{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T17:34:38Z","timestamp":1769276078140,"version":"3.49.0"},"reference-count":22,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J R Army Med Corps"],"accepted":{"date-parts":[[2017,7,27]]},"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Operation \u2018Inherent Resolve\u2019 was approved by the United Nations in August 2014 with the objective of suppressing the Islamic State in Iraq and the Levant and increasing the region\u2019s stability. The mission of the Spanish military forces within this was to direct training missions for the Iraqi Army. The aim of this study is to analyse the medical care provided in the Spanish Role 1 deployed medical treatment facility during Operation \u2018Apoyo a Irak\u2019.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional, descriptive and retrospective study was conducted between 15 December 2015 and 18 November 2016. The study population comprised all personnel treated at the Spanish Role 1 medical treatment facility of the \u2018Gran Capitan\u2019 base in Besmaya, Iraq.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During the study period, a total of 2208 consultations were performed, 1547 of which were first consultations. The predominant type of medical care was categorised as \u2018traumatology\u2019 (n=438; 19.8%), followed by \u2018healing of wounds and minor surgical processes\u2019 (n=332; 15%), \u2018acute upper respiratory tract infections\u2019 (n=267; 12%), \u2018dermatology\u2019 (n=214; 9.6%) and \u2018gastroenterology\u2019 (n=214; 9.6%). Twenty-eight patients (1.2%) required care in the upper medical echelon of care, three of whom were urgently evacuated. Oral diseases were the main reason for evacuation to the next medical echelon. Four patients were repatriated to the national territory for medical reasons. One death was recorded due to a vehicle accident.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The results of our study reinforce those found in similar recent international missions in which the Spanish Armed Forces and other allied armies have deployed a Role 1 medical treatment facility. Military physicians deploying on operations such as Iraq should have up-to-date training in emergency and primary care medicine, with special emphasis on basic trauma knowledge and performing minor surgical processes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jramc-2017-000774","type":"journal-article","created":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T20:30:25Z","timestamp":1508790625000},"page":"416-421","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Descriptive analysis of the medical care performed in the Spanish military Role 1 Medical Treatment Facility deployed in Operation \u2018Inherent Resolve\u2019 (Iraq), 2015\u20132016"],"prefix":"10.1136","volume":"163","author":[{"given":"Rafael","family":"Garc\u00eda Ca\u00f1as","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Hospital Central de la Defensa G\u00f3mez Ulla, Madrid, Spain"},{"name":"Joint Institute of Biosanitary Research of Defense (IMIDEF), Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Navarro Suay","sequence":"additional","affiliation":[{"name":"Joint Institute of Biosanitary Research of Defense (IMIDEF), Madrid, Spain"},{"name":"Department of Anesthesia, Critical Care and Pain Treatment, Hospital Central de la Defensa G\u00f3mez Ulla, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"key":"2025081307043457000_163.6.416.1","unstructured":"Spanish Ministry of Defence. 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In: Rodr\u00edguez Jim\u00e9nez JL , Palacios Bu\u00f1uelos L , S\u00e1nchez Hern\u00e1ndez MF , El Escal\u00f3n M\u00e9dico Avanzado del Ej\u00e9rcito de Tierra en las misiones de paz y de asistencia humanitaria realizadas por las Fuerzas Armadas, 2009:39\u201343."},{"key":"2025081307043457000_163.6.416.5","unstructured":"S\u00e1nchez Olmedo JI , P\u00e9rez Al\u00e9 M , Fuentes Esteban D , et al . Loscomienzos de una realidad, el EMAT Sur. Granada, Espa\u00f1a: poster presented at the I Congress on Military Health, 2014."},{"key":"2025081307043457000_163.6.416.6","first-page":"4","article-title":"Operaci\u00f3n \u201cSierra-Juliet\u201d Um Qsar (Irak) 2003","volume":"22","author":"Carabot","year":"2003","journal-title":"Rev Enf Hosp"},{"key":"2025081307043457000_163.6.416.7","unstructured":"Escal\u00f3n M\u00e9dico Avanzado Centro. Operaci\u00f3n S\/J 2003. Memoria fin de misi\u00f3n.; p. 21. 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Leishmaniasis y Operaci\u00f3n Inherent Resolve (Iraq): Medidas de Protecci\u00f3n de la Fuerza. Madrid, Espa\u00f1a: poster presented at the II Congress on Military Health, 2016."},{"key":"2025081307043457000_163.6.416.22","doi-asserted-by":"crossref","first-page":"71","DOI":"10.7205\/MILMED-D-13-00324","article-title":"Analysis of evacuations from areas of operation to the Spanish Role 4 medical treatment facility (2008\u20132013)","volume":"179","author":"Navarro Suay","year":"2014","journal-title":"Military Medicine"}],"container-title":["Journal of the Royal Army Medical Corps"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jramc-2017-000774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T14:04:44Z","timestamp":1755093884000},"score":1,"resource":{"primary":{"URL":"https:\/\/militaryhealth.bmj.com\/lookup\/doi\/10.1136\/jramc-2017-000774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,23]]},"references-count":22,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2017,12,4]]},"published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1136\/jramc-2017-000774"],"URL":"https:\/\/doi.org\/10.1136\/jramc-2017-000774","relation":{},"ISSN":["0035-8665","2052-0468"],"issn-type":[{"value":"0035-8665","type":"print"},{"value":"2052-0468","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,23]]}}}