By Army Staff Sgt. Whitney Houston
Regional Command South
KANDAHAR AIRFIELD, Afghanistan, June 30, 2014 – In any game
plan, success requires time, focus and consistent mental and physical effort
from every team player.
The Role 3 Multinational Medical Unit here is such a team.
Their patients’ well-being is their central focus and they strive to prepare
for everything the battlefield of Afghanistan gives them.
“We’re really good at what we do here,” said Navy Lt.J.G.
Trosper, a native of Petaluma, California, who has served Role 3 MMU as an
intensive care unit and trauma nurse.
“And we strive to get our patients through our continuum of care
as fluidly as possible,” Trosper said.
The constant care provided by Role 3 has been tested many
times. However, there is a day that the Role 3 team will recall for years to
come, and their performance that day will be remembered forever by those they
treated.
Navy Capt. Mary E. Neill, a Baltimore, Maryland, native who
serves as commanding officer of the NATO Role 3 MMU hospital described the
scene March 30, 2014, when a Romanian security element was conducting a mounted
patrol near the airfield when it was suddenly struck by an improvised explosive
device.
“One Romanian soldier was immediately taken by the blast,
another was critically wounded with an arm amputation, and the other four had
injuries as well, of varying severities,” Neill said. “They received immediate
care from the medics and were immediately medevaced here.”
Navy Lt. Cmdr. Dan Grabo, a native of Pittston,
Pennsylvania, who serves as a trauma surgeon and chief of trauma for the Role 3
MMU, recalled the situation as the “page that you don’t want to get. We are
built to be a trauma hospital, that’s what we do. However, we don’t want it to
be a situation that is a mass casualty [event] that overwhelms our
capabilities.”
When the medevac helicopter landed, a team was rushed to get
the Romanians off the litter and into the ambulance, which took the casualties
directly to the emergency bay for triage and care.
As chief of trauma it was Grabo’s job to triage and
coordinate appropriate care for the wounded Romanians.
“We kicked right into action; it was a great team effort,”
Grabo said. “With everyone doing their job at each station, taking care of the
patients as they came to them, it made my job very easy.”
During triage outside the emergency room, it was evident
that one Romanian soldier who had all but lost his limb in the blast would need
immediate care.
“When this patient came in, he had a very ashen look to him
and we all became very concerned,” said Navy Cmdr. Josh Tobin, a Los Angeles
native who serves as the department head of anesthesiology and critical care at
the NATO Role 3 MMU.
“So we immediately put in a breathing tube in less than a
minute of him arriving at the trauma bay,” Tobin added. “The corpsman and
surgeons were simultaneously working on getting him exposed and finding a good
site for an IV.”
After the trauma team had worked on the wounded soldier for
a brief time, it became necessary to try a different approach.
“Unfortunately, he had lost so much blood from his wounds
that his heart actually stopped,” Tobin said.
With a flat-lined patient in the trauma bay, the doctors had
every indication they needed to perform a very invasive lifesaving procedure.
“It required the most aggressive and invasive procedure you
can have in the emergency department -- a resuscitative thoracotomy, which is
cracking the chest, cross clamping the aorta so the blood only goes to vital
organs such as the brain, heart and lungs, and then pumping the heart by literally
squeezing it,” Grabo said.
Just a short while into the procedure, the trauma team
achieved what they set out to do, which was getting the patient’s pulse back,
Grabo said.
“In that moment,” he said, “we immediately took him to the
operating room for damage-control surgery for his arm and other concerning
wounds in his leg, abdomen and pelvis.”
While all of this was going on, the Role 3’s other trauma
teams were simultaneously taking action to ensure all of the other casualties
received the care they needed.
“Amongst the chaos, the other trauma teams were giving me
information on every other critically-injured patient,” Grabo said. “We were
sending them to the imaging scanners to get more information, and to the
intensive care unit, while we went to the OR with this really sick guy.”
Grabo explained after damage-control surgery was
administered to the most critically wounded patient and everything was under
control, they got him into the recovery room and on to the intensive care unit
in a very successful and timely manner.
Navy Lt. Cmdr. Sean Conley, a native of Doylestown,
Pennsylvania, who serves as an emergency physician and department head of
trauma for NATO Role 3 MMU, reflected on the team effort that took place that
day.
“It’s a reminder of the resiliency of the human body,”
Conley said, “and it’s amazing what you can do when you have the right tools
and the team that works with efficiency to make it happen.”
“It was the first time our team had seen a patient come in
straight from the point of injury and only having tactical field care
administered by a field medic,” he said. “It was awesome to see how well the
team reacted to a new situation.”
Navy Lt. Cmdr. Ashley Humphries, a native of Palm Beach,
Florida, who serves Role 3 MMU as a trauma surgeon, said that saving lives is
why he and his comrades are in Afghanistan.
“We all come from very different backgrounds, whether
civilian or active-duty military, but we’re here for a purpose,” Humphries
said. “And that purpose is to take care of our coalition troops at a moment’s
notice.”
Sadly, not all soldiers can be saved. To commemorate the
Romanian soldier who died that day, the NATO Role 3 MMU team conducted a solemn
ceremony.
“Any time that we have any coalition or U.S. soldier die in
our facility, which is very rare, we have a dignified transfer so that we can
all render honors and dignity to our fallen warrior,” Neill said. “It was quite
moving for the Romanian soldiers.”
Neill explained that two of the wounded Romanian soldiers
were able to stay behind and go through the Role 3’s physical therapy program
until they were able to go back to their duties. The remaining three, she said,
were shipped forward to Landstuhl, Germany, and eventually home.
Six member of the trauma team were awarded the Romanian
Medal of Honor for their actions that day, and the whole team was recognized
for their lifesaving efforts.
The NATO Role 3 MMU was awarded a framed certificate from
the Romanian army.
The certificate reads:
“For your professionalism, commitment and effective work
with a decisive impact in saving our servicemen’s lives. Your great devotion,
compassion, and friendship shown to Romanian allies, were the last barricade in
front of death, darkness and desolation. Our endless gratitude for your firm
hands, brilliant minds and beautiful souls. God bless you all.”