Combat & Casualty Care

Q2 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 20 | Combat & Casualty Care | Summer 2016 Medical Readiness Training Integration observed and evaluated without the need for live animals to support student learning. The labs can support training for all levels of healthcare providers from physicians, nurses, physician assistants, ancillary staff, and enlisted medical specialists. We are also modernizing and expanding our medical simulator capabilities at all RTS-Med platforms to include some of the most advanced simulators on the market today. Our state of the art human-worn simulators allow exercise participants to experience a range of traumatic injuries, including uncontrollable hemorrhage, airway compromise, and tension pneumothorax, and blast injuries commonly caused by improvised explosive devices. The MRTC continues to work with organizations such as the Program Executive Office for Stimulation, Training and Instrumentation in Orlando, Florida to proactively identify emerging simulation technologies to expand capabilities. As part of MRTC's Lessons Learned program, the command has become the DoD leader in the use of the Chairman of the Joint Chiefs of Staff 's Joint Lessons Learned Information System (JLLIS) to support individual unit and institutional learning during sustainment medical training and collective exercises. This system, coupled with MRTC's recent fielding of ruggedized tablet computers, allows MRTC OC/Ts to submit observations and lessons learned in real-time during all training events. These observations then become globally accessible by headquarters commands, training partners, doctrine writers, and joint/coalition partners in order to support the enhancement of military capabilities through the identification and dissemination of "best practices," facilitating organizational and institutional learning, and identifying needed improvements across Doctrine, Organization, Training, Material, Leadership, Personnel and Facilities (DOTMLPF) and Policy domains. C&CC: Speak to ways MRTC is working to partner with civilian facilities to broaden and strengthen its reach and care network? BG O'Guinn: The MRTC has recently entered into a three year partnership with the Mayo Clinic located in Rochester, Minnesota. This partnership provides the MRTC with access to the Mayo Clinic Multidisciplinary Simulation Center (MCMSC) where we conduct six weekend medical training exercises annually for Army Reserve Combat Support Hospitals and Forward Surgical Teams. The objective of the training is to provide participating units with an opportunity to improve their team efficiencies and communication, in a simulated combat environment, utilizing the tools and skills inherent within the Team Strategies and Tools to Enhance Performance and Patient Safety, also known as TeamSTEPPS. TeamSTEPPS is an evidence-based set of tools, developed jointly by the Department of Defense and the Agency for Healthcare Research and Quality, aimed at reducing medical errors and optimizing patient outcome by improving communication and teamwork among health care professionals. The Army Medical Department implemented TeamSTEPPS Army-wide in 2011. The MCMSC contains 10,000 square feet of simulation space to include fully equipped simulation laboratories, debriefing rooms, and classrooms. MRTC augments the MCMSC capabilities with additional Army field medical equipment, medical supplies, Medical Communications for Combat Casualty Care (MC4) and other medical computer systems as well as high fidelity mannequins and simulator from the nearby RTS-MED located at Ft. McCoy, Wisconsin. Participating units establish hospital operations within the MCMSC including an Emergency Medical Treatment Unit, Intensive Care Unit, 2-bed Operating Room, Pharmacy, Laboratory, Radiology, Patient Administration and Hospital Operations sections. The MRTC and supporting OC/Ts then facilitate patient f low, using combat based medical scenarios, through the facility providing the participating units with opportunities to use and hone TeamSTEPPS skills. In addition, the MRTC and the MCMSC use high fidelity mannequins, simulators and live role players to provide exceptionally realistic combat scenarios. This provides the added benefit of creating a cost effective trauma training environment in which participating units have the ability to also practice and sustain their trauma care skills and competencies. C&CC: From a joint global healthcare perspective, how is MRTC addressing the need for comprehensive streamlining of medical training across the Army/Joint Services? BG O'Guinn: MRTC annually hosts and conducts DoD's largest joint and multinational medical training exercise (called Global Medic) in order to test, evaluate and refine expeditionary Army Service members from the U.K. and U.S. working together at Forward Operating Base Freedom, Ft. McCoy, WI., pose for a group photo to memorialize their time training together for Global Medic and Combined Joint Atlantic Serpent. Combined Joint Atlantic Serpent enhances the interoperability between international forces by exercising feld medical practices while sharing equipment, protocols and battle drills in a tactical training environment. (U.S. Army photo by Spc. Glenaj Washington/Released)

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