European Military Medical Services 2018 a SMART Solution of an EDITORIAL
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EUROPEAN MILITARY EUROPEANMEDICAL MILITARYSERVICES MEDICAL SERVICES 2018 ARMEEN DIE ZUSAMMENARBEIT DER SANITÄTSDIENSTE EUROPÄISCHER ARMEEN ARMEEN DIE ZUSAMMENARBEIT DER SANITÄTSDIENSTE EUROPÄISCHER ARMEEN Erste Ausgabe für alle Sanitätsdienste europäischer Nationen in englischer Sprache BETA VERLAG & MARKETINGGESELLSCHAFT MBH Erste Ausgabe für alle Sanitätsdienste europäischer Nationen in englischer Sprache BETA VERLAG & MARKETINGGESELLSCHAFT MBH A SMART solution of an 2 EMERGENCY MEDICAL SYSTEM maerkli.ch for the ATF Dingo 2 � Flexible modular system with loading and unloading system of patient � Configuration with one or two patient is possible � Protection according STANAG 4569 � Medical devices with retainers � Oxygen system � Electrical system � No tools are needed to change the configuration � Heating and cooling compartment www.aerolite.chEMMS European Military Medical Services 2018 A SMART solution of an EDITORIAL 3 EMERGENCY MEDICAL SYSTEM Content Dear Reader, Words of Greeting 4 Europe is moving closer together – in maerkli.ch for the ATF Dingo 2 many respects. Committed to Humanity – This also applies to the European A Look at the Future of the Armed Forces and in particular to the co- European Medical Services 5 operation between the medical services. International collaboration in the field A Step into the Future with of military medicine has been tried and MMCC‘s First Director 9 tested in many foreign operations and has Interview with Brigadier General proven its worth; the focus on EUROPE is Bruno Most, First Director of new. This development will certainly be the „Multinational Medical Co- further intensified in the coming years. ordination Center“ (MMCC) As Beta Verlag, we have seen ourselves as partners of all medical ser- vices for almost 40 years with our publications, e.g. the Almanac, which is now available online at www.military-medicine.com, and have been very Portraits of the Eight Participating happy to accompany this European process from the very beginning. Medical Services With this special edition of EUROPEAN MILITARY MEDICAL SERVICES we are providing a forum for European collaboration and are reporting Kingdom of Belgium 11 for the first time to this extent on closer European cooperation. We here- by present the establishment of the „European Medical Command“ and Czech Republic 14 report on the medium-term planning of its development. In addition, we provide you with a detailed insight into the medical services of the na- Estonia 18 tions that have been involved from the very start. A large number of people are always involved in the creation of such a Federal Republic of Germany 20 special edition – on their behalf, my thanks go not only to the press and information centre of the Bundeswehr Medical Service for their ever-con- Republic of Hungary 23 structive support, but also to Mr Geschwill for bringing everything to- gether. Grand Douchy of Luxembourg 26 I wish you a stimulating read and look forward to hearing your opinion! Kingdom of the Netherlands 27 Kingdom of Norway 30 Heike Lange Publisher � Flexible modular system with loading and Index of Advertising unloading system of patient Published by: Editorial Support: Aerolite AG 2 � Configuration with one or two patient is possible Beta Verlag und Marketing GmbH Presse- und Informationszentrum des Celsiusstraße 43, Sanitätsdienstes der Bundeswehr � Protection according STANAG 4569 GMÖHLING Transportgeräte 53125 Bonn, Germany Kommando Sanitätsdienst der Bundeswehr � Medical devices with retainers GmbH 13 Tel.: +49(228)91937-0 Falckenstein-Kaserne Fax: +49(228)91937-23 Von-Kuhl-Straße 50 � Oxygen system BLÜCHER GmbH 17 E-mail: [email protected] 56070 Koblenz � Electrical system www.beta-publishing.com www.military-medicine.com Advertising: � No tools are needed to change the configuration KARL STORZ SE & Co. KG 19 Peter Geschwill � Heating and cooling compartment Managing Director: Heike Lange WEINMANN Emergency Medical Layout & Produktion: Technology GmbH + Co. KG 21 Portraits of the Medical Services: Sibylle in der Schmitten Brigadier General MC (ret) two-up buchherstellung & design Dr med Lutz Bandekow www.two-up.de General Dynamics European Land Systems Mowag GmbH 32 www.aerolite.ch 2018 European Military Medical Services EMMS WORDS OF GREETING 4 There therefore exists an essential core competence for a future „European Medical Command“. The strength- ened cooperation between NATO and the EU is now also being implemented at the medical service level in order to make efficient use of the existing resources and avoid any duplication. The medical service of the future must be capable of acting as an independent effector on the one hand – and therefore able to contribute towards a scenario of humanitarian aid or the fight against global epidemics, for example – but on the other hand must also be credibly capable of providing medical care in a scena- rio of national or alliance defence with larger bodies of deployed troops and a high level of dynamism. Dealing with the entire spectrum is the benchmark of the future Security policy reality in Europe has changed both fun- and an enormous task for the armed forces who are op- damentally and permanently – and as a result also the timised during the course of refocusing on national and spectrum of deployment forms and types of operations alliance defence. However, the development of capabili- that need to be dealt with by the German Armed Forces ties required for this can only take place in a synchronised and supported by our medical service. The European manner with the other partners, which we support on the Union has recently responded to these changes with the one hand – thereby enabling them to fulfil their mission „Permanent Structured Cooperation (PESCO)“ initiative, – and on which we are dependent on the other hand in in which Germany is initially responsible for five projects order to achieve our own goals. as the lead nation. One of these projects is the „Euro- pean Medical Command“. The aim here is also to intensify Only close national and international – and in particular multinational cooperation between the medical services European – coordination and a common approach will at the European level in the future. lead to the goal of: Helping the comrades who need us. Because we are, as the motto of our medical service states, As early as 2017, a joint declaration of intent was signed „Committed to humanity!“ by the inspectors of eight European medical services to set up the Multinational Medical Coordination Centre as part of the Framework Nations Concept (FNC) initiative. Dr. Michael Tempel The aim of the FNC initiative is to strengthen NATO‘s Euro- Lieutenant General MC and pean pillar, for which the German medical service has as- Surgeon General of the Bundeswehr sumed responsibility. Before this year comes to a close, the initial ability to coordinate the medical services in- volved will be achieved. This is to be commemorated in the middle of 2018 with a commissioning ceremony. EMMS European Military Medical Services 2018 COMMITTED TO HUMANITY Committed to Humanity – 5 A Look at the Future of the European Medical Services Late summer 2022: An unusually prolonged drought both organisations as necessary and therefore provide leads to crop failures throughout the region. The supply the participating nations with the opportunity to make situation of the local population is threatened with col- better use of the scarce resources of medical service ca- lapse. This is affecting a border region which, due to the pabilities. longstanding civil war in the neighbouring country, is having to cope with a large number of refugees and in Through the work of the MMCC, the multinational medi- which state order is eroding. The state‘s inability to cope cal service association required for this task can be put with the crisis and reduce the growing tensions between together. After the nations‘ decision to intervene, ensu- the population and the group of refugees is threatening ring the health care of the troops of the African Union can to upset a fragile balance and thereby trigger a conflagra- make a small but decisive contribution to overcoming the tion that would start largescale migration and destabilise crisis – and in order for Europe‘s interests to be safeguar- a considerable number of nations. The United Nations has ded far beyond European borders – fully in keeping with intervened and the African Union is adopting a common the understanding of security policy. approach to respond to the rapidly evolving crisis. The scenario described here is fictitious, but allows us to The impacts of a major migration movement would affect look into the future of cooperation between European Europe. This is reason enough for the institutions of the medical services. A future that is not fictitious, but a fu- European Union (EU) to deal with this crisis and decide ture that has already begun. on a European commitment. This is carried out by imple- menting the EU‘s wider concept of security – a crisis far The Order of Events: outside Europe whose impact affects key European inte- rests is a task of the EU – for the protection of its citizens. On May 2, 2017, a new chapter in the cooperation of Euro- pean medical services was opened up at the Ehrenbreit- The African Union decides to send in troops to reestablish stein Fortress, a former Prussian fortress above the banks control in the region and therefore create the basis for a of the Rhine in Koblenz with a view of the German Corner. coordinated aid campaign. However, the health care for As a result, the foundation stone for something histori- the planned multinational alliance cannot be guaranteed, cal was laid in a figurative sense in a historical location: as no state considers itself to be in a position to build up the MMCC, which is to develop into the central element health care for the soldiers. The joint approach threatens of the future cooperation structures of the European me- to fail.