Back to Top Skip to main content

Military medical reform is an opportunity to make trauma care better

Army Lt. Gen. R. Scott Dingle, U.S. Army Surgeon General, spoke to surgeons at the Defense Committee on Trauma and Committees on Surgical and En Route Combat Casualty Care Conference held in San Antonio, Texas, on November 13. He spoke about the plans for current and future trauma and surgical initiatives within Army Medicine and that surgeons must be involved in improving trauma care during this time of military medical reform. (U.S. Army Image by Rebecca Westfall) Army Lt. Gen. R. Scott Dingle, U.S. Army Surgeon General, spoke to surgeons at the Defense Committee on Trauma and Committees on Surgical and En Route Combat Casualty Care Conference held in San Antonio, Texas, on November 13. He spoke about the plans for current and future trauma and surgical initiatives within Army Medicine and that surgeons must be involved in improving trauma care during this time of military medical reform. (U.S. Army photo by Rebecca Westfall)

Recommended Content:

Health Readiness

SAN ANTONIO, Texas – “I am biased, I believe that our Surgeons are the best in the world,” said U.S. Army Surgeon General, Lt. Gen. R. Scott Dingle, at the Defense Committee on Trauma (DCOT), Committees on Surgical and En Route Combat Casualty Care (CCC) Conference on November 13, in San Antonio, Texas.

As a medical recruiting brigade commander, Dingle would go to universities where presidents and deans of the schools would tell him, “Your surgeons are rewriting the standards and practices for trauma care. We are setting up our trauma system on what you do in the military.”

Dingle explained to the audience of Army surgeons that the atmosphere within the pentagon is different for Army Medicine. There is an opportunity to bring real change to how the military handles combat trauma care.

“The CSA said, I need you to come with innovative changes, and that is what the Army Ready Surgical Force Campaign Task Force (ARSFC TF) is working on. We are going to bring change,” said Dingle.

The task force is working to synergize the Army’s ongoing skills sustainment efforts with Department of Defense, Veterans Affairs, and our civilian trauma partners, to serve as medical readiness platforms for surgical skills sustainment. Solutions to continually improve the Army trauma system require a multifaceted, collaborative approach that includes partnerships, training and research investments, and competitive financial incentives to recruit and retain qualified surgeons to fill gaps.

Programs already in place include the Army Military-Civilian Trauma Team Training (AMCT3) partnerships that deliver vital medical training opportunities by embedding a 15 person team in a civilian trauma center for 2-3 years. Agreements are currently in place at Camden, New Jersey; Portland, Oregon; and Milwaukee, Wisconsin, with two additional sites being implemented at Vanderbilt, Tennessee, and Seattle, Washington.

The Army has also implemented the Strategic Medical Asset Readiness and Training (SMART) program which allows teams to train 119 Army medical positions in a two week trauma rotation at programs in Cincinnati, Ohio; Hackensack, New Jersey; San Juan, Puerto Rico; Camden, New Jersey; and Laredo, Texas.

Dingle stated that he is encouraging other approaches including the development of Individual Collective Tasks Lists (ICTLs) and Knowledge, Skills and Abilities (KSAs) that define and quantify the requirements to keep individuals ready to deliver the best trauma care as well as leveraging advancements in simulation and synthetic training to keep medical personnel trained and ready.

“Things are moving at the speed of relevance and if we aren’t relevant to today’s fight, then we’ll become extinct,” said Dingle.

The task force is looking to ensure larger roles and training opportunities in military exercises such as Medical Readiness Exercises (MEDREX) in support of U.S. Army Africa (USARAF), Expeditionary Resuscitative Surgical Team (ERST) in support of AFRICOM, Expeditionary Health Readiness Platform – Honduras (EHRP-H) in Support of ARSOUTH, and Global Health Engagement (GHE) Medical Readiness Training Exercise (MEDRETE) in support of ARSOUTH.

Dingle urged the audience to provide feedback and have honest discussions on how to improve trauma care and surgical readiness. “I can’t change the past but together we can change the future,” said Dingle. “We can get it right, but it’s not me, it’s we. It’s going to take all of us to bring change.”

Following the remarks, Dingle joined Lt. Gen. Ronald Place, Director, Defense Health Agency, and Brig. Gen. Wendy Harter, Commanding General, Brooke Army Medical Center, for a senior leader round table discussion to field questions from surgeons.

Disclaimer: Re-published content may be edited for length and clarity.  Read original post.

You also may be interested in...

Acute Injuries

Infographic
7/25/2018
Service members in the U.S. Armed Forces frequently engage in high levels of physical activity to perform their duties, and such activity can potentially result in training- or duty-related injury.  This report summarizes the incidence, trends, types, external causes, and dispositions of acute injuries among active component U.S. service members over a 10-year surveillance period.

Service members in the U.S. Armed Forces frequently engage in high levels of physical activity to perform their duties, and such activity can potentially result in training- or duty-related injury. This report summarizes the incidence, trends, types, external causes, and dispositions of acute injuries among active component U.S. service members over a 10-year surveillance period.

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Food Allergy

Infographic
7/25/2018
Individuals with a history of food-allergy anaphylaxis or a systemic reaction to food do not meet military accession or retention standards and require a waiver in order to serve in the military.  First-line treatment for anaphylaxis includes rapid administration of epinephrine.

Individuals with a history of food-allergy anaphylaxis or a systemic reaction to food do not meet military accession or retention standards and require a waiver in order to serve in the military. First-line treatment for anaphylaxis includes rapid administration of epinephrine.

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Global Influenza Summary: July 8, 2018

Report
7/8/2018

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

Diagnoses of Eating Disorders, Active Component Service Members, U.S. Armed Forces, 2013–2017 Eating Disorders

Infographic
7/3/2018
Diagnoses of Eating Disorders, Active Component Service Members, U.S. Armed Forces, 2013–2017 Eating Disorders

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report

Department of Defense Midseason Vaccine Effectiveness Estimates for the 2017-2018 Influenza Season

Infographic
7/3/2018
Department of Defense Midseason Vaccine Effectiveness Estimates for the 2017-2018 Season, U.S. Armed Forces, 2000–2015 Vaccine Effectiveness

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report

DHA PI 6025.07: Naloxone in the MTFs

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (h), establishes the Defense Health Agency’s (DHA) procedures for prescribing and dispensing naloxone by pharmacists in MTFs to eligible beneficiaries, upon beneficiary request, or when the pharmacist determines the beneficiary meets the established criteria for being at risk for a life-threatening opiate overdose.

Morbidity Burdens Attributable to Various Illnesses and Injuries

Infographic
5/23/2018
Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report

Ambulatory Visits, Active Component, U.S. Armed Forces, 2017

Infographic
5/23/2018
ACTIVE COMPONENT, U.S. ARMED FORCES, 2017  This report documents the frequencies, rates, trends, and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps.

ACTIVE COMPONENT, U.S. ARMED FORCES, 2017 This report documents the frequencies, rates, trends, and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps.

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report

Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

Infographic
5/23/2018
Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report

Absolute and Relative Morbidity Burdens, Attributable to Various Illnesses and Injuries, 2017

Infographic
5/23/2018
Absolute and Relative Morbidity Burdens, Attributable to Various Illnesses and Injuries, 2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report

Hospitalizations, Active Component, U.S. Armed Forces, 2017

Infographic
5/23/2018
This report documents the frequencies, rates, trends, and distributions of hospitalizations of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during calendar year 2017.

This report documents the frequencies, rates, trends, and distributions of hospitalizations of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during calendar year 2017.

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report

Global Influenza Summary: May 13, 2018

Report
5/13/2018

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

DHA PI 6200.05: Force Health Protection Quality Assurance (FHPQA) Program

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ab), establishes the procedures for the FHPQA Program as defined in Reference (z). This DHA-PI applies to: a. OSD, the Military Departments (including the United States Coast Guard (USCG) at all times, including when it is a Service in the Department of Homeland Security by agreement with that Department), the Office of the Chairman of the Joint Chiefs of Staff (CJCS) and the Joint Staff, the Combatant Commands, the Office of the Inspector General of the DoD, the Defense Agencies, the DoD Field Activities, and all other organizational entities within the DoD (referred to collectively in this DHA-PI as the “DoD Components”). b. Civilian personnel, as defined in Reference (e), and DoD contractor personnel authorized to accompany the force (CAAF), in accordance with References (j), (m), and (n), respectively.

  • Identification #: DHA PI 6200.05
  • Date: 5/2/2018
  • Type: DHA Procedural Instruction
  • Topics: Health Readiness

Global Influenza Summary: April 15, 2018

Report
4/15/2018

Recommended Content:

Health Readiness | AFHSB Reports and Publications | Influenza Summary and Reports

Heat Illness

Infographic
4/13/2018
Exertional, or exercise-associated, hyponatremia refers to a low serum, plasma, or blood sodium concentration (below 135 milliequivalents/liter) that develops during or up to 24 hours following prolonged physical activity.

There were a total of 2,163 incident cases of heat illness among active component service members, including 464 cases of heat stroke and 1,699 cases of heat exhaustion.

Recommended Content:

Health Readiness | Epidemiology and Analysis | Medical Surveillance Monthly Report
<< < ... 11 12 13 14 15  ... > >> 
Showing results 151 - 165 Page 11 of 37

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.