EFFECTIVENESS OF A MILITARY MEDICAL FORCE DEPLOYMENT MODEL IN URBAN FIRE AND EXPLOSION DISASTERS
DOI:
https://doi.org/10.59354/ydth175.2025.400Keywords:
Military medical forces, casualty care and evacuation, fire and explosion disasterAbstract
Objective: To evaluate the effectiveness of the organizational model of deploying military medical forces in emergency care and evacuation of victims in urban fire and explosion disasters, through a trial implementation at the 108 Military Central Hospital.
Subjects and Methods: The organizational model of military medical forces was developed and tested, focusing on assessing trained and drilled military medical units in scenario-based exercises, as well as the organizational system, equipment, and transport means used for casualty care and evacuation.
Results: Among 108 victims of the fire and explosion disaster at the 108 Military Central Hospital building, males accounted for 66.7%, with the majority aged 18 - 40 years (42.6%). The most common injuries were thermal burns (31.5%) and smoke/ toxic gas inhalation (26.9%). Key emergency interventions included burn management at the scene (23.2%), fluid resuscitation/anti-shock therapy (22.2%), and fracture immobilization (19.4%). Most victims were evacuated by stretcher (51.9%) or assisted walking/carrying (26.9%). The average activation time of medical forces was 5 minutes, establishment of a forward emergency station 20 minutes, and complete evacuation of all 108 victims within 110 minutes. The overall accuracy of emergency techniques was high (85–92%), with the lowest rate observed in airway management (75%).
Conclusion: Military medical forces were deployed promptly and effectively, ensuring rapid access, safe initial management, and timely evacuation of victims. Burns and smoke inhalation were the predominant injuries, while emergency procedures were performed with high accuracy. The model demonstrated feasibility and effectiveness in responding to urban fire and explosion disasters
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