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Review of the Senegalese Military Emergency Medical Team (EMT) Deployment Following a Tanker Explosion in Freetown, Sierra Leone

Kamara, Rashidatu Fouad, Oyugi, Boniface, Kamara, Ibrahim Franklyn, Kabba, Mustapha, Relan, Pryanka, Baldé, Thierno (2022) Review of the Senegalese Military Emergency Medical Team (EMT) Deployment Following a Tanker Explosion in Freetown, Sierra Leone. In: Prehospital and disaster medcine. 37 (S2). p. 84. (doi:10.1017/S1049023X22001832) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:98998)

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In November 2021, a tanker exploded in Freetown, injuring and killing people. The WHO facilitated a seven-week first deployment of the Senegalese military to support the Ministry of Health (MOH) in providing care to the wounded in three referral hospitals.


Review the deployed team’s processes and outputs of medical care provided to burns patients.


This is a cross-sectional After-Action Review (AAR) debrief of the deployment, including the WHO and MOH staff (n =14) in a virtual workshop. Six thematic areas: mobilization, deployment, coordination, case management activities, national capacity, and community acceptance were analyzed.


The WHO facilitated the team’s deployment and mobilized medical supplies and equipment whilst the MOH provided accommodation and logistics through collaboration. The team dispensed their functions with professionalism, adapted to the environment and available resources, and augmented the care provided by the available health workers. They offered additional care: reconstructive surgery, pain management, palliative and wound care, rehabilitation, physiotherapy, and psychosocial counselling, which were initially inadequate. 87 out of 155 patients were discharged home at the end, the national clinicians acquired additional skills, and the community appreciated the team. Despite being perceived as a weakness, the language barrier did not hinder the patient-doctor/nurse relationship or the provision of clinical care.


This sub-regional response had significant benefits, including speed, political acceptability, and health context experience to support rapid and safe deployment. Mechanisms to facilitate rapid and quality-assured deployment of EMTs at regional and sub-regional levels in collaboration with WHO should be strengthened in region to support future responses.

Item Type: Conference or workshop item (Other)
DOI/Identification number: 10.1017/S1049023X22001832
Uncontrolled keywords: Emergency medicine
Subjects: R Medicine > R Medicine (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: George Austin-Coskry
Date Deposited: 08 Dec 2022 09:50 UTC
Last Modified: 09 Dec 2022 11:01 UTC
Resource URI: (The current URI for this page, for reference purposes)

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