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A&L NET Message Summary - 13 Jan 22

A&L NET words displayed over the foggy interior of a military vehicle with two soldiers in combat uniform providing patient care and a radio mic in a hand
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1. A&L NET

a. 2021 SOCIETY OF US ARMY FLIGHT SURGEONS AWARD NOMINATIONS. Nominations are being solicited for the annual Society of US Army Flight Surgeons awards. This is an excellent opportunity to recognize your aeromedical providers who are contributing so much to your units, both at home station and in deployment settings, in fixed facilities and in the operational environment. The deadline for nominations is 13 February 2022.

2. New and Updated Medical Regulations, CPGs, and Guidelines

a. FORCE HEALTH PROTECTION (FHP) GUIDANCE (SUPPLEMENT 18) REVISION 1 - DEPARTMENT OF DEFENSE GUIDANCE FOR PROTECTING ALL PERSONNEL IN DEPARTMENT OF DEFENSE WORKPLACES DURING THE CORONAVIRUS DISEASE 2019 PANDEMIC, 6 JAN 22, WITH FAQs. This memorandum rescinds and replaces FHP Guidance (Supplement 18), 17 Mar 21, and supplements requirements regarding the coronavirus disease 2019 (COVID-19) pandemic. This FHP covers restriction of workplace access and mask wear in the workplace, and the collection of information necessary to protect the workplace. Attachment 1 provides a listing of FAQs with responses that provide implementation procedures for a consistent approach to addressing many occupational safety and health issues associated with COWD-I9 response activities.

b. FORCE HEALTH PROTECTION GUIDANCE (SUPPLEMENT 20) REVISION 1 - DEPARTMENT OF DEFENSE GUIDANCE FOR PERSONNEL TRAVELING DURING THE CORONAVIRUS DISEASE 2019 PANDEMIC, 10 JAN 22. This memorandum applies to official and unofficial travel and provides updated pre- and post-travel guidance for purposes of force health protection (FHP) for Service members, DoD family members, DoD civilian employees, and DoD contractor personnel.

c. FRAGO 14 TO HQDA EXORD 225-21 COVID-19 STEADY STATE OPERATIONS (CUI), DTG: 120038Z JAN 22. This FRAGO provides guidance on the following topics: Addresses the clarifying guidance for SME team and Decision Authority training; Force Health Protection Guidance updates for testing, isolation, and quarantine; and updated data call requirements for COVID-19 vaccination exemptions and refusals.

3. Medical FORSCOM WIAS, ARNG, and USAR Positions

a. FORSCOM WIAS POSITIONS (UPDATED A/O 11 JAN 22). WIAS Account Manager at FORSCOM HQ at Fort Bragg, NC. All components may apply (E5-E7 00G MOS Immaterial) with a Secret Clearance.

b. ARNG/USAR MEDICAL POSITIONS/JOBS AVAILABLE AS OF 13 JAN 22. 405th Field Hospital 1SG/E8, TPU VACANCY, W. HARTFORD, CT. Applicants must hold the grade of E-8. The MOS of 68W is preferred, but other MOS candidates will be considered.

c. ARNG/USAR MEDICAL POSITIONS/JOBS AVAILABLE AS OF 7 JAN 22. 256th Field Hospital requesting application for three detachment commanders, Twinsburg, OH and Southfield, MI. 360 ICW has commander. 848 FRSD has commander. 948 FRSD has commander.

4. Medical MILPERs, ALARACTS, Directives, & Announcements

a. MILPER MESSAGE 22-011, FY23 COLONEL (COL) ARMY MEDICAL DEPARTMENT (AMEDD) CENTRALIZED SELECTION LIST (CSL) PRE-POSITION AND RELEASE, ISSUED: [1/10/2022 11:55:59 AM]. The FY23 COL AMEDD CSL Principal and Alternate by name only lists prepositioning date is 11 January 2022 for all preposition recipients, with a public release at 0730 (EST) on 18 January 2022 separately from the FY23 CSL slates.

b. MILPER MESSAGE 22-015, FY23 LIEUTENANT COLONEL (LTC) ARMY MEDICAL DEPARTMENT (AMEDD) CENTRALIZED SELECTION LIST (CSL) PRE-POSITION AND RELEASE, ISSUED: [1/10/2022 12:03:33 PM]. The FY23 LTC AMEDD CSL Principal and Alternate by name only lists prepositioning date is 11 January 2022 for all preposition recipients, with public release at 0730 (EST) on 18 January 2022 separately from the FY23 CSL slates.

c. MILPER MESSAGE 22-019, ACADEMIC YEAR 2023 ARMY MEDICAL DEPARTMENT (AMEDD) 4 (ARMY NURSE (AN), MEDICAL SERVICE (MS), ARMY MEDICAL SPECIALIST (SP), AND VETERINARY (VC)) CORPS LONG TERM HEALTH EDUCATION AND TRAINING (LTHET) PROGRAM SELECTION PANEL ANNOUNCEMENT, ISSUED: [1/12/2022 11:26:20 AM]. This message announces the eligibility requirements and application procedures for AMEDD 4 officers to apply for selection to attend LTHET in Academic Year 2023 (AY2023). The AMEDD’s LTHET program delivers quality education, training, and officer leader development opportunities to optimize officer career progression. LTHET programs include graduate degrees, internships, residencies, fellowships, and Training With Industry (TWI).

d. MILPER MESSAGE 22-020, ACADEMIC YEAR 2023 (AY2023) ARMY MEDICAL DEPARTMENT (AMEDD) RESEARCH AND DEVELOPMENT CORPORATION (RAND) ARROYO CENTER FELLOWSHIP, ISSUED: [1/12/2022 11:29:32 AM]. This message announces the eligibility requirements and application procedures for AMEDD officers to apply for participation in AY2023 RAND Arroyo Center Fellowship Program. The RAND Arroyo Center Fellowship Program is one of the Army’s Broadening Opportunity Programs.

5. Army Medicine News

a. ARMY MEDICINE NEWS 12 JAN 22. Key topics include: Japan, Infectious Disease, Military medicine and obstetric care, COVID booster mandate, COVID surge, COVID self tests, COVID test insurance coverage, mask rules.

b. ARMY MEDICINE NEWS 11 JAN 22. Key topics include: CDC, South Korea, Fort Drum, C-section, military leaders, omicron, COVID vaccine or test mandate, vaccinated COVID deaths, mandatory COVID vaccine booster, common colds and COVID.

c. ARMY MEDICINE NEWS 10 JAN 22. Key topics include: Japan, vaccine mandate, military suicide, quarantine rules, Fairfield, Angels of the Battlefield Award, National Academy of Medicine competition, commander relieved for racist remarks, military dentists, unvaccinated employees.

d. ARMY MEDICINE NEWS 7 JAN 22. Key topics include: BAMC, Guam, South Korea, Gold Star families, gender relations, contractor vaccine mandate, COVID vaccine booster.

e. TOOLS TO MITIGATE THE THREAT OF THE OMICRON VARIANT OF COVID 2019 IN THE DEPARTMENT OF DEFENSE. Tools to Mitigate the Threat of the Omicron Variant of Coronavirus Disease. Please provide widest dissemination as deemed necessary.

f. ARMY MEDICINE NEWS 6 JAN 22. Key topics include: Hacker, infection control, Tripler Army Medical Center, Marshall Islands, ACFT, COVID vaccine refusal, Omicron, troops supporting hospitals, Blanchfield Army Community Hospital.

6. FORSCOM Casualty Response

a. MEMBER QUESTION: Does anyone have 24 bed surgical detachment SOP?

b. a. 4-02.25 The Medical Detachment Forward Resuscitative and Surgical updated December 2020.

c. Chemical Biological Radiological Nuclear (CBRN) Injury Part I Initial Response 01 May 2018 ID69.



f. Training Flash to Bang FRSD CDR Course.

g. BASIC MEDICAL DOCUMENTATION FORMS FOR AN AUSTERE ENVIRONMENT. It is CENTCOM policy as well as standard of care for all medical caregivers worldwide to document care provided. Standard documentation forms required by JTS for trauma care include the DD Form 1380 Tactical Combat Casualty Care card, DA Form 4700 Patient Care Record, and the DD Form 3019 Resuscitation Record.

h. AUSTERE RESUSCITATIVE AND SURGICAL CARE (ARSC) CARD. Attached is my revision of the Austere Resuscitative and Surgical Care (ARSC) Card. There are many TIVA cocktails suggested and every provider will have their preference. My suggestion is KEEP IT SIMPLE- LET THE PATIENT EARN THEIR ANESTHETIC! Resuscitation is the key to successful trauma anesthesia. Shock places you in the danger zone between AWARNESS AND PROFOUND HYPOTESION/DEATH.

i. AR 40-502 Medical Readiness 27 June 2019.

j. AR 40-501 Standards of Medical Fitness 27 Jun 2019.

k. CONDUCTING FRESH WHOLE BLOOD TRANSFUSION TRAINING. Abstract: Fresh whole blood is the optimal resuscitation fluid for casualties in hemorrhagic shock according to the Committee on Tactical Combat Casualty Care and has demonstrated to improve outcomes in severely wounded patients. Like all medical interventions, fresh whole blood transfusions are not without risks, but similarly can be mitigated through increased training to develop provider knowledge and proficiency. To date, no literature has been published regarding the proper technique to conduct fresh whole blood transfusion training.

l. MOBILE ANESTHESIA READY-SET-PACK AND GO. Providing inhalational anesthesia will require anesthesia machine and ventilator, additionally, proper end-tidal monitoring and scavenging system has to be in place in order to deliver accurate concentrations and keep the operation environment free of anesthetics contamination.

m. ST 4-02.25 EMPLOYMENT OF THE FRST JANUARY 2017. The forward resuscitative surgical team (FRST) is a 20-Soldier team which provides far forward autonomous damage control resuscitation and damage control surgery intended to render non-transportable patients sufficiently stable following surgery to allow for medical evacuation to the next role of care.

7. Role 4, Definitive Care, and Programs

a. MEMBER QUESTION: I have been assigned as a TOMS Medic and I am in the process of standing up my aid station. I was hoping you might have some TOMS POC's at other locations or SOP products for the TOMS pilot. I really apricate any help you can give to me.




8. Combat Medic Sustainment (CMS) and Medical Simulation Training Centers (MSTC)


b. MILITARY WORKING DOG (CANINE) TC3 RESOURCES. DD 3073 Canine Tactical Combat Casualty Care Card with instructions. DD 3074 Canine Treatment and Resuscitation Record with instructions.

c. VALKYRIE EMERGENCY WHOLE BLOOD TRAINING AND READINESS. DESCRIPTION: Provides an introductory overview of Emergency Fresh Whole Blood Transfusion, to include history of field blood transfusions, the current need for field blood transfusion capability within operational forces, and the methodology to the Valkyrie training approach.

9. MEDCoE Lessons Learned and Project Warrior

a. CALL Insider 18182. Latest Products and News from CALL, CALL Insider 1st OTR, FY 22.

Please share this message with anyone seeking updates to stay current with medicine, casualty response and prevention, lessons learned, case studies, etc. It's time to increase transparency and communication rapidly and effectively to the lowest level to ensure we all have a common operating picture of medical operations. Messages will be sent on a weekly basis pending content and availability. Thanks for your time and support.

JOIN INSTRUCTIONS: If you would like to receive messages on updates and posts to A&L NET, you must join community on milSuite. To join, click on the A&L NET Home Page link and sign in to milSuite with your CAC (signing in establishes your milSuite account if you didn’t have one). When you reach the A&L NET Home Page look on the left side of the page for the “Join A&L NET” widget and click it. Approval is automatic. All A&L NET members receive these messages. You must log on every 9 months to keep your account active.

REVOKE MEMBERSHIP: If you no longer wish to be a member of A&L NET go to the A&L NET Home Page, look on the right side of the screen for the "Actions" box, and click on “Leave Community.”

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