Surgical workload, Role 3 Multinational Hospital, 
Kandahar Airfield, Afghanistan
2 February 2007 – 11 February 2009
FLTLT...
Objectives
•Australian Medical Officer role, Kandahar
•Hospital layout/ setting
•Surgical Statistics
•Medical Officer prep...
Senior Medical Officer, Australian Defence Forces, 
Kandahar Airfield, Afghanistan
May – November 2008
• SMO Australian Fo...
Surgical cases
2 February2007 – 11 February 2009 (740 days)
2155 cases
– 1885 adults (87.5%)
– 269 paediatric (12.5%)
– 1 ...
Surgical breakdown by population
2 February 2007 – 11 February 2009
Surgical breakdown by population
2 February2007 – 11 February 2009
ONALITY SURGICAL CASES
Nationals 850 (39.4%)
460 (21.0 ...
Surgical Cases breakdown – coalition
2 February2007 – 11 February 2009
Coalition surgical breakdown
2 February2007 – 11 February 2009
ONALITY SURGICAL CASES
can 146 (39%)
dian 127 (34%)
h 48 (1...
Operation number per day
2 February2007 – 11 February 2009 (740 days)
NUMBER OF
OPERATIONS NUMBER OF DAYS
11 1
10 2
9 3
8 ...
Case Length
2 February2007 – 11 February 2009
Average surgical case length – 117 min
– Vascular surgery – 212 mins
– Neuro...
Injury types
2 February 2007 – 11 February 2009
Injury / Operation types
2 February2007 – 11 February 2009
Extremity injuries (518)
• amputations – upper and lower limb
•...
Injury / Operation types
2 February2007 – 11 February 2009
Neurosurgery / Head and Neck (476)
• Craniotomy, Maxillofacial ...
Injury / Operation types
2 February2007 – 11 February 2009
Torso Injuries (382)
• Thoracotomy, Laparotomy, soft tissue inj...
Injury / Operation types
2 February2007 – 11 February 2009
Laceration repair / Incision and drainage (623)
Burns (19)
re‐deployment preparation/training
Military requirements
– EMST, FWAME, OHS, Aviation Medicine
– ? RWAME
Emergency/trauma ...
re‐deployment preparation/training
Remember EMST principles
Teamwork
Flexibility
Acknowledgment
CAPT Ken Iwassa – Canadian Forces
SQNLDR Mary Langcake – RAAF SR
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan  franke
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Surgical workload at the role 3 multinational medical unit, kandahar airfield, afganistan franke

  1. 1. Surgical workload, Role 3 Multinational Hospital,  Kandahar Airfield, Afghanistan 2 February 2007 – 11 February 2009 FLTLT Katrina Franke SMO/AEOO TG633.9.3 Kandahar, Afghanistan May‐Nov 2008.
  2. 2. Objectives •Australian Medical Officer role, Kandahar •Hospital layout/ setting •Surgical Statistics •Medical Officer preparation •Personal perspective
  3. 3. Senior Medical Officer, Australian Defence Forces,  Kandahar Airfield, Afghanistan May – November 2008 • SMO Australian Forces (RAAF position) – (primary care of ~180 troops, together with 3 Medassts) • Aeromedical Evacuation Organising Officer (AEOO) Afghanistan • Duty Medical Officer, Multinational Hospital, Kandahar Airfield – (1 x 10 hour, 1 x 14 hour shifts weekly) • Women's Health Clinic, Shirzai Hospital, Kandahar. Senior Medical Officer, Australian Defence  Forces, Kandahar Airfield, Afghanistan May – November 2008 •SMO Australian Forces (RAAF position) •(primary care of ~180 troops, together with 3 Medassts) •Aeromedical Evacuation Organising Officer, Afghanistan •Duty Medical Office, Role 3 Multinational Hospital •(12-24 hours weekly) •Women's Health Clinic, Shirzai Hospital, Kandahar.
  4. 4. Surgical cases 2 February2007 – 11 February 2009 (740 days) 2155 cases – 1885 adults (87.5%) – 269 paediatric (12.5%) – 1 canine
  5. 5. Surgical breakdown by population 2 February 2007 – 11 February 2009
  6. 6. Surgical breakdown by population 2 February2007 – 11 February 2009 ONALITY SURGICAL CASES Nationals 850 (39.4%) 460 (21.0 %) on 373 (17.3%) 346 (16%) nees 64 (3.0%) not specified 62 (3.0%) 2155 (100%)
  7. 7. Surgical Cases breakdown – coalition 2 February2007 – 11 February 2009
  8. 8. Coalition surgical breakdown 2 February2007 – 11 February 2009 ONALITY SURGICAL CASES can 146 (39%) dian 127 (34%) h 48 (13%) alian 11 (3%) 11 (3%) 30 (8%)
  9. 9. Operation number per day 2 February2007 – 11 February 2009 (740 days) NUMBER OF OPERATIONS NUMBER OF DAYS 11 1 10 2 9 3 8 8 7 16 6 39 5 73 4 121 3 140 2 152
  10. 10. Case Length 2 February2007 – 11 February 2009 Average surgical case length – 117 min – Vascular surgery – 212 mins – Neurosurgery – 180 mins – Oral and maxillofacial surgery – 160 mins – Orthopaedic – 120mins – General surgery – 108 mins – Plastic surgery – 96 mins
  11. 11. Injury types 2 February 2007 – 11 February 2009
  12. 12. Injury / Operation types 2 February2007 – 11 February 2009 Extremity injuries (518) • amputations – upper and lower limb • ORIF, Ex Fix • closed reductions
  13. 13. Injury / Operation types 2 February2007 – 11 February 2009 Neurosurgery / Head and Neck (476) • Craniotomy, Maxillofacial ORIF, Eye Enucleation, Neck exploration, Soft tissue injury repair
  14. 14. Injury / Operation types 2 February2007 – 11 February 2009 Torso Injuries (382) • Thoracotomy, Laparotomy, soft tissue injuries Vascular repairs (56) • lower limb – femoral/popliteal/saphenous (34), Radial/brachial (18), jugular (2), ulna (2)
  15. 15. Injury / Operation types 2 February2007 – 11 February 2009 Laceration repair / Incision and drainage (623) Burns (19)
  16. 16. re‐deployment preparation/training Military requirements – EMST, FWAME, OHS, Aviation Medicine – ? RWAME Emergency/trauma medicine – Trauma training e.g.. Royal Adelaide Hospital – ED shifts
  17. 17. re‐deployment preparation/training Remember EMST principles Teamwork Flexibility
  18. 18. Acknowledgment CAPT Ken Iwassa – Canadian Forces SQNLDR Mary Langcake – RAAF SR

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