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A publication of Beta Publishing 8,30 € I 11.00 US$ 3 / 2015 www.mci-forum.com ISSN 0179-1826 Preparation for MedEvac CONTENT 1 Content 2 Editorial Ch. Büttner 69 Business Mirror 71 Upcoming Events 72 Imprint NATO CENTRE OF EXCELLENCE FOR MILITARY MEDICINE 39 NATO Centre of Excellence for Military Medicine K. A. Ferland p. 4 (MILMED COE) CHALLENGES IN MILITARY MEDICINE – LESSONS LEARNED, TRAINING, EXERCISES 22 Clinical and Epidemiological Assessment A. Panariti, L. Nikollari, in Visceral Leishmaniasis M. Duli 58 Amputations in Patients Admitted H.M. H. Tayseir, with Diabetic Septic Foot M. el M. Osman, A.A.M. Hassan 64 Epidemiological Profile of Trauma at the L. Nikollari, E. Nikollari University Hospital Trauma & Military Hospital p. 48 in Tirana, Albania CHALLENGES IN MILITARY MEDICINE – NEW DEVELOPMENTS 28 Serving the Services for more than 100 Years Ch. Büttner 42 Effects of a New Piezoelectric Device on Local M. Stoetzer Microcirculation and the Periosteum-Bone Interface after Subperiosteal Preparation UROLOGY SPECIAL 32 Management of Urethral Injuries D. Liebchen p. 68 in Foreign Assignments 35 Management of Genital Injuries A. Martinschek, M. Höppner, – from Trauma to Reconstruction C. Sparwasser Index of Advertising ORGANISATION OF MEDICAL SUPPORT AND EXPERIENCES IN OPERATIONAL MEDICINE Atmos . 45 4 Long-Distance Mass Body Repatriation T.J. Lighthelm, J. Louw, rd from an Ebola-Risk Area J.T. Claassen Dräger . 3 Cover 10 Mass Casualty Aero-Medical Evacuation T.J. Lighthelm, L.A. Wallis, S. Martin, P.J. van Aswegen Karl Storz. 13 18 Military Medical Support in the Humanitarian Arena (MMSHA) J. Meyer, J. Koch, O. Krieter Maquet. 27 40 Canadian Armed Forces Medical Risk Matrix C.H.T. Cross MediHelp . 63 48 Quality Increase of Emergency Health Care S. Goncharov, O. Garmash to the Injured Philips . 21 50 11 Years of Air Quality Monitoring in Afghanistan J. D. Lalonde, M. Bradley Schiller. 55 CONFERENCES/CONGRESSES Schülke & Mayr. 25 56 International DiMiMED Confronts Current Questions on the Cooperation of Civilian and Military Facilities Siemens . 3 REPORTS Takeda . 7 68 43rd COMEDS Plenary Session in Berlin Water-Jel . 33 Zeppelin. 61 ZOLL . 4th Cover Source: South African National Defence Force (SANDF). 1 EDITORIAL Dear Reader Your tremendous feedback demonstrates medical services in this context as well as on that, as well as organisational issues, articles the resulting successful cooperation world- covering deployment-specific issues are of wide. particular interest. So I would like to specifically invite you to This exchange of knowledge and experience write about your experiences in this field. ultimately benefits the patients we look after. So we are very much looking forward to con- Finally, let me remind you about the Confer- tinuing to publish your very varied and in ence on Disaster and Military Medicine, which some cases very specific experiences. is being held at MEDICA on the 17th to the 18th of November 2015 in Düsseldorf, Military missions involving the medical Germany. services are currently on the rise. The emerging global refugee problem is one of I am sure that the presentations and work- grave concern. It presents a major challenge shops we have prepared will be of great inter- to the medical services and aid organisations. est to all attendees. As Editor in Chief, I feel particular satisfaction Dr Christoph Büttner to be able to report on the excellent medical I would be delighted to welcome many loyal Rear Admiral uh (ret) MC and humanitarian achievements of the readers of our magazine to the event. Editor-in-Chief MCIF 亲爱的读者： Chers lecteurs, Уважаемый читатель, Estimados lectores: Vos nombreux retours montrent qu’en Судя по многочисленным отзывам, Sus numerosos comentarios indican 根据众多读者的反馈显示，除了组织话题 plus des questions organisationnelles les кроме организационных тем, особый que además de los temas organizativos, 以外，关于特定专题的文章也是备受关注 articles sur les questions techniques spé- интерес для наших читателей также también resultan particularmente inte- 。 cifiques aux interventions vous представляют статьи о конкретных тех- resantes artículos sobre temas especia- intéressent au plus haut point. нических вопросах. lizados específicos de la práctica. 知识经验的交流最终会让受关注的病患受 Такой обмен знаниями и опытом, в Cet échange de connaissances et d’ex- Este intercambio de conocimientos y 益。所以我们很高兴将来能发表您与众不 конечном счете, позитивно скажется на périences est à terme bénéfique pour les experiencias beneficia, al fin y al cabo, 同的部分专业经验。 лечении пациентов. Поэтому мы с patients. Nous publierons donc à l’avenir a los pacientes que deben atenderse. удовольствием будем продолжать Por esta razón, nos complacerá publi- 目前，军事公共卫生服务再次得到完善。 vos expériences, très différentes et en публикации описываемых вами car también en el futuro sus experien- 我最大的担忧就是出现的国际难民问题。 partie très spécifiques. очень разных, а иногда и очень спе- cias completamente diferentes entre sí 这为公共卫生和慈善机构带来巨大挑战。 Actuellement, les missions militaires des цифических практических ситуаций в y, en parte, muy específicas. 作为主编，我特别报道了与公共卫生和慈 services sanitaires se multiplient. Je будущем. 善机构相关的医疗和人道主义方面的突出 regarde également avec une grande В настоящее время медико-санитар- Actualmente aumentan una vez más 成果以及由此达成的成功合作。 inquiétude la problématique mondiale des ным службам вновь приходится прини- las misiones militares de los servicios réfugiés. C’est pour les services sani- мать участие в военных миссиях. Глу- médicos. Con gran preocupación 因此，我诚挚邀请您撰写相关的经验报告 taires et les organisations d’aide un autre бокую озабоченность также вызывает observo también la problemática mun- 。 défi majeur. Il est de mon devoir en tant растущая глобальная проблема бежен- dial de los refugiados que se perfila. que rédacteur en chef de rendre compte цев. Это является еще одним серьез- Esta configura otro gran desafío para 最后，请您再次关注灾难和军事医疗会议 des prestations médicales et humani- ным вызовом для медико-санитарных los servicios médicos y las organizacio- ，MEDICA医疗展将于2015年11月17-18 taires exceptionnelles des services sani- служб и организаций по оказанию nes de ayuda. En carácter de redactor помощи. Будучи главным редактором 日在德国杜塞尔多夫举行。 taires et des organisations d’aide et des jefe, es para mí una cuestión especial объектом моего особого внимания coopérations fructueuses qui en informar acerca de las sobresalientes является освещение первостепенных 我相信，您将对我们从参与者中挑选出的 prestaciones médicas y humanitarias découlent. медицинских и гуманитарных задач 演讲和专题讲座产生极大兴趣。 de los servicios médicos y de las orga- Je vous invite donc fortement à nous faire медико-санитарных служб и гуманитар- nizaciones de ayuda, y las exitosas coo- part de vos expériences par écrit. ных организаций, а также успешного их 我谨以个人名义向我们杂志的众多忠实读 сотрудничества в выполнении этих peraciones vinculadas con ellas. Enfin, je me permets d’attirer une nou- 者表示真挚问候。 задач. En consecuencia, los invito enfática- velle fois votre attention sur la "Confer- mente a escribir los correspondientes ence on Disaster and Military Medicine" Поэтому я убедительно прошу вас писать нам о вашем опыте и мнениях informes de experiencias. qui aura lieu durant le salon MEDICA du по этим вопросам. 17 au 18 novembre 2015 à Düsseldorf, Por último, quisiera permitirme una vez en Allemagne. Наконец, я хотел бы воспользоваться más por propio interés, la referencia a возможностью и вновь обратить ваше la Conference on Disaster and Military Je suis sûr que les conférences et ate- внимание на предстоящую конферен- Medicine, que tendrá lugar durante la liers sélectionnés susciteront un grand цию по медицине катастроф и военной MEDICA del 17 al 18 de noviembre de intérêt auprès de nos participants. медицине, которая будет проходить во 2015, en Düsseldorf, Alemania. Je serais très heureux d’accueillir person- время выставки MEDICA в Дюссель- Estoy seguro de que las conferencias y nellement les nombreux et fidèles дорфе, Германии, 17-18 ноября 2015 года. los talleres seleccionados serán de gran lecteurs de notre magazine. interés para nuestros participantes. Я уверен в том, что выбранные лекции и семинары вызовут огромный интерес Me agradaría poder saludar personal- среди участников конференции. mente a muchos fieles lectores de Я был бы очень рад приветствовать nuestra revista. наших многочисленных постоянных читателей среди участников конферен- ции. 2 MCIF 3/2015 Advanced imaging in ISO containers Proven medical standards in mission environments A91CRM-9275-A1-7600 www.siemens.com/healthcare Siemens supports mobile medical units the world ensure high system uptimes and worldwide. For role 1 to role 5 medical concepts make medical relief available wherever and and disaster relief: Siemens imaging systems whenever it is needed most. provide quick and qualified diagnosis to save www.siemens.com/healthcare +49 69 797 6420 lives. Service and application trainings around Answers for life. MASS BODY REPATRIATION T. LIGTHELM, J. LOUW, J.T.CLAASSEN (SOUTH AFRICA) Long-Distance Mass Body Repatriation from an Ebola-Risk Area This paper discusses the organisation approach to a mass body repatriation from Nigeria to South Africa during the Ebola outbreak in Nigeria. A complete different approach was followed by flying in refrigeration mass body repatriation trucks and support vehicles by cargo plane to collect the bodies from various mortuaries within the city. These trucks, with the bodies were then driven back into the plane and flown back. During the operation, all precautions for possible Ebola Virus Disease were implemented. Introduction nn Ikeja Mortuary: 7 Bodies- 5 km
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