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Mass Casualty Care in an Expeditionary Environment: Developing Local Knowledge and Expertise in Context

De Jong, Marla J. PhD, RN, CCNS; Benner, Richard PhD; Benner, Patricia PhD, RN; Richard, Maggie L. PhD, RNC; Kenny, Deborah J. PhD, RN; Kelley, Patricia PhD, RN; Bingham, Mona PhD, RN; Debisette, Annette Tyree PhD, RN

doi: 10.1097/JTN.0b013e3181d914ed
Sections: RESEARCH

To discover new experience-based clinical and care delivery knowledge learned in the Iraq and Afghanistan combat zones, 107 Air Force, Army, and Navy nurses were interviewed. Eight areas of experiential knowledge were identified in the new care delivery system that featured rapid transport, early trauma and surgical care, and expeditious aeromedical evacuation: (1) organizing for mass casualties, (2) uncertainty about incoming casualties, (3) developing systems to track patients, (4) resource utilization, (5) ripple effects of a mass casualty event, (6) enlarging the scope of nursing practice, (7) operating medical facilities under attack, and (8) nurse emotions related to mass casualties.

Marla J. De Jong, PhD, RN, CCNS, is the Executive Director of the TriService Nursing Research Program, Uniformed Services University of the Health Sciences, Bethesda, Maryland, Deborah J. Kenny, PhD, RN, is Associate Professor and Associate Dean for Research, Bethel College of Nursing and Health Sciences, University of Colorado at Colorado Springs, Patricia Kelley, PhD, RN, is Specialty Leader for Nursing Research to the Navy Surgeon General and Associate Professor, Graduate School of Nursing, Uniformed Services University of the Health Sciences, Bethesda, Maryland, Annette Tyree Debisette, PhD, RN, is Senior Regulatory Science and Training Officer, Food and Drug Administration Office of Regulatory Affairs, Division of Human Resource Development, Silver Spring, Maryland, Richard Benner, PhD, is Sociologist and Senior Consultant, Benner Associates, Berkeley, Patricia Benner, PhD, RN, is Senior Scholar, The Carnegie Foundation for the Advancement of Teaching, and Professor Emerita, School of Nursing, Department of Social and Behavioral Sciences, University of California, San Francisco, California, Mona Bingham, PhD, RN, is Consultant to The Surgeon General for Nursing Research and Chief of Nursing Research, Brooke Army Medical Center, San Antonio, Texas, and Maggie L. Richard, PhD, RNC, is Director, Navy Human Research Protection Program.

Corresponding Author: Marla J. De Jong, PhD, RN, CCNS, 2216 Independence St, Frederick, MD 21702 (

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of Defense or the Departments of the Air Force, Navy, Army, or Public Health.

Copyright © 2010 by the Society of Trauma Nurses.