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Erschienen in: Journal of Religion and Health 3/2011

01.09.2011 | Report

Gray Matters: A Deployed Physician’s Perspective on Combat Medicine in Iraq

verfasst von: Heather X. Cereste

Erschienen in: Journal of Religion and Health | Ausgabe 3/2011

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Abstract

A female physician who was serving as a first-year medicine resident in Manhattan in September 2001 writes this paper. It details her experience of signing up for military service as a result of the September 11th attack on the United States. She lays out the surroundings, atmosphere, and reactions of those around her during the attack and details her own personal motivations for joining the military, her need to take control and help those in need heal while also trying to heal herself. Grateful, yet haunted by her experience, she provides an intimate glimpse into her time serving as a combat physician at a trauma hospital in Balad, Iraq during the 2007 military surge. A trained geriatrician and palliative care physician she recounts the stories of several patients that have forever shaped her life and explores the contradictions and ethical challenges she faced while caring for them ultimately struggling with the uncertainty of whether what she was truly doing was good for those she served or herself.
Fußnoten
1
Damage control is defined as the rapid initial control of hemorrhage and contamination, temporary closure, resuscitation to normal physiology in the [Intensive Care Unit] ICU, and subsequent re-exploration and definitive repair. This approach reduces mortality to 50% in some civilian settings.
 
2
Explosive ordinances that were fired into our camp by insurgents outside the wire. Many of these mortars were old, formerly Russian, and did not immediately explode. We had to always remain vigilant, while walking the camp, not to inadvertently step on an unexploded ordinance as it could go off. We often did Unexploded Ordinance UXO sweeps, piled them up and performed controlled explosions.
 
3
The hole in the base of the skull through which the spinal cord passes and allows the brain to connect to the spinal cord.
 
4
Casual term to perform a bronchoscopy procedure. A bronchoscopy is performed by snaking a tube via the mouth into the airway to see and possibly treat deleterious conditions within the airway.
 
5
When the brain unnaturally protrudes down through the foramen magnum which compresses the brain stem and leads to almost immediate death.
 
6
Healthcare personnel of the Armed Forces of the US have a responsibility to protect and treat, in the context of a professional treatment relationship and universal principles of medical ethics, all detainees in the custody of the Armed Forces. This includes enemy prisoners of war, retained personnel, civilian internees, and other detainees.
 
7
Triage categories are Immediate (high chance of survival for life-saving intervention with relative limited resource requirement), Delayed (like immediate, but time-consuming interventions required so triaged after immediate category), Minimal (minor injuries and can often care for themselves), and Expectant. Expectant casualties have wounds that are so extensive that even if they are the sole casualty and had the benefit of optimal medical resource application, their survival would be unlikely.
 
Literatur
Zurück zum Zitat Pessoa, F. (2006). A light a little larger than the entire universe. In R. Zenith (Ed.). New York: Penguin Classics. Pessoa, F. (2006). A light a little larger than the entire universe. In R. Zenith (Ed.). New York: Penguin Classics.
Zurück zum Zitat Scott, N. A. (1969). The unquiet vision: Mirrors of man in existentialism. Cleveland: World Publishing. Scott, N. A. (1969). The unquiet vision: Mirrors of man in existentialism. Cleveland: World Publishing.
Zurück zum Zitat Szul, A. C., Davis, L. B., Maston, B. G., Wise, D., & Sparacino, L. R. (Eds.). (2004). Emergency war surgery: Third United States revision. Washington DC: Department of Defense. Szul, A. C., Davis, L. B., Maston, B. G., Wise, D., & Sparacino, L. R. (Eds.). (2004). Emergency war surgery: Third United States revision. Washington DC: Department of Defense.
Metadaten
Titel
Gray Matters: A Deployed Physician’s Perspective on Combat Medicine in Iraq
verfasst von
Heather X. Cereste
Publikationsdatum
01.09.2011
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 3/2011
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-011-9524-2

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