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28 Jan 2014

Fleet Surgical Team (FST) Trauma Training Course and BATAAN Mass Casualty Exercise RADM Wagner/CAPT Bonnema. 28 Jan 2014. Overall Classification Unclassified. BATAAN Mass Casualty Exercise. (U) Nature of Brief (U) Information / Decision (U) Decision Level (4/3/2/1 Star)

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28 Jan 2014

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  1. Fleet Surgical Team (FST) Trauma Training Course andBATAAN Mass Casualty ExerciseRADM Wagner/CAPT Bonnema 28 Jan 2014 Overall Classification Unclassified

  2. BATAAN Mass Casualty Exercise • (U) Nature of Brief • (U) Information / Decision • (U) Decision Level (4/3/2/1 Star) • (U) Source Documents: • (U) C2: • (U) Next Update: • (U) Results Brief Back: • (U) Problem Statement / Issue • (U) LA County Trauma Center previously provided excellent hands on trauma training • (U) Changes have limited ongoing meaningful provider participation • (U) Need for realistic scenario based training simulation J/FO W&R GFM S/C/Fam Safety R/P • (U) Background / Actions to Date • (U) Didactic course and simulation model developed on West Coast • (U) Fiscal/budgetary constraints removed support at last moment • (U) SURFLANT in coordination with USFF replicated comprehensive training curriculum and CAPSTONE event (22NOV) • (U) Recommendation • (U) Informational only • (U) Decision • (U) Informational only As of: 1200 23Jan14 UNCLASSIFIED

  3. Fleet Surgical TeamTrauma Training Course • Organized by SURFLANT with strong support of NMCP clinical departments, SIM CENTER and USFFC* • Weeklong evolution including didactic curriculum, SIM CENTER training and an all day CAPSTONE event *Commercial cooperation and Hollywood level special effects/moulage

  4. BATAAN Mass Casualty Exercise Cut Suit, team-training, computer models

  5. BATAAN Mass Casualty “First step in assessing a trauma patient…check your own pulse.” -Trauma teams were developed during BATAAN PHIBRON MARINE INTEGRATED TRAINING (PMINT) and ARG/MEU exercises -Involved 3 FSTs (FST 6); 3 waves of approximately 15 patients each -Internal and external observers; Hot wash after each wave and EOD -Exercised triage, receiving bays, OR, ICU including lab, x-ray, MAOs

  6. BATAAN Mass Casualty • Functional simulators allowed: • Vital sign assessment • Airway management • IV/IO • Needle decompression • Chest tube placement • Surgical airway • External fixators • Tourniquet app/hemorrhage control • Laparotomy • Thoracotomy

  7. Outcomes/Lessons Learned • A high bar has been set • Post exercise survey of participants revealed a high degree of satisfaction (greater confidence/resiliency advantage) • Line officers also indicated heightened confidence level in LHD capability • Disproportionate knowledge and skill deficits were noted along unit alignment

  8. Lessons Learned • Triage • Communication • Coordination/hand-offs • Knowledge/location of inventory • Proper in-service on infrequently used equipment • Patient tracking

  9. Future Plans • Include Ship’s Company to fullest extent possible in all aspects of training • Involve Marine component in exercise as part of integrated certification • Develop formalized training-simulation-certification packages for multiple platforms (BUMED/USFF)

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