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Remote Medicine the Defence Perspective. Colonel Leonard Brennan Director Health. ACRRM 5 th Scientific Forum and Rural Doctors Conference 2008. Scope. Personal perspective Health support to current ADF operations Military medicine is remote and often rural Clinical military medicine
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Remote Medicine the Defence Perspective Colonel Leonard Brennan Director Health ACRRM 5th Scientific Forum and Rural Doctors Conference 2008 UNCLASSIFIED
Scope • Personal perspective • Health support to current ADF operations • Military medicine is remote and often rural • Clinical military medicine • Military medicine training UNCLASSIFIED
Personal perspective • Undergraduate • Parachute Battalion • High Commission PNG • Parachute Surgical Team • 3rd (UK) Armoured Field Ambulance • 1st Field Hospital • HQ 3rd Brigade • 1st Health Support Battalion UNCLASSIFIED
1998 PNG Tsunami UNCLASSIFIED
Bougainville UNCLASSIFIED
East Timor UNCLASSIFIED
Solomon Islands UNCLASSIFIED
DOMESTIC OPERATIONS RESOLUTE Australian Border Protection COUNTER TERRORISM DISATER RESPONSE TESTAMENT World Youth Day 08 OUTREACH UNCLASSIFIED UNCLASSIFIED
HMAS LARRAKIA • Armidale class “patrol boat” • 21 sailors • Coxswain UNCLASSIFIED
REGIONAL OPERATIONS KIRIBATI ASSIST Kiribati PNG ASSIST Papua New Guinea ASTUTE East Timor ANODE Solomon Islands UNCLASSIFIED UNCLASSIFIED
East Timor Battle Group • 3 RAR (Para) • 500+ UNCLASSIFIED
GLOBAL OPERATIONS PALADIN Israel/Lebanon MAZURKA Sinai CATALYST / SLIPPER MEAO AZURE / HEDGEROW Sudan UNCLASSIFIED UNCLASSIFIED
Special Operations Task Group • SAS & Commando • Operating in Southern Afghanistan UNCLASSIFIED
Oruzgan Province UNCLASSIFIED
Remote and often rural • Remote • Physical • Professional • Cultural UNCLASSIFIED
Clinical military medicine • Fit healthy population • Acute general practice • Sports medicine ++ • Gastro/URTI/Skin conditions • Acute trauma • Underwater medicine • Aviation medicine • Aero-medical evacuation • Tropical medicine • Chemical, Biological, Radiological & Nuclear UNCLASSIFIED
Less common • Communicable diseases • Malaria • Dengue fever • Battle casualties • PTSD • Traumatic brain injury • Syndromes “Shell Shock”, “Agent Orange”, “Gulf War” • Humanitarian Aid • Paediatrics • Obstetrics • Third world general practice! UNCLASSIFIED
Military Medical Training • Undergraduate / GMS +GP training PGY2 • Military Medicine Courses • EMST Course with military module • FW or RW AME • Underwater Medicine Cse • Aviation medicine Cse • Medical Officer CBRN Cse • Occupational & Environmental Health Cse • Military Officer Courses UNCLASSIFIED
Not just Doctors • Medical assistant • Nursing officers – extended roles • Operating theatre technicians UNCLASSIFIED
UNCLASSIFIED PALADIN Israel/Lebanon RESOLUTE Australian Border Protection ASTUTE East Timor MAZURKA Sinai Questions AZURE / HEDGEROW Sudan CATALYST / SLIPPER MEAO ANODE Solomon Islands TESTAMENT World Youth Day 08 OUTREACH UNCLASSIFIED UNCLASSIFIED