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A&L NET milSuite Message Summary - 22 Nov 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

A&L NET Army milBook

a. New and Upcoming Calendar Events:

(1) The Joint Enroute Care Course (JECC) 28 Nov - 9 Dec 22

(2) Surgical Telementoring for Combat Casualty Care (STC3) – Part 3 Operational Telementoring for Prolonged Casualty Care 1 Dec 22

(3) SOMA Training, Education, & Scientific Assembly 15-19 May 23

(4) AAPA 2023 National PA Conference 20-24 May 23

b. SOURCES OF REFERENCE FOR A&L NET INFORMATION UPDATED. https://www.milsuite.mil/book/docs/DOC-1072443

c. EQUIPMENT UPDATE! - MEDICAL EQUIPMENT SET (MES) TACTICAL COMBAT MEDICAL CARE (TCMC) LIN: M30499, DATED DEC22. Per the MMIP, for the Unit Assemblage for Medical Equipment Set (MES) Tactical Combat Medical Care (TCMC) [LIN: M30499] has been updated (it is dated DEC 2022). Of particular note, some of the following durable/nonexpendable items have been updated/replaced: Blood Fluid Warmer System is now the Belmont. Add: Generator Oxygen. Replace: Stryker Lifepak AED, and Zoll Medical Suction Apparatus. For specific technical details, please visit MMIP website (CAC access) and search by LIN M30499. https://www.milsuite.mil/book/thread/273572

d. OTSG AND MEDCOM PUBLISHED DOCUMENTS. Team - not sure why many of the latest OTSG/MEDCOM publications are not pinging onto S1NET Home Page but I wanted to highlight the OTSG/MEDCOM Publications, Policy Memos, Forms page. Some Recent Highlights: Update on Command Directed Behavior Health Exams: 5 May 2022. Update on Transferring Behavior Health, Substance Use Disorder and Family Advocacy Program Care for Transitioning Service Members: 3 May 2022. https://www.milsuite.mil/book/thread/270459

Medical WIAS, ARNG, USAR, AIM, and SFAB Positions

a. 415TH CIVIL AFFAIRS BATTALION JOB VACANCY WITH MULTIPLE VACANCIES IN KALAMAZOO/PORTAGE MI FOR O-3 TO O-4 AND E4 TO E7. Point of Contact is SSG Roman, Juan C. S1 NCOIC, 415 Civil Affairs Battalion. https://www.milsuite.mil/book/docs/DOC-1205416

Medical MILPERs, ALARACTS, Directives, Orders, & Announcements

a. MILPER MESSAGE 22-451, FY 2023 WARRANT OFFICER APPLICATIONS FOR ACTIVE DUTY AND RESERVE HEALTH SERVICES MAINTENANCE TECHNICIAN (MOS 670A), ISSUED: [11/21/2022 10:25:52 AM]. This message solicits applications for the FY23 Medical Service Corps Health Services Maintenance Technician Warrant Officer Training Program. Please pass this message to all MOS 68A (Army), 4A2xx (Air Force), and HM 8478 (Navy) DoD Biomedical Equipment Maintenance Technicians. https://www.hrc.army.mil/Milper/22-451

b. RESCISSION OF ARMY MEMORIAL PROGRAM MORATORIUM 8 NOV 22. From HRC Casualty and Mortuary Affairs Operations Division (CMAOD): The Assistant Secretary of the Army, (Manpower and Reserve Affairs) Principal Officials’ Guidance (POG) memo: Rescission of Army Memorial Program Moratorium, dated 8 Nov 2022, has been posted to the APD Website, and the POG titled: Army Memorial Program Moratorium, dated 19 Apr 2021, has been rescinded. https://www.milsuite.mil/book/docs/DOC-1208264

c. MILPER MESSAGE 22-445, FISCAL YEAR 2024 (FY24) LIEUTENANT COLONEL (LTC) ARMY MEDICAL DEPARTMENT (AMEDD) CENTRALIZED SELECTION LIST (CSL) PRE-POSITION AND RELEASE, ISSUED: [11/16/2022 9:42:51 AM]. The Chief of Staff of the Army (CSA) approved the results for the FY24 LTC AMEDD CSL Command/Key Billet Board. The FY24 LTC AMEDD CSL principal and alternate by-name only lists’ prepositioning date is 21 November 2022, for all preposition recipients. The FY24 LTC AMEDD CSL principal and alternate by-name only list will be publicly released on 23 November 2022 at 0730 (EST) and released separately from the FY24 CSL slates. https://www.hrc.army.mil/Milper/22-445

d. MILPER NUMBER: 22-442 ARMY CAREER INTERMISSION PROGRAM (CIP) ISSUED:[15-NOV-2022]. The purpose of the Career Intermission Program (CIP) is to provide a one-time temporary transition from the Regular Army (RA) / United States Army Reserve (USAR) Active Guard Reserve (AGR) to Individual Ready Reserve (IRR) to allow Soldiers to pursue personal or professional growth outside the Army while providing a mechanism for their return to active duty in their prior component. The Army’s long term intent is to retain the valuable investment in experience and training that is otherwise lost when a Soldier separates permanently. Eligibility Criteria Regular Army competitive category, Chaplain Corps, Judge Advocate General’s Corps, and Army Medical Department Corps Officers. https://www.milsuite.mil/book/docs/DOC-1207251

e. MILPER NUMBER: 22-411 FISCAL YEAR (FY) 2024 AMEDD ENLISTED COMMISSIONING PROGRAM (AECP) APPLICATIONS FOR ACTIVE DUTY, RESERVE, AND NATIONAL GUARD ISSUED:[19-OCT-2022]. Selection Process: Application deadline for FY24 is 1 August 2023 for packet submission from an AMEDD recruiter to Health Services Program Manager (HSD), USAREC, HQ. A competitive selection board will convene on 12-15 September 2023. All applications will be considered based on individual merit. See the full MILPER message at https://www.hrc.army.mil/milper/22-411

f. PARAMEDIC MILPER 22-350 AND TEMPLATE 3P 4187. Here is the MILPER and 4187 for the 3P ASI. I added a little more to the 4187 because the uploaded template was a generic ASI evaluation 4187. https://www.milsuite.mil/book/docs/DOC-1206643

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

a. CHARACTERIZING PEDIATRIC SUPERMASSIVE TRANSFUSION AND THE CONTRIBUTING INJURY PATTERNS IN THE COMBAT ENVIRONMENT. This is part of the JTS 2022 Publications. See more here https://www.milsuite.mil/book/docs/DOC-1208437

b. COMPARISON OF MILITARY AND CIVILIAN METHODS FOR DETERMINING POTENTIALLY PREVENTABLE DEATHS, A SYSTEMATIC REVIEW.

FINDINGS Fifty studies (8 military and 42 civilian) met the inclusion criteria. In total, 1598 of 6500 military deaths reviewed and 3346 of 19 108 civilian deaths reviewed were classified as potentially preventable. Among military studies, the preventable death rate ranged from 3.1% to 51.4%. Among civilian studies, the preventable death rate ranged from 2.5% to 85.3%. The high level of methodological heterogeneity regarding factors, such as preventable death definitions, review process, and determination criteria, hinders a meaningful quantitative comparison of preventable death rates. https://www.milsuite.mil/book/docs/DOC-1207286

c. BLOOD PRODUCT ADMINISTRATION DURING THE ROLE 1 PHASE OF CARE, THE PREHOSPITAL TRAUMA REGISTRY EXPERIENCE. Background: The majority of combat deaths occur in the prehospital setting. Efforts to increase survival including blood transfusions are made in the prehospital setting. The blood products available in the Role 1 setting include whole blood (WB), red blood cells (RBCs), fresh frozen plasma (FFP), and lyophilized (freeze-dried) plasma (FDP). https://www.milsuite.mil/book/docs/DOC-1205782

d. COSCCC ABSTRACTS 3RD QUARTER 2022. Abstract: Resuscitation techniques for the management of adult trauma patients have evolved over the 20th century. Whole blood transfusions were previously used as the standard of care, whereas blood component therapy is the current method employed across most trauma centers across the United States. https://www.milsuite.mil/book/docs/DOC-1205729

e. COSCCC ABSTRACTS 4TH QUARTER 2022. Introduction: While timely specialized care can contribute to improved outcomes following traumatic brain injury (TBI), this condition remains the most common cause of post-injury death worldwide. The purpose of this study was to investigate the difference in mortality between regional trauma centers in Sweden (which provide neurosurgical services round the clock) and non-trauma centers, hypothesizing that 1-day and 30-day mortality will be lower at regional trauma centers. https://www.milsuite.mil/book/docs/DOC-1205730

A&L NET Member Contributions

a. OTSG AND MEDCOM PUBLISHED DOCUMENTS. Team - not sure why many of the latest OTSG/MEDCOM publications are not pinging onto S1NET Home Page but I wanted to highlight the OTSG/MEDCOM Publications, Policy Memos, Forms page. Here are some recent highlights. Update on Command Directed Behavior Health Exams: 5 May 2022. Update on Transferring Behavior Health, Substance Use Disorder and Family Advocacy Program Care for Transitioning Service Members: 3 May 2022. https://www.milsuite.mil/book/thread/270459

FORSCOM Casualty Response and Prevention

a. NON-DEPLOYABLE REPORT AS OF THE END OF MONTH OCTOBER 2022. As of EoM Oct 22, ~62.7K or ~6.5% of the Total Army were considered Non-Deployable; Army Non-Deployable rate increased by ~0.1% from Sep 22. https://www.milsuite.mil/book/thread/273675

b. ARMY PA - COMMITTEE OF COMBAT MEDICINE & READY MEDICAL FORCE. The Army PA Combat Medicine & Ready Medical Force (CM&RMF) committee is looking for highly motivated, experienced, and innovative PAs to join us. Your expertise as FRONTLINE PROVIDERS will enhance our committee spearhead combat medicine readiness efforts to optimally prepare Army Physician Assistants for future wars. Get in touch with LTC Ismael Flecha via email. https://www.milsuite.mil/book/docs/DOC-1189413

c. ARMY PHYSICIAN ASSISTANT - A MENTORSHIP & READINESS GUIDE 20221018. As of 18 Oct 2022: The Army PA Combat Medicine and Ready Medical Force (CM&RMF) Committee has taken the initiative to provide a mentorship and readiness guide for our Junior PAs. This will complement the U.S. Army PA Handbook (2nd edition). The goal is to keep Junior PAs up to date with information and to provide resources for professional development. The CM&RMF committee welcomes any suggestions or recommendations to make this document better. https://www.milsuite.mil/book/docs/DOC-1098259

d. PHANTOM FIRST RESPONDER TRAINING GUIDE (HOW TO IMPLEMENT TC3 INTO THE UNIT). I recently listened to a to a great presentation by the TF Phantom Deputy Surgeon, LTC Walter Engle (III Corps Senior PA). The product that III Corp Created is a wonderful resource for anyone having to train units in TC3. Not only does it explain the process, is has slides, checklists, grading sheets, and anything else you would need to train large or small units in TC3. Why did they do this? Well its a good idea to train TC3 but recently GEN Votel issued a memo that requires TC3 for everyone entering CENTCOM. III Corp developed a solution to this and its awesome! The document itself is good but within it are links to many of the products they created...some of those links are behind the III Corp firewall. https://www.milsuite.mil/book/thread/196900

e. WHAT IS THE PROCESS FOR REPORTING A TPU SOLDIERS DEATH? (ANSWER). The workflow is found in the USAR PAG T-27-A-1 Process the Death of a TPU Soldier or ask your S1. But you must also route the SIR through your command S3/G3 channels to higher. https://www.milsuite.mil/book/thread/271609

f. FLIGHT PARAMEDIC PERCEPTIONS AND BELIEFS SURVEY. Flight Paramedic Perceptions and Beliefs on the Current Medical Sustainment Program. I am asking for your assistance in making our profession stronger with objective data. I've been working on a project since 2017 with a small team to collect and analyze flight paramedic perceptions and beliefs on the current sustainment program and in general paramedic sustainment in the U.S. Army. The purpose of this study is to survey Active Duty critical care flight paramedics in their personal opinions and beliefs about their sustainment program. The survey will close on 31 December 2022. https://www.milsuite.mil/book/thread/273729

g. RANGER MEDIC HANDBOOK (2020). JTS CPGs are the gold standard for operational medicine. Here is another clinical resource for FRSD Medics in an operational environment. https://www.milsuite.mil/book/docs/DOC-1205683

h. PHANTOM FIRST RESPONDER TRAINING GUIDE (HOW TO IMPLEMENT TC3 INTO THE UNIT). I recently listened to a to a great presentation by the TF Phantom Deputy Surgeon, LTC Walter Engle (III Corps Senior PA). The product that III Corp Created is a wonderful resource for anyone having to train units in TC3. Not only does it explain the process, is has slides, checklists, grading sheets, and anything else you would need to train large or small units in TC3. The document itself is good but within it are links to many of the products they created...some of those links are behind the III Corp firewall. https://www.milsuite.mil/book/thread/196900

i. CRITICAL SKILLS TRACKER FOR 68W. Following attendance at a briefing the other day I took note of some areas that I as a Platoon Sergeant failed. As a means of alleviating the same issues for those coming into or serving within this role I am offering a tracker and the guide to assist with ensuring your Soldiers are trained and proficient in their MOS. My last assignment was an Observer Controller Trainer at the Joint Multinational Readiness Center in Hohenfels, Germany. https://www.milsuite.mil/book/people/nickolaus.p.long/blog/2019/07/02/critical-skills-tracker-for-68w

Medical Courses

a. ORTHOPAEDIC PA INTRODUCTORY COURSE (OPIC). Available at CRDAMC, Fort Hood. 14-18 Nov 22. https://www.milsuite.mil/book/events/105896

b. SPECIAL INFORMATION FOR BCT3 STUDENTS AND UNIT COORDINATORS. This course is primarily a Mobile Training Team (MTT). The host units are responsible for coordinating and providing all support throughout the duration of the training event. All Soldiers/units needing training must coordinate with the Center for Pre-Hospital Medicine - BCT3 in order to schedule and obtain approval for training. https://www.milsuite.mil/book/docs/DOC-607910

c. HOW TO SELF REGISTER FOR FY23 P3T CLASS 001 IN BB. Go to the MEDCoE Blackboard URL from any device: https://amedd.ellc.learn.army.mil NOTE: All users must be authenticated through EAMS-A. Users can log in with their CAC and PIN OR by typing in their ICAM Username and persona and ICAM Password. https://www.milsuite.mil/book/docs/DOC-1194435

d. GTCC INSTRUCTIONS FOR COMBAT PARAMEDIC COURSE STUDENTS CLASS 500. https://www.milsuite.mil/book/docs/DOC-708704

e. CBRNE TRAINING OPPORTUNITY - MAJ MASKELL SENDS. I want to widely disseminate training opportunities available. USAREUR-AF has a significant source of funds to advance CBRN readiness in the European Theater. Our G34 earmarked funds for medical CBRN training and it's available. I attached an instruction MFR and several training options to consider. If leadership approves and the requester has a confirmed seat, then please reach out to me or the POC below for access to the funding. https://www.milsuite.mil/book/thread/273745

MEDCoE Lessons Learned and Project Warrior

a. PROJECT WARRIOR PROGRAM. Project Warrior (PW) is always looking for well-qualified officer and NCO candidates who desire to become true subject matter experts within the medical community! The 48-month program has two phases. Phase 1 consists of two years as a medical Observer, Controller, Trainer (OC/T) at one of the three Combat Training Centers (CTCs): National Training Center (NTC), Joint Readiness Training Center (JRTC), and Joint Multinational Readiness Center (JMRC). Selected candidates are eligible for additional schools and highly competitive for future promotions. Officers can contact MAJ Davarius Sharpe. NCOs can contact MSG Joshua Friday. https://www.milsuite.mil/book/docs/DOC-1208436

b. FRONT END ANALYSIS ON 82ND AIRBORNE DIVISION COMMAND SURGEON SECTION, UKRAINIAN RESPONSE. this memorandum provides a review and Front End Analysis on the 82d ABD Command Surgeon Section’s best practices, issues, and key observations from the teleconference (TCON) collection on 28 September 2022. https://www.milsuite.mil/book/docs/DOC-1206268

c. ROLE 2 READINESS ASSESSMENT WITH ARSRA APPENDIX - FINAL 8 MARCH 21. Pre-deployment and BOG tool to establish readiness for surgical mission. Appendix for austere teams with operational focus. https://www.milsuite.mil/book/docs/DOC-964608

d. BRIGADE SUPPORT MEDICAL COMPANY JMRC ROTATION IN HOHENFELS, GERMANY. A 2019 joint exercise that took place at the Joint Multinational Training Command, also known as JMRC, located in Hohenfels Germany, which is the location of one of the most successful training rotations for a Role 2. This is no ordinary Role 2, it is the only Brigade Support Medical Company that is not only Airborne qualified, but one that is also aligned to support premier partner nations in Europe. https://www.milsuite.mil/book/docs/DOC-1206266

e. TRIP REPORT AND FRONT END ANALYSIS FOR I CORPS WARFIGHTER EXERCISE (WFX) 23-1 COLLECTION. his memorandum provides a Front End Analysis of I Corps WFX 23-1 specifically the I Corps Surgeon Section, 18th MCDS, and 62d MEDBDE’s best practices, issues, and key observations from a Training Exercise Collection Visit (TECV). https://www.milsuite.mil/book/docs/DOC-1208110

f. FIRST QUARTER FY23 MEDCOE LESSONS LEARNED NEWSLETTER. https://www.milsuite.mil/book/docs/DOC-1208435

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 the 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.

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