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Mobile Army Surgical Hospital

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Mobile Army Surgical Hospitals (MASH) were U.S. Army field hospital units conceptualized in 1946 as replacements for the obsolete World War II -era Auxiliary Surgical Group hospital units. MASH units were in operation from the Korean War to the Gulf War before being phased out in the early 2000s, in favor of combat support hospitals .

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89-415: Each MASH unit had 60 beds, as well as surgical, nursing, and other enlisted and officer staff available at all times. MASH units filled a vital role in military medicine by providing support to army units upwards of 10,000 to 20,000 soldiers. These units had a low mortality rate compared to others, as the transportation time to hospitals was shorter, resulting in fewer patients dying within the " Golden Hour ",

178-433: A hospital trauma center , for treatment. Because some injuries can cause people to deteriorate extremely rapidly, the lag time between injury and treatment should ideally be kept to a bare minimum; this has come to be specified as no more than 60 minutes, after which time the survival rate for people who have sustained trauma is alleged to fall off dramatically. The recommended amount of time for emergency medical services

267-559: A Kuwaiti armored battalion, 35th Armoured Brigade , deployed them against the Iraqi attack and conducted a robust defense at the Battle of the Bridges near Al Jahra , west of Kuwait City. Kuwaiti aircraft scrambled to meet the invading force, but approximately 20% were lost or captured. A few combat sorties were flown against Iraqi ground forces. The main Iraqi thrust into Kuwait City

356-563: A MASH unit is to be available at all times to those who have been wounded in combat on the front and required general or trauma surgery but as technology got better, there was a lot more room to improve transportation, technology used to treat soldiers, and the layout of these units resulting in MASH units being converted to MUST units. During the Gulf War , in September 1990, the main body of

445-458: A black, red, yellow, or green tag. While the concept of triage had been used years before the Korean War, it wasn't until MASH units put it into real practice that the idea was fully developed. World War I and World War II saw the introduction of chemical weapons, such as mustard gas , which created a large influx of casualties and the need for more organization. Triage was first performed on

534-459: A form of economic warfare, which it claimed was aggravated by Kuwait slant-drilling across the border into Iraq's Rumaila oil field . According to oil workers in the area, Iraq's slant drilling claim was fabricated, as "oil flows easily from the Rumaila field without any need for these techniques." At the same time, Saddam looked for closer ties with those Arab states that had supported Iraq in

623-547: A local armed resistance movement following the Iraqi occupation of Kuwait. The Kuwaiti resistance's  [ ar ] casualty rate far exceeded that of the coalition military forces and Western hostages. The resistance predominantly consisted of ordinary citizens who lacked any form of training and supervision. A key element of US political, military and energy economic planning occurred in early 1984. The Iran–Iraq war had been going on for five years by that time and both sides sustained significant casualties, reaching into

712-480: A mobile medical unit and their implementation were established through trial and error in the dental field during World War II by Major Vincent P. Marran, a medic in the United States Third Army . The effectiveness of his efforts were widely admired and supported by the command structure, but no formal designation was established. The first trials for what would become MASH units were established by

801-585: A part of the Ottoman Empire 's province of Basra , something that Iraq claimed made Kuwait rightful Iraqi territory. Kuwait's ruling dynasty, the al-Sabah family , had concluded a protectorate agreement in 1899 that assigned responsibility for Kuwait's foreign affairs to the United Kingdom. The UK drew the border between Kuwait and Iraq in 1922, making Iraq almost entirely landlocked. Kuwait rejected Iraqi attempts to secure further provisions in

890-603: A request for Kuwait to lease Iraq Umm Qasr was rejected. Saudi-backed development projects were hampered by Iraq's large debts, even with the demobilization of 200,000 soldiers. Iraq also looked to increase arms production so as to become an exporter, although the success of these projects was also restrained by Iraq's obligations; in Iraq, resentment to OPEC's controls mounted. Iraq's relations with its Arab neighbors, particularly Egypt, were degraded by mounting violence in Iraq against expatriate groups, who were well-employed during

979-495: A strong air defense. Iraqi commandos infiltrated the Kuwaiti border first to prepare for the major units, which began the attack at midnight. The Iraqi attack had two prongs, with the primary attack force driving south straight for Kuwait City down the main highway, and a supporting attack force entering Kuwait farther west, but then turning and driving east, cutting off Kuwait City from the country's southern half. The commander of

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1068-627: A successful counteroffensive ( Operation Undeniable Victory ), and the US increased its support for Iraq to prevent Iran from forcing a surrender. In a US bid to open full diplomatic relations with Iraq, the country was removed from the US list of State Sponsors of Terrorism. Ostensibly, this was because of improvement in the regime's record, although former US Assistant Defense Secretary Noel Koch later stated: "No one had any doubts about [the Iraqis'] continued involvement in terrorism  ... The real reason

1157-461: A technique that underscores emergency room (ER) medicine in hospitals today. The system allows for caregivers to prioritize patient's wounds and injuries in order to get those who are severely injured treated as soon as possible. The patient's status is determined an overview of their respiratory, perfusion, and mental status. The current triage system consists of color-coding; each patient (and at times their different wounds) are tagged with either

1246-685: A total Iraqi pullout from Kuwait, without any linkage to other Middle Eastern problems, accepting the British view that any concessions would strengthen Iraqi influence in the region for years to come. On 12 August 1990, Saddam "propose[d] that all cases of occupation, and those cases that have been portrayed as occupation, in the region, be resolved simultaneously". Specifically, he called for Israel to withdraw from occupied territories in Palestine, Syria, and Lebanon, Syria to withdraw from Lebanon, and "mutual withdrawals by Iraq and Iran and arrangement for

1335-448: A year, that Kuwait was still using the Rumaila oil field, and that loans made by the UAE and Kuwait could not be considered debts to its "Arab brothers". He threatened force against Kuwait and the UAE, saying: "The policies of some Arab rulers are American ... They are inspired by America to undermine Arab interests and security." The US sent aerial refuelling planes and combat ships to

1424-518: Is less than 10 minutes at the location of the trauma before transporting. R Adams Cowley is credited with promoting this concept, first in his capacity as a military surgeon and later as head of the University of Maryland Shock Trauma Center. The concept of the "Golden Hour" may have been derived from the French military 's World War I data. The R Adams Cowley Shock Trauma Center section of

1513-492: Is the highest likelihood that prompt medical and surgical treatment will prevent death. While initially defined as an hour, the exact time period depends on the nature of the injury and can be more than or less than this duration. It is well established that the person's chances of survival are greatest if they receive care within a short period of time after a severe injury; however, there is no evidence to suggest that survival rates drop off after 60 minutes. Some have come to use

1602-762: The 2003 invasion of Iraq and the subsequent Iraq War). Some authors have called it the Second Gulf War to distinguish it from the Iran–Iraq War . Liberation of Kuwait ( Arabic : تحرير الكويت ) ( taḥrīr al-kuwayt ) is the term used by Kuwait and most of the coalition's Arab states, including Saudi Arabia, Bahrain, Egypt, and the United Arab Emirates . Terms in other languages include French : la Guerre du Golfe and Guerre du Koweït ( War of Kuwait ); German : Golfkrieg ( Gulf War ) and Zweiter Golfkrieg ( Second Gulf War ). Most of

1691-435: The Battle of Medina Ridge , the Battle of Norfolk , and the Battle of 73 Easting . The war is also known under other names, such as the Second Gulf War (not to be confused with the 2003 Iraq War , also referred to as such ), Persian Gulf War , Kuwait War , First Iraq War , or Iraq War before the term "Iraq War" became identified with the 2003 Iraq War (also known in the US as " Operation Iraqi Freedom "). The war

1780-611: The Iraq–Saudi Arabia border . The conflict marked the introduction of live news broadcasts from the front lines of the battle, principally by the American network CNN . It has also earned the nickname Video Game War , after the daily broadcast of images from cameras onboard American military aircraft during Operation Desert Storm. The Gulf War has also gained fame for some of the largest tank battles in American military history :

1869-525: The Israeli-occupied territories , where riots had resulted in Palestinian deaths, was vetoed by the US, making Iraq deeply skeptical of US foreign policy aims in the region, combined with the reliance of the US on Middle Eastern energy reserves. In early July 1990, Iraq complained about Kuwait's behavior, such as not respecting their quota, and openly threatened to take military action. On

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1958-646: The Kuwait Air Force was around 2,200 Kuwaiti personnel, with 80 fixed-wing aircraft and 40 helicopters. In spite of Iraqi saber rattling , Kuwait did not mobilize its force; the army had been stood-down on 19 July, and during the Iraqi invasion many Kuwaiti military personnel were on leave. By 1988, at the end of the Iran–Iraq war, the Iraqi Army was the world's fourth largest army, consisting of 955,000 standing soldiers and 650,000 paramilitary forces in

2047-632: The Sikorsky UH-60 made airmobile and other ground units ineffective in desert and tropical terrain. Lastly, technology made for treating patients in the operating room and elsewhere has gotten much more complex resulting in more space and care needed to treat soldiers along with many fewer troops being deployed. The Korean War played a great role in defining MASH units. High casualties in the front line called for onsite paramedic care, such as ambulances and medical tents. Having learned from World War II that transporting wounded soldiers to rear hospitals

2136-572: The United Kingdom , and Egypt as the largest lead-up contributors, in that order. United Nations Security Council Resolution 678 , adopted on 29 November 1990, gave Iraq an ultimatum, expiring on 15 January 1991, to implement Resolution 660 and withdraw from Kuwait, with member-states empowered to use "all necessary means" to force Iraq's compliance. Initial efforts to dislodge the Iraqis from Kuwait began with aerial and naval bombardment of Iraq on 17 January, which continued for five weeks. As

2225-573: The University of Maryland Medical Center 's website quotes Cowley as saying, "There is a golden hour between life and death. If you are critically injured you have less than 60 minutes to survive. You might not die right then; it may be three days or two weeks later — but something has happened in your body that is irreparable." While most medical professionals agree that delays in definitive care are undesirable as they may lead to significant increases in morbidity and mortality, research casts doubt on

2314-557: The "mobile army surgical hospital". Col. Harry A. Ferguson, the executive officer of the Tokyo Army Hospital, also aided in the establishment of the MASH program. It was an alternative to the random individual systems of portable surgical hospitals, field hospitals, and general hospitals used during World War II. It was designed to get experienced personnel closer to the front, so that the wounded could be treated sooner and with greater success. Casualties were first treated at

2403-611: The 1968 novel MASH: A Novel About Three Army Doctors by Richard Hooker , the 1970 feature film based on the novel, and the long-running television sitcom (1972–1983) also based on the novel. A 1953 film, Battle Circus , also took place at a MASH. For narrative simplicity, the "4077th MASH" unit depicted in the novel, movie, and television series was smaller than real MASH units. The fictional 4077th consisted of four general surgeons and one neurosurgeon, around 10 nurses, and 50–70 enlisted men. In an average 24-hour period, they could go through 300 wounded soldiers. By comparison,

2492-697: The 23rd, the CIA reported that Iraq had moved 30,000 troops to the Iraq-Kuwait border, and the US naval fleet in the Persian Gulf was placed on alert. Saddam believed an anti-Iraq conspiracy was developing – Kuwait had begun talks with Iran, and Iraq's rival Syria had arranged a visit to Egypt. On 15 July 1990, Saddam's government laid out its combined objections to the Arab League , including that policy moves were costing Iraq $ 1 billion

2581-487: The 2nd MASH, 1st Medical Group, Benning; the 10th MASH, 1st Medical Group, Carson; the 115th MASH (DCARNG); the 475th MASH (341st Med Group, KY USAR); the 807th MASH (341st Med Group, KY USAR); and the 912th MASH (TN USAR). The 212th MASH – based in Miesau Ammo Depot, Germany – was deployed to Iraq in 2003, supporting coalition forces during Operation Iraqi Freedom . It was the most decorated combat hospital in

2670-507: The 5th MASH was operationally attached to the 24th Infantry Division to provide forward surgical care (often right on the front battle lines) to the combat units that attacked the western flank of the Iraqi army. In March 1991, the 159th MASH of the Louisiana Army National Guard operated in Iraq in support of the 3rd Armored Division during Operation Desert Storm . Other MASH units that served in 1990–91 included

2759-428: The 5th MASH, 44th Medical Brigade, XVIII Airborne Corps , Fort Liberty , North Carolina , deployed to King Abdul-Aziz Air Base, Royal Saudi Air Force, Daharan Saudi Arabia and was the first fully functional Army hospital in the country. Their forward surgical team and Advanced Party had deployed in mid August to Daharan. This unit moved forward six times, always as the first up hospital for the region. In February 1991,

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2848-411: The 8076th Mobile Army Surgical Hospital had personnel including 10 medical officers, 12 nursing officers, and 89 enlisted soldiers of assorted medical and non-medical specialties. On one occasion, the unit handled over 600 casualties in a 24-hour period. Golden hour (medicine) In emergency medicine, the golden hour is the period of time immediately after a traumatic injury during which there

2937-735: The Emir's youngest brother. Within 12 hours, most resistance had ended within Kuwait, and the royal family had fled, allowing Iraq to control most of Kuwait. After two days of intense combat, most of the Kuwaiti military were either overrun by the Iraqi Republican Guard , or had escaped to Saudi Arabia. The Emir and key ministers fled south along the highway for refuge in Saudi Arabia. Iraqi ground forces consolidated their control of Kuwait City, then headed south and redeployed along

3026-426: The Iraqi dinar, thereby lowering the Kuwaiti currency to one-twelfth of its original value. In response, Sheikh Jaber al-Ahmad al-Sabah ruled the banknotes as invalid and refused to reimburse stolen notes, which became worthless because of a UN embargo. After the conflict ended, many of the stolen banknotes made their way back into circulation. The stolen banknotes are a collectible for numismatists . Kuwaitis founded

3115-517: The Iraqi military struggled against the coalition attacks, Iraq fired missiles at Israel to provoke an Israeli military response, with the expectation that such a response would lead to the withdrawal of several Muslim-majority countries from the coalition. The provocation was unsuccessful; Israel did not retaliate and Iraq continued to remain at odds with most Muslim-majority countries. Iraqi missile barrages against coalition targets in Saudi Arabia were also largely unsuccessful, and on 24 February 1991,

3204-629: The Iraqi point of view that the measures taken by the UAE and Kuwait is, in the final analysis, parallel to military aggression against Iraq, then it would be reasonable for me to be concerned. Saddam stated that he would attempt last-ditch negotiations with the Kuwaitis but Iraq "would not accept death." According to Glaspie's own account, she stated in reference to the precise border between Kuwait and Iraq, "... that she had served in Kuwait 20 years before; 'then, as now, we took no position on these Arab affairs'." Glaspie similarly believed that war

3293-592: The Jeddah talks was an Iraqi demand for $ 10 billion to cover the lost revenues from Rumaila; Kuwait offered $ 500 million. The Iraqi response was to immediately order an invasion, which started on 2 August 1990 with the bombing of Kuwait's capital, Kuwait City . Before the invasion, the Kuwaiti military was believed to have numbered 16,000 men, arranged into three armored, one mechanized infantry and one under-strength artillery brigade. The pre-war strength of

3382-533: The Korean War, with the Bell H-13 serving as a predominant medical evacuation aircraft during the war. Military doctors stabilized wounded soldiers midair before getting them to a field hospital. MASH onsite paramedic care and air ambulance system decreased post evacuation mortality from 4% in World War II to 2.5% in the Korean War. MASH units played an important role in the development of the triage system,

3471-516: The Kuwaiti emir Al Sabah and the Iraqi foreign minister – during which the emir stated his intention to turn "every Iraqi woman into a $ 10 prostitute" by bankrupting the country – was a decisive factor in triggering the Iraqi invasion. On the 25th, Saddam met with April Glaspie , the US Ambassador to Iraq , in Baghdad. The Iraqi leader attacked American policy with regards to Kuwait and

3560-523: The Palestinian issue. On 23 August, Saddam appeared on state television with Western hostages to whom he had refused exit visas. In the video, he asks a young British boy, Stuart Lockwood, whether he is getting his milk, and goes on to say, through his interpreter, "We hope your presence as guests here will not be for too long. Your presence here, and in other places, is meant to prevent the scourge of war." Another Iraqi proposal communicated in August 1990

3649-581: The Persian Gulf in response to these threats. Discussions in Jeddah , Saudi Arabia, mediated on the Arab League's behalf by Egyptian President Hosni Mubarak , were held on 31 July and led Mubarak to believe that a peaceful course could be established. During Saddam Hussein's 2003–2004 interrogation following his capture he claimed that in addition to economic disputes, an insulting exchange between

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3738-535: The Popular Army. According to John Childs and André Corvisier, a low estimate shows the Iraqi Army capable of fielding 4,500 tanks, 484 combat aircraft and 232 combat helicopters. According to Michael Knights, a high estimate shows the Iraqi Army capable of fielding one million troops and 850,000 reservists, 5,500 tanks, 3,000 artillery pieces, 700 combat aircraft and helicopters; it held 53 divisions, 20 special-forces brigades, and several regional militias, and had

3827-516: The Saudi border. After the decisive Iraqi victory, Saddam initially installed a puppet regime known as the " Provisional Government of Free Kuwait " before installing his cousin Ali Hassan al-Majid as Kuwait's governor on 8 August. After the invasion, the Iraqi military looted over $ 1 billion in banknotes from Kuwait's Central Bank. At the same time, Saddam Hussein made the Kuwaiti dinar equal to

3916-477: The U.S. Army during World War II. The necessity for the U.S. Army to have more convenient treatment centers was shown by the long logistics of the stretched out supply lines during World War II. These units were known as "Auxiliary Surgical Groups" and would care for the wounded much closer than permanent hospitals, making them hospitals. In the early 1940s, Colonel Michael DeBakey and his colleague were selected to give recommendations on how to provide surgical care for

4005-668: The U.S. Army was converted to a Combat Support Hospital on October 16, 2006. The 212th MASH's unit sign now resides at the Army Medical Department's Museum in San Antonio, Texas. In addition, one of the last MASH units worldwide was located in Pakistan serving as a civilian hospital to aid in recovery efforts following an earthquake in 2006. Known as the 212th MASH unit which was originally in Miesau, Germany, it

4094-513: The U.S. Army, with 28 campaign streamers on the organizational colors. The 212th MASH's last deployment was to Pakistan to support the 2005 Kashmir earthquake relief operations. The U.S. State Department bought the MASH's tents and medical equipment, owned by the DoD, and donated the entire hospital to the Pakistani military, a donation worth $ 4.5 million. Internationally, the last MASH unit in

4183-521: The U.S. Army. The result was the ASG. Although these units were very inexperienced, they were incredibly effective resulting in five ASG units being created in 1943; this resulted in the ASG units being able to move along with the U.S. Army units located in Italy and was the basis in which MASH would directly come from. Formally, the MASH unit was conceived by Michael E. DeBakey and other surgical consultants as

4272-538: The UAE: So what can it mean when America says it will now protect its friends? It can only mean prejudice against Iraq. This stance plus maneuvers and statements which have been made has encouraged the UAE and Kuwait to disregard Iraqi rights ... If you use pressure, we will deploy pressure and force. We know that you can harm us although we do not threaten you. But we too can harm you. Everyone can cause harm according to their ability and their size. We cannot come all

4361-552: The United States 'satisfactory to both nations' national security interests,' develop a joint plan 'to alleviate Iraq's economical and financial problems' and 'jointly work on the stability of the gulf.'" On 29 November 1990, the Security Council passed Resolution 678 , which gave Iraq until 15 January 1991 to withdraw from Kuwait, and empowered states to use "all necessary means" to force Iraq out of Kuwait after

4450-458: The United States had little capability to defend the region. Furthermore, it was determined that a prolonged war in the region would induce much higher oil prices and threaten the fragile recovery of the world economy, which was just beginning to gain momentum. On 22 May 1984, President Reagan was briefed on the project conclusions in the Oval Office by William Flynn Martin who had served as

4539-563: The adoption of UN Security Council Resolution 661 . British prime minister Margaret Thatcher and U.S. president George H. W. Bush deployed troops and equipment into Saudi Arabia and urged other countries to send their own forces. Many countries joined the American-led coalition forming the largest military alliance since World War II . The bulk of the coalition's military power was from the United States , with Saudi Arabia ,

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4628-575: The battlefield and civilian populations, the MASH units soon became obsolete as MASH units were made for conventional wars; the Vietnam War, the Gulf War and the Iraq War were in different terrains than they were designed for resulting in different needs as they were much harder to traverse than Korea. New transportation vehicles such as the Bell H-13 (known as the first evac helicopter) and later

4717-490: The coalition launched a major ground assault into Iraqi-occupied Kuwait. The offensive was a decisive victory for the coalition, who liberated Kuwait and promptly began to advance past the Iraq–Kuwait border into Iraqi territory. A hundred hours after the beginning of the ground campaign, the coalition ceased its advance into Iraq and declared a ceasefire. Aerial and ground combat was confined to Iraq, Kuwait, and areas straddling

4806-589: The coalition states used various names for their operations and the war's operational phases. These are sometimes incorrectly used as the conflict's overall name, especially the US Desert Storm : The US divided the conflict into three major campaigns: Throughout the Cold War , Iraq had been an ally of the Soviet Union , and there was a history of friction between Iraq and the United States. The US

4895-716: The country for economic support  – opposed military intervention from non-Arab states. Separately, Sudan, also an Arab League member, aligned itself with Saddam. On 6 August, Resolution 661 placed economic sanctions on Iraq. Resolution 665 followed soon after, which authorized a naval blockade to enforce the sanctions. It said the "use of measures commensurate to the specific circumstances as may be necessary ... to halt all inward and outward maritime shipping in order to inspect and verify their cargoes and destinations and to ensure strict implementation of resolution 661." The US administration had at first been indecisive with an "undertone ... of resignation to

4984-530: The country within two days. The invasion was primarily over disputes regarding Kuwait's alleged slant drilling in Iraq's Rumaila oil field , as well as to cancel Iraq's large debt to Kuwait from the recently ended Iran-Iraq War . After Iraq briefly occupied Kuwait under a rump puppet government known as the Republic of Kuwait , it split Kuwait's sovereign territory into the Saddamiyat al-Mitla' District in

5073-543: The early stages, known today as helicopters, were crucial to the war effort as they were fast traveling units that could pickup casualties and deliver them effectively back to MASH units. With mountainous terrain in Korea, this was crucial as ground transport could compromise the patients lives and would take longer to arrive to MASH units. In 1997, the last MASH unit in South Korea was deactivated. A deactivating ceremony

5162-583: The first hour after an injury is first sustained, which is referred to in trauma as the "most important hour". The U.S. Army deactivated the last MASH unit on February 16, 2006. A precursor to MASH units, the American Expeditionary Force Mobile Hospital No. 1 was established, following the example of the French military automobile-chirurgical units shortly after the American entry to the war. Principles for

5251-620: The head of the NSC staff that organized the study. (The full declassified presentation can be seen here: ) The conclusions were threefold: first, oil stocks needed to be increased among members of the International Energy Agency and, if necessary, released early if the oil market was disrupted; second, the United States needed to beef up the security of friendly Arab states in the region; and third, an embargo should be placed on sales of military equipment to Iran and Iraq. The plan

5340-501: The hundreds of thousands. Within President Ronald Reagan 's National Security Council concern was growing that the war could spread beyond the boundaries of the two belligerents. A National Security Planning Group meeting was formed, chaired by then Vice President George H. W. Bush , to review US options. It was determined that the conflict would likely spread into Saudi Arabia and other Persian Gulf states, but that

5429-607: The invasion and demanding a withdrawal of Iraqi troops. On 3 August 1990, the Arab League passed its own resolution, which called for a solution to the conflict from within the league, and warned against outside intervention. Iraq and Libya were the only two Arab League states that opposed the resolution for Iraq to withdraw from Kuwait; the Palestinian Liberation Organization (PLO) opposed it as well. The Arab states of Yemen and Jordan – a Western ally which bordered Iraq and relied on

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5518-505: The invasion and even adaptation to it as a fait accompli" until the UK's prime minister Margaret Thatcher played a powerful role, reminding the President that appeasement in the 1930s had led to war, that Saddam would have the whole Gulf at his mercy along with 65 percent of the world's oil supply, and famously urging President Bush "not to go wobbly". Once persuaded, US officials insisted on

5607-497: The north, which was absorbed into Iraq's existing Basra Governorate , and the Kuwait Governorate in the south, which became Iraq's 19th governorate. The invasion of Kuwait was met with immediate international condemnation, including the adoption of UN Security Council Resolution 660 , which demanded Iraq's immediate withdrawal from Kuwait, and the imposition of comprehensive international sanctions against Iraq with

5696-558: The opportunity to rebuild your country. But we have no opinion on the Arab-Arab conflicts, like your border disagreement with Kuwait ... Frankly, we can only see that you have deployed massive troops in the south. Normally that would not be any of our business. But when this happens in the context of what you said on your national day, then when we read the details in the two letters of the Foreign Minister, then when we see

5785-500: The point of injury through buddy aid , then routed through Battalion Aid Stations for emergency stabilizing surgery, and finally routed to the MASH for the most extensive treatment. This proved to be highly successful; during the Korean War, a seriously wounded soldier who made it to a MASH unit alive had a greater than 97% chance of survival once he received treatment. MASH units often took 24 hours to set up at new locations once moved with armored units, trucks and airmobile. Airmobile or

5874-467: The region. Iraq also accused Kuwait of exceeding its OPEC quotas for oil production. In order for the cartel to maintain its desired price of $ 18 per barrel, discipline was required. The United Arab Emirates and Kuwait were consistently overproducing; the latter at least in part to repair losses caused by Iranian attacks in the Iran–Iraq War and to pay for the losses of an economic scandal. The result

5963-466: The situation in Kuwait." He also called for a replacement of US troops that mobilized in Saudi Arabia in response to Kuwait's invasion with "an Arab force", as long as that force did not involve Egypt. Additionally, he requested an "immediate freeze of all boycott and siege decisions" and a general normalization of relations with Iraq. From the beginning of the crisis, President Bush was strongly opposed to any "linkage" between Iraq's occupation of Kuwait and

6052-483: The soldier wouldn't survive much longer without surgery they were prioritized. MASH units typically followed the saying, "life takes precedence over limb, function over anatomical defects", a phrase which essentially means that they had to repair the most serious defect first. This thought process has since rolled over to the modern technique of triage in ERs nationwide. The MASH unit made its way into popular culture through

6141-473: The soldiers at battalion aid stations . Those who worked in the stations, be they nurses or medical officers, used the system to determine which soldiers needed further care or treatment and which soldiers could go back onto the battlefield. The soldiers that needed further treatment were then transferred to the MASH units to undergo triage once more. This time, nurses and doctors would work to prioritize who needed to be taken into surgery first; if it appeared that

6230-463: The term to refer to the core principle of rapid intervention in trauma cases, rather than the narrow meaning of a critical one-hour time period. Cases of severe trauma, especially internal bleeding, require surgical intervention. Complications such as shock may occur if the person is not managed appropriately and expeditiously. It therefore becomes a priority to transport people with severe trauma as fast as possible to specialists, most often found at

6319-409: The time the ceasefire with Iran was signed in August 1988, Iraq was heavily debt-ridden and tensions within society were rising. Most of its debt was owed to Saudi Arabia and Kuwait. Iraq's debts to Kuwait amounted to $ 14 billion. Iraq pressured both nations to forgive the debts, but they refused. The Iraq–Kuwait border dispute involved Iraqi claims to Kuwaiti territory. Kuwait had been

6408-474: The units as a whole with new innovations required. New treatments were also needed for burn victims with MASH units suffering a mortality rate of up to 90% for burn victims. Although this clearly showed progress in the medical field, the type of warfare changed making MASH obsolete in many cases. MUST units had to keep their equipment on standby at all times effectively replacing MASH units and later transferring into more revolutionized units in war-zones. The idea of

6497-1056: The validity of the golden hour as it appears to lack a scientific basis. Bryan Bledsoe , a physician and outspoken critic of the golden hour and other controversial medical topics, such as critical incident stress management , has said that the peer-reviewed medical literature does not demonstrate any "magical time" for saving critical patients. There are different critical periods for different injuries. Gulf War Coalition: 292 killed (147 killed by enemy action, 145 non-hostile deaths) 776 wounded (467 wounded in action) 31 tanks destroyed/disabled 28 Bradley IFVs destroyed/damaged 1 M113 APC destroyed 2 British Warrior APCs destroyed 1 artillery piece destroyed 75 aircraft destroyed Kuwait: 420 killed 12,000 captured ≈200 tanks destroyed/captured 850+ other armored vehicles destroyed/captured 57 aircraft lost 8 aircraft captured (Mirage F1s) Coalition intervention Naval operations Air campaign Liberation of Kuwait Post-ceasefire The Gulf War

6586-735: The war, by unemployed Iraqis, among them demobilized soldiers. These events drew little notice outside the Arab world because of fast-moving events directly related to the fall of Communism in Eastern Europe. However, the US did begin to condemn Iraq's human rights record, including the well-known use of torture. The UK also condemned the execution of Farzad Bazoft , a journalist working for the British newspaper The Observer . Following Saddam's declaration that "binary chemical weapons" would be used on Israel if it used military force against Iraq, Washington halted part of its funding. A UN mission to

6675-458: The war. This move was supported by the US, who believed that Iraqi ties with pro-Western Gulf states would help bring and maintain Iraq inside the US' sphere of influence. In 1989, it appeared that Saudi–Iraqi relations , strong during the war, would be maintained. A pact of non-interference and non-aggression was signed between the countries, followed by a Kuwaiti-Iraqi deal for Iraq to supply Kuwait with water for drinking and irrigation, although

6764-399: The way to you in the United States, but individual Arabs may reach you ... We do not place America among the enemies. We place it where we want our friends to be and we try to be friends. But repeated American statements last year made it apparent that America did not regard us as friends. Glaspie replied: I know you need funds. We understand that and our opinion is that you should have

6853-431: Was a slump in the oil price – as low as $ 10 per barrel ($ 63/m ) – with a resulting loss of $ 7 billion a year to Iraq, equal to its 1989 balance of payments deficit. Resulting revenues struggled to support the government's basic costs, let alone repair Iraq's damaged infrastructure. Jordan and Iraq both looked for more discipline, with little success. The Iraqi government described it as

6942-412: Was a very different environment from the Korean War which MASH units were created in. The Vietnam War required a change from MASH to MUST , or " Medical Unit, Self-contained, Transportable " units. MUST units had trailers, inflatable sections, and technology focused on a wider range of wounds from war. In MUST units the wounds were greatly different than in the Korean War resulting in many changes needed to

7031-562: Was an armed conflict between Iraq and a 42-country coalition led by the United States . The coalition's efforts against Iraq were carried out in two key phases: Operation Desert Shield , which marked the military buildup from August 1990 to January 1991; and Operation Desert Storm , which began with the aerial bombing campaign against Iraq on 17 January 1991 and came to a close with the American-led liberation of Kuwait on 28 February 1991. On 2 August 1990, Iraq, governed by Saddam Hussein , invaded neighboring Kuwait and fully occupied

7120-621: Was approved by President Reagan and later affirmed by the G7 leaders headed by the United Kingdom's Prime Minister, Margaret Thatcher , in the London Summit of 1984 . The plan was implemented and became the basis for US preparedness to respond to the Iraqi occupation of Kuwait in 1991. Within hours of the invasion, Kuwait and US delegations requested a meeting of the UN Security Council , which passed Resolution 660 , condemning

7209-531: Was concerned with Iraq's position on Israeli– Palestinian politics. The US also disliked Iraqi support for Palestinian militant groups, which led to Iraq's inclusion on the developing US list of State Sponsors of Terrorism in December 1979. The US remained officially neutral after Iraq's invasion of Iran in 1980, which became the Iran–Iraq War, although it provided resources, political support, and some "non-military" aircraft to Iraq. In March 1982, Iran began

7298-599: Was conducted by commandos deployed by helicopters and boats to attack the city from the sea, while other divisions seized the airports and two airbases . The Iraqis attacked the Dasman Palace , the Royal Residence of Kuwait's Emir , Jaber Al-Ahmad Al-Jaber Al-Sabah , which was defended by the Emiri Guard supported with M-84 tanks. In the process, the Iraqis killed Fahad Al-Ahmed Al-Jaber Al-Sabah ,

7387-643: Was delivered to US National Security Advisor Brent Scowcroft by an unidentified Iraqi official. The official communicated to the White House that Iraq would "withdraw from Kuwait and allow foreigners to leave" provided that the UN lifted sanctions, allowed "guaranteed access to the Persian Gulf through the Kuwaiti islands of Bubiyan and Warbah", and allowed Iraq to "gain full control of the Rumaila oil field that extends slightly into Kuwaiti territory". The proposal also "include[d] offers to negotiate an oil agreement with

7476-590: Was held in South Korea, which was attended by several members of the cast of the M*A*S*H television series , including Larry Linville (who played Frank Burns ), and David Ogden Stiers (who played Charles Winchester ). The Vietnam War had little action for the MASH units within the U.S Army. The Vietnam War marked the demise of the MASH units as only one unit, known as the "2nd MASH Unit", served actively, and only from October 1966 to July 1967. The Vietnam War

7565-468: Was highly inefficient in reducing mortality rate, MASH units were established near front lines to supply mobile and flexible military medical care. They contributed to making improvements in resuscitation and trauma care, patient transport, blood storage and distribution, patient triage, and evacuation. The aeromedical evacuation system was developed to transport soldiers by aircraft at a quicker pace. Helicopters were frequently used as "air ambulances" during

7654-550: Was named Umm al-Ma'arik ("mother of all battles") by Iraqi officials. After the US invasion of Iraq in 2003, the Gulf War of 1990–1991 is often known as the " First Iraq War ". The following names have been used to describe the conflict itself: Gulf War and Persian Gulf War are the most common terms for the conflict used within western countries , though it may also be called the First Gulf War (to distinguish it from

7743-490: Was not imminent. On 26 July 1990, only a few days before the Iraqi invasion, OPEC officials said that Kuwait and the United Arab Emirates had agreed to a proposal to limit their oil output to 1.5 million barrels (240,000 m ) per day, "down from the nearly 2 million barrels a day they had each been pumping," thus potentially settling differences over oil policy between Kuwait and Iraq. The result of

7832-399: Was re-established for the Iraq War. In addition to treating soldiers, they treated over thirty thousand civilians. With an average survival rate of 97%, this was impressive considering how many victims there were of an earthquake and the longevity of these units from the late 1940s to the early 2000s. Although these hospitals were very effective in being able to provide suitable care to those in

7921-628: Was to help them succeed in the war against Iran." With Iraq's newfound success in the war, and the Iranian rebuff of a peace offer in July, arms sales to Iraq reached a record spike in 1982. When Iraqi President Saddam Hussein expelled Abu Nidal to Syria at the US's request in November 1983, the Reagan administration sent Donald Rumsfeld to meet Saddam as a special envoy and to cultivate ties. By

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