Critical Care in the Military Health System: A Survey-Based Summary of Critical Care Services

Critical care is an important component of in-patient and combat casualty care, and it is a major contributor to U.S. healthcare costs. Regular exposure to critically ill and injured patients may directly contribute to wartime skills retention for military caregivers. Data describing critical care s...

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Bibliographic Details
Published in:Military medicine 2018-11, Vol.183 (11-12), p.e471-e477
Main Authors: Nam, Jason J, Colombo, Christopher J, Mount, Cristin A, Mann-Salinas, Elizabeth A, Bacomo, Ferdinand, Bostick, Adam W, Davis, Konrad, Aden, James K, Chung, Kevin K, McCarthy, Mary S, Pamplin, Jeremy C
Format: Article
Language:English
Subjects:
Armed forces
Casualties
Critical care
Health care expenditures
Hospital costs
Illnesses
Intensive care
Leadership
Medicine
Military health care
Mortality
Patient safety
Response rates
Sepsis
Studies
Trauma
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Summary:Critical care is an important component of in-patient and combat casualty care, and it is a major contributor to U.S. healthcare costs. Regular exposure to critically ill and injured patients may directly contribute to wartime skills retention for military caregivers. Data describing critical care services in the Military Health System (MHS), however, is lacking. This study was undertaken to describe MHS critical care services, their resource utilization, and differences in care practices amongst military treatment facilities (MTFs). Twenty-six MTFs representing 38 adult critical care services or intensive care units (ICUs) were surveyed. The survey collected information about organizational structure, resourcing, and unit characteristics at the time of a concurrent 24-h point-prevalence survey designed to describe patient characteristics and staffing in these facilities. The survey was anonymous and protected health information was not collected. We analyzed the data according to high capacity centers (HCCs) (≥200 beds) and low capacity centers (LCCs) (
ISSN:0026-4075
1930-613X
DOI:10.1093/milmed/usy014