Home > ICRC Activities > Assistance > Health > War surgery News Surgeons struggle for access to war wounded 27-3-2008 News release 26-3-2008 News release Section War surgery and the ICRC The ICRC helps to treat war casualties by providing surgical staff, training local medical staff, developing programmes for pre-hospital first aid and the evacuation and transportation of injured patients, and improving the capacity of Red Cross and Red Crescent volunteers to respond to emergency situations. Access to publications on the surgical management of war wounds, and details of surgery and hospital assistance programmes. ©ICRC/J. Björgvinsson ref. sd-e-00249
West Darfur, Zalingei. Hospital helped by the ICRC.
The ICRC's long experience in treating war casualties has given it considerable expertise in this field. ICRC surgeons train expatriate medical staff who have volunteered to work for the organization and are new to the specific skills and techniques required in the field. They also teach local doctors these skills to enable them to take over and continue to treat the wounded once the ICRC teams have left. At the international level, courses and workshops are organized each year, such as the H.E.L.P. courses (Health Emergencies in Large Populations), which enable the ICRC to share its knowledge and experience. ICRC doctors publish manuals on war surgery and contribute to professional periodicals. In an unsafe environment, gaining access to the wounded and transporting them to hospital can present considerable difficulties. The ICRC, in partnership with the local Red Cross or Red Crescent society, develops programmes for pre-hospital first aid and the evacuation and transportation of injured patients. The ICRC also builds national societies' capacity to respond to emergency situations by, for instance, running first-aid courses for volunteers, which cover organization as well as life-saving techniques. The ICRC may provide national societies with communications equipment and ambulances to assist them in preparing for emergencies. War surgery: managing an "epidemic of trauma"
War generally occurs in countries where health services are already fragile. Maintaining supplies to hospitals, replacing skilled staff, keeping machines going and simply getting the wounded to hospital become major headaches.
In these circumstances, providing surgery and post-operative care can become major headaches, calling for solutions that might not be found in advanced army surgeons' handbooks.
In 2007, ICRC-supported hospitals in 17 countries carried out more than 113,000 surgical operations. The ICRC regularly supported 45 first aid posts located near combat zones which provided emergency treatment mainly for war wounded.
The ICRC's long experience has made it a reference in this field, providing expertise which it shares at seminars throughout the world.
The 19th Surgical Seminar (Geneva, 28-30 March 2008) covered topics such as first aid and evacuation, triage and mass casualties, wound management, mine injuries and penetrating head trauma. Read more: Interview with Marco Baldan, organiser of the ICRC's 19th Surgical Seminar; Seminar programme; ICRC News release Working for the ICRC: surgeon; anaesthetist; operating theatre nurse; hospital administrator 27-3-2008 War surgery: dealing with security problems, finding appropriate methodsInterview with Marco Baldan, organiser of the ICRC's 19th Surgical Seminar (28-30.03.08). Dr. Baldan, ICRC head surgeon, has worked for the organisation for nine years, at HQ and in various countries of Africa. Previously he worked in Iraq, Uganda and Cambodia. (ICRC Activities\Assistance\Health\War surgery) Interview 30-3-2006 Ensuring surgical services for victims of conflictThe ICRC has long been considered a leading authority on war surgery and organizes an annual seminar held in Geneva that is attended by practitioners from all over the world. Chris Giannou has been an ICRC war surgeon for 25 years and in this interview he talks about the organization's role. (Info resources\Audio) Audio Collection Includes Audio 26-3-2008 ICRC international war surgery seminar, 2008 - programmeThe ICRC is holding its 19th Surgical Seminar in Geneva from Friday 28 March to Sunday 30 March 2008 Surgeons and other surgery professionals from around the world are taking part in the event, whose presenters include ICRC specialists on the treatment and management of war-wounded.(Info resources\Events) Event 15-1-2008 Pakistan: doctors on the frontlineLife remains difficult in many parts of the world, and Pakistan is no exception, having experienced its fair share of war and conflict in its short history. The ICRC's Sitara Jabeen reports on how medical professionals cope with the heightened stress of living in areas affected by armed violence. (The ICRC worldwide\Asia and the Pacific\Pakistan) Feature Includes Photo 21-12-2007 Chad: tales of the war wounded from an ICRC surgeonArticle reproduced on this site with the kind permission of the publisher *. (The ICRC worldwide\Africa\Chad) Feature Includes Photo 28-6-2006 Lopiding hospital: adapting to changing needs in southern SudanLopiding hospital in northern Kenya was the ICRC's biggest field hospital, performing more than 60,000 operations in its 19-year history. At the end of June 2006, management was handed over to the Kenyan authorities. The ICRC's Andrea Koenig visited the hospital and sent this report. (The ICRC worldwide\Africa\Kenya) Feature Includes Photo 18-1-2008 Somalia: surgeons fight for lifeIn 2007, intense fighting in Mogadishu has pitted military forces from the Transitional Federal Government, backed by Ethiopian troops, against fighters from Somalia’s Islamic Courts. Hospitals have been stretched to capacity. Surgeons at Medina and Keysaney hospitals have treated more than 4,000 wounded people – twice as many as in 2006. This film shows the extraordinary work of surgeons fighting to save lives in the midst of war. (Info resources\ICRC publications and films\Films\From the field) ICRC film Includes Video 31-12-1996 Life in a field hospital: a surgical hospital in AfricaSurgeons, nurses and other medical staff from Red Cross Societies all over the world have come to a no-man's-land between Kenya and Sudan to help the victims of a forgotten war. Life-saving procedures, an emergency that has been going on for years, a daily succession of planes unloading new casualties - such is the scene of day-in, day-out ICRC work in a remote corner of the earth called Lokichokio. From the surgeon just arrived from Europe or Australia to the patient evacuated from deep in the bush, all those involved in this classic example of humanitarian endeavour relate their day-to-day experiences. (Info resources\ICRC publications and films\Films\Assistance) ICRC film 15-6-2005 Hospitals for war-wounded: a practical guide for setting up and running a surgical hospital in an area of armed conflictWhen war breaks out, any existing health-care system will rapidly be disrupted and then overwhelmed: just when the infrastructure on which the facility is dependent collapses, an unprecedented influx of casualties occurs. This book is based on the ICRC's experience in running independent hospitals and is intended for anyone faced with the task of setting up or running a hospital for war casualties. It includes guidelines on how to manage an influx of wounded and sets out a system for managing patients from admission to discharge. (Info resources\ICRC publications and films\Publications\Assistance) ICRC publication 31-12-1998 Surgery for victims of warThis handbook summarizes the experience of leading practitioners in the field of war surgery and is intended to help military and civilian surgical teams treat people wounded in armed
conflicts. It covers first aid, admission of urgent cases and triage, skin grafts, treatment of
infections, wounds and burns, plastic surgery and anaesthesiology. (Info resources\ICRC publications and films\Publications\Assistance) ICRC publication Includes PDF 31-12-1996 War wounds with fractures : a guide to surgical managementThis book addresses the management of war wounds by non-specialist surgeons in situations where resources and expertise are limited. It is intended to be a pratical guide whether or not the surgeon has a special training in orthopaedic trauma. (Info resources\ICRC publications and films\Publications\Assistance) ICRC publication 31-12-1994 War wounds : basic surgical management : the principles and practice of the surgical management of wounds produced by missiles or explosionsThe main concern of a doctor faced with a person injured by a mine, a bullet or a metallic fragment is how to treat the wound. This book is intended to help doctors, whether military or civilian, who have to deal with war wounds. (Info resources\ICRC publications and films\Publications\Assistance) ICRC publication Includes PDF 31-12-1992 Amputation for war woundsThe ICRC has acquired a great deal of experience in treating war wounds, particularly those caused by anti-personnel mines. This review of amputation techniques is intended to pass on its experience to all people providing medical care for war victims. (Info resources\ICRC publications and films\Publications\Assistance) ICRC publication 31-12-1991 The Red Cross wound classificationThe Red Cross wound classification system describes and lists various features of wounds, giving a numerical value to each feature, to help civilian surgeons prepare for war surgery. (Info resources\ICRC publications and films\Publications\Assistance) ICRC publication 21-4-2008 Comoros: ICRC surgical team on the spot during recent fightingAs tensions built up in the Indian Ocean nation in March, the ICRC dispatched a surgical team to Anjouan island, to help in case local hospitals became overwhelmed with casualties; interview. (The ICRC worldwide\Africa\Comoros) Interview Includes Photo 5-2-2008 Chad: helping the injured amid the chaosViolent clashes between rebels and government troops in N'Djamena have left hundreds injured, many dead and thousands fleeing the capital. Simon Ashmore, the ICRC's deputy head of operations for East Africa, says the ICRC is supporting the Red Cross of Chad as far as possible in tending to the injured and the dead, notably with one surgical team in place and another on the way. (The ICRC worldwide\Africa\Chad) Interview Includes Photo 18-11-2007 Chile: an ICRC surgeon shares his experience with doctors going on peacekeeping missionsMexican doctor Víctor Uranga was one of the ICRC specialists leading the recent war surgery seminar run by the Chilean defence headquarters and ministry of defence. The aims of the seminar were to update military doctors going on UN peacekeeping missions and to share with them the experience acquired by ICRC surgeons. (The ICRC worldwide\The Americas\Chile) Interview Includes Photo 15-1-2007 Somalia: war-wounded present distinct challenge for hospitalsKeysaney Hospital is a full service, 65-bed facility located in North Mogadishu that has been supported by the ICRC since 1992. In an interview for the ICRC website, the hospital's director, Yusuf Mohamed Hassan, describes the daily struggle to keep the war-wounded in hospital until they are medically out of danger. (The ICRC worldwide\Africa\Somalia) Interview Includes Photo Job opportunity Includes Photo 18-1-2007 Darfur field surgical team: saving lives in the classroomThe ICRC undertook to address the needs of weapon-wounded people in Darfur with the establishment in April 2005 of a fast-response, mobile field surgical team (FST). The ICRC's Jessica Barry recounts the story of a teaching nurse who recently had the opportunity to experience the daily travails of the FST firsthand. (The ICRC worldwide\Africa\Sudan) Stories from the field Includes Photo 21-1-2000 Examples of ICRC surgery and hospital assistance programmes(ICRC Activities\Assistance\Health\War surgery) |