Balad's medics move into new facility

10 Aug 07
by 1st Lt. Shannon Collins
332nd Air Expeditionary Wing Public Affairs.

BALAD AIR BASE, Iraq (AFPN) - Approximately 150 base volunteers and 380 Airmen with the 332nd Expeditionary Medical Group moved patients and equipment as they closed the doors on the old Air Force Theater Hospital and opened the doors to their pre-engineered facility here Aug. 3.

Starting at 4 a.m., Airmen in each tent tunnel section began moving patients and equipment. Throughout the past two months, a transition team, along with the help of volunteers, set up the upgraded facility. They pre-positioned as much equipment and supplies as they could to make the transition easier for the patients and medical staff.

Thousands of patients, ranging from American military members to Iraqi freedom fighters and civilians, have been treated at the hospital -- the last Air Force military Level 3 trauma tent hospital in the theater. The staff performs more than 2,000 surgical procedures a month.

"We have an outstanding survivability rate, reaching 98 percent, unheard of in prior conflicts," said Col. (Dr.) Brian Masterson, 332nd EMDG commander. "The new facility helps to enhance that capability and helps improve the survivability and minimization of the consequences of war. Inside the new facility lies the most sophisticated lifesaving technology you'll find anywhere in the world."

About 250 contractors worked during the day and about 150 at night to upgrade the pre-engineered facility within seven months. The existing building had been about 4,265 square feet and was the original Iraqi Air Force Academy Hospital.

The tent hospital was originally set up by the U.S. Army when the U.S. military came to Balad in 2003. In September 2004, the Air Force assumed the trauma center mission. In December 2005, the Air Force opened the Contingency Aeromedical Staging Facility co-located with the newly remodeled, pre-engineered facility.

The 332nd MDG's tent hospital was about 63,105 square feet and a labyrinth of more than 30 tents. The new facility is approximately 97,000 square feet. Though there was some sentimental attachment to the tents, the upgrade gives the hospital and its staff of about 379 servicemembers several advantages.

The new facility has up to 20 intensive care units, 40 beds and eight operating tables. Better environmental controls, better power production and distribution systems, conditioned power, indoor plumbing, all medical services in one area, safety and space are just some of the many advantages of the new facility, said Lt. Col. Michael Glass, 332nd EMDG logistics flight commander.

The previous tent hospital had very little insulation, and the environmental control units could only reduce the temperature by 20 degrees less than the ambient temperature outside, said Colonel Glass. During the summer months, the temperature reaches 120 degrees on a regular basis.

"When these systems were operating at full capacity, they tripped the breakers, causing temporary but frequent power outages," he said. "When the power went out, the tents heated up very fast. The new hospital has hundreds of AC units to provide very controlled temperatures, and it should stay around 75 to 80 degrees year round."

The new facility has cleaner power systems and power conditioning systems, meaning less wear and tear on the most expensive medical equipment.

One of the biggest advantages is space. The new facility has double the number of trauma bays and six isolation beds for potential infectious patients, beds they did not have in the tents. The operating rooms and patient rooms are also bigger and better, said the colonel.

Maj. Vik (Dr.) Bebarta, 332nd EMDG emergency medicine chief and flight commander for the emergency department, and his team of 24 are looking forward to the benefits of the new facility.

"The controlled climate, limited dust and better lighting will allow us to provide even better care to our injured Soldiers, Sailors, Airmen and Marines," said the major, on his second deployment to the tent hospital.

"Working in the tents for eight months was a unique experience," he said. "The intimate 'soft wall' setting created a tropism for cohesiveness, communication, passion, urgency, efficiency and patient-focused critical medical care. I hope that ethos carries over to the new setting."

During the day of the move, the emergency department Airmen set up a department in each hospital and worked on patients in both facilities until the transition was complete. The emergency department staff evaluates about 750 patients a month, and 625 are admitted. About 65 percent of the patients are traumatic injuries, most of which are combat-related.

"We act as the entry point for all critically ill patients at the (Air Force Theater Hospital)," the major said. "We assess, resuscitate and stabilize all traumatic and medically ill patients. Our primary mission integrates with all facets of the hospital."

Lt. Col. (Dr.) Jim Keeney is the chief of orthopedic surgery and a regular member of the operating room staff. He said the tent environment posed a few challenges.

"During the summer months, temperatures inside the tents would reach peaks over 100 degrees," he said. "The operating rooms were in portable units with a ceiling height of approximately seven feet. Bars and light fixtures suspended from the ceiling made frequent contact with surgeon heads. The general size of the rooms made positioning of equipment tight. This was particularly the case during surges in patient-care activity, when we typically had two surgeries being performed within the same room simultaneously."

In the new facility, the operating rooms are significantly larger, providing better ability to move equipment and ease the process of performing procedures, the colonel said. Climate control is better regulated throughout the building as well.

During an average month, the 332nd EMDG teams admit approximately 625 patients, requiring more than 700 trips to the operating room for an average of 3.5 surgical procedures per patient. The success of the AFTH trauma system is reflected in a 98 percent survivorship of U.S. military members evacuated to definitive care. The survival of wounds during past conflicts was less than 80 percent, said the colonel.

From patient wards to the emergency department to the operating rooms, the pre-engineered facility offers a variety of improvements to make combat patient care even better. Whether staff members work in tents or a pre-engineered facility, they find their deployment highly satisfying, said Colonel Keeney.

"This is certainly the best professional deployment for Air Force surgeons with an interest in trauma," he said.

Though Aug. 3 was a very long day for the volunteers and medical staff, the move was considered a success, said Colonel Keeney.

"From the perspective of a surgeon, the best thing about the move was the fact that it was coordinated well enough to fully maintain our ability to provide trauma care without a hitch during the transition process," he said.

Senior Airman Scott Hatch, a 332nd Expeditionary Medical Support Squadron biomedical equipment technician, was part of the transition team that helped upgrade the former Iraqi Air Force Academy Hospital.

"The new facility is amazing," said Airman Hatch. "It's easy to forget sometimes that it's an expeditionary project. Seeing the new facility near the tent hospital is like a night and day difference. The new facility will make a wonderful gift to the Iraqi people when our mission here is accomplished."

Photo - Maj. Julie Zwies and Capt. Kathy Betts inventory equipment at the new Air Force Theater Hospital at Balad Air Base, Iraq, Aug. 3. Starting at 4 a.m., about 150 base volunteers and 380 332nd EMDG Airmen moved patients and equipment to the newly upgraded, pre-engineered facility. Major Zwies and Captain Betts are assigned to the 332nd Medical Group lab flight. Photo 1st Lt. Shannon Collins.

Source: US Air Force.