Publications by authors named "P Balandraud"
Article Synopsis
- - The French Military Health Service established the Advanced Course for Deployment Surgery (ACDS) in 2008 to improve surgeons' skills in handling Non-Compressible Torso Hemorrhage (NCTH), a leading cause of preventable death in combat scenarios.
- - A study comparing surgical practices before and after ACDS showed that post-course patients had more severe injuries and demonstrated improved techniques, such as increased use of temporary abdominal packing and reduced re-operations for bleeding.
- - Overall, the ACDS effectively enhanced the readiness and performance of military surgeons, leading to better management of trauma cases, particularly through improved imaging and surgical techniques.
Background: Since 2021, the predeployment training of French FSTs has included a simulation-based curriculum consisting of organizational and human factors. The purpose of this article is to describe the development of a crew-resource management (CRM) training course dedicated for the forward surgical teams (FSTs) of the French Military Health Service.
Methods: The approach was based on three steps: (1) establishment of a conceptual framework of FSTs deployment; (2) development of an aircrew-like CRM training combining lectures, laboratory exercises, and situational training exercises to consider four fundamental "nontechnical" (cognitive and social) skills for effective and safe combat casualty care: (a) leadership, (b) decision-making, (c) coordination, and (d) situational awareness; (3) Implementation of teamwork evaluation tools.
When special operations forces (SOF) are in action, a surgical team (SOST) is usually ground deployed as close as possible to the combat area, to try and provide surgical support within the golden hour. The French SOST is composed of 6 people: 2 surgeons, 1 scrub nurse, 1 anaesthetist, 1 anesthetic nurse and 1 SOF paramedic. It can be deployed in 45 min under a tent or in a building.
View Article and Find Full Text PDF