Military medicine at 37,000 feet
We flew in to Germany this morning on the C-17 that regularly shuttles the U.S. wounded from the battlefields of Iraq to the Army's regional medical center here in Landstuhl. Injured soldiers rest in gurneys stacked two or three high while teams of doctors, nurses and respiratory therapists offer care at 37,000 feet as good as most hospital intensive care units. It is quite a sight. The cargo bay of the huge jet is configured so that the medical teams can care for someone on a ventilator, give continuous oxygen, monitor vital signs and intervene when necessary. Last night as the plane hit choppy air, some of the wounded who were conscious groaned loudly in pain. The nurse gave them additional sedating drugs. A man with intestinal damage was continuing to bleed internally, so he got a blood transfusion in the sky.
To lessen the chance of a strike from a rocket, the plane takes off in the dark from Balad Air Base with no lights on. It accelerates far faster than a commercial airliner, slamming inexperienced passengers in seats along the side against one another. All passengers are instructed to wear body armor for the take off. It is one last reminder of the dangers of Iraq. For me, after spending seven hours next to all those injured soldiers, no reminder is needed.
Later today we caught up with some of the wounded whose care we are following from the outlying hospitals in Iraq all here to Germany and then on to treatment in the U.S. The 21-year-old I described yesterday is doing fine. His face looks awful, but he will heal. There are many others who will not do so well, despite the efforts of the best-ever military medicine.
Read more from Robert Bazell, Robert Bazell in Iraq
A day in the life of the press corps
TRACKBACKS
Trackbacks are links to weblogs that reference this post. Like comments, trackbacks do not appear until approved by us. The trackback URL for this post is: http://www.typepad.com/services/trackback/6a00d83451b0aa69e200d8352eb64a69e2
Addressing the comments thus far: (1) Military medicine begins with the front-line medic, the one in the most extreme of harms way and literally saving lives with a limited supply of what Class VIII items he/she is able to carry on their back. Hats off to all professions in the medical service and ancillary support staff that help accomplish the mission. (2) Reguarding civilians being treated in a warzone, this is covered extensively by Annex Q in the DEPORD (deployment order). The military treats all casualties (even the enemy) with blount trauma when they "arrive at our doorstep".... there are no discrimanting factors used to turn them away. All US civilians who enounter traumatic injurious that result in their having to be evacuated outside of the COMMZ (communications zone) generally are captured (at govt rate) for reimbursement through their third party insurance program.
RT, Fort Bragg, NC (Sent Feb 25, 2007 9:40:15 AM)
Thanks for the excellent reporting of medical teams and flight crews in Iraq specifically Balad Air Force base where my spouse is serving as a Flight Surgeon. The team-oriented crews work together to provide the best medical care in the world for Iraqi civilians, military and combatants with the US public hearing very little about it. The surreal world of the US daily life compared with the Iraq War and injured, are miles apart which your reporting has helped to bridge that gap. They risk their own lives in getting these patients out of harms way, in treating them, and giving them the best quality care in the world also while doing everything to save each human being. Medicine and the mission combine to fly solders to Germany or the United States, and to fly Iraqis to local hospitals in Baghdad. I appreciate Mr. Bazell's knowledge of healthcare with presentation of fact and personally observing the medical care first hand. Journalism has been lacking such professionalism.
MC Mank, Columbia, MO (Sent Feb 25, 2007 12:42:14 AM)
I was an AF medic for 24 years, and retired in 2004. Thanks for such great reporting on the dedication of all military medics and the flight crews who risk thier lives getting these heros back from the battle and then back to Germany the US and definitive care. Military medical folks serve 2 honorable professions, the profession of medicine and the profession of a military member. They treat and save the lives of all, no matter what uniform they wear, enemy or friend, once they get through the doors of a military hospital, they are no longer combatants, they are patients and humans and we will do everything it takes to save and protect that life.
FN Roth, Maryland (Sent Feb 23, 2007 8:30:23 AM)
I have been wondering... Why are US journalist who are injured in Iraq flown on military planes to Germany and then treated at military hospitals? Are they members of the US Armed Forces? Like Bob Woodward, and a few others they have also received surgeries and rehabilitation at Army/Navy Hospitals. If they are reporters working for their various news organizations, shouldn't their employers be responsible for getting them out of harms way? Do their companies reimburse the US government for these costs? If there is some sort of arrangement with the military, doesn't this cloud a news reporter's stories?
gl, Bossier City, LA (Sent Feb 3, 2007 11:25:56 AM)
Your "physician-centric" view is ignorant of professional nursing, and it skews your reporting. Perhaps interviewing professional nurses (military and civilian) and using expert nurses as an integral part of your ongoing healthcare reporting is in order.
Annie, MA (Sent Feb 1, 2007 2:21:13 PM)
SEND A COMMENT
PLEASE READ: All comments must be approved before appearing in the thread; time and space constraints prevent all comments from appearing. We will only approve comments that are directly related to this post, use appropriate language and are not attacking the comments of others.