1. Defense Medical Readiness Training Institute (DMRTI) Linda Hill, CHS-V, CFAMMA, MLS(ASCP) CM CBRNE Programs Manager March 2010

2. Agenda Command Background Courses Available through DMRTI JKDDC Relationship –Emergency Preparedness & Response Course –Clinical Practice Guidelines for Deployed Medical Personnel

3. DMRTI Mission/Vision Mission: … support DoD and global partners through innovative design and delivery of contingency readiness training. Vision: First choice here and abroad for readiness needs. Forward as One!

4. DMRTI Roles Train as we fight/ operate this/next contingency Advise on DoD Policy (Medical Readiness)

5. DMRTI Facts Tri-service/Joint” Staff: 124 tri-service motivated, innovative military & civilians Tenant on Ft Sam, with Tactical Simulation center at Camp Bullis Oversight by Assistant Secretary of Defense for Health Affairs (Force Health Protection & Readiness) Integrate training for COCOMs Superb relationships with Defense Institute for Medical Operations and JKDDC

6. DMRTI Facts: FY09 37,400 student trained in 2009, 141 courses at over 50 events at over 30 locations –6,322 courses in-person; prodominately Military Medical Officers Over 4,000 courses doctors, nurses, Physician Assistants (PAs), Medical Service Corps in classrooms worldwide Over 2,000 courses for doctors/nurses/PAs at Ft Sam/Camp Bullis Over 450 physician and senior subject matter experts flown to meet students –Over 31,100 trained on line (EPRC Courses)

7. DMRTI Courses Medical Operations ATLS Advanced Trauma Life Support ® ABLS Advanced Burn Life Support Course ® BLAST Blast Course (New) C4 Combat Casualty Care Course ENPCEmergency Nursing Pediatrics Course ® EWSCEmergency War Surgery Course PHTLSPre-Hospital Trauma Life Support ® TC3Tactical Combat Casualty Care Course (New) TNCCTrauma Nursing Core Course ®

8. DMRTI Courses Contingency Operations EPRCEmergency Preparedness & Response Course EMRWMDEmergency Medical Response to WMD Course HLSMPCHomeland Security Medical Professionals Course JOMMCJoint Operations Medical Managers Course MMHACMilitary Medical Humanitarian Assistance Course MSOCMedical-security, Stability, (transition, reconstruction) Operations Course

9. DMRTI Courses Contingency Operations IS-100 Introduction to Incident Command System IS-200ICS for Single Resources & Initial Action Incidents IS-300 Intermediate Incident Command System for Expanding Incidents IS-400 Advanced Incident Command System, Command and General Staff IS-402Incident Command System (ICS) Overview for Executives/Senior Officials IS-700 National Incident Management Systems (NIMS) IS-800National Response Framework

10. JKDDC Relationship Initial work begun in 2007 with the Emergency Preparedness & Response Course Work closely to maintain course and provide Services quarterly reports Developed partnership in 2010 to establish JKO-DMRTI relationship to promote ADL capabilities for the DoD/joint medical training community

11. Emergency Preparedness Response Course Developed as a result of GAO Audit addressing CBRNE Training for DOD Medical Personnel Original program deployed in 2004/2005 on individual Services Learning Management Systems Courses included: –Basic/Awareness –Operator/Responder –Clinician’s –Executive/Commander

12. Emergency Preparedness Response Course Course revision begun in October 2006 adding short courses for Operators and Clinicians JKDDC agreed to host course in April 2007 Launched Dec 2008 “Joint certified” in 2009/2010 Continual updates most recent occurred in January 2010, next update due to be deployed in April 2010 Completions - 3,441 in FY2009

13. Future Projects Development of game ware into 2 EPRC courses – 3 lessons and a overall exercise Incorporate addition level 3 interactivity into EPRC course Develop new medical courses that will available on high and low bandwidth Development of Community of Interest (COI)

14. Clinical Practice Guidelines (CPGs) for Deployed Personnel Project underway to develop course Available on high and low bandwidth Utilizes level 2 and 3 interactivity

15. 15 Compartment Syndrome and Fasciotomy Damage Control Resuscitation at Level IIb/III Treatment Facilities Frozen and Deglycerolized Red Blood Cells Fresh Whole Blood (FWB) Transfusion Management of Mild Traumatic Brain Injury (mTBI)/Concussion in the Deployed Setting Management of Patients with Severe Head Trauma Pelvic Fracture Care Blunt Abdominal Trauma Vascular Injury Intratheater Transfer and Transport of Level II and III Critical Care Trauma Patients Initial Care of Ocular and Adnexal Injuries at Level I and Level II Facilities Burn Care CPGs for Deployed Personnel

16. Questions