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ADVANCE Perspective: Nurses

Realities of War: My Trip Home

Published October 15, 2007 3:44 PM by Erin James

During the 9-hour flight home from Ramstein Air Force Base to the states, med techs, nurses, respiratory therapists and one physician provided seamless care.

Flight nurses provided ongoing assessment of about 43 patients. While most patients were ambulatory, about 13 of them laid in litters which resemble three-tiered bunk beds with a canvas underlay and cushion on top (pictured below). (photos by Jeffrey Leeser)

Closer to the back of the C-17, the critical-care transport team [RE: "c-cat" for short], cared for two critical patients. CCTT--comprised of one nurse, respiratory therapist and physician--monitored closely the patient's pulse ox as well as heart rate, among other indicators. One of the critical patients sustained a bullet wound to the head.

In flight, I sat with an ambulatory patient, a civil engineer with the Army who was on his way back to Georgia. He is being sent home for internal bleeding. Within view of us are the two critical patients. "It's hard for me to see the guys physically wounded and then there's me," he said. "I feel like my problems are a lot more superficial than theirs."

As far as the nurses are concerned, no injury is superficial. On board that flight, patients dealing with post-traumatic stress disorder, on-the-job injury, leg wounds, epilepsy and mild traumatic brain injury received the highest level of compassionate and skilled nursing care.

If there is ever a silver lining to injuries sustained in war, it would be this: it has greatly advanced medicine in terms of designing high-tech prostheses and honing reconstructive surgery, including facial. The demand in the U.S. is not high in these areas, and what would have normally taken 30 years to develop has taken 5 years because of the war, relayed Janet Deltuva, deputy, 79th Medical Group Commander at Andrews Air Force Base.

"When they come back, there is tremendous need to repair and restore," she said. "And with that comes bold advancements that wouldn't be there without the need."

More on the nursing and multidisciplinary care provided for soldiers at Ramstein Air Force Base and Landstuhl Regional Medical Center, both in Germany, as well as care provided at Andrews Air Force base will appear in upcoming issues of ADVANCE. It's been an amazing journey!

1 comments

 Dear Erin

As I read your article in the November issue tears once again filled my eyes as they did on March 26 2007. I traveled to Germany in March of this year for the birth of my grand-daughter, my daughter, her husband and their 4 year old daughter have been stationed in Germany at Ramstein Air Force Base since August 2003. On the morning of March 26 around 0600, as my daughter rested in her room at Landstuhl Regional  Hospital on Maternity Wing, I decided to go for a walk and a breath of fresh air, that's when I came face to face with the most outstanding group of nurses and health care providers I ever met, as I approched the Emergency Room exit, the only way to the outside at that time of the day, I noticed alot of commotion going on and saw that the right side of the hallway was lined up with bed after bed, wondering what was going on I asked a young soldier in a wheelchair what was all the action about, with a smile from ear to ear he answered "We're going home,"  I stood there watching as nurses, respiratory techs.and other medical personnel transfered each soldier into a  medical bus, making sure that each pt  was warm and safely  loaded, I stood there overwhelmed with emotions and pride as I watched these collegues do what nursing is all about CARING FOR THE ILL.  Erin thank you for writing the article, I will treasure it and pass it on to my daughter, who by the way is an air force certified flight medical technician, and my son-in-law is a Crew Chief at Ramstein  Air Base.      

Rosa Lawler, Pediatrics - RN , Christiana care health system November 28, 2007 1:55 AM
wilmington DE

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