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...

Sexually Transmitted Infections

Infographic
3/20/2019
Sexually Transmitted Infections

This report summarizes incidence rates of the 5 most common sexually transmitted infections (STIs) among active component service members of the U.S. Armed Forces during 2010–2018.

Recommended Content:

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

Testosterone Replacement Therapy

Infographic
3/20/2019
Testosterone Replacement Therapy

With the increasing number of testosterone deficiency diagnoses and potential health risks associated with initiation of TRT, it is important to understand the epidemiology of which U.S. service men are receiving TRT and whether these individuals have an indication for receiving treatment.

Recommended Content:

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

Vasectomy

Infographic
3/20/2019
Vasectomy

There are few published studies of vasectomy and vasectomy reversal among the U.S. military population. To address these gaps, the current analysis describes the overall and annual incidence rates of vasectomy among active component service men during 2000–2017 by demographic and military characteristics and by type of surgical vas isolation procedure used. In addition, the median age at incident vasectomy and the time between incident vasectomy and first vasectomy reversal are described.

Recommended Content:

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

Male Infertility

Infographic
3/20/2019
Male Infertility

The current report updates and expands on the findings of the previous MSMR analysis of infertility among active component service men. Specifically, the current report summarizes the frequencies, rates, temporal trends, types of infertility, and demographic and military characteristics of infertility among active component service men during 2013–2017.

Recommended Content:

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

Adenovirus

Infographic
3/1/2019
Adenovirus

During August–September 2016, U.S. Naval Academy clinical staff noted an increase in students presenting with acute respiratory illness (ARI). An investigation was conducted to determine the extent and cause of the outbreak.

Recommended Content:

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

Malaria

Infographic
3/1/2019
Malaria

Since 1999, the Medical Surveillance Monthly Report has published regular updates on the incidence of malaria among U.S. service members. The MSMR’s focus on malaria reflects both historical lessons learned about this mosquito-borne disease and the continuing threat that it poses to military operations and service members’ health.

Recommended Content:

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

Glaucoma

Infographic
3/1/2019
Glaucoma

This report describes an analysis using the Defense Medical Surveillance System to identify all active component service members with an incident diagnosis of glaucoma during the period between 2013 and 2017.

Recommended Content:

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

Non-alcoholic fatty liver disease

Infographic
1/29/2019
HPV

At the time of this report, there were no published studies of non-alcoholic fatty liver disease (NAFLD) incidence over time among active component U.S. military personnel. Examining the incidence rates of NAFLD and their temporal trends among active component U.S. military members can provide insights into the future burden of NAFLD on the MHS.

Recommended Content:

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

Acute Flaccid Myelitis Case Reporting

Infographic
1/29/2019
Acute Flaccid Myelitis Case Reporting

This case highlights important clinical characteristics of acute flaccid myelitis and emphasizes the importance of including AFM in the differential diagnosis when evaluating active duty service members and Military Health System beneficiaries presenting with paralysis.

Recommended Content:

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

Cardiovascular disease-related medical evacuations

Infographic
1/29/2019
Cardiovascular disease-related medical evacuations

This descriptive analysis summarizes the demographic characteristics, counts, rates and temporal trends for Cardiovascular disease-related medical evacuations from the CENTCOM area of responsibility. In addition, the percentage of those evacuated who had received pre-deployment diagnoses indicating cardiovascular risk is summarized. Responses to questions regarding health status and physician referrals on the DD2795 are also summarized.

Recommended Content:

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

Rabies

Infographic
11/20/2018
Rabies

Although Germany is rabies-free for terrestrial land mammals, rabies exposure remains a concern for U.S. military personnel assigned there because of personal and military travel and deployments to rabies endemic countries. Deployments have become much more variable both in location and duration. Deployments have increasingly focused on enhancing partnerships and peacekeeping.

Recommended Content:

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

Cold Weather Injuries

Infographic
11/20/2018
Cold Weather Injuries

This update summarizes the frequencies, incidence rates, and correlates of risk of cold injuries among members of both active and reserve components of the U.S. Armed Forces during the past 5 years.

Recommended Content:

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

Malaria

Infographic
11/20/2018
Malaria

This report describes a cluster of 11 soldiers with vivax malaria among U.S. military personnel who trained at Dagmar North training area, near the demilitarized zone (DMZ), in the Republic of Korea (ROK) in 2015.

Recommended Content:

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

DoD Flu VE

Infographic
10/26/2018
DoD Flu VE

Each season, several entities within the(DoD) perform surveillance for influenza among beneficiaries and utilize these data to perform VE analyses to estimate how well the seasonal vaccine protects against medically-attended influenza.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health | Influenza Summary and Reports

Psychiatric Medical Evaluations

Infographic
10/26/2018
Psychiatric Medical Evaluations

This study evaluated incidence of pre-deployment family problem diagnoses and psychiatric medical evacuations among a population of active component service members without a history of previous mental health diagnoses, who deployed to the U.S. Central Command Area of Responsibility for the first time between 1 January 2002 and 31 December 2014.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health
<< < 1 2 3 4 5 > >> 
Showing results 16 - 30 Page 2 of 5

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.