B5 Systems

Archive for the ‘Medical’ Category

SCUBAPRO Sunday – Navy Corpsman Birthday

Sunday, June 12th, 2022

In my 26 years in the US Navy, I came across some of the best Corpsman you could possibly imagine. Almost all have gone on to become doctors, not that that is a measure of anything. But the Rips the Doc Conza, Doc Henao, and Smiths of the SEAL teams would break their backs to make sure you were good to go. To all of them, Happy Birthday to all the Docs that patch us mortals up. The Rules for the Regulation of the Navy of the United Colonies of North America of 1775 contained only one article that directed the formation of Navy medicine. “A fitting area shall be set apart for sick or hurt men, to be removed with their hammocks and bedding when the surgeon shall advise that it is necessary: and members of the crew shall be designated to attend to and serve them, as well as to maintain the space clean,” according to Article 16.

Between 1775 and 1814, the period covered America’s first maritime conflicts, and little changed medical techniques and structure. Feeding and personal care of the non-combat wounded and injured were among the less dramatic obligations of caring for them. Untrained personnel was sure to bring down the minimal daily feed of porridge or “loblolly” to those in the medical section. On March 2, 1799, Congress passed an act that exacted the language of the Continental Congress’s medical department article 16 of 1775. As a result, enlisted medical personnel still lacked a title or job description. The term “loblolly lad” had been around for so long that it was adopted as an official title in the Navy Regulations of 1814. A new senior enlisted medical rate, surgeon’s steward, was established in the decades that followed. The phrase appeared in Navy pay charts for the first time in 1841; however, the new billet was only available on larger ships. The Navy Department issued an order on April 1, 1843, that allowed surgeon’s stewards to be attached aboard brigs and schooners. The relative relevance of medical Sailors was raised as a result of this. Surgeon’s stewards would be second only to the master-at-arms in seniority among the ship’s petty officers. With the tremendous rise in the Navy and the onset of the civil war in 1861, improvements and developments in the medical sector were bound to occur. On June 19, 1861, a Navy Department circular order gave the loblolly boy a new moniker.

The United States Navy Hospital Corps was not formally created as a unit inside the Navy’s Medical Department until June 17, 1898. The Spanish-American War was looming on the horizon at the time, and the U.S. Navy and Marines needed a well-trained medical section. Since that time, Hospital Corpsmen have served with their fellow Sailors and Marines on every continent, on every warship, submarine, and ocean.

Modern hospital corpsmen can pursue additional training to become highly skilled medical specialists, specializing in areas such as laboratory technologists, dive medicine, or aerospace medicine.

On August 29, 1916, Congress enacted the following significant change in the structure of the Hospital Corps. Hospital apprentices, second class and first class (both of whom wore a red cross on their sleeve), pharmacist’s mates, third, second, and first, and chief pharmacist’s mate would be the rates under this model. The two warrant officer grades of pharmacist and chief pharmacist would be included in the Hospital Corps’ officer contingent. The restructure would allow the Hospital Corps to grow by five times its current size. The Hospital Corps’ greatest manpower, diversity of duties, and example of sacrifice occurred during World War II. Between 1941 and 1945, the ranks of this modest organization increased from about 4,000 at pre-war levels to over 132,000. This raise was necessary to meet new tasks that required new technology at new duty sites. The Hospital Corps’ reputation for efficacy and bravery would be cemented in the face of severe difficulty.

The Hospital Corps has a long history of courage and sacrifice. Hospital corpsmen have also responded to natural disasters, military mishaps, and peacetime emergencies. They’ve also kept their Sailors and Marines healthy by immunizing, practicing preventative care, and holding sick calls. 23,000 regular and 6,000 reserve Navy Hospital Corps troops serve globally. They operate in naval hospitals, clinics, ships, and submarines. Search-and-rescue missions and Seabee deployments. Not to mention their deployments with the Marine Corps and SEAL teams.

Corpsmen have always been responsible for shipmates’ health. Their endless acts of heroism, exposing themselves to risk to save lives, were essential. Because they cared about their shipmates, their bravery is notable.

During the United States Navy Hospital Corps’ 124-year history, it has risen to become the most decorated rating in the U.S. military. 22 Medals of Honor, 179 Navy Crosses, 31 Navy Distinguished Service Medals, 959 Silver Stars, and almost 1,600 Bronze Stars with Vs. for heroism have been awarded to Corpsmen. In addition, 14 Naval Vessels have been named after Hospital Corpsmen, and other hospitals and clinics have been named after brave individuals who gave their lives in the service of our country and freedom.

RTS Tactical Releases New Rapid Deploy IFAK Field Medical Kit for Military, Law Enforcement, and First Responders

Tuesday, June 7th, 2022

The most comprehensive one motion pull system IFAK kit on the market launches to help save lives in the field.

Jun 7, 2022- MIAMI – Today, RTS Tactical launches their new rapid deploy IFAK, a comprehensive medical kit outfitted with cutting-edge components designed for injuries in the field. Rapid one-hand deployment allows access to all components instantly while maintaining situational awareness.

Other IFAKs currently available were developed in the early days of Operation Iraqi Freedom to fulfill a critical need and have been left behind by advances seen in tactical gear today. RTS Tactical reached out to Combat Medics and other personnel who understood the importance of a quick deploy IFAK to make the RTS Tactical Rapid Deploy IFAK the ultimate field-tested solution. The RTS Tactical Team researched the latest materials that would achieve a lightweight yet strong and rugged shell. The company incorporated all the necessary medical components for an advanced compact and Ready Kit while the engineering department created and field-tested the comprehensive one motion pull system that can be used by the operator itself or a fellow operator.

Mendel Berns, Marketing Director at RTS Tactical, shares, “When treating an injury in the field, time is critical. Every second counts. You need to be ready when called upon to save the life of a team member, even perhaps your own. Your new RTS Tactical IFAK Kit has been field-tested to be the most comprehensive one motion pull system that can be used by the operator itself or a fellow operator in a time of critical need.”

The light-weight Rapid Deploy IFAK is made with bonded cordura, high performing zippers, MIL-SPEC bungee cords and all the premium materials available in advanced tactical nylon today. The design lets customers control their IFAK contents as well as laser-cut MOLLE and bungee attachment points. The RTS Tactical Rapid Deploy IFAK Kit is available in Black, Ranger Green, Coyte, and Multicam. The RTS Tactical Rapid Deploy IFAK is currently in stock and shipping coast to coast on the RTS Tactical Website: rtstactical.com/products/rts-tactical-rapid-deploy-ifak-kit

Some of the components included in the RTS Tactical Rapid Deploy IFAK:

Tourniquet Selection/Options:

– SWAT-T Tourniquet

– SOF Tactical Tourniquet

– COMBAT APPLICATION TOURNIQUET (C-A-T) Gen 7

– ISRAELI Trauma Bandage

– Vacuum-Sealed 12’Z-PAK Gauze, 3” x 24” QuikClot Hemostatic Gauze “Stops The Bleed 5 Times Faster”

– Nasal Airway + Lubricant

– 2 Vented Hyfin Mini Chest Seal

– RTS Tactical Trauma Shears

– 3M Medical Tape

See the full list of what is included on the website.

Using VR Through VALOR to Improve Combat Casualty Care

Tuesday, June 7th, 2022

HURLBURT FIELD, Fla. —  

The 24th Special Operations Wing Surgeon General’s office has implemented the use of virtual reality training devices, in partnership with SimX, throughout special tactics to maintain the critical pararescueman’s skill in an ever-changing operational environment.
“The operational mission is going to continue to grow in complexity in the future fight,” said U.S. Air Force Col. John Dorsch, 24th SOW Surgeon General. “The PJs must be prepared to treat both injury and illness in austere environments for longer periods of time with limited reach-back.”


When looking at what the future operational environment may look like, the 24th SOW SG team must consider the implications to operational medicine. Scenarios PJs face could be in low-visibility areas where they have to keep patients alive for longer periods under possible chemical, biological, radiation or nuclear conditions.


“Preparing PJs medically for the future fight will require an advanced interoperable standard, optimized initial and sustainment training, deliberate tech development and integration, and enhanced performance tracking and feedback,” said Dorsch.
The virtual reality program objectives are to improve realism, increase flexibility and reduce cost. Through more than $10 million in Department of Defense Research and Development Funding and the Air Force Small Business Research Innovation Research program, SimX and the 24th SOW have been able to create more than 80 training scenarios including canine treatment and care, blast injuries, severe gas exposure, and more.
These training devices provide intricate and realistic training scenarios that other methods, such as medical dummies, cannot, and improves the effectiveness of the training.
“By using a flexible piece of equipment, we are able to deliberately and efficiently target specific desired learning objectives based on evolving mission requirements,” said Dorsch. “We now have the time and bandwidth to provide trainees with enhanced real-time feedback from the through the program, which grades the trainee on a point system through data analysis and a performance tracking system.”


Currently, there are 14 sites online using the PJ Tactical Combat Casualty Care curriculum, including Air Force Special Operations Command and Air Combat Command. In the future, they plan to expand access to the existing medical training portfolio across all SOF TCCC responder tiers, broaden capabilities and integrate partner force training.
“The VALOR program has increased the availability of efficient and effective medical training and has allowed us to develop complex decision-making, which will improve survival rates in U.S., coalition and partner force combat casualties in the future fight,” said Dorsch. “VR training is critical for ensuring that the highest level of combat trauma and austere medical care are provided by our special operations ground forces. We have only scratched the surface of its incredible potential.”

Story by Capt Savannah Stephens, 24 SOW Public Affairs

Photos by TSgt Carly Kavish

OpEx 22 – Brief Relief

Friday, June 3rd, 2022

Chances are, if you’ve deployed, you’ve used Brief Relief’s products. Yes, it’s a privy. But their disposable bagging system minimizes the mess.

One point I found quite interesting is that their hygiene products are certified for use in the Arctic.

Additionally, their urinal bag contains a nontoxic powder which becomes a gel once used (see pack on the left) which can easily be disposed of. Additionally, it is designed to be used by both men and women and includes a one-way valve to prevent spillage.

Rampart Range Day 22 – ESCA Tech, Inc

Tuesday, May 31st, 2022

ESCA Tech, Inc may be the most welcome booth at the event, at least for me. The health of many shooters, be they recreational or professional has been effected by exposure to lead and other toxins. ESCA Tech is an EPA approved company that offers wipes to clean both skin and surfaces of lead contaminants.

These no rinse wipes are offered in canisters or individually wrapped packs. They also offer a hand and body soap, which requires water.

ESCA Tech, Inc products can be procured by agencies, departments, and units in Canada from Rampart International.

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 Injury Assessment Tool Receives Stamp of Accreditation

Tuesday, May 17th, 2022

ABERDEEN PROVING GROUND, Md. — Underbody blasts from improvised explosive devices were the largest cause of injury for U.S. troops in Iraq and Afghanistan This signaled a vital need for an anthropomorphic test device, or ATD, to replicate the response of an underbody blast environment on Soldiers.

The Warrior Injury Assessment Manikin, coined WIAMan, filled that need. WIAMan is an ATD for military use in underbody blast testing of ground vehicles. Developed by the Instrumentation Management Office at the Program Executive Office Simulation, Training and Instrumentation, WIAMan represents the most human-like surrogate yet to provide insight on improving military ground vehicle systems and identify protection mechanisms that reduce the likelihood and severity of warfighter injuries.

Analytical experts from the U.S. Army Combat Capabilities Development Command, or DEVCOM, ensure that WIAMan output is processed to provide reliable injury assessment and analysis. The DEVCOM Analysis Center, known as DAC, processes this immense amount of data via a software analysis tool known as the Analysis of Manikin Data, or AMANDA. On Feb. 2, AMANDA was accredited by the U.S. Army Test and Evaluation Command for use in live fire test and evaluation — a final stamp of trust in quality and accuracy.

According to Kate Sandora, AMANDA model manager, AMANDA’s most recent release and accreditation is a culmination of a large effort by DAC and its partners, encompassing all WIAMan injury criteria developed over ten years of biomechanics research. The accreditation provides more confidence for the live fire testing community and current users, including DAC, DEVCOM Ground Vehicle Systems Center and the U.S. Army Aberdeen Test Center.

AMANDA is not a single injury model, but an analytic framework composed of multiple types of injury criteria and reference values integrated together. AMANDA processes accelerations, forces and moments recorded by WIAMan and other ATDs as input, comparing the ATD data with associated injury criteria to make predictions of injuries and determine the injury type, location and severity. AMANDA can also read in and process simulated data in lieu of physical testing.

While WIAMan is the hardware subjected to the blast event to record data, AMANDA is the software allowing the collected data to be processed for analysts’ use, pre-loaded with accredited criterion for injury. The resulting analysis has significant impact on Army vehicle design to improve survivability when Soldiers are subjected to an underbody blast environment. Simply put, insight from AMANDA saves lives.

“The WIAMan data acquisition system takes samples from an event at a rate of approximately 200,000 samples a second, and the typical event takes a couple seconds, so we’re talking around 400,000 data samples — an incredible amount of data,” said Jacob Ehlenberger, AMANDA software developer. “When you load that into AMANDA, all subject matter experts have to worry about is looking at the results. AMANDA automates the entire process, bringing complex analysis to the hands of experts so they can focus on their domain of excellence.”

AMANDA also integrates filtering methodology, developed by Aaron Alai, a DAC signal processing scientist, to ensure sensor data does not reflect extraneous noise that could lead to incorrect injury prediction.

“A common misconception is that sensors and data acquisition systems measure only what one intends for them to measure, but in reality, they respond to anything that can influence the measurement pipeline: a litany of sources from electromagnetic noise to mechanical linkage vibrations. So, data must be filtered to glean accurate information,” Alai said. Alai leveraged frequency analysis to come up with a new method of inferring appropriate filters, working with Ehlenberger and other DAC teammates to ensure they are implemented and contextualized properly.

DAC analysts can then more reliably provide injury assessments that inform vehicle evaluation, design and requirements to better protect Soldiers, bypassing time-consuming manual data manipulation.

Sandora and Ehlenberger, who have worked closely with both analysts and developers of the design and standards for WIAMan, commend the experts’ diverse perspectives to make appropriate injury assessment possible. “You have subject matter experts in the field of human vulnerability working in close contact with engineers of high caliber discussing the ATD experience and mechanical response,” Ehlenberger said. “It is such an impressive marriage of distinctly different and invaluable expertise.”

It is through extensive testing and problem-solving from these experts that WIAMan can produce data to feed AMANDA analysis, ultimately enabling the Army to better quantify risk to the warfighter and identify trade-offs during vehicle design. This analysis ensures growing Army knowledge in human vulnerability and automotive design — and soon, even more, as AMANDA will be integrating more WIAMan injury criterion this fiscal year.

By Kaylan Hutchison, DAC Strategic Communications

UT System, U.S. Army Futures Command Announce Partnership to Accelerate Innovation in Trauma Care

Wednesday, May 4th, 2022

The University of Texas System and the United States Army Futures Command (AFC) have formed an official educational and cooperative research partnership to advance medical science and technology to save lives both on and off the battlefield.

Since last year, leaders from the UT System, AFC, U.S. Army Medical Research Command and U.S. Army Institute of Surgical Research (USAISR) have been exploring how to work together to solve some of the most critical issues affecting soldiers injured in combat.

Today, they formally signed two agreements to streamline collaboration between the military and UT institutions: an Educational Partnership Agreement and a Cooperative Research and Development Agreement.

The agreements will allow a continuous flow of resources, research, and scientific expertise, focusing specifically on medical science and technological innovations.

“I can not emphasize how groundbreaking this will be,” said Lt. Gen. James Richardson, AFC acting commanding general. “This will allow opportunities for furthering research and expand capabilities for improving our work in the critical area of trauma care, which will extend to our future soldiers and also have impacts in our communities.”

The partnership will leverage the scale and expertise of the both the UT System and the Army, UT System Chancellor James B. Milliken said. “The military brings to the table a substantial health research infrastructure, unrivaled experience in battlefield trauma, and the capacity to test innovations in the field,” Milliken said. “UT institutions offer an extensive basic and applied science infrastructure, a world-class system for conducting clinical trials, and some of the world’s most brilliant and innovative minds.”

During a Summit last year, researchers and military health specialists from AFC and the UT System emphasized the need to turn the “Golden Hour” into the “Golden Day,” referring to the timeframe following a battlefield wound when proper medical treatment is crucial to survival. Following the Summit, several UT institutions and USAISR developed collaborating research proposals to address the underlying causes of tissue damage and novel treatment options following trauma.

The UT System and Army Futures Command anticipate that the new partnership will have long-lasting impacts on both soldiers as well as civilians who suffer traumatic injuries that land them in the emergency room. The partnership also builds on numerous existing collaborations between the Army and UT institutions.

The UT System Board of Regents allocated $50 million to UT Austin to establish facilities to develop and test robotic systems and artificial intelligence through the new Robotics Center of Excellence . Researchers at UT Arlington are studying the human dynamics of decision-making, and UT Dallas is creating chemically powered artificial muscles that could power robotic mules to serve as alternative Army vehicles. UT San Antonio and UT El Paso are working with the Army to advance cybersecurity.

In addition, the UT System currently has several research projects with the Department of Defense to create more technologically advanced cybersecurity systems and to support the use of robotics in combat. The collaboration aims to deliver breakthroughs in the science of combat casualty care, such as delivering oxygen to tissue, shock management, wound progression and infection, as well as physical pain or PTSD.