Combat & Casualty Care

Summer 2017

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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• Providing acquisition project management and related force management expertise as the materiel developer for commercial and non-developmental items. • Managing medical cataloging and sourcing solutions for medical materiel. • Providing integrated acquisition logistics including maintenance and medical materiel life cycle management in support of operating and generating forces. • Centrally managing medical Army Prepositioned Stocks and The Surgeon General's contingency program and other readiness support programs designed for all Army components during unified land operations. • Providing National Maintenance Program expertise and sustainment maintenance functions. • Deploying the Medical Logistics Support Team (MLST) in support of theater opening and deployed force reception / staging operations and deploying the Forward Repair Activity-Medical (FRA-M) team in order to provide expert medical maintainer support as far forward as possible. C&CC: Describe the USAMMA team. How many people serve at USAMMA, what do they do and where do they serve? COL Marm: The USAMMA team is amazing. We have logisticians, engineers, biomedical maintenance technicians, project managers and a variety of other experts and support personnel. They are all experienced professionals who are dedicated to the work we do and laser-focused on serving the Warfighter. Currently, USAMMA has about 430 employees, including about 200 civil service personnel, 150 contractors, 60 military personnel and 20 foreign nationals. Some of these personnel are located at USAMMA's headquarters at Fort Detrick, Maryland. Other team members serve at stateside medical maintenance depots or overseas locations where we have prepositioned medical stock. USAMMA operations are worldwide. On any given day USAMMA has staff members deployed to provide expertise down range. One example of this is the Forward Response Activity-Medical (FRA-M) teams. Each FRA-M team includes one member focused on pulmo- nary, anesthesia and oxygen generation; one skilled in laboratory and patient monitoring; and one specializing in medical imaging systems. The FRA-M augments unit-based biomedical equipment specialists, known as "68 Alphas," to provide specialty-certified expertise that would be nearly impossible for every medical maintainer to retain. In the past five years, FRA-M members have deployed on 45 missions, providing critical medical maintenance support and services to medi- cal units in operations worldwide. C&CC: You took command of USAMMA in 2016 and have completed almost a year in this position. What are some of the challenges have you faced? COL Marm: We remain focused on the Army's challenges: a growing complexity of global security threats and the Army's capacity to support a myriad of missions. The Army's strength is the Soldier. Unlike other services, the Army equips Soldiers to fight and win across all domains. Currently, the Army has more than 186,000 Soldiers committed in 140 countries. As a part of Army Medicine, the challenge for us is finding innova- tive ways to improve combat casualty care on the battlefield – without overburdening operational forces with medical materiel that is too large, too heavy, or too difficult to use and maintain. Cyber-security is also a growing challenge. As such, many of our modernization efforts focus on delivering solutions that shrink the logistical footprint of our medical capabilities, while increasing information security. One recent example is the new Portable Digital Radiography Sys- tem (NSN 6525-01-651-1758) – a lightweight X-ray unit that we have begun fielding. This device replaces two aging devices, including an X-ray generator and an accompanying computerized reader system. This single modernization will save the Army about $55,000 per sys- tem and will reduce shipping weight by about 60 pounds per system and reduce the number of shipping containers from three to one. The PDRS is also the first Army medical device to receive its Authority to Operate (ATO) under the new Risk Management Frame- work (RMF). The RMF integrates security and risk management activi- ties into the system development life cycle. Cyber security is a growing concern both overseas in a multi-domain battlefield space, as well as in the homeland of the United States. Coordination between military ser- vice is essential. The entire Military Health System must work together. In the case of the PDRS, this same system is being used by the Navy and Marine Corps. Achieving an ATO under the RMF assures the Army, Navy and Marine Corps that this device complies with all of the current cybersecurity requirements. C&CC: Along those same lines, let's talk about the Army's number one priority: readiness. How does USAMMA support Army readiness? 8 9 t h A e r o s p a c e M e d i c a l A s s o c i a t i o n A n n u a l S c i e n t i f i c M e e t i n g H i l t o n A n a t o l e H o t e l , D a l l a s , T X M a y 6 - 1 0 , 2 0 1 8 Call for Abstracts "Synergy: The Power of Multidisciplinary P roblem S olving" The Deadline for Abstract Submission is November 1, 2017--NO EXCEPTIONS! 10 | Combat & Casualty Care | Summer 2017 COMMANDER'S CORNER

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