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New Equipping Strategies for Combat Support Hospitals
ARROYO CENTER and RAND HEALTH Center for Military Health Policy Research THE ARTS This PDF document was made available from www.rand.org as CHILD POLICY a public service of the RAND Corporation. CIVIL JUSTICE EDUCATION Jump down to document ENERGY AND ENVIRONMENT 6 HEALTH AND HEALTH CARE INTERNATIONAL AFFAIRS The RAND Corporation is a nonprofit institution that NATIONAL SECURITY POPULATION AND AGING helps improve policy and decisionmaking through PUBLIC SAFETY research and analysis. SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE TERRORISM AND HOMELAND SECURITY Support RAND TRANSPORTATION AND INFRASTRUCTURE Purchase this document WORKFORCE AND WORKPLACE Browse Books & Publications Make a charitable contribution For More Information Visit RAND at www.rand.org Explore the RAND Arroyo Center RAND Health View document details Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non-commercial use only. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. For information on reprint and linking permissions, please see RAND Permissions. This product is part of the RAND Corporation monograph series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND monographs undergo rigorous peer review to ensure high standards for research quality and objectivity. New Equipping Strategies for Combat Support Hospitals Matthew W. -
Medical Professionals in Remote and Extreme Environments: a Mission to Mars
Title: Medical Professionals in Remote and Extreme Environments: A Mission to Mars Authors: Hsu, Michael M., Coffey, Christanne H., Witucki, Peter and Sloane, Christian. Abstract: To give a representative overview of medical professionals working in today’s remote and extreme environments, we consider the following teams and organizations: • Expeditions on 8000m peaks led by accredited guides of the American Mountain Guides Association (AMGA) or International Federation of Mountain Guides Association (IFMGA) • Everest Base Camp Medical Clinic (Everest ER) in Nepal • US Antarctic Program (USAP) • Medical Departments aboard US Navy ships and submarines • US Special Operations Command (SOCOM) Corpsmen and Medics • US Navy Diving Medical Officers • Crew Medical Officers (CMO’s) aboard the International Space Station After reviewing the practice environments and medical training of the various teams, we consider the medical qualifications of a hypothetical future team embarking on a mission to a particularly remote and extreme environment, a human spaceflight mission to the surface of Mars. Introduction: This article explores the qualifications and training of current practitioners of medicine operating in remote and extreme environments. Remote environments have limited access to rescue and hospital care. Extreme environments have exposure to temperature and pressure extremes, radiation, as well as exposure to significant mechanical hazards, including from enemy action during military operations. Several environments combine these descriptions. A prospective human spaceflight to Mars would operate within remote and extreme environments through the entirety of the mission. As observed by Dr. HD Backer, MD, “Wilderness medicine not only overlaps with sports medicine, but also emergency medicine, military, occupational, and travel medicine and international health” and “It shares with military medicine an intense interest in environmental stresses and hazards, field management and mobile response” (Backer, 1995). -
National Capital Area
National Capital Area Joint Service Graduation Ceremony For National Capital Consortium Medical Corps, Interns, Residents, and Fellows National Capital Consortium Dental Corps and Pharmacy Residents Health and Business Administration Residents Healthcare Administration Residents Rear Admiral David A. Lane, Medical Corps, U.S. Navy Director National Capital Region Medical Directorate Colonel Michael S. Heimall, Medical Service Corps, U.S. Army Director Walter Reed National Military Medical Center Arthur L. Kellermann, M.D., M.P.H. Professor and Dean, F. Edward Hebert School of Medicine Uniformed Services University of the Health Sciences Jerri Curtis, M.D. Designated Institutional Official National Capital Consortium Associate Dean for Graduate Medical Education Uniformed Services University of the Health Sciences Colonel Brian M. Belson, Medical Corps, U.S. Army Director for Education Training and Research Walter Reed National Military Medical Center Colonel Clifton E. Yu, Medical Corps, U.S. Army Director, Graduate Medical Education Walter Reed National Military Medical Center Program of Events Academic Procession Arrival of the Official Party Rendering of Honors (Guests, please stand) Presentation of Colors...............................Uniformed Services University Tri-Service Color Guard “National Anthem”...............................................................................The United States Army Band Invocation.................................................................................LTC B. Vaughn Bridges, CHC, USA -
Army Instruction – 10/2001
CHARTER OF DUTIES : DG -1B(II) The section deals with all personal and admin matters of AMC/SSC Offrs upto the rank of Major and NTR and NTS officers. The important activities involve:- (A) AMC/SSC OFFICERS 1. Allotment of Personal No. on receipt of personal files/appointment documents from DG-1A. 2. Initiation and publication of 1st appointment DGN in respect of AMC/SSC Officers. 3. Grant of rank of Capt on completion of internship in the case of the officers joined in the rank of Lt and equivalent and publication of DGN thereon. 4. Processing the cases of confirmation on completion of one year probationary period on the recommendations of concerned CO. 5. Time scale promotion to the rank of Major and equivalent on completion of four years reckonable SSC service and initiation and publication of DGN thereon. 6. Processing of cases for resignation/invalidation and issue of necessary orders to the respective service HQs. 7. Processing of applications for change of name and issue of necessary orders. 8. Processing of cases for secondment from one service to other and issue of necessary orders. 9. Processing of cases for anti date seniority in r/o officers having previous coloured service and officers having higher qualifications. -2- 10. Processing of cases for issue of No Objection Certificate to officers applying for civil employment. 11. Grant of extension to officers completing the initial contractual period of five years. 12. Compilation of manpower reports based on authorization and holding returns received from the three service HQs. 13. Compilation and submission of required report and returns to the Coord section, Addl DGAFMS and the DGAFMS. -
The Value of Live Tissue Training for Combat Casualty Care: a Survey of Canadian Combat Medics with Battlefield Experience in Afghanistan
CAN UNCLASSIFIED The Value of Live Tissue Training for Combat Casualty Care: A Survey of Canadian Combat Medics With Battlefield Experience in Afghanistan Michael Kim * Ian Torrie † Robert Poisson ‡ Nicholas Withers ‡ Stephen Bjarnason § Luis Teodoro DaLuz * Dylan Pannell *‡ Andrew Beckett ‡∥ Homer C. Tien *‡ * Tory Regional Trauma Centre, Sunnybrook Health Sciences Centre, Toronto † Embassy of Canada, 501 Pennsylvania Avenue NW, Washington, DC ‡ Canadian Forces Health Services Group, Ottawa § Defence Research Development Canada – Suffield Research Centre ∥ Montreal General Hospital, Montreal External Publisher: Association of Military Surgeons of the United States (AMSUS) MILITARY MEDICINE, 182, 9/10:e1834, 2017 doi: 10.7205/MILMED-D-16-00271 Date of Publication from Ext Publisher: Sep/Oct 2017 Defence Research and Development Canada External Literature (P) DRDC-RDDC-2018-P001 February 2018 CAN UNCLASSIFIED CAN UNCLASSIFIED IMPORTANT INFORMATIVE STATEMENTS Disclaimer: This document is not published by the Editorial Office of Defence Research and Development Canada, an agency of the Department of National Defence of Canada, but is to be catalogued in the Canadian Defence Information System (CANDIS), the national repository for Defence S&T documents. Her Majesty the Queen in Right of Canada (Department of National Defence) makes no representations or warranties, expressed or implied, of any kind whatsoever, and assumes no liability for the accuracy, reliability, completeness, currency or usefulness of any information, product, process or material included in this document. Nothing in this document should be interpreted as an endorsement for the specific use of any tool, technique or process examined in it. Any reliance on, or use of, any information, product, process or material included in this document is at the sole risk of the person so using it or relying on it. -
The History of the Navy Medical Corps Insignia: a Case for Diagnosis
ment Duty Navy Medical Corps Insignia 615 ing to ANG units. MTFs are sensitive to the charge of exploiting Acknowledgments Reserve Forces to "clean up" their backlog of physicals. In this case, AFSC Hospital, Patrick took the lead by helping an ANG We wish to commend COL Robert F. Thomas, Commander, unit receive pertinent training. ER duty is possible for any ANG AFSC Hospital, Patrick, and TSGT Carey P. Martin, NCOIC of the medical unit, provided that the unit obtains the necessary ba ER at Patrick AFB, who coordinated and evaluated this unique ANG training experience. Their skill and understanding helped to sic skills and certifications prior to the annual training deploy ensure the success of this noteworthy endeavor. We also thank ment. This requires that the unit depart from focusing as much RobertD. Cardwell, Deputy Chief of Staff for Air. MDANG, and COL on purely administrative and non-medical matters during Vernon A. Sevier, Commander of the 135th Tactical Airlift Group, UTAs and concentrate on obtaining, honing, and retaining 2E MDANG. Without their support, this unique training opportunity related medical skills. would not have been possible. MILITARY MEDICINE. 156. !1:615, 1991 The History of the Navy Medical Corps Insignia: td sensi· d super· A Case for Diagnosis m staff . : annual do their LT KennethM. Lankin, MC USN his was ~ecause ow did the oak leaf and the acorn (Fig. 1) become the often jobs in Hunrecognized symbol of the Navy Medical Corps? As LT 12-hour T.W. Ziegler, MC, USNR, wrote to the Chief of the Navy Bureau perma· of Medicine and Surgery (BUMED) in 1968: ed high "Throughout my tour of duty in Vietnam with the joint e taken Army-Navy Mobile Riverine Force .. -
The Crucible of Military Medical Ethics
Medical Ethics on the Battlefield: The Crucible of Military Medical Ethics MILITARY MEDICAL ETHICS VOLUME 2 SECTION IV: MEDICAL ETHICS IN THE MILITARY Section Editor: THOMAS E. BEAM, MD Formerly Director, Borden Institute Formerly, Medical Ethics Consultant to The Surgeon General, United States Army Robert Benney Shock Tent circa World War II Art: Courtesy of Army Art Collection, US Army Center of Military History, Washington, DC. 367 Military Medical Ethics, Volume 2 368 Medical Ethics on the Battlefield: The Crucible of Military Medical Ethics Chapter 13 MEDICAL ETHICS ON THE BATTLEFIELD: THE CRUCIBLE OF MILITARY MEDICAL ETHICS THOMAS E. BEAM, MD* INTRODUCTION RETURN TO DUTY CONSIDERATIONS IN A THEATER OF OPERATIONS Getting Minimally Wounded Soldiers Back to Duty Combat Stress Disorder “Preserve the Fighting Strength” Informed Consent Beneficence for the Soldier in Combat Enforced Treatment for Individual Soldiers BATTLEFIELD TRIAGE The Concept of Triage Establishing and Maintaining Prioritization of Treatment Models of Triage Examining the Extreme Conditions Model EUTHANASIA ON THE BATTLEFIELD Understanding the Dynamics of the Battlefield: The Swann Scenario A Brief History of Battlefield Euthanasia A Civilian Example From a “Battlefield” Setting Available Courses of Action: The Swann Scenario Ethical Analysis of Options PARTICIPATION IN INTERROGATION OF PRISONERS OF WAR Restrictions Imposed by the Geneva Conventions “Moral Distancing” Developing and Participating in Torture Battlefield Cases of Physician Participation in Torture CONCLUSION *Colonel (Retired), Medical Corps, United States Army; formerly, Director, Borden Institute, Walter Reed Army Medical Center, Washington, DC 20307-5001 and Medical Ethics Consultant to The Surgeon General, United States Army; formerly, Director, Operating Room, 28th Combat Support Hospital (deployed to Saudi Arabia and Iraq, Persian Gulf War) 369 Military Medical Ethics, Volume 2 Robert Benney The Battle of the Caves Anzio, 1944 The painting depicts battlefield medicine in the Mediterranean theater in World War II. -
Navy Medical Corps FY-21 Leadership Course Offerings
Navy Medical Corps FY-21 Leadership Course Offerings Captain Anthony Keller MC Career Planner [email protected] 703-681-8937 31 Aug 2020 1 Table of Contents Navy Medicine Professional Development Center Courses……….…………….…………………………………3 Basic Readiness Officer Course (B-ROC) ................................................................................................................. 3 Advanced Readiness Officer Course (A-ROC) .......................................................................................................... 4 TRICARE Financial Management Executive’s Program (TFMEP) .......................................................................... 5 Interagency Institute for Federal Health Care Executives (IFFHCE) ........................................................................ 6 Clinic Management Course (CMC) ........................................................................................................................... 7 Navy Leadership and Ethics Center….………………………………………….……………………….………….8 Senior Leadership Course……………….……………………………………………………...…………...…….…8 Intermediate Leadership Course...................................………………..…………………….………..………........10 Division Officer Leadership Course………………………….…………………………………….……...….........12 Navy Postgraduate School…………………..…………………………………..…………….………………….…13 Navy Senior Leader Seminar……..…………………….…………………..……....................................................13 Leadership & Communication Program for Senior Supervisors (LCSS)…………….……………………………14 Joint -
Indian Ministry of Defence Annual Report 2004
ANNUAL REPORT 2004-05 lR;eso t;rs Ministry of Defence Government of India Front Cover : BRAHMOS Supersonic Cruise Missile being launched from a Naval war ship. Back Cover: The aerobatic team of the Indian Air Force the Suryakirans demonstrating its awesome aerobatic skills. CONTENTS 1. The Security Environment 5 2. Organisation and Functions of the Ministry of Defence 17 3. Indian Army 25 4. Indian Navy 45 5. Indian Air Force 55 6. Coast Guard 61 7. Defence Production 69 8. Defence Research and Development 97 9. Inter-Service Organisations 115 10. Recruitment and training 131 11. Resettlement and welfare of ex-servicemen 159 12. Cooperation between the armed forces and civil authorities 177 13. National Cadet Corps 185 14. Defence Relations with Foreign Countries 197 15. Ceremonial, Academic and Adventure Activities 203 16. Activities of Vigilance Units 215 17. Empowerment and Welfare of Women 219 Appendix I. Matters Dealt by the Departments of the Ministry of Defence 227 II. Ministers, Chiefs of Staff and Secretaries 232 who were in Position from April 1, 2004 Onwards III. Summary of Latest Comptroller & Auditor General 233 (C&AG) Report on the Working of Ministry of Defence 1 THE SECURITY ENVIRONMENT Su-30 5 THE SECURITY ENVIRONMENT PHYSICAL ENVIRONMENT is bordered by the Arabian Sea, the Indian Ocean and the Bay of Bengal. 1.1 Connected by land to west, India is thus a maritime as well as central, continental, and south-east continental entity. This geographical Asia, and by sea, to the littoral states and topographical diversity, espe- of the Indian Ocean from East Africa cially on its borders, also poses to the Indonesian archipelago, India unique challenges to our Armed is strategically located vis-à-vis both Forces. -
Welcome to Army Medical Department (AMEDD) Medical Officer Corps
WelcomeU.S. Army Medical to Center Army of Excellence Medical Department (AMEDD) Medical Officer Corps ARMY MEDICINE STARTS HERE (MS) Briefing AMEDD MEDICAL CORPS VETERINARY CORPS NURSE CORPS SPECIALIST CORPS DENTAL CORPS MEDICAL SERVICE CORPS 7/20/2020 1 U.S. Army Medical Center of Excellence ARMY MEDICINE STARTS HERE Army Medical Service Corps 7/20/2020 2 U.S. Army Medical Center of Excellence ARMY MEDICINE STARTS HERE Corps Opportunities 23 Distinct Specialties and 4 Skill Identifiers represented by Consultants to The Surgeon General Administrative Health Preventive Clinical Health Medical Allied Services Medicine Sciences Sciences Sciences 67D – Behavioral 67B – Laboratory 67A – Health Services 67C – Preventive Science Officer Science Officer Officer (Immaterial) Medicine Officer (Immaterial) (Immaterial) 70A – Health Care (Immaterial) 67E – Pharmacist 71A – Microbiologist Administrator 72A – Nuclear medical 67F – Optometrist 71B – Biochemist 70B – Health Services Science Officer 67G – Podiatrist 71E – Clinical Administration 72B – Entomologist 73A – Social Worker Laboratory Officer 70C - Health Services 72C – Audiologist 73B – Clinical 71F – Research Comptroller 72D – Environmental Psychologist Psychologist 70D - Health Services Science & Engineer Operational ASI 8T – Blood Bank Systems Manager (IMO) Officer Psychologist Officer Forensic 70E – Patient Administrator Toxicologist 70F - Health Services Human Resources Manager 70H – Health Services Plan, Operations, Intelligence, Security and Training 70K – Health Services Materiel Officer 67J – Aeromedical Evacuation Officer 670A – Health Services Maintenance Technician ASI 8S – Health Systems management Analyst ASI 8X – AMEDD Acquisition Officer ASI 9I – Facilities Planner *Most Cadets assessed into MSC will be designated ‘70B’ **70B MSC officers will select a 70-series Area of Concentration (AOC) 6-8 years after military service 7/20/2020 3 U.S. -
DACOWITS 2020 Annual Report
DACOWITS Defense Advisory Committee on Women in the Services 2020 Annual Report Cover photos First row U.S. Coast Guard Cdr. Brett R. Workman, from Bethany Beach, Del., and Cdr. Rebecca Albert, from Colorado Springs, Colo., work in the Javits Convention Center in New York as liasons transferring patients from hospitals to the Military Sealift Command hospital ship USNS Comfort (T‐AH 20). The Javits Center is one of the many places available in supporting in COVID‐19 relief in New York. Second row, Left Navy Seaman Ella Koudaya rings two bells during a 9/11 remembrance ceremony on the main deck of the USS Blue Ridge in Yokosuka, Japan, Sept. 11, 2020. Second row, right Chief Master Sgt. of the Air Force JoAnne S. Bass speaks after a presentation for the Air Force Association 2020 Virtual Air, Space & Cyber Conference, at the Pentagon, Arlington, Va., Sept. 14, 2020. Bass succeeded Kaleth Wright as the 19th chief master sergeant of the Air Force and is the first woman ever to serve as the highest-ranking NCO in any branch of the military. Third row, left A Marine Corps drill instructor adjusts a Marine’s cover during a final uniform inspection for a platoon at Marine Corps Recruit Depot Parris Island, S.C., May 1, 2020. Third row, middle Army Pfc. Kathryn Ratliff works at the Nissan Stadium COVID-19 testing site in downtown Nashville, Tenn., Aug. 21, 2020. Since March, more than 2,000 Tennessee National Guardsmen have been activated to assist communities. Third row, right U.S. Space Force Capt. -
Clinical Quality Management in the Combat Zone: the Good, the Bad, and the Unintended Consequences
MILITARY MEDICINE, 176, 4:375, 2011 Clinical Quality Management in the Combat Zone: The Good, the Bad, and the Unintended Consequences COL Robert A. De Lorenzo , MC USA * † ; COL James A. Pfaff , MC USA (Ret.) † ‡ ABSTRACT Clinical quality management (CQM) is a fi xture of modern U.S. healthcare to include fi xed military medical treatment facilities. CQM is now being applied to the battlefi eld. In a related fashion, standards of care have been proposed in the context of combat medicine. The overall goal is to improve the medical care of casualties. Despite good intentions, the concepts and execution of CQM and standards of care are neither well-described in the literature nor estab- lished in offi cial military doctrine and regulation. This has resulted in variable and haphazard applications that range from Downloaded from https://academic.oup.com/milmed/article/176/4/375/4345373 by guest on 04 October 2021 the positive and supportive to the negative and counterproductive. This article outlines the use of CQM in combat opera- tions and asserts that a deliberate analysis of the benefi ts and risks is needed before its continued use. Future directions should focus on the impact of CQM on mission, doctrine, training, staffi ng, and unit organization. Rigorous adherence to evidence of effectiveness is essential before applying CQM in the combat zone. I have a system, very much like yours. Only difference THE GOOD is I don’t shoot the rope, I shoot the legs off the stool. CQM in the Combat Zone –Tuco, the “Ugly,” from the 1966 Western The Good, the Bad, and the Ugly .