Forte Fortuna Adiuvat v08292013 1
Provide an overview of the Office of Operational Medicine within the context of MED. Provide an overview of the Guardian Program, it s capabilities and its role at the tactical and operational level. Provide an overview of Emergency Preparedness programs managed by MED/OM. Provide an overview of the CBW Medical Countermeasures programs managed by MED/OM 2
The Operations Division of Operational Medicine plans, resources, and directly supports high risk security missions overseas in environments where the traditional MED model does not exist or cannot reach. What we need is a new capability. Someone drawn out of the military SOF community, that goes through Green Team and is fully integrated into our operations, but brings a more appropriate medical skill set in support of the teams. Director Office of Mobile Security Deployments circa February 2012 v08292013 3
Career Civil Service Program Tactical Competence Recruited exclusively from the Special Operations Community. Typical candidate has greater than 20 years experience and multiple combat tours with SOF Must complete Green Team at the same standard as any other DS agent. Technical Competence Initial training : 5 months Green Team; 1 month special skills; 2 months additional medical skills baselining Sustainment training: Focus on core tactical skills, medical skills, and special skills. Emphasis on inter-agency interoperability. v08292013 4
Evacuation Guardian Agent EMT TCCC v08292013 5
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Threat Analysis Exercise Training Planning Equipment 7
Threat Analysis Relationships >> Experience >> Intelligence Close relationships with the IC within the Department, and across the Inter-Agency. Recruitment and employment of seasoned professionals from across the IC and IA that understand the emerging threat of Violent Extremist Groups. Constant focus on the next ridgeline where will conditions deteriorate next, and where should resources be applied to strengthen MED s readiness posture? 8
Training Curriculum Development and Distribution Standardization of first responder medical training Translation of standardized slide sets Spanish, Arabic, French Development of CONUS Training Agreements Cooper Medical Center Alexandria Fire Department 9
Equipment Standardized Equipment Selection Standardized training allows standardized equipment selection Development of Blanket Purchase Agreements with vendors to facilitate post procurement process Standardized equipment and procurement allows more predictable life-cycling of nonpharmaceuticals. 10
Change in configuration and mobility 4 basic containers: Black box: mortuary affairs (1 per post) Grey box: medical supplies including bandages, suture kits and diagnostic equipment (# based on post population) Tan box: stretchers Red box: all components with expiration date including meds (# based on population) Posts receive 4 to 7 boxes. Cost is $25,000 dollars per kit. 155 RMUKs currently deployed 11
Trauma and Medical Resuscitation Capability Customized build for each post 4-6 Pelican Cases Designed to be carried in to post as checked baggage Robust pharmaceutical and medical electronics package. $40,000 - $125,000 per kit Currently deployed: Sana a Khartoum Washington, D.C. (x2) 12
Individual First Aid Kit Advanced Responder Kit Basic Responder Kit Vehicle Medical Kit 13
Protects from both direct and indirect fire threats. Built within a standard shipping container for ease of movement. Four basic modules Primary Care Module Resuscitation Module Patient Holding Module Operating Room Module 14
Planning Interagency Medical Planning Fellowship Mid-level military medical planners with a diverse set of experiences at all levels of military planning, from small units to the Joint Chiefs of Staff. Close relationships with the IC within the Department, and across the Inter-Agency. One year academic fellowship that completes the fellow s Masters Degree in Health Administration and Policy through USUHS. Focus is on strategic level planning and integration of interagency efforts toward a whole-ofgovernment approach. 15
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Exercise Project ERUDITE: Templated, progressively complex exercises that empower Post medical providers Annual culminating exercises facilitated by a Mobile Training Team from MED/OM. Focus on Mass Casualty Event management, prolonged critical care under siege, and medical management of Chemical and Biological Agent casualties. 17
Medical CounterMeasures Advanced Kit (MCM-A) Multi-dose medications necessary to treat 3-5 seriously contaminated patients in the Health Unit. Limited to posts at highest risk for CW/BW terrorism Built, preparing to ship. Issues for 2014 ATNAA CANA Tamiflu 18