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Holby City it most certainly was not. In fact, when
trying to imagine life in one of Britain’s newest – and
shortest-lived – hospital complexes, another TV hospital
springs to mind more readily.
For 4077th Mobile Army Surgical Hospital – better known
as MASH – read 34 Field Hospital, assembled on a pitted
runway of an abandoned airfield not far from Basra in Southern
Iraq.
Here 40 Royal Naval Reserves – a mix of doctors, nurses
and medical support assistants – were among the 550-plus
people who moved in from Kuwait in the early phases of the
fighting in the campaign against Saddam’s regime, and
planted a 200-bed hospital, complete with accident and emergency
and high dependency units, closer to the front line than
any similar unit since the Battle of the Somme in World War
I.
The whole complex had to be built from scratch, yet provide
a facility at least equal to NHS standard which could treat
those caught up in the war, whether military or civilian,
friend or foe, adult or child, from gunshot wounds to D and
V – diarrhoea and vomiting.
D and V was a common problem, but after the distress and
discomfort of the first bout, most of the victims just grinned
and bore it while they got on with their work, regularly
dashing off to the latrines.
The most obvious problems were the less-than-enticing surroundings – wastelands
of sand and bare, broken concrete, with a constant backdrop
of artillery shells, both Iraqi and Coalition, as well as
Coalition armour rumbling past.
Bringing further complications was the weather. Much of the
time it was just how you would expect it – witheringly
hot.
But then a sudden storm would turn the dry sand to something
like thick mud, and there was a very real risk of severe
injury by lightning strikes – at least two people were
struck by lightning, according to Reservists on site.
There were flash floods and high winds, and then there were
the dust devils or tornadoes – and for one Reservist,
Karen Joynson, now known to some as Dorothy, one of these
winds spelled the end of her deployment, and could have spelled
the end of her life. See navy News Online tomorrow for Karen’s
story.
As if that wasn’t enough, there was the local wildlife,
including notorious camel spiders, which have a nasty bite
and a habit of crawling into discarded boots or trousers
where they lay in wait for the unwary.
Indeed, one man was brought in with part of his ear missing – one
of the spiders, which use a form of anaesthetic on the skin
before tucking in, had chewed its way though a sizeable part
of the earlobe before the victim woke up.
Another man, whipping on his trousers for a late-night dash
to the toilet, failed to check for spiders – and got
bitten in a particularly tender part of his anatomy.
“I can cope with being shot at, but give me those spiders
and I want to go home!” said PONN Elaine Grady, from
Lee-on-the-Solent.
As deployments go, then, it’s not exactly up there
with the Caribbean – but for many, it brought a huge
sense of satisfaction as their intensive training was finally
put to the test for real.
MSA Alyssa Arscott, currently working at Devonport Naval
Base, said: “You probably could not describe just how
horrible the conditions were sometimes. But it was a fabulous
experience, there was a good support network, and we made
some great friends.
“
You can’t be fully prepared for the traumas that were
brought through the hospital, but it is full credit to the
Royal Navy’s training – we were really well-prepared.”
In the first three weeks, 34 Field Hospital, a regular Army
unit normally based at York, treated some 2,700 patients,
carried out 285 operations, and there were 82 major trauma
cases.
One medic estimated that it would take around three years
for a normal NHS hospital in Britain to see that number of
traumas.
Alyssa said D and V cases were so commonplace that after
initial treatment, most of the staff just dosed themselves
as best they could and carried on regardless – one
quick test on site revealed at least six different strains
of bug, with new ones arriving all the time.
The hospital – basically a collection of tents which
formed wards, operating theatres, X-ray labs and accommodation,
surrounded by the containers in which it all arrived – was
staffed chiefly by regular Army medics, although all three
Services were represented.
The fact that the RNR contingent was a small percentage of
the whole was the source of some amusement to the soldiers,
but the Dark Blue element managed to make their mark.
“
A lad in stores, Dave Ward, used some cardboard boxes to
build our own ship,” said Elaine.
“
We called it HMS Desert Rose. We had been getting lots of
stick – ‘Where’s the water? Where’s
your ship?’, so when Pete Crimmins got his paddling
pool and we got our ship, we were happy.”
Morale was remarkably high after the initial setting-up phase,
according to the Navy medics, and little incidents made a
lot of difference during the days and weeks of routine.
“
The band struck up with the theme to MASH at one point, which
gave everyone a laugh,” said Elaine.
She also managed to go for a spin in an Army armoured vehicle,
having wandered over to a tank-washing installation to see
if she could have her picture taken sitting on one of the
machines.
“I had my picture taken sitting in it with a helmet and earphones
on – and then the driver put his foot down and we went
for a drive along an old runway,” she said. “Those
things don’t half shift!”
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