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11 LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ Victor Melendez Medical Officer, OEF Team 2 LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ.

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Presentation on theme: "11 LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ Victor Melendez Medical Officer, OEF Team 2 LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ."— Presentation transcript:

1 11 LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ Victor Melendez Medical Officer, OEF Team 2 LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ Victor Melendez Medical Officer, OEF Team 2 FAST-FWD: Overview of AMEDD Integration with the Deployed RDECOM-FAST Teams

2 2 Outline Purpose –Overview of Science & Technology (S&T) concept of support to deployed force –MRMC/RDECOM FAST partnership Agenda –Technology gaps –Mission –Organization –RFI process –Accomplishments 2

3 3 How do we provide innovative technology rapidly enough to adapt to changing enemy Tactics, Techniques & Procedures? Warfighters face special needs from an unpredictable, asymmetric battlefield Technology Gaps 3

4 4 Connecting Deployed Users With Materiel Developers FAST Team Mission –S&T support to forward deployed units to enhance operational capability. –Communicate Warfighter requests & capability gaps to RDECOM/MRMC R&D labs/centers for solutions. 4 Technology-Associated Tasks: –Reconnaissance: Identify capability gaps/materiel requirements –Assistance: Help articulate operational needs to CONUS-based combat, training, materiel developers –Deployment: Coordinate field delivery & training of new technology prototypes for evaluation –Assessment: Obtain user feedback on performance of deployed materiel solutions

5 Rotation – 6 month deployment – Travel throughout AO to engage Soldiers & Commanders – Fwd life support through the Army Field Support Brigade (AFSB) – CONUS support via RDECOM G-3/MRMC Operations 4-5 Team members – O4/05 OIC (Acquisition Corps) – E6/E7 Operations NCO & NCOIC – GS13/15 DA Civilian Scientist – 04/05 Medical Operations Officer Deployment History –22 OIF teams since 2003 –Medical team member since 2005 –AMEDD emphasis now shifted to Afghanistan/OEF FAST Team

6 Past AMEDD FAST Team Members MAJ Jurandir Dalle Lucca CPT Patrick McNutt LTC Stephen Dalal MAJ Matt Clark LTC Rex Berggren LTC Karen Kopydlowski MAJ C. Jeremy Clark CPT Stefan Fernandez MAJ Melba Stetz MAJ Keith Palm LTC Carl Brinkley CPT Ben Rowe LTC Sonya Schleich Team 10 Team 11 Team 12 Team 13 Team 14 Team 15 Team 16 Team 17 Team 18 Team 19 Team 20 Team 21 Team 22 Jul 05 – Nov 05 Nov 05 – Mar 06 Mar 06 – Jul 06 Jul 06 – Nov 06 Nov 06 – Feb 07 Feb 07 – Jul 07 Jul 07 – Sep 07 Oct 07 – Feb 08 Feb 08 – Jul 08 Jul 08 – Jan 09 Jan 09 – Jul 09 Jul 09 – Dec 10 Dec 10 - Jun 10 MS/71B VC/64C MS/71F MS/71E MS/71A MC/60J MS/71A MS/71F NC/66B MS/71A MS/71B MS/72D Team 2 Team 3 Nov 09 – Mar 10 Mar 10 – Oct 10 MAJ Victor Melendez MAJ Robert Carter MS/71B OIF/OND OEF

7 Forward Deployed Teams OIF & OEF

8 8 Afghanistan FAST Alignment 2001: UN International Security Assistance Force (ISAF) 2003: NATO assumes command of ISAF & establishes Regional Commands (RCs) 2008: Activation of US Forces- Afghanistan (USFOR-A) 2009: First OEF FAST Team 2010: OEF expands - three FAST Teams Currently one FAST Medical officer CMDHQNATO Lead FAST Team (2010) RC- Capital KabulFrance, Italy, Turkey Yes RC- North MarzESharifGermanyNo RC- West HeradItalyNo RC- South KandaharCanada, UK, Netherlands Yes-Primary FAST Med Ops presence for RC coverage RC- East BagramUSAYes 8

9 Armament Research, Development and Engineering Center (ARDEC) Army Research Laboratory (ARL) Edgewood Chemical and Biological Center (ECBC) Natick Soldier Research, Development and Engineering Center (NSRDEC) Communications- Electronic Research, Development and Engineering Center (CERDEC) Simulation and Training Technology Center (STTC) Aviation and Missile Research, Development and Engineering Center (AMRDEC) Tank Automotive Research, Development & Engineering Center (TARDEC) Strategic Partnership for Shared Mission Army Materiel Command Relationship RDECOM TACOM LCMC Army Material Command (AMC) HQ Department of the Army (DA) Army Forces Command (FORSCOM) Training and Doctrine Command (TRADOC ) Army Service Component Commands (ASCC) Direct Reporting Units (DRU) 9

10 10 Medical Research & Materiel 5 RMCs PUBLIC HEALTH COMMAND (P) AMEDDC&S MRMC MEDCOM WARRIOR TRANSITION DENCOMVETCOM Advanced Development –USAMMDA & USAMMA –Advanced component & prototypes –System development –Demonstration of tech-based concepts –COTS transition to FDA-approved war- ready products Medical Logistics –USAMMA –Field, distribute, sustain, maintain & dispose of medical products, supplies & equipment –Materiel management from tech base, advanced development or commercial sector US Army Medical Materiel Development Activity (USAMMDA) US Army Medical Materiel Agency (USAMMA) Acquisition Research & Technology –6 core labs –Basic & applied research –Advanced technology development to prove tech-based concepts for medical products US Army Aeromedical Research Lab (USAARL) US Army Institute of Surgical Research (USAISR) US Army Medical Research Institute of Chemical Defense (USAMRICD) US Army Medical Research Institute of Infectious Diseases (USAMRIID) US Army Research Institute of Environmental Medicine (USARIEM) Walter Reed Army Institute of Research (WRAIR)) 10

11 MRMC Advanced Development Drugs –Products derived from synthesized chemicals with the intent of being metabolized by the body –Medications/IVs/Creams Biologics –Products derived from living sources (animal, human, microorganisms) –Vaccines, blood, tissue Devices –Instruments, machines, implants used in the clinical diagnosis or treatment with the intent to affect the structure or function of the body –Lab equipment, bandages Military Infectious Diseases Vaccines against malaria, dengue, HIV Drugs against malaria Topical Skin Creams/tests Combat Casualty Care Soldier worn haemostatic's Resuscitative fluids Modified commercial devices Oxygen generation Evacuation support devices Military Operational Medicine Diagnostics Health monitoring Operational testing COMMODITIES PROGRAMS MRMC Advanced Developers = Rapid Acquisition Gatekeepers

12 12 Addressing urgent medical needs –Operational Needs Statement (ONS) Urgent/compelling; 120 day goal –Rapid Equipping Force (REF) Empowered via Army G3 to approve Tech-based projects & commit funds 10-line request format to “equip” the user; 90 day goal FAST Team - Leverage rapid acquisition via Requests For Information (RFIs) to materiel developers –Incoming request outlining capability shortfall –Provides sufficient background to understand problem –Requests for potential existing solution or technology search for COTS solution Rapid Acquisitions 12

13 13 Generic RFI Format Distribution & Reply by dates for tracking RFI number & Title –Descriptive text Body of document –(1) Issue – Technical description –(2) Summary – BLUF – 1-2 sentences –(3) Performance gaps & capability shortfalls List capability gaps & integrate photos if possible –(4) Recommendations If known, what the field believes is required to fix the problem –(5) Contact information Name, Telephone,

14 14 REF “10 - Liner” Baseline document that drives the REF process. Template after the standard Operational Needs Statement (ONS), and consists of the following 10 lines: 1. Problem 2. Justification 3. System Characteristics 4. Operational Concept 5. Organizational Concept 6. Procurement Objective 7. Support Requirements 8. Availability 9. Recommendation 10. Coordination Accomplished

15 Materiel Solution Process ID Warfighter need or Capability Gap Write RFI FAST - FWD MEDCOM USAMRMC – R&D Labs & Centers – Product Developers – MEDLOG SMEs AMEDD C&S/Combat Dev Public Health Command OTSG Consultants/SMEs FAST HQ/G3 & MRMC - CONUS Track & Vet Issues Present leadership solutions & help w/ COA FAST - FWD ONS REF 10-liner PM/PEO funding Prototype Assessment COAs Medical Need Non-Medical Need RDECOM Natick Soldier Center (NSRDEC) Aviation & Missile (AMRDEC) Armaments (ARDEC) Communication/Electronics (CERDEC) Tank & Automotive (TARDEC) Army Research Lab (ARL) Edgewood Chemical-Bio Center (ECBC) Need Gap Solution

16 16 Capability Gap –Up-armored ground ambulance Solution –Ambulance variant of Mine Resistant Ambush Protected Vehicle (MRAP) Technology Need 1 of 7

17 17 Capability Gap –Non-medical vehicle evacuation requirement Solution –Ground vehicle CASEVAC Conversion Kits Technology Need 2 of 7

18 18 Capability Gap – Requirement for blood culture plus bacterial identification & antibiotic susceptibility testing at level III MTFs Solution – Bac-T-Alert – Autoscan-4 microbial ID/Sens system for the clinical lab Technology Need 3 of 7

19 19 Capability Gap –Child restraint to prevent “submarine” effect during MEDEVAC transport Solution –Air-worthy certified COTS product Technology Need 4 of 7

20 20 Capability Gap – Current fielded water quality testing equipment is limited in portability & panel of tests Solution – The HACH DR890 lightweight, rugged COTS water testing device (colorimeter) – Hand-held device consistent with current water quality testing requirements Technology Need 5 of 7

21 21 Capability Gap – Tuberculosis endemic in Iraq – Detainee healthcare workers at risk – Require isolation technology to induce specimens for testing Solution – Specimen collection chamber to prevent occupational exposure to healthcare workers Technology Need 6 of 7 21

22 22 Capability Gap – No fielded product to effectively warm IV fluids Solution – Lightweight, low cost fluid warming system – Delivers fluids at controlled temperature – Prevents infusing fluids into casualties that may induce hypothermia Technology Need 7 of 7

23 23 NVG-compatible lighting for flight medics Ruggedized pulse oximeter Alternative aid bags Updated aviation first-aid kit (vintage 1980) Light-weight carbon composite O 2 tanks Flame retardant/ fluid-resistant disposable gloves Lower torso over-garment w/ knee pads MEDEVAC-Related RFIs

24 24 Soldier-Requested Availability of NSNs for COTS items

25 25 Combat Application Tourniquet (CAT) Golden Hour Blood Transport Digital Filmless Dental X-Ray Other Technology Insertions Into OIF/OEF Vibration Dampening Map for MRAP Gunners Warrior Aid Litter Kit (WALK)Zoll Critical Care Device XL Smart Battery Hemostatic Bandages 25

26 26 Call for Volunteers FAST team Medical Operations Officer –Commissioned Officer, senior O3 to O5 –Completion of Captain’s Career Course –Field or deployment experience (recommended) –Acquisition certification (recommended) April: Request for volunteer message distributed to AMEDD –Submission packet/Selection process outlined Copy ORB, last 3 OERs, Request for consideration 3 letters of recommendation –AMEDD S&T Assistance Team reviews applicants & provides recommendations October: Selection notification –CG, MRMC: Selecting official –Two selectees & two alternates More Information: MRMC FAST Quick Reaction Coordinator –Mr. Eluterio Galvez, MRMC Quick Reaction Cell Coordinator – phone: (301) 26

27 27 Pre-Deployment Training ●RDECOM-FAST Orientation –4 weeks – RDECOM & FAST Team HQ (Edgewood, MD & FT Belvoir, VA) – RDECS (Research, Development, and Engineering Centers) NSRDEC, Natick, MA; ARDEC, Picatinny, NJ; TARDEC, Warren, MI; AMRDEC, Redstone Arsenal, AL; CERDEC, Ft. Monmouth, NJ; ARL, Adelphi, MD ●MRMC Orientation Training –2-4 days at Ft. Detrick Individual appointments with designated POCs MRMC HQ, USAMMA, USAMMDA –AMEDD C&S & ISR at FT Sam Houston, TX ●CONUS Replacement Center (CRC) –1 week at Ft. Benning prior to flight to Kuwait/Afghanistan Total Pre-deployment Training ~ 5 weeks

28 28 Summary FAST Medical Operations –Unique Afghanistan deployment opportunity for AMEDD officer Reconnaissance –Identify critical medical capability/technology gaps –Collect information/recommendations from the deployed force –Interface between soldiers & R&D centers –Involve SMEs, Materiel Developers, Logisticians, Combat Developers, AMEDD Center and School Assistance –Initiate/accelerate rapid acquisition process –Facilitate ONS, REF 10-liner, Letters of Justification Deployment –Introduce requested new technology products originating from medical R&D, materiel developers, and logistics communities Assessment –Evaluate technology solutions in-theater & provide feedback to RDECOM and MRMC 28

29 Questions & Discussion Requested internal suction apparatus Request medical roll down kit, WALK bags are not sufficient for MEV specific mission Answer: NSN Panel Modular Medical Trauma (click on attachment) Egress hatch useless with Slat Armor and Duke box covers it internally NBC never used and was in the way often. Better Tires: are there other tires authorized with NSN, rugged terrain often tore tires apart Possible V- Hull integration 25K Tow Rope scarce and seldom in BII. Status on Stryker Recovery Vehicle. Request Driver’s DVE to be remote or additional DVEs so driver can clear corner before turning Check-6 camera or 360 camera for vehicle, minimum gunner to view Can not hang tow bar once SLAT armor is hung on vehicle Possible LED lights transition from current lights FBCB2 location needed to be moved for crew members multi functions Request FBCB2 for driver Ballistic windshield breaks often and are hard to replace Driver’s steering wheel was not user friendly 29


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