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Archive for the ‘Medical’ Category

23 STS IDMT: ‘Knowing what to do and being ready can make all the difference’

Sunday, January 5th, 2025

HURLBURT FIELD, Fla. —

“Is there a doctor on board?”

Sitting in his aisle seat toward the back of a commercial flight, Air Force Staff Sgt. William Flaspoehler saw the flight attendants scrambling for help.

It was May 2023, and Flaspoehler was traveling to a deployed location in Southeast Asia.

He walked to the front of the cabin and found a 64-year-old woman, pale-faced, sweating and clutching her chest in pain.

After observing her symptoms, he checked the woman’s pulse and blood pressure.

“We need to divert and land as soon as possible,” he told the pilots, knowing the woman would soon go into cardiac arrest.

From there, Flaspoehler said he relied on both instinct and experience. He followed chest pain protocols, placed the passenger on oxygen and gave her aspirin and fluids. Next, he examined a bottle of nitroglycerin: a drug that could potentially stabilize the patient, but could also be lethal.

“I knew I had to do it,” he said. “It was stressful, but I knew she didn’t have much time.”

As the aircraft began its descent to the nearest airport, Flaspoehler worked to keep the woman alive.

For Flaspoehler, an independent duty medical technician with the 23rd Special Tactics Squadron at Hurlburt Field, Florida, providing life-saving care is almost second nature.

His journey to that moment began years before he joined the military.

Before enlisting in the Air Force in 2016, Flaspoehler honed his medical skills as a civilian emergency medical technician in Los Angeles. Later, his career led him to a level-one pediatric trauma center at LA Children’s Hospital. There, he treated some of the most critically injured patients imaginable, he said.

“We responded to car accidents, fires, stabbings … pretty much everything imaginable,” he said. “As a whole, those jobs exposed me to a wide range of medical incidents.”

Flaspoehler said that one of those incidents in particular left him wanting something more in life.

One day, the former EMT found himself in the back of an ambulance, speeding through the streets of Los Angeles, treating a man bleeding heavily from a neck wound.

As he packed the wound to stem the bleeding, the same thought continued to flash through his mind: the injury was eerily similar to the one that had killed his friend, fallen Army Sgt. Michael Cable, who died in Afghanistan in 2013.

Flaspoehler said that in the moment, he tried not to think about Cable’s death. But afterward, he began to dwell on it. He couldn’t shake the feeling that he could be serving a greater purpose, he said.

“I wanted to be able to be there to see and treat my friends and brothers and sisters,” Flaspoehler said. “As a civilian, I was usually treating strangers. I wanted to be with a team and have the responsibility of taking care of them.”

That realization drove him to join the Air Force.

As part of the 23rd STS, Flaspoehler’s work is dynamic. His unit is tasked with missions involving austere airfield control, terminal attack control, personnel rescue and recovery, assault zone battlefield trauma care, and more.

In his role as an IDMT, he’s trained to establish medical treatment facilities in remote and hostile environments.

“I can run a 911 call, pick up an active duty patient, treat them as a paramedic, bring them to the emergency room and then treat them and discharge them,” Flaspoehler said. “This kind of position doesn’t really exist in the civilian world.”

He also provides medical support during high-risk activities like airborne jump operations and dives, and trains personnel on Tactical Combat Casualty Care to prepare them for potential life-and-death scenarios.

“One day, it could be their friend that needs help out there,” he said, referring to fallen Army Soldier Cable.

On the flight, the 64-year-old patient’s blood pressure and heart rate returned to healthier levels and the medicine reduced her pain.

Soon after, the flight landed in Kuching, Malaysia, where Flaspoehler helped first responders carry the woman off the plane and to an ambulance.

After arriving at his deployed location in Southeast Asia, Flaspoehler followed up on the patient’s status: the woman had survived after receiving additional care in Kuching.

“I felt relieved that I made the right call,” he said. “While it was something I had handled so many times before, I had never had to do something like this on a plane, in international waters.”

Ultimately, Flaspoehler said he credits the medical experience he gained as a civilian and in the Air Force.

“Knowing what to do and being ready can make all the difference.”

By SSgt Natalie Fiorilla
24th Special Operations Wing

Committee for Tactical Emergency Casualty Care Updates Guidelines for 2024

Thursday, December 26th, 2024

EuroMedics alerted us that the Committee for Tactical Emergency Casualty Care issued updated protocols for BLS/ALS Clinicians in late November.

While there are numerous updates to the TECC guidelines, these standout.

MASSIVE BLEEDING

The section on hemorrhage control includes the direction to covert or relocate the TQ within 2 hours of application, which is consistent with current CoTCCC recommendations. The guidelines do not mention a time where conversion is no longer recommended.

AIRWAY MANAGEMENT

Here identified the most prominent choices that diverge from the TCCC guidelines. Apart from recommending the SGA as a viable option for Warm Zone Care, the guidelines also recommend oro- and nasotracheal intubation, which is an interesting choice.

MEDICATIONS

Another interesting aspect is the selection of NSAIDs, namely Celecoxib, which has a more GI-protective profile as well as a more pronounced COX-2 preference than Meloxicam which is recommended in the TCCC guidelines.

Also intersting is the lack of recommendations on antibiotic choices, whereas the TCCC guidelines recommend 2 options for POI antibiosis.

There are numerous orher changes in the guidelines so we encourage you to have look and familiarize yourself with them!

There are a lot of links to older versions out there but here are the latest guidelines as of this publication.

Snigel 6L Funny Pack

Friday, December 20th, 2024

Introducing the Snigel 6L Funny Pack—a versatile companion for medics, technicians, and adventurers alike. Designed with Tactical Combat Casualty Care (TCCC) in mind, this pack offers:

Spacious Main Compartment: Features two detachable interior walls for customizable organization.

External Zipped Pocket: Provides quick access to essential items.

Multiple Carrying Options: Wear it around the waist, over the shoulder, crossbody, or attach it to larger backpacks.

MOLLE Webbing & Velcro Strips: Allows for easy attachment of additional gear and personal identifiers.

Whether you’re carrying medical supplies, personal items, or technical equipment like camera gear, the 6L Funny Pack adapts to your needs.

Get yours at www.snigel.se/product/6l-funny-pack-18.

Survivability Under Fire: Expeditionary Medicine in Contested Logistics

Monday, December 16th, 2024

Marine Corps Base Quantico, Va. —

As the world enters an era of renewed great power competition, the Marine Corps is rapidly modernizing to meet the challenges of the modern battlefield.

Envisioning a return to contested littorals, Marine Corps Systems Command’s PM Combat Support Systems is fielding cutting-edge expeditionary medical capabilities designed to increase warfighter survivability behind enemy lines. Guided by Force Design, the Expeditionary Medical Systems team is rapidly deploying these advanced medical capabilities to ensure Marines are prepared for the future fight.

According to Navy CAPT Janine Espinal, EMS team lead and senior medical logistician: “These capabilities not only ensure we can sustain operations by providing life-saving care under fire, but also enhance survivability in Expeditionary Advanced Base Operations (EABO) environments, where rapid, adaptive medical support is essential to keeping Marines in the fight.”

Medicine Under Fire: A Battlefield Perspective

To envision these capabilities in action, consider this hypothetical scenario where Marines rely on expeditionary medical systems in a contested battlespace. The following situation report demonstrates how these tools would be employed behind enemy lines.

Situation Report
Location: Undisclosed, first island chain, INDOPACOM
Date: November 10, 20XX
Time: 1300 Hours

In the oppressive humidity of the Indo-Pacific’s contested littorals, a Marine platoon holds a critical position on a remote, undisclosed island—far from resupply or reinforcements. While the jungle provides natural cover, their advanced uniforms render them invisible, hidden from infrared and electromagnetic detection. To enemy sensors, they are phantoms—the ghosts of Devil Dogs past, returning to the theater where legends like GySgt John Basilone and LtGen “Chesty” Puller carved their legacy in blood and fire.

At a remote Expeditionary Advanced Base, a young Lance Corporal leans against a Joint Light Tactical Vehicle (JLTV), enjoying his favorite MRE. In this unforgiving battlespace, the chili mac is worth its weight in gold. Concealed by cutting-edge camouflage netting, the vehicle blends into the jungle, virtually invisible thanks to multi-spectral protection. Its rugged design powers through tough terrain, while the CASEVAC kit ensures it can be rapidly reconfigured to evacuate injured Marines from the front lines.

As the Marines advance through the dense jungle, they suddenly come under intense enemy fire. One Marine is wounded, requiring an immediate casualty evacuation to save his life. His squad lays down a heavy base of fire, enabling the vehicle to break contact and rush him to a concealed medical station. A Navy Corpsman, equipped with Damage Control Resuscitation (DCR) and Surgery (DCS) systems, quickly stabilizes the Marine. Portable refrigeration units keep life-saving blood on-site, ensuring critical care despite the distance from the ambush. Deep behind enemy lines, these expeditionary capabilities are a lifeline, enabling warfighters to survive and bring the fight tonight.

Although fictional, the scenario described is a close reflection of what our Marines are preparing to face on the future battlefield. To fight and win across the globe’s contested littorals, Marines need rapid, adaptive medical capabilities that enhance survivability when evacuation isn’t an option.

As noted by CMDR David Gribben, branch head for the Naval Support Branch at CD&I, “Our focus must be to ensure that our logistics approach is perfectly aligned with the Marines. As they get lighter and more agile, we’re doing the same with our medical capabilities. We’re matching their mobility with light, portable systems—shelter, communications, medical equipment—that integrate seamlessly with the Marine Corps’ logistics framework. This interoperability allows us to rapidly deploy and support Marines in contested environments, giving them the best chance of survival in the most austere conditions.”

Fielding Expeditionary Survivability

To address these challenges head-on, PM CSS’s Expeditionary Medical Systems Team recently hosted the Health Services Operational Advisory Group (HSOAG) at Marine Corps Base Quantico, Va., bringing together senior medical leaders from Okinawa, Hawaii, Germany and various CONUS and OCONUS locations. Over four days, Marines, greenside Navy medical personnel, and civilian acquisition professionals evaluated healthcare systems and structures, focusing on evolving capabilities to meet Force Design requirements.

During the HSOAG meeting, standing before a JLTV fitted with the latest CASEVAC kit, Rear Adm. Pamela Miller, Medical Officer of the Marine Corps, highlighted the critical importance expeditionary medical capabilities in 21st century warfare.

She noted: “The development of our medical capabilities is crucial because we need to stay relevant, preparing for future conflicts rather than the last. We’re facing new challenges not seen since World War II, and there’s urgency to adapt to meet the Commandant’s directive, Force Design, and work with the naval enterprise through Distributed Maritime Operations. With Fleet Health Services and Bureau of Medicine and Surgery leadership here, we’re aligning our focus to ensure we can support the warfighters in the next fight.”

Throughout the week, several key medical capabilities were highlighted, starting with the JLTV CASEVAC Kit, a crucial modification to the JLTV Utility variant. This system allows for the rapid transport of two litters and a jump seat in the cargo bed, enhancing casualty evacuation in austere, contested environments. Its adaptability supports operational flexibility on the battlefield, as emphasized by Rear Adm. Miller, who noted its vital role in boosting casualty evacuation capabilities and maintaining force lethality. According to Capt. James Minturn, JLTV project officer at PEO Land Systems, the flexibility provided by the CASEVAC kit is a key advantage in contested environments.

In his words: “The JLTV gives commanders options. They can use it for troop transport one moment, then quickly switch to casualty evacuation when needed. Instead of dedicating a vehicle solely to medical transport, the CASEVAC kit lets units adapt on the fly, which is critical in environments where vehicle movement is restricted. It’s all about maximizing capability without overcommitting resources.”

The Expeditionary Portable Oxygen Generation System (EPOGS) was another standout, offering a lightweight, mobile solution for delivering medical-grade oxygen. EPOGS improves reliability, mobility, and ease of transport, making it essential for forward-deployed operations in challenging environments.

Additionally, the Expeditionary Medical Refrigeration Unit (EMRU) provides extended cooling for critical medical supplies such as blood, vaccines, and medications, maintaining temperatures for over three days without external power. This capability significantly outpaces older systems, which had an eight-hour limitation.

Finally, the Damage Control Resuscitation (DCR) and Damage Control Surgery (DCS) systems were highlighted for their compact, modular designs, enabling life-saving trauma care near the front lines in contested environments. These scalable systems ensure critical care reaches Marines even when evacuation is delayed, aligning with the Corps’ focus on distributed operations and survivability behind enemy lines.

Anticipating the Future Fight

In the race to 2027, PM CSS’s Expeditionary Medical Systems team is advancing critical capabilities that enhance battlefield survivability for the Marine Corps, the Joint Force, and our international partners. Systems like the JLTV CASEVAC Kit, advanced refrigeration, and portable oxygen generation are essential for delivering timely medical support in contested environments. These innovations, backed by rapid acquisition processes, ensure operational readiness in the most challenging conditions.

Tested in exercises like Global Medic 2024 and proven in real-world conflictssuch as Russia’s invasion of Ukraine, these expeditionary medical capabilities are critical for the future fight. Mobile medical units, damage control surgery, and forward-positioned resuscitative care have demonstrated their ability to reduce preventable deaths and maintain force lethality under fire. As these capabilities continue to evolve, they will remain essential in ensuring rapid response and adaptability in contested environments. By prioritizing joint collaboration and acquisition speed, PM CSS’ EMS team is setting the standard for medical readiness and ensuring our warfighters are equipped for success in an ever-evolving battlespace.

By Johannes Schmidt, MCSC Office of Public Affairs and Communication, Marine Corps Systems Command

Photos by Jim Van Meer

WRAIR Advances Neurostimulation Research in New Partnership with NATO Committee

Thursday, November 28th, 2024

On October 16, 2024, the NATO Neurostimulation Committee visited the Walter Reed Army Institute of Research’s (WRAIR) Sleep Research Center (SRC). Hosted by Dr. Tracy Jill Doty, Chief of the SRC, the visit focused on learning about ongoing fatigue mitigation research using neurostimulation.

The NATO Neurostimulation Committee is a working group of leading researchers in neuroscience, cognition, and brain function. Established in July 2024, the committee addresses common limitations in neurostimulation research by conducting large-scale, multi-laboratory experiments across multiple countries. Its mission is to advance the understanding of cognitive performance enhancement through robust and thorough investigations. The committee’s work centers on neurostimulation, a field that encompasses various technologies and techniques for targeting specific brain regions. Dr. Doty, an expert in sleep and fatigue, provides valuable insights to these efforts.

“The committee didn’t previously have an expert in sleep and fatigue, but it’s a critical area where neurostimulation technology could make a substantial impact,” Dr. Doty explained. “Applying neurostimulation to maintain brain health under fatigue conditions is a growing field, and this partnership between the committee and the SRC is a natural fit.”

The SRC contributes to the committee’s international research efforts by developing brain stimulation methods to enhance slow-wave sleep and help service members maintain alertness during extended operations. These capabilities, including pioneering advancements in slow-wave sleep enhancement, have been a hallmark of the SRC’s work.

Service members often face challenges such as insufficient sleep or limited rest periods, which significantly impair cognitive performance and mission readiness. Studies show that a single night of sleep deprivation can impair alertness and cognition to levels comparable to a 0.08% blood alcohol concentration.

“The Sleep Research Center is at the forefront of neurostimulation technology,” said Dr. Doty. “We’re eager to explore new opportunities to advance this technology for military applications.”

Although still in its early stages, this collaboration between the SRC and the NATO Neurostimulation Committee holds significant promise for improving service members’ cognitive resilience and overall brain health.

Story by Zeke Gonzalez 

Walter Reed Army Institute of Research

R.T. Weatherman Foundation Launches Targeted Trauma Treatment (T3) Program for Ukraine’s Elite Defenders

Sunday, November 24th, 2024

KYIV, Ukraine, November 19, 2024 – On the 1,000th day of Russia’s war of aggression against Ukraine, the Romulus T. Weatherman Foundation reaffirms its unwavering commitment to the Ukrainian people by launching its Targeted Trauma Treatment (T3) Program.

This groundbreaking initiative will deliver essential PTSD treatment to Ukraine’s elite defenders. Specifically tailored to meet the mental health needs of personnel with extensive combat experience, this program aims to profoundly improve the lives of soldiers and their families while bolstering Ukraine’s fight for freedom and sovereignty.

The T3 Program leverages the advanced Stellate Ganglion Block (SGB) injection protocol, a proven trauma treatment that will help Ukrainian soldiers recover quickly from combat stress and return to duty. This cutting-edge treatment is a game-changer for Ukrainian warriors, enabling soldiers to regain their mental and emotional resilience and continue to play vital roles in defending their nation.

Andrew Duncan, co-founder of the R.T. Weatherman Foundation, stressed the importance of the program: “I’ve seen these soldiers carry the burden of an entire nation and the free world. The T3 Program is about giving them back their strength. These are the people standing between Ukraine and tyranny. By providing this trauma treatment, we are not only saving lives—we are ensuring Ukraine’s defenders remain sharp, focused, and ready to win.”

Meaghan Mobbs, President of the R.T. Weatherman Foundation and driving force of the T3 Program, is a dedicated advocate for Ukraine’s military personnel. Since the onset of the full-scale invasion, she has traveled to Ukraine over 17 times, spearheading the delivery of $150 million in humanitarian aid and creating critical programs to support foreign fighters who have been wounded, killed, or reported missing in action.

“Trained and qualified fighters are one of Ukraine’s most important assets,” Mobbs said. “The T3 Program is about giving them the support they need to recover quickly and get back into the fight. We’re not just treating trauma; we’re helping ensure Ukraine’s elite forces remain mission-capable. This program gives them an edge to keep pushing forward to victory.”

The T3 Program aims to initially treat 400 elite Ukrainian soldiers, delivering immediate and lasting benefits both to these individuals and to the country. With rising demand for trauma-informed care, the program is expected to shape future best practices for treating combat-related PTSD and expand its services to thousands more.

Healing More Than Just Soldiers

This program isn’t just about soldiers returning to the battlefield; it’s about soldiers returning to their families, to their communities, and to the life they once knew. It’s about healing the invisible wounds that war leaves behind. Every soldier treated in the T3 Program represents a ripple effect—helping to rebuild a stronger, more resilient Ukraine.

Mobbs continues: “We’re giving them a lifeline back to normalcy, to stability. Every treatment administered is a victory in its own right, and the impact it will have on these defenders and their families cannot be overstated.”

As the demand for trauma-informed care continues to rise, the T3 Program is expected to grow, reaching thousands more Ukrainian soldiers and informing global best practices for combat-related PTSD treatment. The lessons learned from this program will undoubtedly shape the future of trauma recovery for soldiers across the globe.

About the R.T. Weatherman Foundation

The Romulus T. Weatherman Foundation is a 501(c)(3) private operating foundation dedicated to supporting democracy, valuing each life, and meeting urgent needs in conflict zones. Through strategic partnerships and innovative programs, the foundation has become a leader in providing aid and care to those affected by war.

For more information, visit www.WeathermanFoundation.org

MATBOCK Monday: Graverobber Assault Waterproof Options

Monday, November 11th, 2024

The Graverobber™ Assault Waterproof (GRAW) has become a very popular waterproof pack within maritime units. Here are a few internal options that provide ultimate flexibility.

To learn more about the GRAW or other products from MATBOCK, email sales@matbock.com

Calling All Active Duty 1st AD Females

Sunday, November 10th, 2024

The 1st Armored Division is conducting a field hygiene and urogenital study.

If you wish to participate, contact the POC on the image.