EUROPEAN MILITARY EUROPEANMEDICAL MILITARYSERVICES MEDICAL SERVICES 2019 ARMEEN DIE ZUSAMMENARBEIT DER SANITÄTSDIENSTE EUROPÄISCHER ARMEEN ARMEEN DIE ZUSAMMENARBEIT DER SANITÄTSDIENSTE © Sanitätsdienst Bundeswehr/Bannert© Sanitätsdienst 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 2 For more than 25 years, ZOLL® has ZOLL helps improve survival outcomes Watch the video been a trusted partner delivering and operational efficiencies. Thus, The new single-use tourniquet how to apply it: acute critical care technologies to the ZOLL devices are the products of • protection against MRSA military. ZOLL is proud to honor your choice as the standard chosen by • ensuring optimal occlusion: ca. 20 mmHg • perfect for humid or very dry environments trust with unmatched commitment many militaries in U.S., NATO • particularly low weight: 2,5 g/pc to those who care for others during and Global coalition partners. • easy to use with gloves on (fl eece material) Made in Germany operational, humanitarian, disaster • cost-effective: also usable as compress after venipuncture and peacetime missions. Request free samples! E-Mail with „EMMS-19“ EMMS European Military Medical Services 2019 Kimetec GmbH • Gerlinger Straße 36-38 • 71254 Ditzingen • Germany • Tel .: +49 71 56 / 1 76 02-200 • Fax : +49 71 56 / 1 76 02-500 • www.kimetec.de • [email protected] EDITORIAL Content Dear Reader, 3 Words of Greeting 4 Releasing a new title is still something very Interview with special for us, and last year, when we pu- Lt.Gen. Gygax Généro 5 blished the first edition of the EUROPEAN The European Medical MILITARY MEDICAL SERVICES, we eagerly Operations Forum 8 awaited the reactions of the readers. Interview with BG Dr. Most 10 Medical Table Top Exercise – All of them were positive – we received Improving Healthcare a good deal of praise for our decision to trough (War)Gaming 13 advise and support the European medical Multinational Exercise services in their efforts to move closer to- „Vigorous Warrior 2019“ 21 gether in publishing terms. That spurred us on, and you are now holding the se- Portraits of the new participating cond edition of EMMS in your hands. Military Medical Services French Republic 24 We report on the activities and progress of the „European Medical Com- Italian Republic 27 mand“, publish two interviews with the Director of the Multinational Republic of Romania 28 Medical Coordination Center (MMCC), General Dr. Bruno Most and the Kingdom of Spain 29 French Surgeon General, Lt.Gen. Maryline Gygax Généro, and are of the Kingdom of Sweden 30 opinion that we have put together a whole series of exciting and inte- Overview of all members resting articles, for which we would like to thank all of the authors and of the MMCC 31 advertisinig companies for their support and cooperation. Many thanks also to Peter Geschwill and Karen Thelen for coordinating the whole pro- Index of Advertising cess. Zoll Medical Deutschland GmbH 2 KIMETEC GmbH 3 Our focus will remain on EUROPE and we will also be reporting on this Weinmann Emergency Medical process and the developments next year. Technology GmbH +Co. KG 9 General Dynamics European I wish you a stimulating read and look forward to receiving your reac- Land Systems-Mowag 12 tions, suggestions and contributions – please let us hear from you! Emergent BioSolutions Inc. 15 german ercelliance GmbH 18 iSimulate PTY 19 Spengler & Fürst GmbH & Co. KG 23 Heike Lange Karl Storz SE & Co. KG 32 Publisher Published by: Tel.: +49 (228) 919 37-0 Managing Director: Heike Lange Advertising: Peter Geschwill Beta Verlag und Marketing GmbH Fax: +49 (228) 919 37-23 Celsiusstraße 43 E-mail: [email protected] Portraits of the Medical Services: Layout & Produktion: 53125 Bonn www.beta-publishing.com Brigadier General MC (ret) www.two-up.de Germany www.military-medicine.com Dr med Lutz Bandekow For more than 25 years, ZOLL® has ZOLL helps improve survival outcomes Watch the video been a trusted partner delivering and operational efficiencies. Thus, The new single-use tourniquet how to apply it: acute critical care technologies to the ZOLL devices are the products of • protection against MRSA military. ZOLL is proud to honor your choice as the standard chosen by • ensuring optimal occlusion: ca. 20 mmHg • perfect for humid or very dry environments trust with unmatched commitment many militaries in U.S., NATO • particularly low weight: 2,5 g/pc to those who care for others during and Global coalition partners. • easy to use with gloves on (fl eece material) Made in Germany operational, humanitarian, disaster • cost-effective: also usable as compress after venipuncture and peacetime missions. Request free samples! E-Mail with „EMMS-19“ 2019 European Military Medical Services EMMS Kimetec GmbH • Gerlinger Straße 36-38 • 71254 Ditzingen • Germany • Tel .: +49 71 56 / 1 76 02-200 • Fax : +49 71 56 / 1 76 02-500 • www.kimetec.de • [email protected] WORDS OF GREETING 4 At its summits in Wales and Warsaw, NATO responded with collective solidarity and the adoption of measures which are intended to strengthen the responsiveness of the Alliance. Multinationality is therefore clearly the key to success. With the Permanent Structured Cooperation (PESCO) within the EU and the NATO Framework Nations Concept (FNC), important preconditions have been crea- ted here to bundle the limited resources in a meaningful way. The next logical step was to institutionalise these forms of cooperation. This is precisely the task of the “Mul- tinational Medical Coordination Centre” (MMCC) and the “European Medical Command” (EMC). At the same time, we are under an obligation to develop a multinational network that will improve the quantity and quality of the support provided by the medical services of NATO and the EU through closer integration and coordi- nation between the medical services. The intention is to develop both initiatives - MMCC and EMC - together in one organisation. This avoids double structures with the resulting redundancies. NATO, as well as the EU, are currently facing major challenges, and will probably continue to do so in the future. Everyone will benefit from close cooperation between the nations in Lt.Gen. Dr U. Baumgärtner, Surgeon General overcoming the common challenges. The MMCC/EMC will play a decisive role in providing multinational medi- cal support services. Operations are supported from here Dear Reader, directly. Developments in security policy show that solutions to In this way, we will be setting a few cornerstones with the problems exceed national capacities. Even larger nations MMCC/EMC in the next three years. Under the leadership are having to change their thinking in order to turn „I“ of the Medical Services of the German Armed Forces and into „we“. This applies in particular to the medical service. with the international participation of other medical ser- In Germany, in the city of Koblenz, the international cen- vices, the aim is for this element to become fully operati- tre for medical services in Europe is being created for this onal in support of NATO and the EU by December 2021. reason. The city has a long tradition of military history, National solo efforts will then be a thing of the past. as documented in particular by the mighty „Ehrenbreit- At the same time, we are also moving in new directions stein“ fortress, which is visible from a long way away and organisationally: we will be creating a hybrid organisa- situated above the city. From here the view goes down to tion. This consists of a core staff and experts distributed the Deutsches Eck and the confluence of the Rhine and and networked in all nations and various institutions. Moselle Rivers, the place to which Koblenz also owes its These will then work together as required to provide the name – „Castellum apud Confluentes“, which in the mean- respective support services. time has developed into Koblenz. Roman, Prussian and short but distinctive French influences can still be felt The MMCC/EMC is therefore an essential building block here. on the way to achieving successful international solu- tions. Upstream lies the Upper Rhine Valley, a UNESCO world heritage site. The transport connections, which are very Germany and the medical service are proud to have important for an international headquarters, are more launched this project. than sufficient. There are motorway connections in all di- rections and train connections to the airports in Cologne, Dr Ulrich Baumgärtner Düsseldorf and Frankfurt. Lieutenant General MC and Surgeon General of the Bundeswehr EMMS European Military Medical Services 2019 INTERVIEW WITH LT.GEN. GYGAX GÉNÉRO One of the Important Partners within 5 Europe – Interview with Lt.Gen. Gygax Généro, French Surgeon General EMMS: Could you please be so kind as to describe the main structures of the Military Medical Services in your country? Are there any specific characteristics? SG: As a joint service, the primary mission of the French military health service is to provide operational support to the forces. This support requires a range of medical, pharmaceutical, veterinary, dental, paramedical and medico-administrative procedures, the coordination of which is the responsibility of the division of operations. To this end, the French military health service deploys a complete and coherent operational medical chain, imple- mented at all times, in all places and under all circumstan- ces. Composed of non-combatant personnel, this chain represents the only service, which escorts the soldier as close as possible to the front line and often withdraws last from the theatre of operations. For that reason, the ser- vice constitutes a decisive support force. To implement such a medical chain, the service relies on five components that form a coherent whole: medical clinics, hospital, research, medical supplies and training.