR, in cooperation with the Medical Communications for Combat Casualty Care Directorate and the private sector.