Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED # of 1! 35 Dr. Kenneth Bertram/MCMR-AC/(301)
|
|
|
- Nelson Conley
- 5 years ago
- Views:
Transcription
1 Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED # of 1! 35 Dr. Kenneth Bertram/MCMR-AC/(301) /kenneth.a.bertram.civ@mail.mil UNCLASSIFIED
2 Current and Future Challenges for Military Medical Technologies" Dr. Kenneth Bertram US Army Medical Research and Materiel Command Principal Assistant for Acquisition June 7, 2016
3 PURPOSE/OUTLINE"» Purpose to find better, available sooner, less costly solutions to Military medical gaps or opportunities» Outline» Infectious Diseases (ID)» Humanitarian Aid» Military Operational Medicine (MOM)» Combat Casualty Care (CCC)» Clinical Rehabilitative Medicine (CRM)» Presentation Strategy Audience participation» Threats/Gaps and Protection/Treatment/Recovery» How to work with us Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 3 of 35
4 COMBAT CASUALTY CARE" Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 4 of 35
5 SCENARIO #1 ON PATROL"» Troops in formation, helicopter, grass field» Threats/Gaps; Protection» Troops on patrol» Threats/Gaps; Protection» Soldier in Tactical Operations Center (TOC)» Threats/Gaps; Protection Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 5 of 35
6 ON PATROL THREATS/PROTECTION"» Troops in formation» Dust, noise, enemy fire, IEDs, flying debris» Protection: Uniforms, helmets» Troops on combat patrol» Enemy fire, IEDs => wounds, bleeding, TBI» Fatigue, lack of sleep, disorientation, lack of concentration => poor judgment» Protection: Gloves, IFAK, training, (knowledge, Soldier aids)» Soldier entering TOC» Protective eyewear Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 6 of 35
7 INFECTIOUS & ENDEMIC DISEASES" Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 7 of 35
8 SCENARIO #2 HUMANITARIAN AID"» Medic providing care to child (generalize to local population)» Soldier accompanied by children in a village Dr. Kenneth Bertram/MCMR-AC/(301) /kenneth.a.bertram.civ@mail.mil UNCLASSIFIED Slide 8 of 35
9 HUMANITARIAN AID THREATS"» Medic providing care to child (generalize to local population)» Combat threats» Endemic and emerging infectious diseases» Lack of Civilian medical care» Soldier accompanied by children in a village» Combat threats» Environmental exposures (heat, soil, air, water)» Venoms and toxins (Rabies, snakes, insects) Dr. Kenneth Bertram/MCMR-AC/(301) /kenneth.a.bertram.civ@mail.mil UNCLASSIFIED Slide 9 of 35
10 HUMANITARIAN AID PROTECTION"» Vaccines (yellow fever, Japanese encephalitis)» Vaccines in development (e.g., malaria, dengue)» Drugs (e.g., anti-malarials)» Humanitarian care sets» Testing for water and soil contaminants» Clean water; disposal of waste (burn pits?)» Rabies vaccine and IgG; anti-venoms» Anti-vector measures (uniform, tents, repellents) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 10 of 35
11 MILITARY OPERATIONAL MEDICINE" Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 11 of 35
12 SCENARIO #3 PHYSICAL TRAINING"» Soldiers running, jumping, getting stronger Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 12 of 35
13 PHYSICAL TRAINING THREATS"» Musculoskeletal injuries» Backs» Knees» Ankles» Feet» Environmental conditions» Heat/Cold» Altitude» Wet Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 13 of 35
14 PHYSICAL TRAINING PROTECTION"» Evaluating supplements (e.g., to prevent shin splints Ca+2; Vitamin D)» Nutritional support» Soldier tools (risk management hydration, altitude, fatigue)» Cooling tank» Training (technical bulletins knowledge) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 14 of 35
15 POST-DEPLOYMENT HEALTH" Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 15 of 35
16 SCENARIO #4 SOLDIER/FAMILY"» Soldier standing tall» Soldier with family» Soldier at home Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 16 of 35
17 SOLDIER/FAMILY THREATS"» TBI» PTSD» Suicide» Pain medication addiction» Substance abuse» Stress to family (deployments, injuries, financial)» Isolation (especially for Reserves/Guard) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 17 of 35
18 SOLDIER/FAMILY PROTECTION"» TBI diagnostics and treatment» Resilience training» Suicide prevention» Less addicting drugs» Substance abuse treatment» Family studies» Tele-support Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 18 of 35
19 SENSORY HEALTH" Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 19 of 35
20 SCENARIO #5 VEHICLES"» Soldiers in/around helicopters» Soldiers in Humvees Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 20 of 35
21 VEHICLES THREATS"» Sensory deprivation (sight, sound)» Helicopter accidents» Ground vehicle accidents» Combat threats» IED injuries» Burns (skin and lungs)» Decision making/impairment Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 21 of 35
22 VEHICLES PROTECTION"» Sensory protection/augmentation» Accident evaluation includes Aeromedical Lab» Threat warnings for aircraft cognition» Accel/deceleration studies» Head carriage studies» Fatigue and sleep indicators» Vehicle modifications (undercarriage design)» Burn care skin replacement; lung?» Wound care/prosthetics/regenerative medicine Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 22 of 35
23 INJURY PREVENTION & REDUCTION" Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 23 of 35
24 SCENARIO #6 AIRBORNE"» Soldiers lifting» Soldiers parachuting» Soldiers raising tent Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 24 of 35
25 AIRBORNE THREATS/PROTECTION"» Musculoskeletal injuries» Activity related» Combat related» Regenerative repair of injured body parts» Nerves» Bone» Vascular» Muscle» Joint/tissue/organ Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 25 of 35
26 HEALTH IT" Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 26 of 35
27 SCENARIO #7 MEDICAL"» Pharmacy THREATS/PROTECTION"» Electronic medical records» Ready Soldiers Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 27 of 35
28 MEDICAL READY FORCE"» Chief of Staff of the Army Readiness is our number one priority» Medically Ready Force» Physically and mentally prepared and protected» Ready Medical Force» Resources (people, funding, infrastructure)» Medical supplies (clamps => CT scanners; combat hospital)» Training; clinical experience => learning organization» Research => medical solutions (material and knowledge)» Communications: care and records Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED Slide 28 of 35
29 WARFIGHTER THREATS" Endemic Disease Threats Parasitic Diseases Bacterial Diseases Viral Diseases Chemical/Biological Warfare Threats Bacterial Threats Viral Threats Toxin Threats Nerve Agents Vesicant Agents Blood Agents Environmental Hazards Heat and Cold Altitude Toxic Industrial Chemicals and Materials Combat Injuries Hemorrhage Head Trauma Blast Injury Operational Stressors Sleep Deprivation Traumatic Stress and Situational Stressors Physical Work Load Cognitive Burden and Operational Complexity Battle Sequelae Loss of limbs Loss of tissue Loss of vision Pain Dr. Kenneth Bertram/MCMR-AC/(301) Dr. Kenneth Bertram/MCMR-AC/(301) Systems Hazards Blast Noise UNCLASSIFIED UNCLASSIFIED # of Slide 2935 of 35
30 INFECTIOUS DISEASES"» Parasitic Diseases New drugs and vaccines to prevent and treat malaria; assessments of existing drugs for improved safety, and efficacy» Viral Diseases Flavivirus and acute respiratory disease; Hantaviruses, hemorrhagic fever viruses; HIV research» Bacterial Diseases Vaccines for bacterial diarrheal; Prevention and management of wound infections; Combatting antimicrobial resistance; Basic research in rickettsial diseases» Diagnostic Systems Diagnostic assays for naturally occurring infectious diseases for use in both field and fixed facility settings» Insect Vector Control Vector identification and threat assessment; Development of insecticides, repellents, and other control methods Dr. Kenneth Bertram/MCMR-AC/(301) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED UNCLASSIFIED # of Slide 3035 of 35
31 MILITARY OPERATIONAL MEDICINE"» Return-to-duty standards and strategies after neurosensory and/or musculoskeletal injuries» Concussion dosimetry/mild traumatic brain injury assessment and neuroprotective strategies» Psychological health and suicide prevention» Sleep physiology and fatigue interventions» Nutritional strategies to promote injury recovery and healthy habits» Predictive models for heat and cold strain, hydration monitoring, and performance maintenance at altitude» Biomonitoring and other multidisplinary approaches to predict health effects from occupational stressors and environmental health hazards» Musculoskeletal and neurosensory injury prevention» Musculoskeletal physiology and injury recovery mechanisms to develop optimal physical training interventions Dr. Kenneth Bertram/MCMR-AC/(301) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED UNCLASSIFIED # of Slide 3135 of 35
32 COMBAT CASUALTY CARE"»»»»»»»»» Blood products for resuscitation at or near the point of injury Advanced physiologic monitoring for triage and treatment support Interventions to control torso/non-compressible hemorrhage Damage control surgery techniques to provide life and limb saving surgery Organ support for combat casualty in prolonged field care Acute interventions for traumatic brain injury to improve outcomes Improvement of pre-hospital data collection and battlefield medical communication Response to tissue injury and improved healing after trauma Innovative treatments to speed full recovery after mtbi/concussion Dr. Kenneth Bertram/MCMR-AC/(301) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED UNCLASSIFIED # of Slide 3235 of 35
33 CLINICAL AND REHABILITATIVE MEDICINE"» Rehabilitation of traumatic brain injury» Extremity trauma; advanced rehabilitation strategies, orthotics, and prosthetics; prevention and treatment of secondary health effects following injury» Management of acute and chronic pain» Regeneration of tissue components (skin, bone, muscle, nerve), craniofacial reconstructions, limb and digit regeneration, and genitourinary restoration» Repair of burn injury skin substitutes and burn injury inhibitors» Scarless wound healing and scar reduction» Vision restoration repair of ocular structures/function, retinal regeneration, and sensory substitution/augmentation devices» Repair to auditory and vestibular systems restoration of hearing and treatment of tinnitus and balance disorders Dr. Kenneth Bertram/MCMR-AC/(301) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED UNCLASSIFIED # of Slide 3335 of 35
34 HOW TO WORK WITH US" For basic and applied research opportunities:» For advanced development opportunities:» Dr. Kenneth Bertram/MCMR-AC/(301) Dr. Kenneth Bertram/MCMR-AC/(301) UNCLASSIFIED UNCLASSIFIED # of Slide 3435 of 35
35 CONTACT US" Office of the Principal Assistant for Acquisition» Ms. Bonnie Adams ATTN: MCMR-AC 810 Schreider Street, Ft. Detrick, MD Office: Fax: » For more information about the USAMRMC:» To submit a product or idea:» Dr. Kenneth Bertram/MCMR-AC/(301) /kenneth.a.bertram.civ@mail.mil Dr. Kenneth Bertram/MCMR-AC/(301) /kenneth.a.bertram.civ@mail.mil UNCLASSIFIED UNCLASSIFIED # of Slide 3535 of 35
Military Operational Medicine Research Program
Mission Military Operational Medicine Research Program The mission of the Military Operational Medicine Research Program (MOMRP) is to develop effective countermeasures against stressors and to maximize
Clinical & Rehabilitative Medicine Research Program
Clinical & Rehabilitative Medicine Research Program UNCLASSIFIED Dr. Tony Gover, Civilian Deputy Director Clinical & Rehabilitative Medicine Research Program US Army Medical Research & Materiel Command
National Defense Industrial Association
National Defense Industrial Association Armed Services Biomedical Research Evaluation and Management COI Dr Sean Biggerstaff Interim ASBREM Chair 13-14 Apr 2016 1 ASBREM Profile ASBREM created in 1981
Train, Treat and Rehabilitate US Army Medical Research and Materiel Command 19 April 2016
Train, Treat and Rehabilitate US Army Medical Research and Materiel Command 19 April 2016 UNCLASSIFIED 1 Panel Members Lt Col Jennifer Hatzfeld Combat Casualty Care Research Program Dr. Stephen Toth US
RDT&E BUDGET ITEM JUSTIFICATION SHEET (R-2 Exhibit)
COST (In Millions) FY2001 FY2002 FY2003 FY2004 FY2005 FY2006 FY2007 Cost to Complete Total Cost Total Program Element (PE) Cost 1.989 2.081 2.126 2.187 2.387 2.430 2.477 Continuing Continuing ILIR/P503
USASOC Neurocognitive Testing and Post Injury Evaluation and Treatment Clinical Practice Guideline (CPG)
USASOC Neurocognitive Testing and Post Injury Evaluation and Treatment Clinical Practice Guideline (CPG) Note: The intent of this CPG is to serve as general guidance for medics and medical officers. It
MISSION BACKGROUND USAMRMC STRATEGIC COMMUNICATION PLAN BLAST INJURY RESEARCH PROGRAM COORDINATING OFFICE (PCO) CONTINUED >
BLAST INJURY RESEARCH PROGRAM COORDINATING OFFICE (PCO) MISSION Coordinate the DOD s medical blast injury research programs, on behalf of the Executive Agent, to ensure critical knowledge gaps are filled,
OPERATION IRAQI FREEDOM
Notes/Changes Briefer if service members are completing the health assessment through AKO you may hide/omit/modify slides 25 though 31. They are for use if the service member is filling out the hard copy
OPERATION ENDURING FREEDOM
OPERATION ENDURING FREEDOM Re-Deployment Medical Threat Briefing Name & Unit Prepared by: Office of the Surgeon USAREUR and Europe Regional Medical Command Office of Force Health Protection DSN (314) 370-5680/(314)371-2629
WOMEN VETERANS BOBBI SIMMS VETERANS HEALTH ADMINISTRATION
WOMEN VETERANS BOBBI SIMMS Background/Quick Facts 1.8 million living Veterans Fastest growing subpopulation of Veterans women Approximately 300,000 receive care in the Department of Veterans Affairs (VA)
Special Operations Medicine LTC Chris Wilson Office of the Command Surgeon US Special Operations Command 20 April 2016
Special Operations Medicine LTC Chris Wilson Office of the Command Surgeon US Special Operations Command 20 April 2016 UNCLASSIFIED 1 Panel Members SGM F Bowling HQ USSOCOM (Medical Simulation and Training)
Healing America s Wounded Warriors
Healing America s Wounded Warriors Luke Beckman Executive Director, TBI & PTSD Project, Director of Outreach and Social Media, International Hyperbaric Medical Foundation lukembeckman@gmail.com, 650-740-5853,
Support Funding for the Military Burn Research Program in FY19
Support Funding for the Military Burn Research Program in FY19 Burns are one of the most painful and devastating battlefield injuries: 95 percent of those with burn injuries generally survive but must
CONGRESSIONALLY DIRECTED MEDICAL RESEARCH PROGRAM
FY18 RESEARCH FUNDING CONGRESSIONALLY DIRECTED MEDICAL RESEARCH PROGRAM Outlined in the Fiscal Year (FY) 2018 Omnibus Appropriations Bill Updated March 23, 2018 The Congressionally Directed Medical Research
Civilian versus Military Trauma Management
Western University From the SelectedWorks of Vivian C. McAlister November, 2010 Civilian versus Military Trauma Management Vivian C. McAlister Available at: https://works.bepress.com/vivianmcalister/151/
DATE: May 2009 Appropriation/Budget Activity R1 Item Nomenclature: 6 Defense Health Program/BA: 2 Medical Technology Development HP
Fiscal Year (FY) Budget s COST: (Dollars in Millions) Total PE 0603115 754.282 723.354 113.316 Breast Cancer Center of Excellence (CoE)(Budgeted) CSI-Advanced Military Wound Healing and Treatment CSI-Amyotrophic
Approved for public release; distribution unlimited
Award Number: W81XWH-10-1-1021 TITLE: Post-traumatic Headache and Psychological Health: Mindfulness Training for Mild Traumatic Brain Injury PRINCIPAL INVESTIGATOR: Sutapa Ford, PhD CONTRACTING ORGANIZATION:
Preventing Disease Transmission
Chapter 4 Preventing Disease Transmission KNOWLEDGE OBJECTIVES 1. Describe how the immune system works. 2. Identify four ways in which diseases are transmitted, and give an example of how each can occur.
BOSTON ASSESSMENT OF TBI-LIFETIME BAT-L VA BOSTON HEALTHCARE SYSTEM
BAT-L VA BOSTON HEALTHCARE SYSTEM THIS RESEARCH WAS SUPPORTED BY THE TRANSLATIONAL RESEARCH CENTER FOR TBI AND STRESS DISORDERS (TRACTS) A VA REHABILITATION RESEARCH AND DEVELOPMENT NATIONAL NETWORK CENTER
DoD brain Injury Computational Modeling Expert Panel
DoD Medical Research Program for the Prevention, Mitigation and Treatment of Blast Injuries DoD brain Injury Computational Modeling Expert Panel Head Protection Summit PM Soldier Protection and Individual
HIDE THIS SLIDE PREFACE PRESENTATION HIDDEN SLIDE
HIDE THIS SLIDE PREFACE PRESENTATION Many of the graphics in this presentation are animated GIFs or animated graphics. They will not animate unless you view in Screen Show. Slide transitions are not recommended.
PTSD and Other Invisible Wounds affecting our Service Members and Veterans. Alan Peterson, PhD, ABPP
PTSD and Other Invisible Wounds affecting our Service Members and Veterans Alan Peterson, PhD, ABPP 1 Alan Peterson, PhD, ABPP Retired USAF Lt Col Clinical Health Psychologist Former Chair, Department
Defense Health Program Fiscal Year (FY) 2013 Budget Estimates Exhibit R-2, DHP RDT&E Budget Item Justification
COST: (Dollars in Millions) 2011 Actual 2012 Estimate 2013 Estimate 2014 Estimate 2015 Estimate 2016 Estimate 2017 Estimate Total PE 0603115 723.324 703.313 239.110 282.441 290.422 289.094 290.613 CoE-Breast
Community mobilization in major emergencies
COMMUNITY TOOLS Tool 1 Community mobilization in major emergencies Response: What do you see in these pictures? Disasters that can affect a community such as earthquakes or floods. What are some other
Competency Log Professional Responder Courses
Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the
Infection Control in the School Setting. It s In Your Hands
Infection Control in the School Setting It s In Your Hands What is an Infection? A condition resulting from the presence of, and invasion by, germs (microorganisms) For Infection to Occur an Organism Must:
Bowie City Police Department - General Orders
Bowie City Police Department - General Orders TITLE: FIRST AID NUMBER: 452 EFFECTIVE DATE: 8/23/16 REVIEW DATE: X NEW _ AMENDS _ RESCINDS DATE: AUTHORITY Chief John K. Nesky ACCREDITATIONS STANDARDS TOTAL
Chapter 7 8/23/2016. Asepsis and Infection Control. Asepsis. Asepsis (Cont.) Microorganisms. Infection control and prevention
Chapter 7 Asepsis and Infection Control All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Asepsis Microorganisms Tiny microscopic entities capable
Army Hearing Program Status Report Q2 FY17
U.S. Arm y Public Health C enter Army Hearing Program Status Report Q2 FY17 Clinical Public Health and Epidemiology Directorate Army Hearing Division Approved for public release; distribution unlimited
Center for Military Psychiatry and Neuroscience
7 February 2011 LTC Dennis McGurk MAJ Jeff Thomas MAJ Kara Schmid Purpose Provide an overview of the Branches and research mission within the 12/15/2010 Page 2 Outline Mission statement Scientific Background
Solving these threats to soldier health and performance is the most recent addition to DARPA's biorevolution.
Good Morning. Our experiences in both Afghanistan and Iraq have again demonstrated that the success of military missions is highly dependent on the soldier's ability to arrive on the battlefield exquisitely
Bloodborne Pathogens
Bloodborne Pathogens Session Objectives Identify bloodborne pathogens (BBPs) Understand how diseases are transmitted Risk of exposure Protecting yourself from exposure through prevention Responding appropriately
Module 4: Emergencies: Prevention, Preparedness, Response and Recovery
Module 4: Emergencies: Prevention, Preparedness, Response and Recovery Part 1: Introduction and Prevention Tamar: Hello, my name is Tamar Klaiman. I'm an Assistant Professor at the University of the Sciences
Biological Warfare Agents
Biological Warfare Agents Chapter 29 Biological Warfare Agents The reader is strongly advised to supplement material in this chapter with the following reference: US Army Medical Research Institute of
Risk Consultation and Assessment
Risk Consultation and Assessment Please find product Prescribing Information at the end of this presentation UK/VAC/0047/16b Date of preparation: July 2016 The pre-travel risk consultation When to do it?
UNCLASSIFIED. ARF DiRex 2013 HEALTH INFORMATION GUIDANCE UNCLASSIFIED
ARF DiRex 2013 HEALTH INFORMATION GUIDANCE Purpose To provide health information to all participating personnel to enable safe and efficient exercise. ARF DiRex Highlights Table Top Exercise (TTX) Field
Mini Research Paper: Traumatic Brain Injury. Allison M McGee. Salt Lake Community College
Running Head: Mini Research Paper: Traumatic Brain Injury Mini Research Paper: Traumatic Brain Injury Allison M McGee Salt Lake Community College Abstract A Traumatic Brain Injury (also known as a TBI)
CHAPTER 7 Medical/Surgical Asepsis and Infection Control
CHAPTER 7 Medical/Surgical Asepsis and Infection Control 1 Slide 1 Microorganisms Microscopic. Naturally present on and in the human body and environment. Some microorganisms (pathogens) cause specific
Appendix B Fiscal Years
Appendix B s...shaping the future of health care to prevent, control, and cure diseases. Appendix B Appendix B Appendi The Office of the ly Directed Medical s (CDMRP) was established with a congressional
VA/DoD Clinical Practice Guideline for the Management of Concussion/mTBI
VA/DoD Clinical Practice Guideline for the Management of Concussion/mTBI Chief, Evidence-Based Practice US Army Medical Command Clinical Program Specialist Office of Performance and Quality Improvement
Improved Nuclear Device: Accessing Casualties,
Improved Nuclear Device: Accessing Casualties, Triage, and Treatment By Richard L. Alcorta, MD, FACEP State EMS Medical Director Maryland Institute for Emergency Medical Services Systems Exposure Scenario
3/13/2012. Blast out pressurization wave travels at high velocity and is affected by surrounding environment
Sarah Wagers, MD, Poly Clinic Medical Director Vickie Zaborowski, Polytrauma Coordinator Robley Rex VA Medical Center, Louisville, Kentucky 6 th Annual Northern Kentucky TBI Conference March 23, 2012 www.bridgesnky.org
Instructor Guide. Triage Tags Aide Bags Blankets 5 patients cue cards for the patients attached in Appendix B
Instructor Guide Title: START and JumpStart Time: 2 hours Materials: Triage Tags Aide Bags Blankets 5 patients cue cards for the patients attached in Appendix B Motivation: Familiarity with the START and
: Your Haemorrhage Control Solution
: Your Haemorrhage Control Solution Shoulder Injury Leg Injury TM HAEMORRHAGE New solutions to control difficult bleeding are needed in emergent care, including pre-hospital, hospital and tactical environments.
11 Indicators on Thai Health and the Sustainable Development Goals
11 11 Indicators on Thai Health and the Sustainable Development Goals 11 Indicators on Thai Health and the Sustainable Development Goals The Post -2015 Development Agenda began upon completion of the monitoring
Traumatic Brain Injury. By Laura Gomez, LCSW
Traumatic Brain Injury By Laura Gomez, LCSW Objectives Briefly describe TBI, and its incidence, severity, and treatments Describe the VHA system of specialized TBI care for active duty and veterans Describe
Transplantable Organs
Transplantable Organs Liver Kidneys Pancreas Intestine Organ Information Heart The body s hardest working muscle, the heart beats 70 times each minute as it pumps blood throughout the body. Some conditions
D E P A R T M E N T O F D E F E N S E M I L I T A R Y H E A L T H S Y S T E M P E R S P E C T I V E
DEPARTMENT OF DEFENSE HEARING CENTER OF EXCELLENCE D E P A R T M E N T O F D E F E N S E M I L I T A R Y H E A L T H S Y S T E M P E R S P E C T I V E Mark Packer, Colonel, MD, USAF, Executive Director
EMERGENCY MEDICAL SERVICES ONLINE COURSE CATALOG. TargetSolutions. Technology with a Purpose
EMERGENCY MEDICAL SERVICES ONLINE COURSE CATALOG 1 Technology with a Purpose TargetSolutions delivers employee training that helps organizations achieve compliance, mitigate We risk, believe reduce a well-trained
Radiological Injuries
Radiological Injuries Chapter 30 Radiological Injuries The reader is strongly advised to supplement material in this chapter with the following two references: 1. Medical Management of Radiological Casualties
Professor Stacey-Rae Simcox Stetson University College of Law Director, Veterans Advocacy Clinic
Professor Stacey-Rae Simcox Stetson University College of Law Director, Veterans Advocacy Clinic To assist veterans with filing claims for VA disability compensation/pension benefits Serve the veterans
City of Montpelier, Vermont The Smallest Capital City in the United States BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN AND PROCEDURES
City of Montpelier, Vermont The Smallest Capital City in the United States BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN AND PROCEDURES Last Updated June 19, 2003 1 Bloodborne Pathogens Exposure Control Plan
Laboratory Services and Networks Your priorities?
12th Meeting Caribbean National Epidemiologists and Laboratory Directors September 17th-19th, 2014 POS, Trinidad and Tobago Laboratory Services and Networks Your priorities? Dr Cristina Gutierrez Laboratory
Blown Away: The effects of noise and blast injuries on our troops. Objectives. Threshold shifts. Detection of sound. Tank Gunner
Blown Away: The effects of noise and blast injuries on our troops James V. Crawford, MD Objectives Examine the challenges presented by hearing loss on soldiers in battle Compare the hearing protection
Post Combat Care. The Road Home
Post Combat Care The Road Home 1 Demographics: OEF/OIF Veterans Using VA Health Care Approximately 2.04 million individuals have been deployed since 2002 1,094,502 OEF and OIF veterans who have left active
The American Legion National Chaplain s Conference September 27, 2008 Indianapolis, IN
The American Legion National Chaplain s Conference September 27, 2008 Indianapolis, IN Chaplain, Lt Col, William T. Yates Wing Chaplain 181 st Intelligence Wing (IN ANG) Terre Haute, Indiana Introduction
INFECTION PREVENTION NEWS & UPDATES
FEBRUARY 2018 INFECTION PREVENTION NEWS & UPDATES MULTI-COUNTRY OUTBREAK CONTACT + VECTOR NIGERIA, BRAZIL YELLOW FEVER The previously reported outbreak of Yellow Fever in Nigeria has now infected 358 people
NOLS WILDERNESS MEDICINE WILDERNESS EMT COURSE OUTLINE
NOLS WILDERNESS MEDICINE WILDERNESS EMT COURSE OUTLINE PREPARATORY READING: BRADY CH. 1, 5, 6, 8 DAY 1 MONDAY 8:00 INTRO TO COURSE / EMT TRAINING INTRO TO STAFF AND STUDENTS INTRODUCTION TO EMERGENCY CARE
The Footballers 7 Deadly Sins
The Footballers 7 Deadly Sins CONTENTS 1. Not enough core strength 2. Not enough balance retraining 3. Not enough hamstring strength 4. Too many ACL Injuries 5. Not enough flexibility/warming up 6. Not
Training Strategies to Mitigate Expectancy-Induced Response Bias in Combat Identification: A Research Agenda
Human Factors in Combat ID Workshop Training Strategies to Mitigate Expectancy-Induced Response Bias in Combat Identification: A Research Agenda Frank L. Greitzer Pacific Northwest National Laboratory
The Pattern of Peripheral Nerve Injuries among Iraqi Soldiers in the War by using Nerve Conductive Study
Research Article The Pattern of Peripheral Nerve Injuries among Iraqi Soldiers in the War by using Nerve Conductive Study Qaisar A. Atea, M.B.Ch.B, D.R.M.R. Safaa H. Ali, M.B.Ch.B, Msc, Ph.D. Date Submitted:
Radiological Injuries
Chapter 28 The reader is strongly advised to supplement material in this chapter with the following two references: 1. Armed Forces Radiobiology Research Institute. Medical Management of Radiological Casualties.
PRE TEST. Module I. Module II.
PRE TEST Module I. 1. Which of the following is a key factor in the definition of a situation as a disaster? a. Event involving some kind of trauma to vulnerable populations not having the capacity to
Lucille Beck, PhD Chief Consultant, Rehabilitation and Prosthetic Services Veterans Health Administration Department of Veterans Affairs
How to Facilitate Rehabilitation Care Lucille Beck, PhD Chief Consultant, Rehabilitation and Prosthetic Services Veterans Health Administration Department of Veterans Affairs The only victor in war is
Acting in an Emergency
CHAPTER 2 Acting in an Emergency (Video- Acting in an emergency and preventing disease transmission) Emergencies Vary Nature of injury or illness Severity of injury or illness Presence of other injuries
Today s Topics. Age-related changes that increase vulnerability. Geriatric-specific disaster planning. Geriatric decontamination
1 Geriatric Preparedness, Triage, and Treatment in Disasters Deborah Smith, RN, BSN, CEN Manager, Clinical Services YNHH Center for Emergency Preparedness and Disaster Response June 3, 2010 Photo credit:
The new standard in hemorrhage control
The new standard in hemorrhage control Contents The need for hemostats What is Celox Rapid? Benefits How it works Performance Independent trials of Celox Gauze The need for hemostats in trauma Combat lives
Non-covered ICD-10-CM Codes for All Lab NCDs
Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,
FOR: JONATHAN WOODSON, M.D., ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS)
DEFENSE HEALTH BOARD FIVE SKYLINE PLACE, SUITE 810 5111 LEESBURG PIKE FALLS CHURCH, VA 22041-3206 FOR: JONATHAN WOODSON, M.D., ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS) SUBJECT: Interim Report: Department
Disaster Medical Operations-Part 2
Disaster Medical Operations-Part 2 Community Emergency Response Team Disaster Medical Operations Part 1 Review The killers Airway obstruction Excessive bleeding Shock All immediate receive airway control,
WakeMed Health & Hospitals
WakeMed Health & Hospitals The Power to Heal. A Passion for Care. WakeMed Health & Hospitals Raleigh, North Carolina Traumatic Brain Injury December 4th, 2012 Laurie Leach, Ph.D., FACPN Director of Neuropsychology
Public Health & Disasters. Handoyo Pramusinto
Public Health & Disasters Handoyo Pramusinto Morbidity from disaster Injuries Emotional stress Epidemic of disease Increase in indigenous diseases Effects of Disaster Health Problems Common to
Biological Warfare Agents
Chapter 29 The reader is strongly advised to supplement material in this chapter with the following reference: US Army Medical Research Institute of Infectious Diseases (USAMRIID). Medical Management of
SAFETY BACK INJURY PREVENTION
Department of the Army Pamphlet 385 8 Safety SAFETY BACK INJURY PREVENTION Headquarters Department of the Army Washington, DC 1 June 1985 UNCLASSIFIED SUMMARY of CHANGE DA PAM 385 8 SAFETY BACK INJURY
Joint Pacific Alaska Range Complex
Joint Pacific Alaska Range Complex Environmental Impact Statement for the Modernization and Enhancement of Ranges, Airspace, and Training Areas in the Joint Pacific Alaska Range Complex in Alaska Volume
Summary Report for Individual Task 805P-COM-1114 Perform Climbing Drill 1 (CL1) Status: Approved
Report Date: 12 Aug 2014 Summary Report for Individual Task 805P-COM-1114 Perform Climbing Drill 1 (CL1) Status: Approved Distribution Restriction: Approved for public release; distribution is unlimited.
Brain and Spine Curing Spinal Cord Injury (Dr. Labhasetwar) Summary: Stroke Therapy (Dr. Labhasetwar)
Brain and Spine Curing Spinal Cord Injury (Dr. Labhasetwar) Spinal cord injury (SCI) has devastating consequences on those affected, for the rest of their lives. According to the Christopher & Dana Reeve
CS/PoliSci/Statistics C79 Societal Risks & The Law
CS/PoliSci/Statistics C79 Societal Risks & The Law Nicholas P. Jewell Department of Statistics & School of Public Health (Biostatistics) University of California, Berkeley March 19, 2013 1 Nicholas P.
PTSD and Brain Injury- The Perfect Storm Part I
PTSD and Brain Injury- The Perfect Storm Part I Lori Wardlow, LMSW VA Nebraska Western Iowa Health Care System Peggy Reisher, MSW Brain Injury Alliance of Nebraska 2016 Invisible Wounds of War 19% of personnel
Key Ethical Considerations in PTSD and TBI Research
Key Ethical Considerations in PTSD and TBI Research Robert K. Gifford, Ph.D. Director, Homeland Security Studies Center for the Study of Traumatic Stress Uniformed Services University School of Medicine
EXPLOSIVE BLAST TRAUMATIC BRAIN INJURY
EXPLOSIVE BLAST TRAUMATIC BRAIN INJURY Geoffrey Ling, M.D., Ph.D. Colonel, Medical Corps, US Army Program Manager, DARPA Professor and Vice-Chair, Neurology, USUHS Director, Neuro Critical Care, WRAMC
THE WARRIOR S SILENT WOUND
THE WARRIOR S SILENT WOUND WAR FIGHTERS WITH HEARING LOSS ARE WOUNDED NAVAL HOSPITAL CAMP LEJEUNE OCCUPATIONAL HEALTH CLINIC HEARING CONSERVATION PHONE: 910-451-2529, EMAIL: alan.ross@med.navy.mil 2009
WELCOME TO THE BURLINGTON NATURAL HEALTH CENTRE PLEASE FILL IN THESE FORMS AS COMPLETELY AS POSSIBLE. THANKYOU!
WELCOME TO THE BURLINGTON NATURAL HEALTH CENTRE PLEASE FILL IN THESE FORMS AS COMPLETELY AS POSSIBLE. THANKYOU! NAME DATE ADDRESS Gender CITY, PROVINCE HOME PHONE E MAIL POSTAL CODE DATE OF BIRTH (D/M/Y)
Lower Extremities. the. Maloney Nerve Institute solutions to your difficult ner ve problems
Lower Extremities the Maloney Nerve Institute solutions to your difficult ner ve problems Lower Extremities There are several nerve related problems that affect the lower extremities. Peripheral Neuropathy,
TITLE: Establishing the Mineral Apposition Rate of Heterotopic Ossification for Prevention of Recurrence.
AD Award Number: W81XWH-12-2-0017 TITLE: Establishing the Mineral Apposition Rate of Heterotopic Ossification for Prevention of Recurrence. PRINCIPAL INVESTIGATOR: Brad M. Isaacson, Ph.D. CONTRACTING ORGANIZATION:
Army troops suffering from traumatic brain injury
Army troops suffering from traumatic brain injury Since October 2001, more than two million American troops have deployed to fight the Global War on Terror being fought in Iraq and Afghanistan. The War
Critical Thinking. Answer Key. Skills Worksheet. ANALOGIES 1. a 6. a 2. c 7. d 3. b 8. d 4. d 9. c 5. b 10. d
Skills Worksheet Critical Thinking Answer Key ANALOGIES 1. a 6. a 2. c 7. d 3. b 8. d 4. d 9. c 5. b 10. d INTERPRETING OBSERVATIONS 11. West Nile virus is a previously unknown virus. 12. Answers may vary.
Emergency Medical Technician Common Course Outline
Emergency Medical Technician Common Course Outline Course Information Organization South Central College Revision History 2008-2009 Course Number HEMS1200 Department EMS Total Credits 6 Description This
UNCLASSIFIED (Version 3, 25 Sep 2014)
AFRICOM POC: Office of the Command Surgeon Force Health Protection Branch Organizational Mailbox Email Address: africom.stuttgart.acsg.mbx.j004-force-health-protection@mail.mil DSN: 314-421-4673/4777/4629;
AD (Leave blank) TITLE: Brief cognitive behavioral therapy for military populations
1 AD (Leave blank) Award Number: W81XWH-09-1-0569 TITLE: Brief cognitive behavioral therapy for military populations PRINCIPAL INVESTIGATOR: M. David Rudd, PhD, ABPP CONTRACTING ORGANIZATION: University
The Current Status of the Epidemiologic Transition
The Current Status of the Epidemiologic Transition There are still job opportunities in Infectious Diseases and Tropical Medicine CAPT John W. Sanders, Medical Corps, US Navy Commanding Officer, Naval
The well-being of the Paramedic. Topics. Introduction
The well-being of the Paramedic Topics Wellness of the Paramedic Impact of Shift Work on the Paramedic Proper Body Mechanics Managing Hostile Situations Introduction Well-being is a fundamental aspect
Pre-hospital Trauma Life Support. Rattiya Banjungam Emergency Physician, Khon Kaen Hospital
Pre-hospital Trauma Life Support Rattiya Banjungam Emergency Physician, Khon Kaen Hospital Golden principles of Prehospital Trauma Care Golden Hour There is a golden hour if you are critically injured,
1. Information on Brain Injury
1. Information on Brain Injury A. Information on Brain Injury 3 B. Quick Facts about Incidence and Prevalence of Brain Injury 3 C. Brain Functions/Map of the Brain 4 D. Mechanics of a Brain Injury 5 E.
9/14/16 PHASES OF HEALING. Mandatory Knowledge LEARNING OBJECTIVE. Understand Phases of Healing in Musculoskeletal Trauma
Mandatory Knowledge LEARNING OBJECTIVE Understand Phases of Healing in Musculoskeletal Trauma LEARNING OBJECTIVE Apply Phases of Healing knowledge in the evaluation and treatment of musculoskeletal complaints
Emergency Care Progress Log
Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All
DEPARTMENT OF THE ARMY HEADQUARTERS UNITED STATES ARMY MANEUVER SUPPORT CENTER AND FORT LEONARD WOOD FORT LEONARD WOOD, MISSOURI
DEPARTMENT OF THE ARMY HEADQUARTERS UNITED STATES ARMY MANEUVER SUPPORT CENTER AND FORT LEONARD WOOD FORT LEONARD WOOD, MISSOURI 65473-5000 FLW Regulation No 40-7 10 July 2007 Medical Services HEARING
Dengue Stephen J. Thomas, MD Director, Viral Diseases Branch Walter Reed Army Institute of Research (WRAIR) 14 AUG 2012
Dengue Stephen J. Thomas, MD Director, Viral Diseases Branch Walter Reed Army Institute of Research (WRAIR) 14 AUG 2012 Dengue Lecture Outline Dengue Virus Dengue Epidemiology Military Significance Clinical
Rapid Health Assessment Form Iran Earthquake 27 December 2003
World Health Organization Rapid Health Assessment Form Iran Earthquake 27 December 2003 Summary of findings and conclusions: The earthquake that struck Bam on December 26, 2003 has killed at least 15,000
PHYSICAL AND MENTAL ACTIVITY FORM 10/30/07 MAINTENANCE AND CONSTRUCTION HELPER
PHYSICAL AND MENTAL ACTIVITY FORM 10/30/07 Job Class Class Code MAINTENANCE AND CONSTRUCTION HELPER 3115 Instructions: Below is a list of activities and other characteristics of the job class. First indicate