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A&L NET milSuite Message Summary - 25 Jul 23

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. Would it be beneficial to have a monthly MS Teams meeting hosted by DoS open to everyone? I would like to know if members across the force would be interested in a recurring MS Teams meeting hosted by the Directorate of Simulation (DoS) with speakers (when available) from Combat Medic Sustainment Division, Medical Simulation Training Center, MSTC NXT GEN, and 68W SME. If you are interested in this, please provide feedback below, share with your team, and ask them to answer as well.

b. TCCC TIER 2 - COMBAT LIFESAVER (CLS) COURSE STATUS OF AFFAIRS UPDATE 17JUL2023 AND QUESTIONS. Here is most recent update from MEDCoE for those still looking for answers on conducting Combat Lifesaver (CLS) or Combat Lifesaver Course (CLC) to Army standards. An ALARACT for establishing the rollout plan for Army conduct of the Tier 2 training is in the works, publication is TBD. There is a lot of confusion about what the official material to use for CLS is and where to go to get it. Training and Doctrine Command (TRADOC) and the Medical Center of Excellence (MEDCoE) have designated the Directorate for Training and Doctrine (DOTD) and the Individual Training Branch (ITB) as the Office of Primary Responsibility for the Army specific CLS Program of Instruction (POI). ATRRS credit requests must be sent through the designated email inbox using the Instructions for CLC Instructors as of 1 Nov 22.docx.

c. FSH Class VIII Network on MS Teams. Hello everyone! Welcome to FSH Class VIII Network. This channel is dedicated to medical supply distribution, management, and support for all units at Fort Sam Houston and JBSA. Please use this platform to share information regarding any medical supply topics and help distribute unused material to those who may be in need of it.

d. ROLE 1 LIMITED OBJECTIVE EXPERIMENT (LOE) 28 - 30 AUG. Background: Although the roles of care within the AHS have been sufficient over the past two decades, the shift towards Large-Scale Combat Operations (LSCO) against peer/near-peer threats in a Multi-Domain Operations (MDO) environment calls for a comprehensive re-examination of these roles. Specifically, Role 1 care warrants a thorough investigation to uncover any challenges, gaps, and requirements, with a particular focus on the provision of prolonged care due to potential evacuation delays. This analysis should take into account the expected transformation of the Army force by 2030.

e. CLS TRACKER BY SFC DAVID ARTHUR. I use this tracker to track CLS expiration and BLS expiration for my Drill Sergeants here at Ft. Sill. It has conditional formatting. Any other questions you can send me an email on global.

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

a. HYPOTHERMIA PREVENTION TREATMENT 07 JUN 2023 JTS CPG ID23. This document provides updates to the Hypothermia Prevention Monitoring and Management CPG from 2012 and is applicable from the pre-hospital phase of care and beyond.

b. RANGER MEDIC HANDBOOK (2020). Ranger Medics will always train and master the basics before pursuing more advanced skills, procedures, or techniques. While these skills are care enhancing the basics of Tactical Combat Casualty Care (TCCC) will save the most lives on the battlefield.

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


b. Emergency transfusion with whole blood versus packed red blood cells A study of 1400 patients. Background: Low-titer group O whole blood (LTOWB) is increasingly used for emergency transfusion. We studied whether initial release of LTOWB com-pared with packed red blood cells (pRBCs) reduced overall blood requirements for patients needing emergency transfusion. Secondary outcomes examined included survival and non-lethal adverse clinical outcomes.

c. TACTICAL MEDICINE CHAPTER 33 LANNY F. LITTLEHOHN, MD, AND BRENDONG. DREW, DO. Medical practice in a limited-resource operational environment frequently differs from “standard” practice in a fully resourced hospital in the United States. Battlefield trauma care is based partly on standard US guidelines, such as the Advanced Trauma Life Support (ATLS) course, but also with an eye toward the unique considerations of a forward deployed environment. This chapter will highlight important operational medical skills and guidelines such as those delineated in the Tactical Combat Ca-sualty Care (TCCC) guidelines and the Prehospital Trauma Life Support(PHTLS) manual.

d. BLOOD PRODUCT ADMINISTRATION DURING THE ROLE 1 PHASE OF CARE MILITARY MEDICINE VOL 187 JANUARY/FEBRUARY 2022. Background: The majority of combat deaths occur in the prehospital setting. Efforts to increase survival including blood transfusionsare 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).

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

a. FY23 RC MAJ AMEDD PSB RESULTS ARE CURRENTLY ON HOLD AND BEING REVIEWED. As information is received, it will be relayed to the field through this site and the following platforms: Officer and WO Selections and Promotions, Facebook.

b. MILPER NUMBER: 23-280 RELEASE OF FISCAL YEAR (FY) 2023 REGULAR ARMY (RA) MEDICAL SERVICE (MS) CORPS MEDICAL FUNCTIONAL AREA (MFA) 70 (HEALTH SERVICES) AND 67J (AEROMEDICAL EVACUATION OFFICER) AREA OF CONCENTRATION (AOC) DESIGNATION PANEL RESULTS. This message releases the results of the Fiscal Year (FY) 2023 Regular Army (RA) Medical Service (MS) Corps Medical Functional Area (MFA) 70 (Health Services) Area of Concentration (AOC) Designation Panel.

c. MILPER NUMBER: 23-277 ELIGIBILITY CRITERIA FOR OFFICERS REQUESTING TO DEFER PROMOTION CONSIDERATION (OPT-OUT) FROM THE FISCAL YEAR 2024 (FY24) ACTIVE COMPONENT (AC), ARMY MEDICAL DEPARTMENT (AMEDD) ARMY NURSE CORPS (AN), MEDICAL SERVICE CORPS (MS). This MILPER message describes the specific eligibility criteria for officers to request deferral of consideration and to opt-out from the FY24 AC AMEDD colonel (COL), lieutenant colonel (LTC), or major (MAJ) AN, MS, SP or VC PSBs.

d. MILPER NUMBER: 23-276 ELIGIBILITY CRITERIA FOR EARLY CONSIDERATION (OPT-IN) FOR THE FISCAL YEAR 2024 (FY24) ACTIVE COMPONENT (AC), ARMY MEDICAL DEPARTMENT (AMEDD) ARMY NURSE CORPS (AN), MEDICAL SERVICE CORPS (MS), MEDICAL SPECIALIST CORPS (SP). This MILPER message describes the specific eligibility criteria for officers to request early consideration and opt-in for all FY24 AC AMEDD AN, MS, SP, and VC PSBs as detailed in paragraph 4. This change does not affect officers in the above zone (AZ) or primary zone (PZ) areas of consideration.

e. EXCEPTION TO POLICY TO ARMY REGULATION (AR) 135-155, RESERVE COMPONENT (RC) ARMY MEDICAL DEPARTMENT (AMEDD) OFFICER PROMOTION MILITARY EDUCATION (MILED) REQUIREMENTS, 14 FEBRUARY 2023. On 14 Feb 23, Director, Military Personnel Management, HQDA G-1, approved and ETP MILED requirements for promotion selection boards found in AR 135-155 (Promotion of Commissioned Officer and Warrant Officers Other than General Officers), 13 Dec 2022.

f. MILPER MESSAGE 23-273, FISCAL YEAR 2025 (FY25) MEDICAL COMMAND ASSESSMENT PROGRAM (MCAP) PARTICIPANT SELECTEE RELEASE ANNOUNCEMENT, ISSUED: [7/17/2023 11:52:45 AM]. The officers selected to participate in the MCAP will be prepositioned 18 July 2023. The MCAP participation selectee list will be publicly released at 0730 (EDT) on 20 July 2023.

g. MILPER MESSAGE 23-269, INITIAL COMMAND ASSESSMENT PROGRAM FY25 (CAP25) PARTICIPANT INSTRUCTIONS AND GUIDANCE IN ASSOCIATION WITH THE FISCAL YEAR 2025 (FY25) COLONEL (COL) AND LIEUTENANT COLONEL (LTC) ARMY COMPETITIVE CATEGORIES (ACC) CENTRALIZED SELECTION LISTS (CSL), FY25 ARMY ACQUISITION LEADERS CSL, FY25 ARMY MEDICAL DEPARTMENT (AMEDD) CSL, O5/O6 CHAPLAIN SELECTION, AND THE FY25 BRIGADE COMMAND SERGEANTS MAJOR CSL, ISSUED: [7/17/2023 9:36:31 AM]. The purpose of the Command Assessment Program (CAP) is to expand the Army's understanding of each leader’s unique talents, assess their readiness for command/primary general staff billets/brigade CSM billets, assess their future potential, and most importantly to select leaders for command/key billet and primary general staff positions on the FY25 CSL and command sergeants major for brigade CSM positions.

5. Medical Positions WIAS, ARNG, USAR, AIM, SFAB, and Project Warrior

a. MEDCOE VACANCY ANNOUNCEMENTS - 19 JUL 2023. MEDCoE vacancies that are listed on USAJobs: 4 job postings active until 27 Jul.

b. United States Army Medical Research and Development Command (USAMRDC) IMA Vacancies at Multiple Locations. Ft. Detrick, Ft. Rucker, Walter Reed, and Aberdeen.


6. MEDCoE Lessons Learned and Project Warrior

a. PROJECT WARRIOR PHASE 1 OPENINGS AS OF JUL 23. Below are the unfilled positions reported by each CTC for July 2023 (6 unfilled positions reported).

7. FORSCOM & EAB Casualty Response and Medical Operations

a. Donor Prescreening and Walking Blood Bank 14ul23. Donor Prescreening and Walking Blood BankUpdate from the SMEs!

8. Medical Courses

a. MANAGEMENT OF BURNS AND MULTIPLE TRAUMA COURSE (18-22 SEP 23). The course will feature didactic sessions covering: anatomy/physiology of skin, burn/wound assessment and management, emergency burn care, complications with burn and trauma, nutrition concerns with burn population, rehabilitation management of burn injuries, surgical aspects of trauma and amputations, rehabilitation management of amputations, management of combat stress, management of traumatic brain injury, and burn trauma care as they relate to the military.

9. Combat Medic Sustainment and MSTCs

a. DoS 68W Sustainment and Systems Projects and Updates. Dos is currently working on the following projects: Repository for force produced didactic training material and supporting documents; Repository for training casualty scenarios; CMSD milSuite site align with TC 8-800 requirements (add lesson plans) TC8-800 Slides & Lesson Plans (MEDIC); Update testing scenario database (DoS Working Group Join conversation) etc….

b. CMSD APPROVED SKILLS QUALIFICATION TESTING SCENARIOS (2014). In Accordance With (IAW) TC 8-800 Paragraph 3-19, Table VIII, Skills Qualification Testing will be conducted using only the Army CMSD approved scenarios. All Approved scenarios are attached.

c. Would you like to support DoS working groups and projects in support of the 68W? The Directorate of Simulation is looking for personnel interested in joining a DoS working group list. This list will be added to the DoS working groups MS Teams group and will be used to request for help from the force within working groups that will shape the Army and the 68W. A few of the upcoming working group topics will include TC 8-800 rewrite, MEDIC Tables Skills Validation Scenario updates, MEDIC Tables Skills Validation Evaluation Form updates, MEDIC Tables Lesson Plans, and medical simulation device accreditation.

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 at least once per year to keep your account active.

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