Expeditionary Combat Medic (ECM)
Information Brief SFC Joey Hernandez; NRP, FP-C, SO-ATP AMEDD Center and School Health Readiness Center of Excellence Fort Sam Houston, Texas
16 May 2018
Briefing Outline To provide information on the Expeditionary Combat Purpose: Medic program, assignments, utilization and refresher requirements. 1. Background 2. Definition 3. Requirement 4. Capability 5. Course 6. Refresher (Proposed Requirements) 7. Instructor / Applicant Requirements 8. Conclusion 9. Discussion/Questions
SFC Joey Hernandez [email protected] (210) 295-2131 2 16 May 2018
1 Background
Our current survival rates rely heavily on medical evacuation assets to move casualties to a required surgical capability within an hour of injury. Absence of this asset will demand that all medical providers forward of Role 2 develop the skills needed to delay required definitive medical care for more than one hour
The Combat Medic (68W) is not currently trained or equipped to meet this need
SFC Joey Hernandez [email protected] (210) 295-2131 3 16 May 2018
Definition
The Expeditionary Combat Medic is a force multiplier based on the Combat Medic, and certified to provide more advanced medical services to treat common conditions, prevent disease, treat combat trauma casualties, and if possible, hold injured or diseased soldiers for extended periods of time in units forward of definitive medical care under the direct or indirect supervision of a medical provider.
SFC Joey Hernandez [email protected] (210) 295-2131 4 16 May 2018
2 Requirement (FNA)
Diverse enemies will employ traditional, unconventional, and hybrid strategies to threaten United States security and vital interests.
Forces will likely be widely dispersed with minimal, if any, pre-established healthcare infrastructure.
Enemy capabilities may inhibit the availability of ground and rotary wing medical evacuation during operations, requiring the combat medic to provide enhanced care at or near the POI.
SFC Joey Hernandez [email protected] (210) 295-2131 5 16 May 2018
Requirement
Requirement Concept Expeditionary Combat Medic Training Requirement
Doctor Doctor
PA PA ECM 68W 68W
Current Capability A2AD / DNBI Endstate
Activities to date: Executive Agent Capability Development (HRCoE) Institutional (AMEDDC&S) Operational (The Force) (Strategic Documents): • Updated CNA gaps • Finalized critical task list • Pre and Post-skills • Joint Chiefs of Staff Capstone • Formed an IPAT • Developed POI assessment Concept for Joint Operations • Joint Force 2020 • Conducted a FORSCOM • Conducting Course Validation• Performance impact via Joint • Joint Chiefs of Staff Concept for survey • MES Equipment list Trauma System query Entry Operations 2013 • Produced a ECM CONOP • Pilot Course • TRADOC Pamphlet 525-31 • The Army Operating Concept • Conducted a Capability • Win in a Complex World Based Assessment • AMEDDC&S Concept of Operations • Early Entry Medical Capability
SFC Joey Hernandez [email protected] (210) 295-2131 6 16 May 2018
3 Capability
Requisite skills for the Expeditionary Combat Medic
Force Health Protection Protect the Force
Focused Prolonged Primary Care Care Sustain Sustain Trainer/Mentor Life the Force
TCCC Preserve Life
Supported by appropriate equipment and technology
SFC Joey Hernandez [email protected] (210) 295-2131 7 16 May 2018
Infantry BCT Distribution
SFC Joey Hernandez [email protected] (210) 295-2131 8 16 May 2018
4 Projected Growth
SFC Joey Hernandez [email protected] (210) 295-2131 9 16 May 2018
Course Pathway
SFC Joey Hernandez [email protected] (210) 295-2131 10 16 May 2018
5 Proposed Refresher Requirements
Medical Sustainment Requirements: • Medical Proficiency Training requirement is 4 weeks every 4 years or 2 weeks every two years
• Refresher Course
• Non-Trauma Training
SFC Joey Hernandez [email protected] (210) 295-2131 11 16 May 2018
Instructor Requirements
• MOS Qualified 68W in the rank of SSG-SFC
• Preferred Instructor KSA’s:
• ASI W1, W4, or F2 qualified and current
• NRP or SO-ATP
• Extensive clinical and deployment experience
SFC Joey Hernandez [email protected] (210) 295-2131 12 16 May 2018
6 Applicant Requirements
Qualified in the MOS 68W Grade of PFC-SSG (SSG must have no more than 1 year time in grade of packet)
DA Form 705 APFT within last 30 days
Body Fat Worksheet on DA Form 5500/ 5501 ( All students must meet standards IAW AR 600-9)
DA 4187 signed by Brigade Commander (within 30 days prior to packet submission)
Two letters of recommendation; one from immediate supervisor and one from applicant’s 1SG, CDR, PA, or Unit Surgeon
Physical requirements (No permanent profiles/pending MEB or MMRB) PULHES 111221
Current updated Soldier Record Brief
SFC Joey Hernandez [email protected] (210) 295-2131 13 16 May 2018
Applicant Requirements Con’t
GT Score must be 107 or Higher
Last 2 NCOERs (if applicable)
Test of Adult Basic Education test (TABE-D or A) within 6 months prior to packet submission
Memorandum from applicant’s Commander verifying that there is no history of DWI/DUI and/or UCMJ action
Minimum Interim Secret security clearance required: Security clearance verification memo from unit S-2
If the applicant recently returned from deployment, they must have an approved stabilization waiver memorandum.
If the applicant has recently reenlisted, they must have an approved stabilization waiver memorandum if they reenlisted for that option.
SFC Joey Hernandez [email protected] (210) 295-2131 14 16 May 2018
7 Applicant Requirements Con’t
ECM is a 26 week course and will result in a 22 month Service Remaining Requirement (SRR) upon successful completion of the course
Contacting HSB HRC ASI Assignment Manager will result in termination of the application
Upon successful course completion, an ECM will be assigned to a projected utilization tour
Once the packet is complete, send to ECM NCOIC @ [email protected]
The ECM Program Director is the approval authority for entrance into the course
SFC Joey Hernandez [email protected] (210) 295-2131 15 16 May 2018
Conclusion
The Surgeon General’s Testimony 26 April 18: “ECM represents the primary solution to developing prolonged casualty care. It addresses FORSCOM’s needs and we believe this capability will decrease morbidity and mortality in a major conflict.”
Over 30 ECMs will be trained in FY 18
Up to 240 ECMs will be trained in FY 19.
ECMs will provide units and HCPs an extender to improve readiness and access to care.
SFC Joey Hernandez [email protected] (210) 295-2131 16 16 May 2018
8 Discussion/Questions
SFC Joey Hernandez [email protected] (210) 295-2131 17 16 May 2018
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