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...

If the weather outside is frightful, a little preparation can make it delightful

Article
12/28/2018
Army 2nd Lt. David Stringer, 452nd Combat Support Hospital, leads his group through snowy terrain during winter warfare training at Fort McCoy, Wisconsin. (U.S. Army photo by Staff Sgt. Felix R. Fimbres)

Learn the risks of exposure to cold, and steps to stay safe

Recommended Content:

Health Readiness

Navy corpsman: Carrying the legacy

Article
12/27/2018
Navy Seaman Brandon Taylor, a corpsman, inserts a decompression needle into an essential care simulator manikin during shock trauma section drills. The drills focused on sharpening life-saving skills and capabilities. (U.S. Marine Corps photo by Sgt. Justin Huffty)

Navy hospital corpsmen attend 14-week “A” school at the Medical Education and Training Campus in Joint Base San Antonio — Fort Sam Houston, Texas

Recommended Content:

Health Readiness | Military Hospitals and Clinics

Hospital ship USNS Comfort returns home after completing mission

Article
12/20/2018
Family and friends of crew members aboard Military Sealift Command’s hospital ship USNS Comfort wait as the ship pulls into Naval Station Norfolk, Dec. 18. Comfort returned to Virginia after completing its 11-week medical support mission to South and Central America, part of U.S. Southern Command’s Operation Enduring Promise initiative. (U.S. Navy photograph by Brian Suriani)

This mission marked the sixth time the hospital ship has provided medical assistance in the region

Recommended Content:

Health Readiness | Military Hospitals and Clinics | Global Health Engagement | Global Health Security Agenda

Super Galaxy: Aeromedical evacuation's biggest ally

Article
12/17/2018
Air Force Aeromedical Teams from the 433rd Aeromedical Evacuation Squadron and the 439th AES complete a training scenario during a C-5M Super Galaxy AE proof of concept flight from Scott AFB, Illinois. (U.S. Air Force photo by Master Sgt. Joseph Swafford)

The C-5M upgrades allowed the proof of concept to work, but Airmen’s innovation is what made it happen

Recommended Content:

Health Readiness

Vaccination is the best defense against the flu

Article
12/10/2018
Vaccination is the primary method for preventing influenza and its complications and getting an annual influenza vaccine is the best way to protect yourself and your family from the flu. (U.S. Army photo by Staff Sgt. Erica Knight)

Vaccination is needed every year because the Influenza viruses change

Recommended Content:

Health Readiness | Immunization Healthcare | Immunizations

Fleet surgical team saves life aboard USS Somerset

Article
12/6/2018
Navy Cmdr. Jeffrey Chao, the Littoral Combat Group One, surgeon, second from left, performs an emergency appendectomy as other medical team members assist aboard the San Antonio-class amphibious transport dock ship USS Somerset. (U.S. Navy Photo by Mass Communication Specialist 1st Class Andrew Brame)

We were able to determine he had acute appendicitis

Recommended Content:

Health Readiness | Military Hospitals and Clinics

New training mannequins help Soldiers save lives

Article
11/28/2018
Soldiers at Fort Benning, Georgia, train one another on using the Tactical Combat Casualty Care Exportable system, a medical trauma training mannequin. Personnel from the office of the Program Executive Officer for Simulation, Training and Instrumentation, brought new, technologically advanced medical training mannequins to Fort Benning to increase the realism of medical trauma training and ultimately to save lives and limbs. (U.S. Army photo by Patrick Albright)

The realism of it creates that white-knuckle sensation and adrenalin for the Soldier

Recommended Content:

Health Readiness

Department of Defense continues commitment to Global Health Security Agenda

Article
10/12/2016
Dr. Karen Guice, acting assistant secretary of Defense for Health Affairs, addressed attendees on the second day of the 2016 Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (TBI) Summit Sept. 14, 2016.

Department of Defense and other senior U.S. government leaders travel to the Netherlands to attend a summit on the Global Health Security Agenda

Recommended Content:

Health Readiness | Global Health Engagement | Building Partner Capacity and Interoperability | Global Health Security Agenda | Armed Forces Health Surveillance Branch | Global Health Engagement
<< < ... 6 > >> 
Showing results 76 - 83 Page 6 of 6

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.