Civilian-military interface in catastrophes requiring aeromedical evacuation

摘要

Significant differences exist between civilian and military medical procedures, training, and protocols as related to identification, selection, and preparation for aeromedical evacuation. These differences currently create barriers to effective patient care, unnecessary failures in medical logistics systems, and increased costs and risks to military aeromedical crews and patients during times of crisis. This paper provides a review of the existing literature on civilian and military medical procedures and examines terminology, training practices, and related aeromedical evacuation training and processes. Based on the results of this review, we recommend an integrative training program for civilian healthcare and public health responders. An effective interface will assist the military to better meet its civilian support responsibilities during a local, regional, or national catastrophe, while optimising use of its aeromedical evacuation capabilities.