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Archive for the ‘Medical’ Category

Fall 2022 Special Operations Center for Medical Integration and Development

Tuesday, November 29th, 2022

BIRMINGHAM, Ala. —  

U.S. Air Force Pararescuemen executed the Fall 2022 Special Operations Center for Medical Integration and Development culminating field training exercise in Birmingham, Alabama, Nov. 17, 2022. 

Training provided the pararescuemen various controlled scenarios to enhance medical readiness, whether in day-to-day operations or in austere, resource-limited locations.

The culminating FTX was the capstone to a two-week-long certification course where students applied skills learned in civilian hospital care to tactical scenarios.

SOCMID is embedded with the University of Alabama at Birmingham Hospital. Their vision is to establish the premier trauma skills, sustainment and recertification platform for pararescuemen and Special Operations Independent Duty Medical Technicians. 

The partnership with UAB Hospital is beneficial to students as it is a level one trauma center, allowing them to conduct clinical rotations in operating and emergency rooms. 

“The civilian-military partnerships are important to our sustainment program,” said U.S. Air Force Col. Clayton Rabens, 24th Special Operations Wing command surgeon. “Some of these skills are perishable, so having partnerships like we do with UAB allows us to replicate scenarios and solve problems hands-on, then apply them to tactical scenarios for students to practice.” 

Some of the other training was completed with virtual reality headsets. Specific VR training helps students refine cognitive skills in approaching medical problem sets.

Additionally, prolonged casualty care scenarios allowed pararescue teams to work through casualty care with new skillsets learned while attending SOCMID real-time with wounded mannequins. 

“We want to ensure they’re prepared to meet real-world missions,” added Rabens. “The high stress environment they encounter during the FTX ensures we are able to meet that goal.” 

By 1st Lt Victor Reyes, 24 SOW Public Affairs

“Force Plate Vertical Jump Scans are Not a Valid Proxy for Physical Fitness in US Special Warfare Trainees”

Sunday, November 27th, 2022

Members of the Air Force Special Warfare Human Performance Support Group’s Research Flight recently published an article in a peer-reviewed journal, “Force plate vertical jump scans are not a valid proxy for physical fitness in US special warfare trainees.”

The Research Flight is the only embedded research team in the DoD, tasked with supporting the Special Warfare Training Wing with data driven decisions to identify trends, maximize the effectiveness and reduce injuries within the pipeline.

Read the full article here.

PC22 Experiments with New Medical Technology for the Battlefield

Monday, November 21st, 2022

FORT IRWIN, Calif. — A buzz could be heard as a medical supply drone known as Project Crimson flew overhead to drop off packages of crucial medical field supplies to medics assisting wounded warriors. As the supplies hit the ground, a medic rushed to retrieve the packages, as many of the other medical warriors kept applying field aid to their Soldier counterparts.

The mass casualty scenario, part of Project Convergence 22, brought together medical personnel from the U.S. Army’s 1st Battalion, 7th Cavalry Regiment, and the Australian Army’s 2nd Health Battalion, to experiment with advanced field care technologies, including those enabled by artificial intelligence.

“Project Crimson is a project to take a common unmanned air system and adapt it to support a medical mission,” said Nathan Fisher, Medical Robotics and Autonomous Systems division chief at the U.S. Army’s Telemedicine & Advanced Technology Research Center.

“This drone supports medical field care when casualty evacuation isn’t an option. It can keep whole blood and other crucial items refrigerated in the autonomous portable refrigeration unit and take it to medics in the field with wounded warriors.”

Fisher explained how the drone is a vertical landing and take-off aircraft, therefore doesn’t need a catapult launch or runway to perform a lifesaving mission. This allows military personnel to preserve life in the critical phase of injury and facilitate rapid transport to an Army hospital for further treatment.

While Project Crimson sustained the medical field from the air, military medics used Medical Hands-free Unified Broadcast, or MedHUB, and Battlefield Assisted Trauma Distributed Observation Kit, or BATDOK, systems strapped to their arms and chests to input medical treatments digitally from the ground.

“MedHUB is used to enhance medical situational awareness,” said Philip Featherston, an Air-ground Interoperability and Integration Lab systems engineer. “At the point of injury, we can start hands-free documentation. All we do is place a sensor to the patient that will apply a broadcast to the treatment facility and control center.”

“The facility can see the patient’s status real-time using BATDOK, while the medics on ground can update treatments and medications for the patients as well. This allows the facility to be alerted, rally and prepare to treat the patient once they are transported,” explained Michael Sedillo, an integrated cockpit sensing program airman systems director with the Air Force Research Laboratory.

During the experiment, litters carrying casualties were taken from medical evacuation vehicles, while Army field hospital medics rushed to apply advanced medical care. As casualties were taken into tents, medics with BATDOK and MedHUB systems traded patient information with the previous medical personnel with the near field communication card.

“The ability to have these technologies on hand has enhanced medical field care tremendously,” said Capt. Morgan Plowman, a nurse with the 15th Brigade Support Battalion, 1st Cavalry Division. “To take a tablet or phone to input personnel data has increased the communication down the line and accuracy of field care. So much so that the rate of patient care has increased to the point that caring for a casualty start to finish has sped up drastically.”

The mass casualty experiment also highlighted the potential for allied nations to work together more closely on future battlefields in the area of emergency medical care.

“This is an excellent opportunity to come over here and work with multinational partners,” said Capt. Michael Harley, an Australian Army medical officer, of Project Convergence 22 experimentation. “It is eye-opening to see the initiative between everyone and see the interoperability between the nations.”

“I just came from [advanced individual training], so I didn’t know what to expect coming out here during this event,” said Pfc. Tyler Swanson, a 15th Brigade Support Battalion, 1st Cavalry Division field medic. “When I used this medical technology, it was easy to pick up and learn, even in a fast-paced field environment.”

“I am excited to see what the future of medical technology will look like a decade down the road,” Swanson added.

By SGT Trinity Carter, 14th Public Affairs Detachment

Naval Special Warfare Command Orders CRO Medical Equipment Suite for Special Operations Medics

Monday, November 14th, 2022

CRO Medical equipment suite supports point of injury Damage Control Resuscitation for a variety of SOF mission sets.

MISSOULA, Mont. (Nov. 14, 2022) – CRO Medical has received multiple orders from Naval Special Warfare Command amounting to 2,339 units, including the following products:

1. DCR 9L
2. DCR Panel
3. Pelvic Binder
4. MARCH Belt
5. Hybrid IFAK
6. Medium Bleeder
7. Full TQ Covers
8. Medic Case (NARCs)
9. Hard Medication Case
10. Blood Transport Container

The CRO Medical product line is designed explicitly for medics treating at the point of injury to optimize Damage Control Resuscitation using whole blood. NSW selected the CRO product line to modernize the NSW Authorized Medical Allowance List (AMAL) for issue to NSW Medics at NSWG1 and NSWG2, part of an ongoing equipment modernization program to increase the survivability of combat casualties.

In addition to casualty care during combat operations, NSW is increasing access to lifesaving interventions during CONUS training events to reduce risks associated with training accidents. The suite of equipment provides a diverse range of capabilities to NSW medics operating in both CONUS and OCONUS environments. One example is utilizing the CRO Blood Transport Container to carry French-made, Freeze-Dried Plasma (FDP) when cold stored low titer group O whole blood (CS-LTOWB) is unavailable. CRO’s design team utilizes best practices in prehospital medical protocols to address these challenges with the SOF end user in mind.

“We are impressed with NSW’s ability to stay agile with medical procurement and adopt cutting-edge product developments in combat trauma care. Adding the CRO Medical product line to the standard issue program enhances patient care at the point of injury and helps to bridge the gap from POI to Damage Control Surgery,” said Jeff Boardman, CEO of CRO Medical. “We are developing products to capture future medical implementations on the battlefield, and currently, NSW is leading the effort to modernize their equipment to provide better care.”

The CRO Medical equipment suite is an ecosystem of medical products designed to give multiple packing options to the Medic for various mission sets. The DCR family of medical bags consists of two products, the DCR Panel and DCR-9L. The DCR Panel is a slim first-line aid bag primarily used for Direct Assault and designed for use in concert with the CRO MARCH Belt. Resuscitation with blood from the outside pouch speeds delivery without needing to access the aid bag’s main compartment. The carbon fiber panel clips to the plate carrier, and when dropped, access to CRO Flat StrapsTM hidden behind the panel allows the Medic to sling the bag for movement.

The CRO Blood Transport Container is a tear-away insulated pouch rated to keep blood within transport parameters for eight hours at 40C ambient temperature. The built-in pressure infuser allows the Medic to rapidly hang the bag to infuse it into a wounded patient. This design feature reduces the steps needed to perform the procedure, reducing the task load on the Medic and potentially increasing the number of interventions performed in a short amount of time.

The DCR-9L is a larger med bag, replacing the Mystery Ranch RATS Pack in the NSW AMAL. Removing interior pouches, sleeves, and edge bindings reduce the bag’s overall weight while increasing visibility to the Medic’s workstation without sacrificing cubic volume. This more efficient design, paired with moving the blood container from the inside to the outside of the bag using the CRO Blood Transport Container, increases the amount of critical care equipment carried by the Medic. Carbon fiber reinforcements throughout the bag provide protection and rigidity. The customizable loop field allows for mounting hard items when utilized as a “truck bag” and configured with monitors, vents, or Propaq.

The CRO Pelvic Binder is the smallest commercially available pelvic binding device available. In partnership with BOA Technology Inc. (DENVER, Colo.), the CRO Pelvic Binder reduces the cubic volume required to carry a pelvic binder at the POI. NSW selected this device due to the 31JAN2017 CoTCCC update, indicating pelvic binding under “Circulation” for bleeding control due to common high-energy battlefield MOIs with significant morbidity and mortality from associated vascular injuries. 26% of service members that died in OEF/OIF died with a pelvic fracture. Routine prehospital pelvic binding is proven to increase the survivability of battlefield casualties.

The CRO Medical product suite leads the industry for point-of-injury care for the Special Operations Medic. The product ecosystem complements itself to bring a full range of medical carry and treatment options to the SOF Medic.

CRO Medical is excited to announce the FY23 launch of its first Class 2 medical device. The CRO Suction Unit is a miniaturized critical care suction device for multiple prehospital suction procedures. Indicated for use during common airway interventions, En Route chest injury management, and Tactical Damage Control Surgery. The device will integrate into the existing CRO Medical product line to optimize point-of-injury care.

Find more information at www.cromedical.com or by contacting Customer Service at [email protected].

From The Field: Hybrid IFAK Packout

Friday, November 11th, 2022

We thought this recent blog post by CRO Medical was worth a share.

The CRO Medical Hybrid IFAK has been in circulation for over five years, with over 10,000 units sold. We designed this product as an improved medical fanny pack for POI care during the first ten minutes of treatment. The bag dimensions accept a six-inch ACE wrap packed vertically in the pouch. The molle wings allow two CRO Medium Bleeders to attach for expanding the kit. There are endless ways to utilize this product. Here is one medic’s approach to packing, treatment, and planning using the Hybrid IFAK.

Why is this fanny pack more valuable to a medic?

It’s compact and allows me to carry all of my lifesaving interventions that are more advanced than a teammate’s standard IFAK. These advanced interventions include diagnostics, drugs, advanced airway, and IV/IO admin. I can provide point-of-injury care for the first ten minutes of treatment and upgrade my patient’s condition as I prepare for Damage Control Resuscitation. I accomplish all of this using only my Hybrid IFAK. This product allows me to rapidly deploy treatments, only needing to drop my med bag if the patient needs blood. The integrated waist belt will let me quickly switch the Hybrid IFAK from back to front and stow it again when not used. The versatility of this product is unmatched for POI care. 

What are some of the desirable features of this bag?

The customizable bungee retention in this bag is excellent. It expands your carrying capabilities on your waist instead of filling up space on your plate carrier. It doesn’t limit you to certain-sized items fitting in premade loops but provides excellent retention and easy customization. This feature is unique to CRO and found in all of their equipment. The internal vertical sleeve pockets are convenient for flatter and smaller items, as they can hold many of them, including NCDs, casualty cards, chest seals, etc. However, one of the best features is the wings on the sides of the IFAK that can fit CRO Medium Bleeder pouches or tourniquet covers.

How do you utilize this product while treating a patient?

After doing a rapid MARCH assessment or treating a casualty that is being treated by teammates already, I can quickly reach into the Hybrid IFAK and access a premade kit such as an IO, IV, or suction and pass it off to somebody to use. At the same time, I can focus on blood admin/preparation, drug admin, or preparing more advanced interventions as needed. The ability to carry medic-specific items in the “hybrid” IFAK style pouch is ideal and makes a ton of sense for medics integrated into a team. 

What other uses have you found?

I had extra space in one of my Medium Bleeder pouches after packing a pulse-ox and EMMA device. I decided to throw in some basics that aren’t lifesaving interventions but still are valuable for patient care. Tape is always needed, and by running the bungee through the roll of tape at the top of the pouch, I found that it sat perfectly above the pulse-ox and EMMA to give the bag a fuller feeling. Additionally, I found room for a headlamp. Headlamps are always needed in a pinch, and if I were to only have my Hybrid IFAK on in a dark environment, I could quickly reach in and throw that on and continue patient care.

Please describe your methodology for packing this product and how it relates to the MARCH algorithm.

When building out my Hybrid IFAK, I wanted it to be more advanced than a teammate’s IFAK and have enough interventions to treat a casualty or two almost entirely without digging into my med bag. It has primary interventions for “M” in the MARCH algorithm (extra wound packing supplies) and advanced interventions for ARC (cric kit and basic suction/finger-thoracostomy kit/IV/IO, along with a premade TXA kit). It is a perfect middle-ground between an IFAK and my med bag.

What have you found while using this product while running trauma lanes?

While training, the Hybrid IFAK sits on my lower back. When I need to treat a patient, I rotate it around to grab supplies quickly, and if I’m in a secure position and can sit on the patient for a few minutes, I detach it from my waist and place it next to me or on the patient. Running slimmer mag pouches/placards makes visualizing its contents much easier when it’s on your waist. Wearing a dangler pouch below my plate carrier tends to impede working out of the Hybrid IFAK, making things a little more awkward regarding accessibility. I suggest running either a dangler or the Hybrid IFAK, but not both.

Please describe other benefits of integrating this product into your planning and treatment of casualties.

In short, the compact size and customizability of the Hybrid IFAK give me the confidence to treat one or two patients without digging into my med bag. By fully utilizing the Hybrid IFAK, I increase my maneuverability and save valuable size/space in my med-bag.

Sneak Peek – Single Unit Blood Warmer from Delta Development Team

Friday, November 4th, 2022

Coming soon from Delta Development Team, the Single Unit Blood Warmer. Currently undergoing third-party FDA testing.

Medical Equipment for Ukraine: Rheinmetall Subsidiary ZMS Supplying State-of-the-Art Field Hospital with Support from German Government

Sunday, October 30th, 2022

With backing from the German government, Rheinmetall will soon be supplying the Ukrainian armed forces with a turnkey modern field hospital. The Ukrainian Ministry of Defence awarded the €9 million order to Rheinmetall subsidiary Zeppelin Mobile Systeme GmbH (ZMS) in September 2022. The package includes training on the system. Delivery is scheduled to take place in 2023.

The field hospital is a combined tent and container-based system, including high-quality medical equipment built into ZMS shelters. Rheinmetall is also supplying the tents and necessary infrastructure for autarkic operation.

Among other things, the system includes an emergency room, triage room, operating room, an intensive care unit, computer tomography, a sterilization facility and a pharmacy. It also features tents for administration, care provision, surgery prep, triage, a waiting area and staff accommodation. Moreover, there are support containers for sanitation, transport, potable and non-potable water, oxygen, power supply as well as a decontamination tent. The field hospital is Role 2 standard compliant.

Zeppelin Mobile Systeme GmbH is one of the world’s leading maker of customized individual shelter solutions – mobile functional spaces that create an environment that would otherwise only be possible in permanent structures. Its expertise in creating complete mobile medical care facilities and its ability to integrate the latest medical technology into existing infrastructure feature prominently in the company’s portfolio of innovative systems.

ZMS belongs to Rheinmetall’s new International Projects and Services component, which brings together the Group’s resources and capabilities for supporting military customers during deployed operations, as well as in depot logistics and munitions disposal. Rheinmetall aims to be a one-stop shop in the deployment support market. For example, it plans, erects and operates accommodation billets at forward operating bases. The portfolio also encompasses hardened shelters and sanitation facilities, plus base security surveillance, including state-of-the-art sensors and robotics.

Qwick-AID Bandages

Friday, October 28th, 2022

Qwick-AID Hemostatic Bandages feature no thermogenic reaction and maintain air permeability. Additionally, the bandage won’t stick to the wound and is hypoallergenic.

Qwick-AID Bandages are available through The Windrose Group.