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DEVCOM Soldier Center Designs Protective Jumpsuit for Elite Firefighters

Thursday, May 26th, 2022

NATICK, Mass. — Some heroes wear capes, and some wear jumpsuits designed by the U.S. Army Combat Capabilities Development Command Soldier Center, or DEVCOM SC.

America’s smokejumpers literally dive into danger. They are an elite group of firefighters who parachute into remote areas to put out wildfires. They need and deserve the very best equipment to do their jobs effectively and safely. DEVCOM SC’s Design, Pattern & Prototype Team in the Soldier Protection Directorate took on the task of updating the jumpsuits that smokejumpers wear when they take the leap to put out wildfires.

“The rough terrain jumpsuit is worn by smokejumpers working for the United States Department of Agriculture’s Forest Service and the Department of Interior’s Bureau of Land Management,” said Patti Bigrig, a clothing designer on the Design, Pattern & Prototype Team, or DPPT. “There are about 400 to 500 smokejumpers within the United States. Their mission is to parachute into remote areas, where vehicles have no access, to extinguish forest fires.”

Zach Glover, one of the smokejumpers who aided DEVCOM SC in a fit and integration check for the new and improved rough terrain jumpsuit, explained that the jumpsuit is used to protect smokejumpers from any kind of impalement from tree limbs and has a built-in letdown system if they get caught in a tree. The jumpsuit adds some fire protection as well.

Glover values the opportunity for smokejumpers to provide input into the new prototype. “The new suit will improve mobility, be lighter weight, and allow for better protection, range of motion, and freedom of movement,” said Glover.

The effort is a perfect fit for DEVCOM SC’s expertise. “DEVCOM SC’s long-term expertise in developing clothing to meet Warfighter needs benefits this project in all aspects,” said Annette LaFleur, DPPT’s team leader.

“We not only look at the musculoskeletal structure and movement of the human body within the framework of a clothing item but how the necessary equipment works cohesively with the garment to enhance performance and mission success,” said Bigrig. “We listen to the user to find out what isn’t working and devise a solution.”

DPPT is adept at designing for function and specific occupational specialties — whether it be a protective ensemble for a fuel handler or bomb suit for an explosive ordnance disposal operator or a new rough terrain jumpsuit for smokejumpers. On a daily basis, the team works to meet the needs of Warfighters and other users by translating user requirements into tangible prototypes. The prototypes incorporate materials and features to meet the specific needs of the user. For the rough terrain jumpsuit, the prototype includes padding with the proper impact protection, as well as flame-retardant base materials.

“The team starts by sketching design options, discussing ideas with the user before drafting patterns and sewing the first prototype,” said LaFleur. “We design, test and validate, ensuring the item is user tested and approved. We don’t want the user to have to think about or be burdened by their clothing or gear. If they are solely focused on their mission, then we know we have done our job well.”

The rough terrain jumpsuit prototype includes improvements to features and materials.

“Due to the natural rough terrain in which these parachutists are entering, the current jumpsuit has a short field life,” said Bigrig. “The current jumpsuit is made from Kevlar, which has great puncture resistance but very low abrasion resistance. It quite frequently requires repair or replacement. Kevlar is sensitive to, and weakened by, exposure to sunlight, and this factor also plays into a shorter use expectancy. The goal of this new jumpsuit is to increase the durability, protection and extend the life of its use.”

Melynda Perry, a textile chemist on DEVCOM SC’s Textile Material Evaluation Team, ran tests on the current jumpsuit material and suggested some materials to be integrated into the new suit. The new suit includes two layers — a base layer and a higher abrasion resistant layer. The goal is to identify lighter weight materials with improved abrasion resistance that have lower amounts of aramid fibers to offer higher protection against UV exposure, extending the life of the jumpsuit.

The new jumpsuit prototype also features an improved collar and integrated impact resistant foam. It also includes an adjustable side pocket at the bottom of the jumpsuit trousers. The pocket is used to hold rope and other gear.

Bigrig conceived the idea for the adjustable pocket, and Chong Whitfield, a DPPT production designer, refined the idea. Being able to adjust pockets helps improve safety.

“It’s the Goldilocks pocket,” said Bigrig. “You can adjust it so that it is just right.”

User input, which plays a key role in all of DEVCOM SC’s product development, is driving the design of the new jumpsuit.

“We had a lot of conversations with the smokejumpers and gleaned great information on how we could make this jumpsuit into something that would greatly improve on what they currently had,” said Bigrig. “It is a wonderful relationship because we adapted the design to the feedback we received.”

Prior to working with the DPPT, the smokejumpers already had a good working relationship with DEVCOM SC’s Air Drop Team, part of the Soldier Sustainment Directorate. This relationship led to the smokejumpers seeking out DPPT.

“We viewed videos of their donning and doffing process, deployment from the plane along with the five-point landing procedure,” said Bigrig. “We had a lot of conversations with the smokejumpers and gleaned great information on how we could make this jumpsuit into something that would greatly improve on what they currently had.”

Other DEVCOM SC teams were also involved in the effort. Bigrig explained that the DPPT has been leveraging the expertise of DEVCOM SC’s Ballistic and Blast Team’s Chuck Hewitt to test impact resistant materials to integrate into the suit. Perry has also been instrumental in testing and providing recommendations for best materials for the new jumpsuit.

“There are people here who are experts in their fields,” said Glover. “They are experts in design, textiles, blunt impact ballistics and parachutes. We are firefighters and smokejumpers first and working with these experts is really beneficial for us.”

Bigrig is proud to work with the smokejumpers on the new Rough Terrain Jumpsuit.

“The users are firefighters with a high degree of ingenuity, and we are honored to help them take the jumpsuit to the next level,” said Bigrig.

By Jane Benson, DEVCOM Soldier Center Public Affairs

Emerald Warrior 22.1 Concludes for AFSOC, Czech Special Forces

Tuesday, May 24th, 2022

HURLBURT FIELD, Fla. —  

Air Force Special Operations Command wrapped up its 15th Emerald Warrior exercise that provided realistic and relevant training to prepare special operations forces, conventional forces and international partners for conflict in an evolving, strategic environment. 

The EW 22.1 planning team applied lessons learned from real-world operations to train and ready forces to the joint force, while staying focused on security priorities laid out within the 2022 National Defense Strategy; specifically, pacing strategic competitors. Trained, credible forces and strong international partnerships are pivotal to this effort.  

“In this year’s iteration, we improved our approach to command and control through the employment of the Special Operations Task Group and Special Operations Task Unit,” said U.S. Air Force Col. Kevin Koenig, exercise director of Emerald Warrior. “This dispersion of leadership allowed for real-time, on-the-ground decision making and allowed commanders to perform operations quickly and more efficiently. We exercised our agile combat employment capabilities and focused additional training on non-kinetic skillsets to include public affairs and information operations. With our partner nations and sister services, our goal is to continue to deter adversaries, now and in the future, in all domains.” 

The objective for this year’s EW was to gain and maintain an advantage on the battlefield and in the information environment, and grow kinetic and non-kinetic effects above and below the threshold of armed conflict from strategic competitors. 

This annual exercise is an opportunity to further test and improve future approaches to AFSOC units like the mission sustainment teams. These MSTs established forward-operating bases by providing initial site security, receiving cargo and personnel, and setting up shelter. 

“It was very impressive how the 1st SOW and 27th SOW [from Cannon Air Force Base, New Mexico] capabilities came together in order to forward stage our contingency locations during this exercise,” said U.S. Air Force Lt. Col. Travis Deutman, commander of the Emerald Warrior SOTG. “As these capabilities continue to progress, it’ll definitely be something that’ll be useful within AFSOC.” 

In line with AFSOC’s Strategic Guidance, the exercise fuels on-going innovation and experimentation efforts within the command.   

“The most important idea to understand about Emerald Warrior is that as AFSOC implements force generation, we’re building new concepts; the two biggest concepts being the SOTG command team and our MSTs,” said U.S. Air Force Col. Michael Haack, deputy director of operations for AFSOC. “These concepts combine to enable the force to do agile combat employment in a contested environment. We increased our agility; we pushed our decision making forward to the lowest level. These teams are trained and enabled, and ready to fight the fight in the contested and uncontested environment.” 

In addition to introducing new command and control structure, the exercise continued as a forum of collaboration between the U.S. and its international partners and allies. This year, AFSOC hosted partners from the Czech Republic. 

“We look forward to working with our partner nations and coalition forces from across SOF,” said Haack. “Emerald Warrior allows us to problem solve in an exercise environment, establish communication and build enduring relationships. Those relationships with our Czech partners and fellow SOF coalition forces are critical so we’re not meeting them for the first time down range.” 

By 2nd Lt Cassandra Saphore, Air Force Special Operations Command Public Affairs

Soldiers Give Feedback on Emerging Defense Capabilities

Monday, May 23rd, 2022

FORT LEONARD WOOD, Mo. — Leaders from U.S. Army Futures Command and the Maneuver Support Center of Excellence wrapped up the two-week Maneuver Support, Sustainment and Protection Integration Experiments — or MSSPIX — this week, giving Army leaders and capability developers a chance to gain insights into the viability of emerging technologies through credible and validated operational assessments.

According to Kyle Henry — the chief of the center’s maneuver support battle lab experimentation branch and one of the key organizers of the event — the annual MSSPIX is an important venue for conceptual and materiel development because of the feedback provided by the very Soldiers who may one day use the technology to assist in accomplishing missions.

“Without the Soldiers, this would be a glorified tech demo,” he added. “That’s not what we’re trying to do. We want a non-biased look at these technologies, these capabilities.”

Henry said the overarching focus of this year’s MSSPIX was to enable protection and sustainment solutions in support of what’s called multi-domain operations — the Army’s attempt to address competition and potential conflict between the United States and countries with relatively similar warfighting capabilities across air, land, sea, space and cyberspace. This includes the mitigation of hazards, the preservation of assets and the protection of Soldiers.

“The technologies being assessed are designed to minimize a Soldier’s presence on the battlefield, or otherwise aid in protecting lives, while also improving the ability to defeat enemy forces, disrupt enemy capabilities and physically control spaces,” Henry said.

During a demonstration day event on May 17, Sgt. Daniel Alexander, with Fort Leonard Wood’s 595th Sapper Company, and Spc. Wyanet Nakai, from the 212th Military Police Company at Fort Bliss, Texas, operated what’s being called the Mobile-Acquisition, Cue and Effector, or M-ACE — one of 14 capabilities assessed this year by a group of more than 20 Soldiers from installations across the country.

Integrating radar technologies with a remote cue system, M-ACE can lock onto and disable a moving target, such as a drone.

Having a system like this in a combat environment is ideal for military police, Nakai said, as they are typically considered what’s called “mounted,” meaning they stay inside their tactical vehicles.

“What we’re doing is controlling the weapon from inside,” she said. “This set up is really nice, and it’s safer.”

For a combat engineer, like Alexander, whose missions require both mounted and unmounted capabilities, it’s nice to know the Army is trying to minimize Soldier risk on the battlefield.

“It’s nice to know we’re going another route for combat [military occupational specialties],” he said. “We go outside the wire, put our lives on the line, and with technology like this, it takes the Soldier out of many of those situations — it minimizes the dangers.”

This was the first time either Alexander or Nakai have participated in MSSPIX. Alexander, originally from Bolingbrook, Illinois, said he was happy for the opportunity to provide inputs that may one day help improve the Army’s ability to more effectively and safely meet its mission requirements.

“I hope other Soldiers in my unit get this opportunity,” he said.

Nakai, from the Navajo Nation in Utah, said it’s fascinating to be part of a project decades in the making.

“I didn’t know what MSSPIX was,” she said. “I’m amazed by how much time goes into these technologies — someone said 18 years for this one. It blows my mind how much thought and effort goes into building a system like this, and they want to keep improving it.”

By Fort Leonard Wood Public Affairs Office

SCUBAPRO Sunday – What to Wear Under Your Wetsuits?

Sunday, May 22nd, 2022

Most people wear something under their wetsuit to help with getting their wetsuit on and off easier. The other reason for wearing something under your wetsuits is that the extra layers can help keep your body warmer. Instead of wearing a thicker wetsuit that will restrict your movement, it allows you to wear a thinner suit that will give you more flexibility. You can wear a short sleeve top or bottom to help keep your core warmer. The other thing to think about is the air temperature/ wind on your way to the dive site. Suppose you are worried about the air temp/ wind when you are traveling to the dive site. In that case, you can wear heavyweight GoreTex or a linebacker jacket (the kind made for helo’s flights/ football players wear on the sidelines) is excellent to have as you can take it off before the dive and put it on when you are done.

SCUBAPRO 1.5mm Everflex SS top

For colder temperatures, adding layers underneath the suit is the way to go. You have several options to choose from. If you already have a thinner wetsuit that you usually use for warmer environments, a 1mm rash guard, or any other type of garment that’ll provide you with the added warmth around your chest will help. SCUBAPRO makes a great 1.5mm top and bottoms in short and long sleeves, shorts, and long pants. This 1.5mm is very warm, and to me, it feels like I am wearing a 2-3mm.

SCUBAPRO 1.5mm Everflex long pants

When you have to worry about the wind, most surf wetsuits or wetsuits glossy like surf suits are made to stop the wind. That all-suit surf suits are not great for diving as most are not made from a material (yes, surfing is different than diving) that is designed to be used underwater for long periods. Some people like to wear nothing between them and their wetsuits. This can be painful after wearing a wetsuit for a long time, especially on a long wet Zodiac ride. Due to the constant rubbing against their skin, it begins to chafe ( AKA Baboon a$$). Usually, the neck, armpits, behind the knees, and the crotch are the first to go. You can apply anti-chafing gel/ Vaseline to help with this on long dives and rides. There is also stuff like Butt Paste, Triple paste, or Anti monkey butt paste.

SCUBAPRO 1.5mm Everflex LS top

You can also wear dive skin or bike shorts; this will help with donning and doffing your suit on and off also. I have started to use compression shorts. (They make tops also) They are made with a material called Celliant; it is a mineral-infused fabric to take the energy you give off when you work and reflect it into your muscles, increasing blood flow and helping them work harder. As your body emits energy, the mineral-infused fabric absorbs & reflects it, improving endurance. (I know this sounds crazy, but I am a big believer in Celliant)

Whatever you decide to wear, keep in mind the water/ air temperature, duration of the dive, and what you will be doing. Also, one reason you should make sure to keep a logbook of all your dives. That way, you can look up what you have used in the past for this situation. That should put you at a good starting point. Now that you’re aware of your options, it’s time to get to specifics. What type of undergarment is right for your needs, or do you even need to wear anything under your wetsuit at all?

SCUBAPRO 1.5mm Everflex

Well, that depends on you. In warmer waters, you can get away with wearing undergarments with minimal coverage (swimsuits, trunks, and other similar items)—or even nothing at all. Many people prefer to go commando under their wetsuits, but it’s all a matter of preference. If you plan to rent the suit, however, you’re probably going to want to wear something underneath.

SCUBAPRO 1mm Topical wetsuit

For colder temperatures, adding layers underneath the suit is the way to go. You have several options to choose from. Suppose you already have a thinner wetsuit that you usually use for warmer environments. In that case, you can opt to add a jumpsuit, rash guard, or any other type of garment that’ll provide you with the added insulation you need. This way, you won’t have to purchase another suit.

SCUBAPRO Hybrid Hood Vest

Or, if you’d instead go naked warrior underneath, you can get a thicker wetsuit. Deciding what to wear ultimately depends on the environment (and temperature) you plan to dive in, how sensitive your body is too cold, and many other variables. Make sure to consider all factors before you buy anything, and always try it in training before you use it for the first time when it matters the most.

New Army Tech Successfully Demonstrated During Arctic Exercise

Sunday, May 22nd, 2022

JOINT BASE ELEMENDORF-RICHARDSON, Alaska — During a multi-service exercise, the U.S. Army Engineer Research and Development Center Cold Regions Research and Engineering Laboratory, or ERDC CRREL, successfully demonstrated a groundbreaking technology to detect airborne targets.

The project, called TripLine, was developed by ERDC and uses emitted sounds to passively detect targets. The technology was showcased during Arctic Edge 22, a bi-annual event hosted by the Alaskan Command at Joint Base Elemendorf-Richardson, Alaska, committed to the defense of North America with roots going back more than five decades.

The TripLine project started in 2017 and utilizes technology to detect airborne targets through soundwaves that interact with the ground and transfer a portion of the acoustic energy into the ground. The transferred soundwave energy subsequently interacts with buried sensing fiberoptic cable and induces a small, but highly perceptible, change in the cable that can be measured, analyzed and recorded by the TripLine system. This atmosphere-to-terrain energy transfer enables the presence of aircraft near the TripLine system to be automatically detected.

Dr. Sergey Vecherin, a research physicist at CRREL who leads the team developing a suite of algorithms for Tripline, said the system aims to be low-maintenance and suitable for operations in arctic conditions.

“TripLine is a system for automatic detection of acoustic sources with some unique operation capabilities,” said Vecherin. “Other systems cannot do what Tripline can, either due to scientific or operational limitations.”

When the first TripLine experiments were conducted in 2017, the goal was to prove sensor success for the desired sources in principle. In 2019, TripLine was used in another field experiment for different sources and different locations.

“In August 2020, we had a very successful demonstration in New Mexico,” said Vecherin. “According to the Air Force after the test evaluation, our system was named one of only two, out of more than two dozen tested, that successfully passed the test. This is a huge success considering the caliber of our competitors.”

The TripLine system has been tested and proven to have a high detection probability and a low false alarm rate in several different environments that had a nearly ideal soil structure for the sensing system. These soils are relatively loose, sandy soils with low contrast in air-ground acoustic impedance, and under these conditions, the acoustic detection system has performed nearly flawlessly.

One remaining demonstration of the system needed to be performed, a test of the technology under highly challenging soil conditions. It was determined that the cold, austere environments of the Arctic would present one of the greatest challenges to the sensor system due to the high acoustic impedance from frozen soils, as well as the noise damping from snow and ice coverage.

In the Arctic Edge 2022 exercise, TripLine has been tested under extremely challenging environmental conditions. Vecherin said, “So far, TripLine has successfully passed all the tests, indicating the high value of the technology.”

The highly complex terrain conditions around JBER were found to be ideal for the demonstration project as the ground was completely frozen, most likely well below the buried sensing cable.

In March of 2021, the U.S. Army released its Arctic Strategy, “Regaining Arctic Dominance,” which outlines how the Army will generate, train, organize and equip our forces to partner with Arctic allies and secure national interests and maintain regional stability. Operating in the Arctic allows the Army to powerfully project forces to enhance their ability to respond in competition, crisis or conflict. TripLine will be able to assist in achieving that goal.

The goal of the demonstration effort was to show that the TripLine sensing system is capable of detecting airborne objects within proximity of JBER, despite the frozen soil and thick coverage of snow and ice. Between February 25 and March 16, 2022, numerous commercial and military aircraft had flight paths near Joint Base Elmendorf-Richardson, and the TripLine event utilized those flights to demonstrate that it could detect and monitor movement across the region in real time with a high degree of accuracy.

“As demonstrated, TripLine capability is proven to function in austere environments,” said Dr. Steven Peckham, a Research Scientist at CRREL and a program lead for the TripLine project. “That opens the opportunity to utilize the technology throughout the Arctic.”

This successful live demonstration proves that the acoustic sensing system reliably functions in such locales, despite being buried in frozen soil and under several feet of snow and ice. In addition, this successful demonstration opens the opportunity for the Department of Defense to deploy this new technology in locations around the globe where airborne threats have traditionally been a challenge to detect and monitor in real-time.

One of the next steps for the TripLine project will be to gain more funding for additional testing, research and development, until the system can be approved and released for use by the Department of Defense.

“Going forward we have a presentation to the North American Aerospace Defense Command and U.S. Army Northern Command, as well as our international partners,” said Peckham. “From here, the TripLine project has satisfied all of the requested demonstration testing and can advance, given supporting resources, to deploying the capability in the field for an extended period.”

By SGT David Marquis

FirstSpear Friday Focus: USMC GEN III Flotation Cummerbund

Friday, May 20th, 2022

Life-Saving Flotation System For American Warfighters.

Recently showcased at Modern Day Marine May 10-12, 2022 (Pictured above is the current USMC PC GEN III with existing issued cummerbund on the right side, as worn, and the FirstSpear USMC GEN III Flotation Cummerbund on the left.

The USMC GEN III Flotation Cummerbund is FirstSpear’s answer to the United States Marine Corps need for life-saving kit during maritime operations.

This cummerbund features a 6/12™ Laser Fused Platform for weight reduction and Tubes® Fasteners, which are already being used on the current USMC PC GEN III. Tubes® Fasteners allow for easy everyday donning and doffing as well as emergencies.

Featuring a top access panel, the cummerbund allows users easy access to the 38 gram CO2 cartridge for pre-mission checks and inspection. The CTAF (Cummerbund Tactical Aid to Flotation) is designed to be user friendly with repacking and maintenance at the unit level.

Authorized for Naval Use (ANU), this CTAF (Cummerbund Tactical Aid to Flotation) is on contract with DOD. Compatible with all sizes of the USMC GEN III plate carrier, the cummerbund fits 6” x 8” and 6” x 6” sides plates and requires no modifications to the current USMC PC GEN III.

Check out FirstSpear for more cutting-edge innovation.

Future of Nursing: Telehealth, More Innovation, Maybe Some Robots

Friday, May 20th, 2022

FALLS CHURCH, Va. (AFNS) —  

The ongoing COVID-19 pandemic has fast-tracked many changes to the Military Health System and forced all providers – especially nurses – to innovate at near-quantum speed with agility and flexibility.

Nurses are the backbone of daily healthcare operations. In the future, nurses will continue to play a vital role in the evolution of modern healthcare.

“Nursing will take on more leadership and strategic roles to transform the healthcare system, better advocate for nursing personnel, and integrate across care to enhance the multi-disciplinary team,” said Brig. Gen. Anita Fligge, Defense Health Agency chief nursing officer.

As the DHA observes 2022 Nurses Week, Fligge and other top DHA nursing officers talked about changes on the horizon for military nursing and the details of how the career field will evolve in the coming years.

They said the pandemic has underscored the connection between health and readiness. Virtual healthcare options will continue to expand, and robotics may play a prominent role in standardized care in the future while continued education for nurses will be essential to maintaining a ready medical force.

Working in a joint environment within the integrated DHA workforce will improve efficiencies for nurses, allowing them to spend more time on patient care by having standardized policies, procedures and tools across the services, Fligge said.

She pointed to the collaboration already underway in the local healthcare markets. For example, she said, Navy nurses in the Puget Sound market help backfill at the Madigan Army Medical Center and vice-versa. The same collaboration is ongoing in the Colorado market, she said. Air Force nurses are assisting at the Army’s Fort Carson Evans Army Community Hospital.

The pandemic “has opened the doors for nursing to see what could change as to how we care for patients in the future, using technology in a new way, and using data to assist in bed expansion or use of resources more effectively,” said Army Col. Jenifer Meno, DHA deputy chief nurse officer.

The pandemic has “required more precision and flexibility, including virtual healthcare, remote patient monitoring, and touchless medication refills to optimize care delivery,” Fligge said.

Virtual health

The future will mean more virtual healthcare and telehealth services for certain specialties such as dermatology, behavioral health, primary care, urgent care, and obstetrics while maintaining the focus on high-quality patient care and increased access to care, Fligge explained.

The expansion of virtual care will help save lives on the battlefield and improve care during humanitarian crises and future pandemics.

Additionally, at home, virtual health will continue to provide MHS beneficiaries with more access and flexibility to get assistance and appointments.

The COVID-19 pandemic has taxed nursing staffs beyond anything in recent memory as they cared for both COVID-19 patients and maintained routine healthcare operations.

The pandemic has “prompted the need for us to re-look at staffing models and ratios to optimize utilization of the workforce, while ensuring safe, high-quality care delivery and positive outcomes.” Fligge said.

The past two-plus years also have seen a “greater awareness and need to address burnout and retention,” Fligge continued.

Better health, better outcomes

Keeping nurses themselves healthy is a key priority for the entire health system, Meno said.

“The more healthy you are makes you more resilient in multiple ways, from being physically healthy, having mental well-being, and spiritual well-being,” she said.

These three are all part of Total Force Fitness, the Department of Defense’s framework for improving holistic health and performance aligned to one’s mission, culture and identity.

She pointed to the increasing use of mobile applications as one way to monitor health across the military community. These apps are available to help decrease stress, monitor exercise habits and support healthy diets.

“Nurses can use that data to assist in educating and teaching patients how to care for themselves as well as recognize triggers that may be a risk to their care,” Meno said.

“If we maintain a healthier mindset, it prepares the body to fight off disease and illness. If we use it to help our patients to be healthier and do preventive activities, that would change potential outcomes for the future.”

More robotics and AI

Nurses have been integrally involved in newer surgical techniques such as robotic surgery since the 2000s.

“Some things never change,” Meno explained. “Nurses in the operating room will continue to be the eyes and ears for the patient. They will continue to ensure that the patient is receiving the best care with high quality and safety.”

Nurses on robotic surgical teams must demonstrate “a very high level of professional knowledge and be experts in robotic technology. This is demonstrated by playing a key role in data collection, analyzing trends and outcomes, and identifying safety issues,” Fligge said.

The nursing team will need to continue to maintain sterile techniques and ensure the integrity of the surgical field, Meno said. The team will need to communicate more in the operating room as technologies evolve. And nurses will use evidence-based teamwork tools from Team Strategies and Tools to Enhance Performance and Patient Safety [TeamSTEPPS] to support a highly reliable organization, Meno added.

TeamSTEPPS is an evidence-based teamwork system designed to enhance patient outcomes by improving communication and other teamwork skills among healthcare professionals.

Artificial intelligence is already a technology nurses use in everyday care via mobile health and alerts in joint tele-critical care network units. These are an important force multiplier, leveraging virtual health resources to extend critical care expertise and treatment at a distance.

And without a doubt, there are more changes to come. AI and machine learning will assist nurses by using data to help improve the efficiencies of systems and processes, but those technologies are still in their infancy.

More nursing expertise

The pandemic has also meant an “increased capability and use of our nursing workforce by ensuring that personnel are equipped with the education and training to perform at the highest level and scope of practice and license,” Fligge explained.

Meno said she sees more nurses getting certifications to be the subject matter experts in their field.

The increased number of nurses obtaining their Doctorate of Nurse Practice will also grow now that the American Association of Colleges of Nursing has endorsed the movement of advanced nursing practice from a master’s degree to the doctorate level, Meno predicted.

“This doctorate develops nurses to look at process improvement and holistically at improving systems and processes that include other disciplines in patient care.”

Meno explained that hybrid nursing roles discussions have already taken place.

“We see nurses now that are doing hybrid nursing roles due to their versatility and agility. Nurses are not only at the bed side, but they are also clinical nurse specialists, research scientists, advance practice providers, educators and health system leaders.”

By Janet A. Aker, Military Health System Communications

Army’s Synthetic Training Environment Harnesses Evolving Mapping Technology

Thursday, May 19th, 2022

AUSTIN, Texas — Geospatial intelligence professionals gathered at the United States Geospatial Intelligence Foundation’s GEOINT 2022 Symposium in Aurora, Colorado, last month to discuss new efforts and achievements in the rapidly growing field.

Topics highlighted at the event included how technological advances have influenced the creation and use of maps, including within military and intelligence communities.

During an April 26 “What is a Map?” panel, guest speakers from the U.S. government and private industry explored how maps have evolved in recent years, what new types of information maps can communicate and why maps continue to be indispensable tools in everything from personal navigation to foreign policy development to warfighting.

“Maps and terrain and that data set is foundational to everything we do,” said Brig. Gen. William Glaser, director of the Army Futures Command Synthetic Training Environment, or STE, Cross-Functional Team.

Glaser and fellow panelists detailed how today’s dynamic, high-performance maps — which frequently utilize 3D imagery and are often informed by an amalgamation of artificial intelligence, fluid data inputs and precision sensors — can improve visibility and thereby increase a user’s understanding of a situation, along with options for action.

“Our relationship with a map now is not just passive,” said panelist Ed Parsons, geospatial technologist at Google. “We’re interacting with the map. The map is changing its contents depending upon what we’re doing, but we’re also sharing what we’re doing with the developers of that map.”

As a result, many of today’s maps are “elastic,” meaning that they can morph and adapt as conditions and user input fluctuate, Parsons explained.

It is this near real-time visibility that can provide Army map users with distinct tactical advantages.

“The ability to visualize the terrain in 3D is absolutely critical for commanders and Soldiers to understand the operational environment,” Glaser said.

He noted that one of the Army’s core STE efforts, One World Terrain, provides a singular synthetic format for use in multiple scenarios. Viewable in “everything from goggles to laptops to PCs,” the 3D terrain data set is helping to more closely link operational and training activities, thereby enhancing overall readiness.

The Army is also developing the STE Information System, a virtual training suite, and equipment such as the Squad Immersive Virtual Trainer, a mixed-reality tool that utilizes a heads-up display.

The ongoing development of a synthetic training platform enabled by advanced mapping technology is groundbreaking because it means the Army “can fight a thousand bloodless battles before we ever put a Soldier into harm’s way,” Glaser said.

The multi-faceted nature of digital maps extends across sectors, of course, and often translates to many users having access to — but also influence on — collective maps.

“Maps are probably more widely used now than at any point in our history,” Parsons said.

This expanded use of maps has also increased demand for functionality and format.

“Cartography is an art, not just a science,” said Dr. Lee Schwartz, director of the Office of the Geographer and Global Issues at the State Department’s Bureau of Intelligence and Research. “Maps need to be visually compelling as well as providing a lot of information.”

Ensuring map development is participatory, such as by involving the contributions of individuals who live in areas being mapped, is also an important consideration in modern map development.

“You have to include the human element always,” Schwartz said.

Moreover, the way maps are used to make decisions means the information they contain needs to be secure and valid. While this is an area for further growth, in many cases, accuracy is attained simply through critical mass.

“The maps are now sort of self-healing; by using the maps, you’re contributing to the content,” Parsons said.

Dr. Daniela Moody, vice president of artificial intelligence at Arturo, also highlighted the storytelling nature of maps, which are increasingly moving beyond instructing the user how to get somewhere to informing the user why to go somewhere.

“This is no longer a static environment,” Moody said. “Maps are becoming the way to tell a story, the way to make that quick decision.”

Glaser emphasized that while digital maps are ushering in transformational capabilities, traditional paper maps are still necessary, particularly for maneuvering in degraded environments. As such, the Army will continue to promote analog map reading skills and compass navigation fluency even as it implements more interactive mapping systems.

“Every Army officer who’s worth his weight in salt loves maps,” Glaser said.

“It’s that one thing that’s going to lead his Soldiers to victory safely.”

You can watch a video of the presentation here.

By Maureena Thompson, Army Futures Command