{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T11:41:29Z","timestamp":1771069289698,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2005,9]]},"abstract":"<jats:p>Two Air Assault Surgical Groups (AASGs) from 16 Close Support Medical Regiment deployed to Kuwait on Operation Telic in February 2003. Each AASG was comprised of a four-table resuscitation facility, a two table FST and a twin-bedded ITU facility. An A+E Consultant and nurse, an experienced radiographer and laboratory technician with two further RGNs and CMTs provided resuscitation support. Each FST had an orthopaedic and a general surgeon, two anaesthetists and eight operating department practitioners. Further equipment consisted of a Polymobil 111 X-ray unit, a Sonosite 180 ultrasound scanner and an ISTAT gas, haematocrit and electrolyte analyser. 100 units of mixed blood were carried by each AASG.<\/jats:p>\n               <jats:p>Fifty-one surgical procedures were performed on thirty one patients. Twenty one of these patients were Iraqi prisoners of war or civilians. Seventeen wound debridements, five amputations, five laparotomies, four insertions of Denham pins with Thomas splintage for femoral fracture, three external fixations and one axillary artery repair formed the basis of the major cases undertaken. The first field use of activated factor VII by the British Army was successful in the resuscitation of a patient with exsanguinating haemorrhage after an open-book (APC-III) pelvic fracture and a ruptured intrapelvic haematoma. The other cases included eleven manipulations under anaesthetic\/application of plaster and four finger terminalisations.<\/jats:p>\n               <jats:p>Forward military surgery has a continued role to play on the modern fast moving battlefield. 16 Close Support Medical Regiment normally supports 16 Air Assault Brigade with its remit for expeditionary operations and SF support. Its experience on Op Telic should influence planning for future deployment.<\/jats:p>","DOI":"10.1136\/jramc-151-03-10","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"186-191","source":"Crossref","is-referenced-by-count":18,"title":["Forward Surgery On Operation Telic \u2013 Iraq 2003"],"prefix":"10.1136","volume":"151","author":[{"given":"P J","family":"Parker","sequence":"first","affiliation":[{"name":"paul.parker@stees.nhs.uk"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S A","family":"Adams","sequence":"additional","affiliation":[{"name":"Parachute Field Surgical Team, 16 Close Support Medical Regiment, Goojerat Barracks, Colchester, Essex, CO2 7NZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Williams","sequence":"additional","affiliation":[{"name":"Parachute Field Surgical Team, 16 Close Support Medical Regiment, Goojerat Barracks, Colchester, Essex, CO2 7NZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Parachute Field Surgical Team, 16 Close Support Medical Regiment, Goojerat Barracks, Colchester, Essex, CO2 7NZ"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2005,9,1]]},"reference":[{"key":"ref_1","article-title":"Surgeon at War. Digit Books","author":"Watts, J.C.","year":"1955","unstructured":"Watts JC. Surgeon at War. Digit Books London, 1955."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1148\/radiology.160.2.3726125","article-title":"Pelvic fractures: Value of plain radiography in early assessment and management","volume":"160","author":"Young, J.W.; Burgess, A.R.; Brumback, R.J.; Poka, A.","year":"1986","unstructured":"Young JW, Burgess AR, Brumback RJ, Poka A. Pelvic fractures: Value of plain radiography in early assessment and management. Radiology 1986; 160:445-51.","journal-title":"Radiology"},{"key":"ref_3","volume-title":"The Royal College of Surgeons of England","author":"P, Definitive Surgical Trauma Skills ManualBotha","year":"2002","unstructured":"Definitive Surgical Trauma Skills Manual. Eds Botha P, Brooks A, Loosemore T. 2002 The Royal College of Surgeons of England."},{"key":"ref_4","first-page":"281","article-title":"The Falklands War: Army Field Surgical Experience","volume":"65","author":"Jackson, D.S.; Batty, C.G.; Ryan, J.M.; McGregor, W.S.P.","year":"1983","unstructured":"Jackson DS, Batty CG, Ryan JM, McGregor WSP. The Falklands War: Army Field Surgical Experience. Ann R Coll Surg 1983, 65:281-285.","journal-title":"Ann R Coll Surg"},{"key":"ref_5","article-title":"Personal Communication","author":"Hull, J.","unstructured":"J Hull \u2013 Personal Communication."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1002\/bjs.1800801203","article-title":"\u2018Damage control\u2019 in trauma surgery","volume":"80","author":"Hirshberg, A.; Mattox, K.L.","year":"1993","unstructured":"Hirshberg A, Mattox KL. \u2018Damage control\u2019 in trauma surgery. Br J Surg 1993;80:1501-2.","journal-title":"Br J Surg"},{"issue":"17","key":"ref_7","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1056\/NEJM199410273311701","article-title":"Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries","volume":"331","author":"Bickell, W.H.; MJ, Jr, Wall; Pepe, P.E.; Martin, R.R.; Ginger, V.F.; Allen, M.K.; Mattox, K.L.","year":"1994","unstructured":"Bickell WH, Wall MJ Jr, Pepe PE, Martin RR, Ginger VF, Allen MK, Mattox KL. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 1994 27;331(17):1105-9.","journal-title":"N Engl J Med"},{"key":"ref_8","article-title":"War Wounds: Basic Surgical Management 1994 ICRC","unstructured":"War Wounds: Basic Surgical Management 1994 ICRC, Geneva, Switzerland."},{"key":"ref_9","first-page":"557","article-title":"SD Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1540 patients","volume":"228","author":"Rozycki, G.S.; Ballard, R.B.; Feliciano, D.V.; Schmidt, J.A.; Pennington","year":"1998","unstructured":"Rozycki GS, Ballard RB, Feliciano DV, Schmidt JA, Pennington SD Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1540 patients. 1998 Ann Surg. 1998 Oct;228:557-67."},{"key":"ref_10","first-page":"155","article-title":"Far Forward Surgery and the Casualty Evacuation Chain: Afghanistan","volume":"19","author":"Parker, P.J.; Becker, G.; Clasper, J.; Sargeant, I.D.","year":"2001","unstructured":"Parker PJ, Becker G, Clasper J, Sargeant ID. Far Forward Surgery and the Casualty Evacuation Chain: Afghanistan 2001 JBJS 2003 85-B Supp II. 11. Clasper JC, Stapley SA, Bowley DM, Kenward CE, Taylor V, Watkins PE. Spread of infection, in an animal model, after intramedullary nailing of an infected external fixator pin track. J Orthop Res. 2001;19:155-9.","journal-title":"J Orthop Res; 85-B Supp II"}],"container-title":["Journal of the Royal Army Medical Corps"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jramc-151-03-10","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T17:16:59Z","timestamp":1755105419000},"score":1,"resource":{"primary":{"URL":"https:\/\/militaryhealth.bmj.com\/lookup\/doi\/10.1136\/jramc-151-03-10"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2005,9,1]]},"published-print":{"date-parts":[[2005,9]]}},"alternative-id":["10.1136\/jramc-151-03-10"],"URL":"https:\/\/doi.org\/10.1136\/jramc-151-03-10","relation":{},"ISSN":["0035-8665","2052-0468"],"issn-type":[{"value":"0035-8665","type":"print"},{"value":"2052-0468","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,9]]}}}