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A field hospital is a temporary hospital or mobile medical unit that takes care of casualties on-site before they can be safely transported to more permanent facilities. [1] This term was initially used in military medicine (such as the Mobile Army Surgical Hospital or MASH), but it has also been used to describe alternate care sites used in disasters and other emergency situations. [2]
A field hospital is a medical staff with a mobile medical kit and, often, a wide tent-like shelter (at times an inflatable structure in modern usage) so that it can be readily set up near the source of casualties. In an urban environment, the field hospital is often established in an easily accessible and highly visible building (such as restaurants, schools, hotels and so on). In the case of an airborne structure, the mobile medical kit is often placed in a normalized container; the container itself is then used as shelter. A field hospital is generally larger than a temporary aid station but smaller than a permanent military hospital.
International humanitarian law such as the Geneva Conventions include prohibitions on attacking doctors, ambulances, hospital ships, or field hospitals buildings displaying a Red Cross, a Red Crescent or other emblem related to the International Red Cross and Red Crescent Movement; deliberately attacking or otherwise causing harm on these health facilities (especially during warfare or armed conflicts) may constitute a war crime.
Field hospitals are also prevalent in the event of disease outbreaks and pandemics. The most recent pandemic, COVID-19, has led to the establishment of field hospitals in many parts of the world, especially in the developing world.
Field hospitals in France are managed by the SAMU (French emergency medical service). Two types of mobile medical kits (poste sanitaire mobile or PSM) are used:
The PSM are stored in the hospitals where there are samus and smurs.
The PMA is organized in four zones:
In case of really massive disaster, it is possible to have several PMA; the evacuation goes then not directly to a hospital, but to another big field hospital called "medical evacuation centre" (centre médical d'évacuation, CME), to avoid the saturation of the hospitals.
In case of a red plan, the PMA is under the responsibility of a physician chosen by the director of medical rescue (DSM), and he is assisted by a firefighter officer chosen by the commander of rescue operation (COS). The firefighter officer has in charge the identification of the living casualties and of the secretaryship. The aim of the PMA is to sort and stabilize the casualties before their evacuation to a hospital.
A similar system can be set up as a preventive measure for some very big events (sport championship, cultural events, concert...), but managed by first aid associations. It is then called an "associative medical post" (poste associatif médicalisé, PAM). (For smaller events, is simple first aid post, with only volunteer certified first responders and no medical staff, is set up.)
The civil defence military units (Unité d'instruction et d'intervention de la sécurité civile, UIISC) have airborne field hospitals. The general system is called DICA (détachement d'intervention de catastrophe aéroporté, i.e. airborne disaster unit), and is specialized in search-and-rescue and in emergency medicine; it can be enhanced by the Fast civil defence medical unit, called ESCRIM (élément de sécurité civile rapide d'intervention médicale). The ESCRIM is a surgical unit (detachement d'appui chirurgical) assisted by a medical assistance unit (DAMHo, détachement d'appui médical et d'hospitalisation); the later is specialized in pre- and post-operation care, and allows 48h of hospitalization. The UIISC also has a PMA (i.e. sort, stabilization and evacuation structure) when the hospital infrastructure of the country is sufficient.
The Namibian Defence Force operates a mobile field hospital through its Defence Health Services Directorate. It was donated by the German government to Namibia in March 2013. Initially it was a UN level two hospital but has now been upgraded to level one. The field hospital is containerized in tents, it has capacity to treat forty outpatients per day and has an admission capacity of twenty patients. It has two intensive care units, laboratories, an X-ray unit and a mobile oxygen concentrator. [3] The dental department can treat 20 and four operations can be carried out daily. It has its own mobile logistics support wing consisting of kitchens, water purifiers, water tanks, toilet and shower containers, generators and sewage and refuse disposal facilities.
During the COVID-19 pandemic the hospital was deployed to Hosea Kutako International Airport to aid the country's response. [4]
In the United States Army Medical Department, the term "field hospital" is used as a generic term for a deployable medical facility. However, from 1906 to the present, with small interruptions, the department has had specific organized units called "Field Hospitals." These numbered units, for example the 10th Field Hospital have specific tables of organization and equipment, capabilities, and doctrine for their employment, all of which have varied over time. Readers should take care not to confuse the generic American field hospital with a specific numbered XXth Field Hospital, as the two cannot be used interchangeably. An Evacuation Hospital, a Mobile Army Surgical Hospital (MASH), a Combat support hospital (CSH), a Field Hospital and a numbered General Hospital are all field hospitals—but a MASH, CSH, a General Hospital or a Field Hospital are not interchangeable. [6]
In the United States Navy Bureau of Medicine and Surgery (BUMED), the counterpart to the Army's "field hospital" is known as an "Expeditionary Medical Facility" (EMF). The EMF is principally focused on support to Marines during expeditionary amphibious operations ashore, the Marine Corps having no medical personnel of their own and relying on the Navy for medical support. EMFs will also support Navy Construction Battalions (SeaBees) ashore. While the Navy has a small number of dedicated hospital ships and larger combatant vessels such as aircraft carriers and large deck amphibious assault ships have robust medical facilities, the utility of those afloat platforms decreases the further inland that the Marines progress. A smaller and more mobile version of the EMF is the Expeditionary Medical Unit (EMU). [7]
During the COVID-19 pandemic, the Swiss Armed Forces were mobilised to support civil hospitals in Switzerland. Similar measures were taken in other countries.
Bangladesh Field Hospital (Popularly known as Bangladesh Hospital) was a temporary medical centre under the Sector-2 during the Liberation War of Bangladesh in 1971. The hospital was an initiative of Captain Akhtar Ahmed, who was a physician of 4th East Bengal Regiment in Comilla Cantonment. It was situated in Tripura, India.
During the COVID-19 pandemic, the young physician Dr. Bidduth Barua established Chattogram Field Hospital which is the first post-liberation field hospital in Bangladesh to provide medical services to COVID-19 patients of Covid-19. On April 21 2020, the hospital officially started medical services.. A team of doctors, nurses and Young Volunteer are providing services in this hospital under the leadership of Dr. Bidduth Barua. Originally complete with Covid-19 patients In addition to providing free services, other patients are also being served here. Although fever, cold, sneeze and cough are predominant in patients, any patient can avail free services from here.
In medicine, triage is a process by which care providers such as medical professionals and those with first aid knowledge determine the order of priority for providing treatment to injured individuals and/or inform the rationing of limited supplies so that they go to those who can most benefit from it. Triage is usually relied upon when there are more injured individuals than available care providers, or when there are more injured individuals than supplies to treat them.
Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine.
Mobile Army Surgical Hospitals (MASH) were U.S. Army field hospital units conceptualized in 1946 as replacements for the obsolete World War II-era Auxiliary Surgical Group hospital units. MASH units were in operation from the Korean War to the Gulf War before being phased out in the early 2000s, in favor of combat support hospitals.
The U.S. Army Medical Command (MEDCOM) is a direct reporting unit of the U.S. Army that formerly provided command and control of the Army's fixed-facility medical, dental, and veterinary treatment facilities, providing preventive care, medical research and development and training institutions. On 1 October 2019, operational and administrative control of all military medical facilities transitioned to the Defense Health Agency.
A Combat Support Hospital is a type of modern United States Army field hospital. The CSH is transportable by aircraft and trucks and is normally delivered to the Corps Support Area in standard military-owned demountable containers (MILVAN) cargo containers. Once transported, it is assembled by the staff into a tent hospital to treat patients. Depending upon the operational environment, a CSH might also treat civilians and wounded enemy soldiers. The CSH is the successor to the Mobile Army Surgical Hospital (MASH).
Casualty evacuation, also known as CASEVAC or by the callsign Dustoff or colloquially Dust Off, is a military term for the emergency patient evacuation of casualties from a combat zone. Casevac can be done by both ground and air. "DUSTOFF" is the callsign specific to U.S. Army Air Ambulance units. CASEVACs by air today are almost exclusively done by helicopter, a practice begun on a small scale toward the end of World War II; before that, STOL aircraft, such as the Fieseler Fi 156 or Piper J-3 were used.
The Orsec-Novi plan, or short Novi plan, is a French emergency plan used for a mass casualty incident (mascal), i.e. if an emergency has a significant number of casualties in a limited area. Its aim is to organize the rescue resources to cope with the concentrated casualties. It was formerly called red plan ; "Orsec" stands for "rescue management", and "novi" for "multiple casualties".
A combat medic is responsible for providing emergency medical treatment at a point of wounding in a combat or training environment, as well as primary care and health protection and evacuation from a point of injury or illness. Additionally, medics may also be responsible for the creation, oversight, and execution of long-term patient care plans in consultation with or in the absence of a readily available doctor or advanced practice provider. Combat medics may be used in hospitals and clinics, where they have the opportunity to work in additional roles, such as operating medical and laboratory equipment and performing and assisting with procedures.
Emergency is a humanitarian NGO that provides free medical treatment to the victims of war, poverty, and landmines. It was founded in 1994. Gino Strada, one of the organization's co-founders, served as EMERGENCY's Executive Director. It operates on the premise that access to high-quality healthcare is a fundamental human right.
In the United States Army, Medical Detachments, popularly known as Forward Surgical Teams (FST), are small, mobile surgical units. A functional operating room can be established within one and a half hours of being on scene and break down to move to a new location within two hours of ceasing operations.
This article incorporates public domain material from websites or documents of the United States Army.
The term military medicine has a number of potential connotations. It may mean:
The 1st Health Battalion is a unit of the 2nd Health Brigade. It is headquartered at the Robertson Army Barracks in Darwin. Formally having sub-units located in Darwin, Townsville and Brisbane, the then 1st Close Health Battalion (1CHB) was raised as 1 HB and fell under the command of the reestablished 2nd Health Brigade in 2022; with the existing Sub-Units being absorbed into 4th Health Battalion (Australia), and 2nd Health Battalion (Australia), respectfully. Additionally, a Close Health Unit was founded under the command of the 3rd Health Battalion (Australia), cementing the new capabilities of Joint Health.
An ambulance bus is a type of ambulance with the capacity to transport and treat multiple patients. An ambulance bus is used primarily for medical evacuation of mass casualty incidents and non-emergency medical transport of care-dependent patients, and can also be used for specific problems such as drunk patients in town centres.
A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed.
The 28th Combat Support Hospital was a Combat Support Hospital of the United States Army. It was first constituted in 1943 and served in China during World War II. During the Gulf War in 1990, it was the first Army hospital unit established and deployed into Iraq with combat forces of the XVIII Airborne Corps. More recently it has been involved in relief operations following natural disasters and has undertaken several recent deployments to Iraq. The unit fell under the command of the 44th Medical Brigade and was based at Fort Bragg, North Carolina.
The 10th Field Hospital is a Field Hospital of the United States Army first constituted on 23 June 1942 in the Army of the United States as the 10th Field Hospital.
The 274th Forward Surgical Team (Airborne)—part of the 274th Forward Resuscitative and Surgical Detachment (Airborne)—is an airborne forward surgical team of the United States Army providing Level II care far forward on the battlefield. It was first constituted in 1944 and served in Europe during World War II. More recently it has been involved in relief operations following natural disasters and has undertaken several recent deployments to Iraq and Afghanistan. The 274th Forward Surgical Team was part of both the initial entry forces of Operation Enduring Freedom in 2001 and Operation Iraqi Freedom in 2003. Currently the unit falls under the command of the 28th Combat Support Hospital and is based at Fort Bragg, North Carolina.
The 1st Medical Brigade is a medical brigade of the United States Army. It is located at Fort Cavazos, Texas, providing health care and medical services to the Fort Cavazos community, and continuing training in its combat support mission.
The 68th Medical Command was constituted on 18 October 1927 in the Regular Army as the 18th Medical Regiment. Redesignated as the 68th Medical Regiment and reorganized as the 68th Medical Group, the organization served in combat in Europe in World War II and in the Republic of Vietnam. During the Cold War, it was stationed at Fort George G. Meade, Maryland from 1954 until its deployment to Vietnam and was reactivated again in Germany, where it served from 1978 into the 1990s. On 21 September 2024, it was redesignated as the 68th Medical Command and activated at Sembach, Germany.
Field hospitals were mobile, were sent to support the battle line—as was the 103d—and served in every capacity, from disease hospital to resuscitation center to acute care (with surgical reinforcement) to reserve and rest status. Their job was triage, stabilization, and evacuation to the base hospitals.
Media related to Field hospitals at Wikimedia Commons