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Burn Trauma Commander’S Corner tacticaldefensemedia.com | Q1 2014 BURN TRAUMA Commander’s Corner SAVING LIVES IN THE FIELD ARMY IMPROVES PRE-HOSPITAL CARE RDML Brian S. Pecha The Medical Officer of the Marine Corps Headquarters USMC, Health Services Arlington, VA 6th Med Group First Aid Eye/Targeted Stethoscope Litter Innovations Educational Opportunities Propaq: The Standard You’ve asked, we’ve delivered. Your next-generation Propaq® is here. The standard in vital signs monitoring, now with advanced capabilities for all levels of care. Experience Counts ZOLL, with over 25 years of experience manufacturing resuscitation technologies for the military, understands that to meet today’s demands, you require more than just the best monitoring technology available. The ZOLL Propaq M, in addition to providing the trusted and proven vital signs you have come to expect from Propaq, now has significantly enhanced data communications allowing you to capture patient care data from the point of injury through definitive care. For more information, call 1-800-804-4356 or visit us at www.zoll.com/nextgen. © 2014 ZOLL Medical Corporation, Chelmsford, MA, USA. ZOLL is a registered trademark of ZOLL Medical Corporation. Propaq is a trademark of Welch Allyn. MCN MP 1402 0005 Bridging the Survival Gap San Antonio Medical Center’s Emergency Medical and Disaster Medicine Fellowship program is addressing the need to reduce “pre-hospital care” time post trauma. By David Vergun 8 Features Recurring Highlights 18 Industry Partner Skedco Supplier of casualty 5 immobilization and transport equipment to DoD. Burn Care Forward The Army’s Burn Center is 20 Online and In Combat providing state-of-the-art pre- Accessible education deployment training to Forward programs for deployed and Surgical Teams. returning servicemembers. 13 By Steven Galvan 24 Command Profile RDML Brian 6th Med Group The USAF 6th Medical Group S. Pecha is a key provider of combat The Medical Officer of 6 casualty care in theater and Commander’s Corner the Marine Corps post transport. HQ USMC, First Aid: More than Health Services Meets the Eye Arlington, VA The Army is now issuing a more Departments robust, streamlined first aid kit 16 MedTech that better tackles eye injury. By C. Todd Lopez 22 DARPA Dots 28 Ad Listing/Calendar of Events 4 Targeted Amplification Update on the recently approved 26 Noise Immune Stethoscope. Documenting Preparedness By Catherine Davis Last year’s best photographs of U.S. military medical training. Cover: Soldiers from the 528th Sustainment Brigade (Airborne) unload a simulated casualty from a UH-60 Blackhawk during a MEDEVAC field training exercise on Fort Bragg, N.C. tacticaldefensemedia.com Combat & Casualty Care | Q1 2014 | 1 Insights ith all the talk of “change” in the military over the past few years—whether due to drawdowns or budgets—the word risks becoming a bromide Wwithout evidence to support it. In the 2014 issues of Combat & Casualty Care (C&CC), we will try to provide that evidence: C&CC will highlight programs and people that have attempted to transform the technology, methods, and education of combat medicine professionals based on lessons learned from war. In this issue, these individuals include generals, officers, and private companies; each Combat & Casualty Care ISSN: 2159-7103 have a different perspective, and each will make major contributions to improving Online ISSN: 2159-7197 is published by battlefield care. Tactical Defense Media, Inc. From U.S. Army San Antonio Medical Center, TX, readers get a look through All Rights Reserved. Reproduction without the eyes of a former Special Forces medic at why and how he organized a Battlefield permission is strictly forbidden. ©2014 Response and Disaster Medicine Fellowship program, addressing the need for the implementation of rapid first response techniques so often used in civilian settings C&CC is free to members of the U.S. to save lives in the balance, but which remain too absent at the side of our critically- military, employees of the U.S. government, wounded war heroes. emergency responders, institutions, and non-U.S. Amidst the harsh realities of combat casualty response, we also summarize embassies based in the U.S. some of the technologies that are enabling more effective “golden hour” treatments, such as the new Army first aid kit. Moving beyond the initial stages of injury, Mailing Address articles will show the greater focus across the DoD medical community on casualty Tactical Defense Media, Inc. care that goes beyond mere short-term, “Band-Aid level” solutions, looking at ways Leisure World Plaza to better manage immediate care more holistically so that patients have the best PO Box 12115 chance of survival and quality of life well after physical wounds heal. Silver Spring, MD 20908-0115 USA In an exclusive interview, RDML Brian Pecha, The Medical Officer of the Telephone: (301) 605-7564 Marine Corps, speaks to C&CC about the challenges his department faces in Fax: (443) 637-3714 addressing the unique medical needs of a globally-deployed, multi-purpose www.tacticaldefensemedia.com force. From force-ready care to ongoing R&D forming the basis for the critical [email protected] technologies of tomorrow so often needed today, our discussion sheds some light [email protected] on USMC health programs, partnership with civilian educational institutions, and [email protected] how the Corps’ medical operations might change after Afghanistan. To round out this issue, we offer readers a profile of 6th Medical Group, MacDill Tactical Defense Media AFB, Tampa, FL, supporting the combat capabilities of the 6th Air Mobility Wing, U.S. Central Command, U.S. Special Operations Command, and 36 other diverse Publications mission partners, by providing administrative, logistics, and ancillary medical support to 220,000 beneficiaries in the DoD’s largest single catchment area. They’re likely to stay busy regardless of drawdowns. As always, feel free to contact me with questions, comments! Sincerely, Kevin Hunter Sonia Bagherian Editor Publisher Combat & Casualty Care Tactical Defense Media [email protected] [email protected] Christian Sheehy Shean Phelps Managing Editor Contributing Editor Tactical Defense Media Combat & Casualty Care [email protected] [email protected] Assistant Editor George S. Jagels [email protected] Proud Members COMPLIMENTARY SUBSCRIPTION www.tacticaldefensemedia.com | Scan the code to sign up now! 2 | Combat & Casualty Care | Q1 2014 tacticaldefensemedia.com 2014 AUSA Annual Meeting & Exposition A PROFESSIONAL DEVELOPMENT FORUM 13 -15 OCTOBER 2014 WALTER E. WASHINGTON CONVENTION CENTER WASHINGTON, D.C. WHY YOU SHOULD ATTEND Join over 28,000 people from the worldwide defense community Network with key leaders from the Army, DoD, Congress and the defense industry View over 500 exhibits featuring the latest technology, products and services Participate in panel discussions on the state of the Army and the future of national defense AUSAANNUALMEETING.ORG [email protected] | 703-907-2665 Innovation Equipment Targeted Amplification (USAARL) The U.S. Army recently approved the Noise and lung sounds. This technology has the capability for users to easily Immune Stethoscope for production that switch from Doppler to acoustic mode. Both modes immediately turn enhances targeted bodily resonations to help body sounds into electrical signals for enhanced performance. The overcome ambient interference. Communications Earplug, currently being used by aviators, attaches to the NIS and allows auscultation while wearing the flight helmet. By Mrs. Catherine Davis, Public Affairs Specialist, “The dual-mode stethoscope is specifically designed for high noise U.S. Army Aeromedical Research Laboratory conditions,” said Cho. “As a result, the fight surgeon or flight medic n collaboration with Active Signal Technologies, a Small Business will be able to make more accurate decisions while en route to higher Innovation Research partner, the U.S. Army Aeromedical Research echelons of care during flight.” I Laboratory, Fort Rucker, AL, and U.S. Army Medical Research The NIS enables medical personnel to assess abnormalities of and Materiel Command, Fort Detrick, MD, developed a medical the cardiopulmonary system in high-noise environments like the device that can be used to listen to heart and lung sounds in high-noise transportation of wounded soldiers in medical evacuation aircraft, environments such as medical evacuation vehicles. ground warfare, and intensive care units. “Heart and lung sounds are a necessary component of casualty triage and ongoing care. Hearing and assessing these sounds with Moving Forward traditional acoustic stethoscopes is very difficult on the battlefield. Between 2007 and 2013, the NIS received U.S. Food and Drug It is vitally important that military medical care providers have Administration 510(k) clearance, and through a series of rigorous the necessary tools while managing patients.” said Maj. Tim Cho, laboratory and field tests conducted by USAARL, the NIS received an USAARL Aeromedical Factors Branch Chief. airworthiness release for use on-board the Black Hawk helicopter. The device is now approved for full-rate production for use in real-world Automated Listener operational environments. The Noise Immune Stethoscope (NIS), like a standard acoustic stethoscope, uses an acoustic listening mode, and also adds More info: www.usaarl.army.mil ultrasound-based technology
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