Combat & Casualty Care

Q1 2016

Military Magazines in the United States and Canada, Covering Combat and Casualty Care, first responders, rescue and medical products programs and news\Tactical Defense Media

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tacticaldefensemedia.com 24 | Combat & Casualty Care | Spring 2016 Emergency Responder Training Center Skedco, Inc. offers equipment training and rescue training resources for confined space rescue, water rescue, Hazmat rescue, emergency and casualty evacuations. Skedco recently launched the Skedco Learning Center (SLC) where you can acquire comprehensive training on many of their products. With the formation of SLC, users can register for open enrollment courses at SLC headquarters in Tualatin, OR. One and two day courses are offered focusing on intensive hands-on Sked Stretcher instruction, the Oregon Spine Splint II and a Skedco Bleeding Simulation System program called the HydraSim. The second day of a two-day course focuses on the TerrAdaptor, a portable anchor system that can be used in rescue, industrial and wilderness environments. It comes in standard tripod and quadpod configurations. More info: skedco.com Robotics Marries Medical and Military Technology Wearable and implanted devices are the next frontier of military technology and medicine. These machines could be anything from a personal cooling system to an exo-skeleton suit, replacement limbs or even a jet pack. Speakers at the conference said those advances are just a few years away from reality. Geoffrey Ling, former director of the U.S. military's Defense Advanced Research Projects Agency's Biological Technologies Office, said technology and medical research have advanced enough to begin considering wearable robotics. "I believe that we are on a threshold of man's next transformation," Ling said. "And that is where man and machine become symbiotic." Much of that technology is still in the testing phase, but enough is available to provide a glimpse of the future. Eduardo Fernandez, a graduate student at Arizona State University, is part of a team developing personal machines for military use. Those projects include a system for reducing the sway of military backpacks and shirts that keep soldiers cool on hot days. But perhaps the one that garnered the most interest from attendees was a jetpack designed to allow anyone to run a four- minute mile. Fernandez said they haven't perfected the system, but the current version does improve running times, although not to the extent of enabling the average person to run a four-minute mile. The concept of wearable systems goes beyond increasing strength or stamina. Some researchers are developing technology to combat diseases or find a workaround for spinal injuries. David Armstrong, a professor of surgery at the University of Arizona College of Medicine, said wearable robotics could help address foot decay among diabetes patients. "We don't think of a hearing aid, we don't think of bifocals, as some sort of cybernetic device, but in fact they are – they augment what we do," Armstrong said. "In the future, this is not going to be so exotic and crazy. This is just going to be another part of our life." Ling said the best way to address potential ethical issues is to be aware of them while maintaining a commitment to advancing the technology. More info: azcentral.com Military Hospitals are Key to Keeping Medical Staff Combat-Ready Military hospitals and clinics allowing doctors to practice a variety of specialties are critical to keeping medical staff combat-ready, they say. "To ensure the readiness of the entire medical team for a broad range of missions we must maintain and sustain our hospitals and clinics as our readiness and training platforms. This system ensures our force is trained, ready and relevant," Brig. Gen. Robert Tenhet, the Army deputy surgeon general, testified Feb. 26 before a House subcommittee. Lawmakers said they're looking for ways to balance that combat readiness with reforming the military health care system. "The purpose for this hearing is that as we undertake the reformation of the military healthcare system, we want to make sure that we keep readiness first and foremost in our minds, and we don't impede, one, the readiness of our military medical providers -- but certainly that we don't hinder the medical readiness of our troops," said Rep. Joe Heck, a Republican from Nevada and chairman of the House Armed Services Personnel Subcommittee. Lawmakers have said they plan to propose a series of health care reforms as part of the 2017 National Defense Authorization Act process, but want to strike a balance between keeping training options available for military healthcare providers, lowering taxpayer military healthcare costs and providing excellent care to military member, families and retirees. One common criticism of military healthcare among lawmakers is that many of the system's providers focus on military family care instead of combat readiness. But military officials at the hearing said that those services do play a readiness role both from a stateside perspective as well as during deployment. "We need to maintain readiness not only of our active duty members but of our families also, and the OBGYN and pediatric care that we provide help us to maintain that family readiness so when that active duty member is deployed they have confidence that their family will be taken care of," said Maj. Gen. Dorothy Hogg, the Air Force's deputy surgeon general. Tenhet, the Army deputy surgeon general, said women today represent a high percentage of troops on the battlefield. "In any given [forward operating base] we may have upwards of 30 percent females, so a 'gynecologist in theater' is not a misnomer," he said. "Eighty percent of our evacuations are disease non-battle injuries as well. So sustaining just within the trauma system itself, we have to look across the entire system of medicine." More info: military.com Joint Staff Surgeon General Testifes on Future Medical Readiness Military medicine must be better aligned to continue demonstrating its readiness posture to Defense Department senior leaders, the joint staff surgeon general recently told a House Armed Service Committee panel. Army Maj. Gen. (Dr.) Joseph Caravalho Jr. testified before the HASC MedTech MedTech

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