SEAL/MARINE CORPS DOCS LCDR JAIME L. LONGOBARDI, DO NAVAL INFORMATION OPERATIONS COMMAND, MARYLAND

SEAL/MARINE CORPS DOCS LCDR JAIME L. LONGOBARDI, DO NAVAL INFORMATION OPERATIONS COMMAND, MARYLAND

DISCLOSURE NEITHER I, MY SPOUSE OR DOMESTIC PARTNER, AT PRESENT AND/OR HAVE HAD WITHIN THE PAST 12 MONTHS A RELEVANT FINANCIAL RELATIONSHIP WITH A COMMERCIAL INTEREST. THIS LECTURE IS BASED ON MY EXPERIENCE AS A MARINE CORPS MEDICAL OFFICER AND THE EXPERIENCES OF MY COLIGUES AND DOES NOT NECESSARILY REFLECT THE OPINIONS OF THE NAVY NOR MARINE CORPS.

INTRODUCTION THE MARINE CORPS IS A UNIQUE MILITARY INSTITUTION. THEY HAVE NO PERSONAL TO CARE FOR THE MEDICAL AND SPIRITUAL NEEDS OF ITS MEMBERS. THE MARINE CORPS RELIES COMPLETELY ON THE DEPARTMENT OF THE NAVY FOR ALL MEDICAL AND CHAPLAIN SERVICES. THE NAVAL SEA, AIR, AND LAND TEAMS (SEAL) ARE THE PRINCIPLE SPECIAL FORCES FOR THE NAVY. THERE ARE MULTIPLE HOSPITAL CORPSMAN DESIGNATIONS THAT SUPPORT BOTH THE NAVY SPECIAL OPERATIONS COMMUNITY AND THE MARINE CORPS.

NAVAL SPECIAL OPERATIONS MEDICAL INSTITUTE PURPOSE: CONDUCT COMBAT MEDICAL TRAINING FOR SPECIAL OPERATIONS FORCES TO INCLUDE RECON CORPSMAN, SEAL AND SURFACE WARFARE COMBATANT-CRAFT CREWMAN (SWCC) MEDICS UNDER U.S. SPECIAL OPERATIONS COMMAND (USSOCOM) COURSES LENGTH NAVY: SPECIAL OPERATIONS COMBAT MEDIC/HM-8427/5392 7 MONTHS 8 CLASSES/YR 72 STUDENTS PER CLASS (NAVY, ARMY, FOREIGN SERVICE) NAVY: SPECIAL OPERATIONS INDEPENDENT DUTY CORPSMAN 6 MONTHS NAVY/ARMY: SPECIAL OPERATIONS COMBAT MEDICAL SKILLS SUSTAINMENT 2 WEEKS http://www.med.navy.mil/sites/nmotc/nsomi/pages/specialoperationscombatmediccourse.aspx

SPECIAL OPERATIONS COMBAT MEDIC/HM-8427/5392 STUDENT DATA PERSONNEL PHYSICAL REQUIREMENTS: Must be physically qualified for transfer in accordance with Article 15-30 of the Manual of the Medical Department (MANMED) and Chapter 7.01 of the Enlisted Transfer Manual (TRANSMAN). Members requiring medical attention shall not be transferred to this school. PREREQUISITE TRAINING: Assignment to a USSOCOM Naval or Marine Corps service component command. PERSONNEL AND RATINGS ELIGIBLE: Naval Special Warfare Hospital Corpsman, Special Operators, Force Reconnaissance Hospital Corpsman, MARSOC Hospital Corpsman, and Special Warfare Combat Crewmen are eligible upon recommendation and selection from their command. NEC EARNED: NEC-5392 Special Ops Medic RELATED AND/OR FOLLOW-ON TRAINING: Special Operations Independent Duty Corpsman (SOIDC)011-F68 UNIT SYNOPSIS Special Operations Combat Medic Course (SOCM), takes a student with little to no knowledge of medicine and begins teaching him medical fundamentals. This provides a base on which to build upon as the ensuing modules become increasingly more difficult, with the end product to the combatant commander being a trauma specialist trained in warfare related injuries. The Force Reconnaissance Corpsman receives NEC-8427. Upon completion of SOCM, E-4 and below Corpsmen and medics move on to an operational unit as a Special Operations Combat Medic, while E-5 and above Corpsmen and Medics will go to an operational unit or have the opportunity to attend the Special Operations Independent Duty Corpsman course (SOIDC).

FIELD MEDICAL TRAINING BATTALION EAST History: Field Medical Training Battalion-East, Camp Lejeune, North Carolina activated on 8 April 1943 as Medical Field Service School, School Battalion. Its initial goal was to meet the requirement in WWII for combat medically trained personnel of the Navy Medical Department. In 1997, the Chaplain and Religious Program Specialist Expeditionary Skills Training (CREST) was added to the training curriculum. The training includes training Religious Program Specialist (RP) and Chaplains in the skills necessary to function with the operating forces of the Marine Corps. In October 2000, the school celebrated more than fifty years of continuous training and support of Marine forces at our present location. http://www.trngcmd.marines.mil/units/southatlantic/fmtbe

FIELD MEDICAL TRAINING BATTALION EAST In October 2005, Field Medical Service School, Camp Lejeune was designated as the Marine Corps Health Services Training and Education Center of Excellence. Current Active Duty and Reserve officer and enlisted formal training programs conducted by the staff of Field Medical Training Battalion-East are: Field Medical Service Technician (FMST) Course, Field Medical Service Officer (FMSO) Course Chaplains and Religious Program Specialists Expeditionary Skills Training (CREST) course for RPs, and the CREST-Chaplain Course. FMTB-E also trains and certifies HM-8404 Corpsman as Tactical Combat Casualty Care (TCCC) Trainers and Combat Life Saver (CLS) Trainers.

FIELD MEDICAL TRAINING BATTALION EAST ESSENTIALLY THE 8404 HM S DESCRIBE THE PURPOSE OF FNTB E AND FMTB W SIMPLY: IT IS 3 MONTHS OF TRAINING TO TURN A SAILOR INTO A MARINE 8404 DESIGNATED HOSPITAL CORPSMAN ARE TRAINED IN MARINE CORPS MARTIAL ARTS, THEY HUMP UP TO 8 MILES DURING TRAINING AND QUALIFY AS BASIC RIFLEMEN ON MARINE CORPS RANGES. MOST GO ON TO BECOME LINE CORPSMAN LINE CORPSMAN ARE ASSIGNED TO A SQUAD OF MARINES. THEY ARE RESPONSIBLE FOR BASIC SICK CALL, WRITING FOR SIQ AND LIGHT DUTY. THEY ARE EXPECTED TO TRAIN ALONGSIDE THEIR SQUAD AT ALL TIMES. THEY ARE ESSENTIALLY MARINES UNTIL AN INJURY OCCURS. ALL NAVAL OFFICERS WHO ARE ASSIGNED TO MARINE CORPS UNITS ARE AFFORDED THE OPPORTUNITY TO ATTEND A SHORT COURSE WITH SIMILAR INFORMATION REGARDING THE MARINE CORPS. UNLIKE THE ENLISTED SAILORS, OFFICERS ARE NOT REQUIRED TO ATTEND.

FIELD MEDICAL TRAINING BATTALION EAST THE CORPSMAN ARE TRAINED IN THE SAME TCCC DURING FIELD MED AS THE OTHER SERVICES UTILIZE. FOLLOWING FIELD MEDICINE, THEY ARE TRAINED IN ADVANCED SKILLS BY THEIR MEDICAL OFFICERS AND SENIOR HM S I EXPECT MY HM S TO PASS THE MOM TEST.??? MINIMUM PROCEDURES INCLUDE, I&D, TOE NAIL EXCISION, IV FLUIDS AND MEDICATIONS, SUTURE PLACEMENT AND REMOVAL. WITH A TEAM OF WELL TRAINED HM S IN A STOCKED AID STATION, A SINGLE CREDINTIALED PROVIDER CAN RUN SICK CALL FOR UP TO 4 MARINES AT A TIME. COMPLETING 20-30 ENCOUNTERS IN ONE 4 HOUR BLOCK.

INDEPENDENT DUTY CORPSMAN THE NAVAL SURFACE FLEET UTILIZES INDEPENT DUTY CORPSMAN AS PROVIDERS ON SMALL VESSELS. LIKEWISE THE SAME TRAINING ALLOWS AN HM2 OR HM1 TO TAKE CHARGE OF A UNIT OF APROX 200-300 PERSONNEL AS THOSE MARINES PRIMARY CARE MANAGER. TYPICALY A MARINE CORPS INFANTRY BATTALION OF APROX 800 MARINES HAS TWO MEDICAL OFFICERS AND AN IDC. THE OFFICERS HISTORICALLY WERE GMO S MORE RECENTLY PHYSICIAN ASSISTANTS AND NEWLY GRADUATED FAMILY MEDICINE PROVIDERS ARE BEING UTILIZED.

CAPABILITY CAPABILITY:??? FMF DOC S ARE EXPECTED TO GET THE JOB DONE. TECHNICALLY BASIC INFANTRY UNITS ARE PHTLS CAPABLE. SPECIAL FORCES HM S ARE ABLE TO HOLD A PATIENT UP TO 72 HOURS WITHOUT PROVIDER SUPPORT.

QUESTIONS?