SIR ePoster Library

Interventional Radiology Onboard the Navy Hospital Ship USNS Comfort
SIR ePoster library. Baarson C. 03/04/17; 170028; 592
Chad Baarson
Chad Baarson
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Abstract
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Final ID
592

Type
Educational Exhibit-Poster Only

Authors
C Baarson1, J Clark2

Institutions
1Naval Medical Center, Portsmouth, VA, 2NMCP, Portsmouth, VA

Purpose
Utilizing Interventional Radiology (IR) skills in non ideal conditions? War, disasters, mass casualty situations, and humanitarian missions that we can be prepared to handle with limited resources. How IR can contribute in trauma care, surgical morbidity mitigation and short in-patient stay. Success stories from the most recent US Navy humanitarian mission in Central America, South America, and the Caribbean highlighting what Interventional Radiologist can do beyond the closed doors of IR suite.

Materials & Methods
This Exhibit will give an overview of Interventional Radiology Assets onboard the USNS Comfort hospital ship during US Navy Continuing Promise 15 humanitarian mission throughout Central and South America and the Caribbean. We discuss interesting IR cases performed on the ship and in the field with limited resources and successful outcomes as well as how this can be translated to disaster relief and warfighter support.

Results
IR was found to be valuable in preventing intraoperative blood loss during surgery by utilizing preoperative tumor embolization prior to surgery. IR was also successfully utilized for gonadal vein embolization in patients with both pelvic venous insufficiency or symptomatic varicoceles. Having IR aboard the ship increased the treatment options and capabilities of surgical staff. IR assisted pediatric surgical teams teams with esophageal dilatation in cases of esophageal stricture. The most unexpected benefit was utilization of the Interventional Radiologist's understanding of anatomy and radiologic procedures in the field with a make-shift IR suite for medical site IR procedures.

Conclusions
Interventional radiology integrated into the suite of surgical capabilities of forward-deployed medical assets, is synergistically valuable. The treatment options levied by the IR team allow numerous interventions to be performed in concert with various surgical procedures. As previously demonstrated on prior missions aboard the USNS MERCY, the sister ship of the USNS COMFORT, the presence of Interventional Radiology aboard US Navy hospital ships is an invaluable asset in a humanitarian setting.

Final ID
592

Type
Educational Exhibit-Poster Only

Authors
C Baarson1, J Clark2

Institutions
1Naval Medical Center, Portsmouth, VA, 2NMCP, Portsmouth, VA

Purpose
Utilizing Interventional Radiology (IR) skills in non ideal conditions? War, disasters, mass casualty situations, and humanitarian missions that we can be prepared to handle with limited resources. How IR can contribute in trauma care, surgical morbidity mitigation and short in-patient stay. Success stories from the most recent US Navy humanitarian mission in Central America, South America, and the Caribbean highlighting what Interventional Radiologist can do beyond the closed doors of IR suite.

Materials & Methods
This Exhibit will give an overview of Interventional Radiology Assets onboard the USNS Comfort hospital ship during US Navy Continuing Promise 15 humanitarian mission throughout Central and South America and the Caribbean. We discuss interesting IR cases performed on the ship and in the field with limited resources and successful outcomes as well as how this can be translated to disaster relief and warfighter support.

Results
IR was found to be valuable in preventing intraoperative blood loss during surgery by utilizing preoperative tumor embolization prior to surgery. IR was also successfully utilized for gonadal vein embolization in patients with both pelvic venous insufficiency or symptomatic varicoceles. Having IR aboard the ship increased the treatment options and capabilities of surgical staff. IR assisted pediatric surgical teams teams with esophageal dilatation in cases of esophageal stricture. The most unexpected benefit was utilization of the Interventional Radiologist's understanding of anatomy and radiologic procedures in the field with a make-shift IR suite for medical site IR procedures.

Conclusions
Interventional radiology integrated into the suite of surgical capabilities of forward-deployed medical assets, is synergistically valuable. The treatment options levied by the IR team allow numerous interventions to be performed in concert with various surgical procedures. As previously demonstrated on prior missions aboard the USNS MERCY, the sister ship of the USNS COMFORT, the presence of Interventional Radiology aboard US Navy hospital ships is an invaluable asset in a humanitarian setting.

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