Deployment of field hospitals to disaster regions: Insights from ten medical relief operations spanning three decades

2017 ◽  
Vol 12 (4) ◽  
pp. 243-256 ◽  
Author(s):  
Michael Naor, PhD ◽  
Samuel N. Heyman, MD ◽  
Tarif Bader, MD, MHA ◽  
Ofer Merin, MD, MHA

Objective: The Israeli Defense Force (IDF) Medical Corps developed a model of airborne field hospital. This model was structured to deal with disaster settings, requiring self-sufficiency, innovation and flexible operative mode in the setup of large margins of uncertainty regarding the disaster environment. The current study is aimed to critically analyze the experience, gathered in ten such missions worldwide.Methods: Interviews with physicians who actively participated in the missions from 1988 until 2015 as chief medical officers combined with literature review of principal medical and auxiliary publications in order to assess and integrate information about the assembly of these missions.Results: A body of knowledge was accumulated over the years by the IDF Medical Corps from deploying numerous relief missions to both natural (earthquake, typhoon, and tsunami), and man-made disasters, occurring in nine countries (Armenia, Rwanda, Kosovo, Turkey, India, Haiti, Japan, Philippines, and Nepal). This study shows an evolutionary pattern with improvements implemented from one mission to the other, with special adaptations (creativity and improvisation) to accommodate logistics barriers.Conclusion: The principals and operative function for deploying medical relief system, proposed over 20 years ago, were challenged and validated in the subsequent missions of IDF outlined in the current study. These principals, with the advantage of the military infrastructure and the expertise of drafted civilian medical professionals enable the rapid assembly and allocation of highly competent medical facilities in disaster settings. This structure model is to large extent self-sufficient with a substantial operative flexibility that permits early deployment upon request while the disaster assessment and definition of needs are preliminary.

2020 ◽  
Vol 26 (2) ◽  
pp. 170-175
Author(s):  
Grigor Grigorov

AbstractThis report examines the evolution and nature of the concept of motivation. It performs a theoretical analysis of the definitions of motivation and attempts to give a scientific definition of the phenomenon of motivation for practising the military profession. The results of the analysis will enable commanders to understand more clearly military motivation in order to effectively manage their subordinates.


2011 ◽  
Vol 26 (S1) ◽  
pp. s120-s120
Author(s):  
K. Chikhradze ◽  
T. Kereselidze ◽  
T. Zhorzholiani ◽  
D. Oshkhereli ◽  
Z. Utiashvili ◽  
...  

IntroductionDuring 2008 Russian Federation realized major aggression against its direct neighbor, the sovereign republic of Georgia. It was Russia's attempt to crown its long time aggressive politics by force, using military forces. EMS physicians from Tbilisi went to the Gori district on August 8 at first light, 14 brigades were sent. At noontime of August 8, their number was increased up to 40. 6 brigades of disaster medicine experts joined them as well.ResultsDestination site for the beginning was the village Tkviavi, where a military field hospital was assembled and a Military Hospital in Gori. Later 6 brigades were withdrawn towards the village Avnevi. During fighting, wounded victims were evacuated from the battlefield, where initial triage was done. Evacuated victims were brought to the military hospital where the medical triage, emergency medical care and transportation to Gori military hospital or to Tbilisi hospitals was done. A portion of the wounded was directly taken to Gori military hospital and later to different civil hospitals in Tbilisi. Corpses were transported to Gori morgue as well. On August 9, the emergency care brigades and field hospital left Tkviavi and moved to the village Karaleti, then to Gori. On August 12, the occupied territory was totally evacuated by civil and military medical personnel. Although withdrawal of wounded was done on following days. Up to 2232 military and civil persons were assisted by EMS brigades during war period (8–12 August), from them 721 patients were transported among which 120 were severely injured.ConclusionClose collaboration between military and civil EMS gave the system opportunity to work in an organized manner. On the battlefield prepared military rescuers were active taking out wounded victims to the field or front-line hospitals from which civil emergency care brigades transported them to Tbilisi hospitals. Only 3 fatalities occurred during transportation.


2013 ◽  
pp. 215-234
Author(s):  
Milos Cvetkovic

The text cites the results of the study of the role of merarches, which were a part of the military organization of the Empire in the early Byzantine period. Later historical documents do not give any notion of this position for more than two centuries. The merarches became a part of the thematic organization in the middle of 9th century. Our ability to fully understand the nature of their function is limited due to the scarcity of source materials; this, however, may be overcome by taking into account, the general and political situation in the Empire, that is, by considering the military reforms executed in the 9th and 10th century. This paper focuses on the problem of the military-administrative competences of the merarches, which have been the subject of different interpretations in the modern, scholarly literature. One of the aims of this research is the definition of the timeframe within which the reestablishment of this rank in the Byzantine army occured.


2020 ◽  
pp. 50-57
Author(s):  
Taras Kravets

The purpose of the article is to analyze the existing approaches to understanding the terms military sphere, military-industrial complex, defense-industrial complex, security and defense sector, military sector, determining the positioning of the military sphere and its position relative to other natural-geographical areas, joints and overlaps, identification of its functions and problems that interfere with proper functioning. Development of directions and prospects for the development of the military sphere and the Armed Forces of Ukraine in general. Method. The research was conducted on the basis of the analysis of available literature sources on this topic and the application of a spherical approach to the analysis of the positioning of the military sphere and the definition of its components. The available domestic and foreign literary sources and the ratio of these concepts within this literature are studied. Results. Theoretical and methodological problems of comparing concepts related to the military sphere and their interchangeability and interconnectedness are studied. The scheme of correlation of concepts of military sphere, defense-industrial complex and military-industrial complex is offered. Based on the spherical approach, we propose a scheme of the military sphere, which we consider as a sphere formed within the geosphere at the junction of social and natural spheres, at the intersection of demographic, informational, spiritual, environmental, technical, economic, political and social spheres. Within each oblast forming the sphere, three main sectors with the greatest influence on the military sphere are singled out. Six main functions of the sphere are singled out and arranged in order of importance on the basis of the proposed scheme. Scientific novelty. The need for this study is due to the fact that despite the fact that since 2014 and to date, fighting has been going on in the east of our country, in many universities the discipline of military geography and related disciplines is being stolen, the term military sphere has not been proposed. clear positioning of the military sphere among other social spheres. To date, the functions performed by the military sphere and the factors contributing to the improvement and development of this sphere have not been determined, which is what led to the implementation of this study. Practical meaning. Based on modeling and analysis, the main areas that affect the military sphere as such and to what extent are identified, the areas of greatest influence and sectors of influence within the regions are identified. The functions of the military sphere and the main factors influencing its development and transformation are highlighted, as well as what measures need to be implemented to improve the situation. The results of the research are developed for planning by the state structures of the program of development of the military sphere and for teaching the discipline "Military Geography". The geographical features of the military sphere are singled out, to which the greatest attention should be paid when analyzing the transformation of the military sphere.


Author(s):  
Dmitrii Azarov

The subject of this research is the economic relations formed as a result of operation and development of military-industrial complex, which affect economic growth of the country. The object of this research is the military-industrial complex. The goal consists in determination of peculiarities of functionality of military-industrial complex. The author explores such aspects of the topic, as the evolution of approaches towards studying the military-industrial complex, as well as nuances of its functionality. Special attention is paid to the structure of military-industrial complex, highlighting its key components and determining interaction between them. The author’s main contribution lies in the proposed interpretation of the military-industrial complex, formulated as a result of critical analysis of relevant scientific representations on its essence, and reflecting the specifics of its functionality. The novelty consists in the analysis and systematization of scientific approaches to definition of military-industrial complex; its structural perception in form of modified scheme of O. Williamson with indication of major stakeholders and relations between them, which is based on the concept of “iron triangle”; identification of basic transformation trends of the military-industrial complex, as well as characteristics that differentiate it from other economic macro-sectors.


The purpose of the article is socio-geographical and economic justification of trends, models, mechanisms and priorities for improving managerial system of natural economic systems and territorial economic complexes in the context of decentralization based on adaptation of the clusters model of M. Enright. Main material. Mechanism for managing united territorial communities` natural and economic systems development to ensure sustainable geospatial development of territories based on the example of Kherson region has been applied in the article. It has been proven that the effectiveness of reforms’ progress can be ensured by further consolidation of united territorial communities (UTC) and their clustering. Moreover, the clusters can go outside current administrative districts` boundary, which since 2017 has been fully regulated by the law. To prove the mechanism of UTCs consolidation, it has been proposed to use the model of regional clusters of M. Enright, which was adapted for united territorial communities. To determine the prospects for further UTCs consolidation in Kherson region, followed by the definition of economically proved new zoning, the cluster analysis has been applied. The following criteria for clustering have been chosen: income per capita; own income per capita; infrastructure subsidy per capita. Conclusions. Socio-geographical and economic reasons for the reforming tools of the administrative-territorial system based on the example of Kherson region have revealed and substantiated the relevance of cluster approach in the process of UTCs and their associations` formation. UTCs associations aim to stimulate their development, rationally use available and potential resources, to ensure joint investment activities and project-management. It has been proposed to implement UTCs consolidation on the basis of cluster approach. Clustering, as the example of Kherson region, has been carried out based on the key socio-economic indicators per capita, namely: own incomes, infrastructure subsidy and basic / reverse subsidy. This allowed us to identify and map clusters of the formed UTCs and identify prospects for area without UTCs incorporation (within relevant village councils). UTCs consolidation was based on the characteristics of capacity, self-sufficiency, sustainable development, territorial and functional balance of community interests. This will allow to develop methodological and procedural recommendations for strategic documents at UTC level. Their relevance will be increased in the context of climate change and tackling national economic crisis.


1998 ◽  
Vol 25 ◽  
pp. 93-110 ◽  
Author(s):  
Quentin Gausset

Traditional accounts of the nineteenth-century Fulbe conquest in northern Cameroon tell roughly the same story: following the example of Usman Dan Fodio in Nigeria, the Fulbe of Cameroon organized in the beginning of the nineteenth century a “jihad” or a “holy war” against the local pagan populations to convert them to Islam and create an Islamic state. The divisions among the local populations and the military superiority of the Fulbe allowed them to conquer almost all northern Cameroon. They forced those who submitted to give an annual tribute of goods and servants, and they raided the other groups. In these traditional accounts the Fulbe are presented as unchallenged masters, while the local populations are depicted as slaves who were powerless over their fate; their role in the conquest of the region and in the administration of the new political order is supposed to have been insignificant.I will show that, on the contrary, in the area of Banyo the Wawa and Bute played a crucial role in the conquest of the sultanate and in its administration. I will then re-examine the cliche that all members of the local populations were the slaves of the Fulbe by distinguishing the fate of the Wawa and Bute on one side from that of the Kwanja and Mambila on the other, and by showing the importance of the Fulbe's identity in shaping the definition of slavery. Finally I will argue that, if the historical accounts found in the scientific literature invariably insist on Fulbe hegemony and minimize the role played by the local populations, it is because those accounts are often based on Fulbe traditions, and because these traditions are remodeled by the Fulbe in order to correspond to their discourse on identity.


Author(s):  
H. Burcu Önder Memiş

Fear is a human emotion that allows a person to survive. It has a function to ensure the continuity of life. The definition of fear has changed over time. Along with human development, transition to sedentary life, the industrial revolution, and modern life, fear and the things feared have changed. Fear has started to be marketed, especially in post-industrial societies. The governments have seen that fear and violence work to regulate, control, and passivate people. Political governments have had the unique opportunity to use fear as a mechanism for control and surveillance. The governments have aestheticized the fear and presented it indirectly with the support of media. The masses have been shaped as weak, scared, anxious, and helpless in the shadow of fear and violence. This study tries to shed light on the attempt to persuade the society about the legitimacy of the military government by presenting fear and violence to people in aestheticized forms in the 1980s in Turkey.


Author(s):  
G. Giacomello

Computers have always caused psychological uneasiness in the human brain. That a computer is the closet thing to a thinking machine can be discomforting. That average users have little understanding of the complexity and intricacies of how computers and software operate only add to the distress. Networked computers further increased the puzzlement of human beings. The media (suffering from the same poverty of information as the public) have picked up catchwords like cyberwar, netwars, cyberterrorism, and cybercrime. Speaking of Electronic Pearl Harbors and comparing modems to bombs have only contributed to increasing the level of media hysteria and confusion in public opinion. Schwartau (1994) is a classic example. Imagine that poorly informed journalists start telling the general public that ruthless hackers (hired by terrorists) could take over the power grid and shut it down, or cause patients’ death after their medical records have been compromised. The mere suspicion that terrorists could perform such acts would be enough to fueling the fear factor, which regularly happens as a result of this crying wolf. Under these circumstances, cyberterrorism seems like a nightmare come true. As Embar-Seddon (2002) noted, the word terrorism brings together two significant modern fears: the fear of technology and the fear of terrorism. Both technology and terrorism are significant unknowns and unknown threats are generally perceived as more threatening than known threats. To some extent, cyberterrorism does not need to be manifested itself in any significant way because many already believe it to be real. This article will try to dispel some of the myths of cyberterrorism, such as the contention that terrorists could remotely take control of critical infrastructure and thus bring a country to its knees. In fact, today, cybercrime and economic damage caused by hackers are far more real and serious threats than terrorists. Misdeeds are more likely to be committed by disgruntled insiders than skilled outsiders (Randazzo et al., 2004). There is no commonly accepted definition of terrorism, hence cyberterrorism has been variously interpreted. For example, Sofaer et al. (2000) defines it as “intentional use or threat of use, without legally recognized authority, of violence, disruption or interference against cyber systems” (p. 26), resulting in death or injury of people, damage to physical property, civil disorder, or economic harm. The probability, however, that cyberattacks may actually cause victims is extremely low. Furthermore, Sofaer et al. tends to exclude states from committing terrorist acts, which is also debatable. Hughes (2004) observes cyberterrorism as a diverse set of technologies whose purpose is to scare people, but scaring people without getting anything in return is simply useless. Paraphrasing a working definition of terrorism, I would identify cyberterrorism as the use of digital means to threat or undertake acts of organized violence against civilians to achieve political advantages. Perpetrators then could be nonstate groups or sovereign states. Terrorists spreading scary stories to terrify the populace via the Internet would also qualify. Finally, because of cost efficiency, information and communication technologies have blurred the distinction that long existed between the noncombatant and the combatant spheres. The technology on which the military now rely is exactly the same commercial off-the-shelf hardware and software products that civilians have in their homes and offices (Department of the Army, 2003). Military and civilians alike use largely the same computer networks, which were designed for ease of use and not for hardened communications. During the Cold War, dual use technology (civilian hardware and software) was considered “dangerous” because it could help the Soviets close the gap with the West. Paradoxically, dual-use technologies are now “good.” One of the many downsides of such a situation is that if terrorists hit computer networks, in theory, they could hit multiple targets: the economy, law enforcement agencies, emergency services, and (albeit to a lesser extent) even the military. For terrorists this scenario would be a dream come true. Reality, however, is substantially different.


Sign in / Sign up

Export Citation Format

Share Document