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A&L NET Message Summary - 3 Feb 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
Aid And Litter NET on milSuite

1. A&L NET

a. WILDERNESS PARAMEDIC - JOB TASK ANALYSIS SURVEY. The International Board of Specialty Certification Wilderness Paramedic Job Task Survey is now available at the link below. This survey is crucial for validating both the need for a WP-C exam, and the content of that exam. If you're an ALS provider who is involved with providing care in the wilderness, please take this survey and share the link widely in your professional network. https://prometric.qualtrics.com/jfe/form/SV_2uzECBSmwYWrJNY

b. 2022 ASSOCIATION OF MILITARY SURGEONS OF THE UNITED STATES ANNUAL HYBRID MEETING 7 FEB 22. See more on this event https://www.milsuite.mil/book/events/95924

c. SPECIAL OPERATIONS MEDICINE - INTEREST MEETING 9 FEB 22. See more on this event https://www.milsuite.mil/book/events/99639

d. CAR T-CELL THERAPIES: SPECIAL CONSIDERATIONS FOR FEDERAL AND PUBLIC HEALTH SETTINGS 15 FEB 22. See more on this event https://www.milsuite.mil/book/events/99647

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

a. TCCC GUIDELINES FOR MEDICAL PERSONNEL 15 DEC 21. https://www.milsuite.mil/book/docs/DOC-1095463

b. TC_8-800 MEDICAL EDUCATION AND DEMONSTRATION OF INDIVIDUAL COMPETENCE UPDATED DEC 21. https://www.milsuite.mil/book/docs/DOC-1092800

c. STANDARD MEDICAL OPERATING GUIDELINES (SMOG) FOR CRITICAL CARE FLIGHT PARAMEDICS UPDATED APR 21. https://www.milsuite.mil/book/docs/DOC-1067438

d. PROLONGED CASUALTY CARE GUIDELINES 21 DEC 2021 ID91. https://www.milsuite.mil/book/docs/DOC-1095460

3. Medical FORSCOM WIAS, ARNG, and USAR Positions

a. ARNG/USAR MEDICAL POSITIONS/JOBS AVAILABLE AS OF 29 JAN 22. Positions available for 68A, 91D, 60K, 61K, 66E, 68V, 66S, 68C, 60W, 66B, 71A. https://www.milsuite.mil/book/docs/DOC-1107570

b. ARNG/USAR MEDICAL POSITIONS/JOBS AVAILABLE AS OF 25 JAN 22. Positions available for 670A, 68A, 68J. https://www.milsuite.mil/book/docs/DOC-1107615

4. Medical MILPERs, ALARACTS, Directives, Orders, & Announcements

a. FINAL HQDA EXORD 017-22 (CC) EST EMPLOY ENT-WIDE GO FOR GREEN-ACTION MENU IN WARRIOR REST (FINAL). Situation: the army's core mission is to deploy, fight and win our nation's wars. Success requires a ready, responsive, sustained and lethal land force. The army recognizes the need to invest in the human dimension of its fighting force. As a part of its assessment, the army identified the loss of substantial manpower to non-deployability due to injury and illness. Both the severity and the duration of many of these conditions is affected by nutrition status prior to the onset of the condition; nutrition affects the treatment and recovery phases as well.

b. FRAGMENTARY ORDER 006 (UPDATED GUIDANCE) TO OPERATION ORDER 21-075 UNITED STATES ARMY RESERVE COMMAND (USARC) MANDATORY CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION PROGRAM (CUI), DTG: 281800ZJAN2022. Two changes and 3 additions made. https://www.milsuite.mil/book/docs/DOC-1107616

c. MILPER MESSAGE 22-037, RESCIND MILPER MESSAGE 21-485, 27 DEC 21, FY22 AC, CPT, AAN, MS, SP, AND VETERINARY CORPS (VC), PROMOTION SELECTION BOARDS (PSB) ZONES OF CONSIDERATION, ISSUED: [1/24/2022 4:09:35 PM]. MILPER Message 21-485 is rescinded immediately. HRC will release a forthcoming MILPER message detailing the change to a fully qualified certification process. https://www.milsuite.mil/book/docs/DOC-1107614

5. Discussions on Medical Case Studies, Research, Guidelines, and Updates

a. POST SPLENECTOMY CPG, CASE #1. Thursday theater casualty care conference post-splenectomy vaccination CPG Case #1. https://www.milsuite.mil/book/docs/DOC-1108355

b. POST SPLENECTOMY CPG, CASE #2. Thursday theater casualty care conference post-splenectomy vaccination CPG Case #2. https://www.milsuite.mil/book/docs/DOC-1108587

c. COSCCC 1ST-QUARTER 2022 ABSTRACTS. Background: Damage control resuscitation has become the standard of care in military and civilian trauma. Early identification of blood product requirements may aid in optimizing the clinical decision-making process while improving trauma-related outcomes. This study aimed to assess and compare multiple machine learning models for predicting patients at highest risk for massive transfusion on the battlefield. https://www.milsuite.mil/book/docs/DOC-1109018

d. 2021-ABSTRACTS-4TH-QUARTER-COSCCC. Background: Outcome data about the use of tranexamic acid (TXA) in civilian patients in mature trauma systems are scarce. The aim of this study was to determine how severely injured patients are affected by the widespread prehospital use of TXA in Germany. https://www.milsuite.mil/book/docs/DOC-1109017

e. COSCCC MINUTES 2021 06 NOV. The CoSCCC conference opened with an introduction by CDR Jensen, the Chair of the Committee on Surgical Combat Casualty Care (CoSCCC). Three major lines of effort for this meeting are Neurosurgeon Role 3 Position Statement, Trauma Lexicon review, and Single Surgeon Team Statement – consensus was to ensure the line is our target and not overuse medical terminology. We have an 85% solution and will work to get a finalized drafts for each of these, and get this out for Vote at the conclusion of the meeting. COL Gurney expressed the importance of taking ownership of these documents and others. https://www.milsuite.mil/book/docs/DOC-1109016

f. COVID-19 CLINICAL OPERATIONS GUIDELINES GROUP 2 FEB 2022. Purpose:To provide a common clinical operating picture and rapidly disseminate best practices across the MHS in order to save lives and preserve the force. https://www.milsuite.mil/book/docs/DOC-1108785

g. COVID-19 CLINICAL OPERATIONS GUIDELINES GROUP 26 JAN 2022. Purpose:To provide a common clinical operating picture and rapidly disseminate best practices across the MHS in order to save lives and preserve the force. https://www.milsuite.mil/book/docs/DOC-1105257

6. Army Medicine News

a. ARMY MEDICINE NEWS 3 FEB 22. Key topics include: Suicide, BJACH, Louisiana Army National Guard, MHS Genesis, heat strain, mask mandate, COVID vaccine refusal, sexual trauma, racial harassment, Reddit and military suicide, ABA services, COVID exposure. https://www.milsuite.mil/book/docs/DOC-1109055

b. ARMY MEDICINE NEWS 1 FEB 22. Key topics include: Japan, Sec Def, Moderna, Pfizer vaccine for children, at home COVID tests, Pan-Coronavirus vaccine, Kenner Army Health Clinic, COVID vaccine for teens, Idaho National Guard, Novavax. https://www.milsuite.mil/book/docs/DOC-1107721

c. ARMY MEDICINE NEWS 31 JAN 22. Key topics include: Japan Ghana, COVID deaths, COVID religious exemption, Omicron, Best Medic Competition, professional license reciprocity for military, UVA nursing alumna, COVID unvaccinated, chemo brain, COVID brain fog. https://www.milsuite.mil/book/docs/DOC-1107613

d. ARMY MEDICINE NEWS 28 JAN 22. Key topics include: BACH, Moderna, Omicron, military suicide, Zika vaccine, deadly military adversary, modern military medicine and civil war, military suicide in Alaska, federal COVID vaccine mandate freeze, Walter Reed Military Hospital, Army Force Health Protection, germ warfare, ostracism in the military, military residency, transplant denial. https://www.milsuite.mil/book/docs/DOC-1107612

e. ARMY MEDICINE NEWS 27 JAN 22. Key topics include: Japan, BAMC, FDA, Senegal, Army Best Medic Competition, medical readiness, MHS Genesis, sexual harassment and assault, military supporting hospitals, BPA limit in plastics that contact food, level 1 trauma center, military medical readiness exercise, COVID vaccine safety, Army COVID refusal reprimands, Pfizer vaccine, universal coronavirus vaccine, federal vaccine mandate, COVID study. https://www.milsuite.mil/book/docs/DOC-1107611

7. FORSCOM Casualty Response

a. ARMY SERVICE BLOOD PROGRAM DIRECTORY 20210312 IN THEATER BLOOD SUPPORT. https://www.milsuite.mil/book/docs/DOC-1106592

b. CY22 Standard Medical Operating Guidelines (SMOG) Now Available! ALCON, On behalf of the Medical Evacuation Concepts and Capabilities Division (MECCD) and the School of Army Aviation Medicine (SAAM), we are happy to present to you the updated Standard Medical Operating Guidelines (SMOG) for CY22. End-user input was yet again a large driving factor for revisions to this publication. https://www.milsuite.mil/book/community/spaces/al-net/forscom-al-elements/aviation-casualty-response

c. TEAM - JUST SHARING A GOOD PLATFORM / RESOURCE OF INFORMATION. CarePoint is a Defense Health Agency (DHA) information delivery portal designed to promote self-service business intelligence, user collaboration, content delivery, and information transparency for the purpose of improving healthcare quality, access, and delivery across the Military Health System (MHS). https://www.milsuite.mil/book/people/ismael.flecha/status/448539

d. US ARMY FRSD CONTACT INFORMATION TRACKER AS OF 20220129. Working document as of 20220129. U.S. Army Forward Resuscitative Surgical Detachment (FRSDs): Master Tracker – Contact Information. https://www.milsuite.mil/book/docs/DOC-1101727

8. Role 4, Definitive Care, and Programs

a. 68W MSR SCHEDULE EVANS ARMY COMMUNITY HOSPITAL. Here is the most up-to-date schedule for our 68W MSR program! https://www.milsuite.mil/book/docs/DOC-683449

b. WHAT IS ARCP? The ARMY RECOVERY CARE PROGRAM (ARCP), through the use of Soldier Recovery Units (SRUs), manages the recovery and complex care for wounded, ill, and injured Soldiers across all Army components. There are 14 SRUs located on military installations across the country. In addition to managing the recovery of Soldiers, ARCP provides resources and advocacy for their Families and Caregivers. https://www.milsuite.mil/book/thread/263136

c. THE BRANDON ACT IS COMING FOR TOXIC LEADERS IN THE MILITARY. NOW, WHENEVER A MEMBER OF THE MILITARY NEEDS MENTAL HEALTH ATTENTION, THEY CAN USE THE SAFE WORDS, “BRANDON ACT” TO SELF-REPORT ANONYMOUSLY. BLUF: Now, whenever a member of the military needs mental health attention, they can use the safe words, “Brandon Act” to self-report anonymously and outside the chain of command, which is crucial for anyone in Brandon’s situation. Brandon left behind six suicide notes explaining what pushed him over the edge and asking his parents to try to change it, “so not as many people in the future will suffer the same fate I have.” https://www.milsuite.mil/book/docs/DOC-1090924

d. 22-663 CALL TO ACTION SUICIDE PREVENTIONS BDE AND BN COMMANDER'S HANDBOOK. https://www.milsuite.mil/book/docs/DOC-1097509

e. 22-667 SENIOR COMMANDER'S GUIDE TO SUICIDE PREVENTION. https://www.milsuite.mil/book/docs/DOC-1097534

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

a. NEXT LEVEL MEDIC DAY 1 BOOT CAMP. Take the step to become a next level combat medic by enhancing your knowledge. Start here https://www.milsuite.mil/book/docs/DOC-1109150

b. MEDICS, WHERE’S THE DATA? Improve Your Knowledge with Journals, Articles and Studies. https://www.milsuite.mil/book/docs/DOC-1109132

c. MEDIC PROFESSIONAL DEVELOPMENT PROGRAM. Medics and corpsmen receive a fire hose of basic medical knowledge during their initial training. However, you can only learn and retain so much in a condensed military course. Once you arrive at your new unit, it is up to you and your leadership to engage in continuing medical education. This year-long weekly self-development framework is intended to provide a guided approach to learning the fundamental medical science that was introduced during AIT or A-school. https://www.milsuite.mil/book/docs/DOC-1109131

d. MEDIC TABLES TRAINING DOCUMENTS. https://www.milsuite.mil/book/docs/DOC-1109019

f. VALKYRIE EMERGENCY BLOOD TRANSFUSION TRAINING UPLOADED 9 PROCEDURE checklists. Examples include: Chest tube placement, communication and teleconsultations skills, foley procedure, ketamine infusion, MACE2, nursing care skills, tourniquet conversion, vasopressor infusion, and wound care. https://www.milsuite.mil/book/community/spaces/al-net/medical-simulation-training-centers-mstc/content?filterID=contentstatus%5Bpublished%5D&sortKey=contentstatus%5Bpublished%5D~recentActivityDateDesc&start=20

10. MEDCoE Lessons Learned and Project Warrior

a. PREPARE FOR YOUR NEXT CTC ROTATION! Medical Center of Excellence Combat Training Center teleconference 2nd quarter FY22. To collaborate between the Combat Training Centers (JMRC, JRTC, NTC & MCTP) and the U.S. Army Medical Center of Excellence on medical training issues. https://www.milsuite.mil/book/docs/DOC-1105859

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 https://www.milsuite.mil/book/community/spaces/al-net 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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