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FAST-FWD: Overview of AMEDD Integration with the Deployed RDECOM-FAST Teams. LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ Victor Melendez Medical Officer, OEF Team 2. 1. Outline. Purpose Overview of Science & Technology (S&T) concept of support to deployed force
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FAST-FWD: Overview of AMEDD Integration with the Deployed RDECOM-FAST Teams LTC Carl Brinkley, Medical Officer; OIF Team 20 MAJ Victor Melendez Medical Officer, OEF Team 2 1
Outline • Purpose • Overview of Science & Technology (S&T) concept of support to deployed force • MRMC/RDECOM FAST partnership • Agenda • Technology gaps • Mission • Organization • RFI process • Accomplishments 2
Technology Gaps Warfighters face special needs from an unpredictable, asymmetric battlefield How do we provide innovative technology rapidly enough to adapt to changing enemy Tactics, Techniques & Procedures? 3
Connecting Deployed Users With Materiel Developers • FAST Team Mission • S&T support to forward deployed units to enhance operational capability. • Communicate Warfighter requests & capability gaps to RDECOM/MRMC R&D labs/centers for solutions. • Technology-Associated Tasks: • Reconnaissance: Identify capability gaps/materiel requirements • Assistance: Help articulate operational needs to CONUS-based combat, training, materiel developers • Deployment: Coordinate field delivery & training of new technology prototypes for evaluation • Assessment: Obtain user feedback on performance of deployed materiel solutions 4
FAST Team • 4-5 Team members • O4/05 OIC (Acquisition Corps) • E6/E7 Operations NCO & NCOIC • GS13/15 DA Civilian Scientist • 04/05 Medical Operations Officer • Deployment History • 22 OIF teams since 2003 • Medical team member since 2005 • AMEDD emphasis now shifted to Afghanistan/OEF • Rotation • 6 month deployment • Travel throughout AO to engage Soldiers & Commanders • Fwd life support through the Army Field Support Brigade (AFSB) • CONUS support via RDECOM G-3/MRMC Operations
Past AMEDD FAST Team Members Team 10 Team 11 Team 12 Team 13 Team 14 Team 15 Team 16 Team 17 Team 18 Team 19 Team 20 Team 21 Team 22 Jul 05 – Nov 05 Nov 05 – Mar 06 Mar 06 – Jul 06 Jul 06 – Nov 06 Nov 06 – Feb 07 Feb 07 – Jul 07 Jul 07 – Sep 07 Oct 07 – Feb 08 Feb 08 – Jul 08 Jul 08 – Jan 09 Jan 09 – Jul 09 Jul 09 – Dec 10 Dec 10 - Jun 10 MAJ Jurandir Dalle Lucca CPT Patrick McNutt LTC Stephen Dalal MAJ Matt Clark LTC Rex Berggren LTC Karen Kopydlowski MAJ C. Jeremy Clark CPT Stefan Fernandez MAJ Melba Stetz MAJ Keith Palm LTC Carl Brinkley CPT Ben Rowe LTC Sonya Schleich MS/71B MS/71B VC/64C MS/71F MS/71E MS/71A MC/60J MS/71A MS/71F NC/66B MS/71A MS/71B MS/72D OIF/OND OEF Team 2 Team 3 Nov 09 – Mar 10 Mar 10 – Oct 10 MAJ Victor Melendez MAJ Robert Carter MS/71B MS/71B
OPERATION ENDURING FREEDOM U.S. FORCES, AFGHANISTAN USFOR Afghanistan Forward Deployed TeamsOIF & OEF
Afghanistan FAST Alignment • 2001: UN International Security Assistance Force (ISAF) • 2003: NATO assumes command of ISAF & establishes Regional Commands (RCs) • 2008: Activation of US Forces-Afghanistan (USFOR-A) • 2009: First OEF FAST Team • 2010: OEF expands - three FAST Teams • Currently one FAST Medical officer 8
Aviation and Missile Research, Development and Engineering Center (AMRDEC) Army Materiel Command Relationship HQ Department of the Army (DA) Army Material Command (AMC) Training and Doctrine Command (TRADOC) Army Forces Command (FORSCOM) Army Service Component Commands (ASCC) Direct Reporting Units (DRU) TACOM LCMC RDECOM Tank Automotive Research, Development & Engineering Center (TARDEC) Natick Soldier Research, Development and Engineering Center (NSRDEC) Army Research Laboratory (ARL) Armament Research, Development and Engineering Center (ARDEC) Strategic Partnership for Shared Mission Communications- Electronic Research, Development and Engineering Center (CERDEC) Edgewood Chemical and Biological Center (ECBC) Simulation and Training Technology Center (STTC)
Medical Research & Materiel MEDCOM 5 RMCs AMEDDC&S PUBLIC HEALTH COMMAND (P) VETCOM DENCOM WARRIOR TRANSITION MRMC US Army Medical Research Institute of Infectious Diseases (USAMRIID) US Army Medical Materiel Development Activity (USAMMDA) US Army Institute of Surgical Research (USAISR) Walter Reed Army Institute of Research (WRAIR)) US Army Medical Research Institute of Chemical Defense (USAMRICD) US Army Research Institute of Environmental Medicine (USARIEM) US Army Aeromedical Research Lab (USAARL) US Army Medical Materiel Agency (USAMMA) Acquisition • Research & Technology • 6 core labs • Basic & applied research • Advanced technology development to prove tech-based concepts for medical products • Advanced Development • USAMMDA & USAMMA • Advanced component & prototypes • System development • Demonstration of tech-based concepts • COTS transition to FDA-approved war-ready products • Medical Logistics • USAMMA • Field, distribute, sustain, maintain & dispose of medical products, supplies & equipment • Materiel management from tech base, advanced development or commercial sector 10
Drugs Products derived from synthesized chemicals with the intent of being metabolized by the body Medications/IVs/Creams Biologics Products derived from living sources (animal, human, microorganisms) Vaccines, blood, tissue Devices Instruments, machines, implants used in the clinical diagnosis or treatment with the intent to affect the structure or function of the body Lab equipment, bandages MRMC Advanced Development PROGRAMS COMMODITIES • Military Infectious Diseases • Vaccines against malaria, dengue, HIV • Drugs against malaria • Topical Skin Creams/tests • Combat Casualty Care • Soldier worn haemostatic's • Resuscitative fluids • Modified commercial devices • Oxygen generation • Evacuation support devices • Military Operational Medicine • Diagnostics • Health monitoring • Operational testing MRMC Advanced Developers = Rapid Acquisition Gatekeepers
Rapid Acquisitions • Addressing urgent medical needs • Operational Needs Statement (ONS) • Urgent/compelling; 120 day goal • Rapid Equipping Force (REF) • Empowered via Army G3 to approve Tech-based projects & commit funds • 10-line request format to “equip” the user; 90 day goal • FAST Team - Leverage rapid acquisition via Requests For Information (RFIs) to materiel developers • Incoming request outlining capability shortfall • Provides sufficient background to understand problem • Requests for potential existing solution or technology search for COTS solution 12
Generic RFI Format • Distribution & Reply by dates for tracking • RFI number & Title • Descriptive text • Body of document • (1) Issue – Technical description • (2) Summary – BLUF – 1-2 sentences • (3) Performance gaps & capability shortfalls • List capability gaps & integrate photos if possible • (4) Recommendations • If known, what the field believes is required to fix the problem • (5) Contact information • Name, Telephone, E-mail
REF “10 - Liner” • Baseline document that drives the REF process. • Template after the standard Operational Needs Statement (ONS), and consists of the following 10 lines: • 1. Problem • 2. Justification • 3. System Characteristics • 4. Operational Concept • 5. Organizational Concept • 6. Procurement Objective • 7. Support Requirements • 8. Availability • 9. Recommendation • 10. Coordination Accomplished 14
RDECOM • Natick Soldier Center (NSRDEC) • Aviation & Missile (AMRDEC) • Armaments (ARDEC) • Communication/Electronics (CERDEC) • Tank & Automotive (TARDEC) • Army Research Lab (ARL) • Edgewood Chemical-Bio Center (ECBC) Non-Medical Need • Need • Gap • Solution Materiel Solution Process • MEDCOM • USAMRMC • R&D Labs & Centers • Product Developers • MEDLOG SMEs • AMEDD C&S/Combat Dev • Public Health Command • OTSG • Consultants/SMEs Medical Need COAs FAST - FWD FAST HQ/G3 & MRMC - CONUS FAST - FWD ONS REF 10-liner PM/PEO funding Prototype Assessment ID Warfighter need or Capability Gap Write RFI Present leadership solutions & help w/ COA Track & Vet Issues
Technology Need1 of 7 • Capability Gap • Up-armored ground ambulance • Solution • Ambulance variant of Mine Resistant Ambush Protected Vehicle (MRAP)
Technology Need2 of 7 • Capability Gap • Non-medical vehicle evacuation requirement • Solution • Ground vehicle CASEVAC Conversion Kits
Technology Need3 of 7 • Capability Gap • Requirement for blood culture plus bacterial identification & antibiotic susceptibility testing at level III MTFs • Solution • Bac-T-Alert • Autoscan-4 microbial ID/Sens system for the clinical lab 18
Technology Need4 of 7 • Capability Gap • Child restraint to prevent “submarine” effect during MEDEVAC transport • Solution • Air-worthy certified COTS product 19
Technology Need5 of 7 • Capability Gap • Current fielded water quality testing equipment is limited in portability & panel of tests • Solution • The HACH DR890 lightweight, rugged COTS water testing device (colorimeter) • Hand-held device consistent with current water quality testing requirements 20
Technology Need6 of 7 • Capability Gap • Tuberculosis endemic in Iraq • Detainee healthcare workers at risk • Require isolation technology to induce specimens for testing • Solution • Specimen collection chamber to prevent occupational exposure to healthcare workers 21
Technology Need7 of 7 • Capability Gap • No fielded product to effectively warm IV fluids • Solution • Lightweight, low cost fluid warming system • Delivers fluids at controlled temperature • Prevents infusing fluids into casualties that may induce hypothermia
MEDEVAC-Related RFIs • NVG-compatible lighting for flight medics • Ruggedized pulse oximeter • Alternative aid bags • Updated aviation first-aid kit (vintage 1980) • Light-weight carbon composite O2 tanks • Flame retardant/ fluid-resistant disposable gloves • Lower torso over-garment w/ knee pads
Combat Application Tourniquet (CAT) Hemostatic Bandages Digital Filmless Dental X-Ray Vibration Dampening Map for MRAP Gunners Other Technology Insertions Into OIF/OEF Golden Hour Blood Transport Warrior Aid Litter Kit (WALK) Zoll Critical Care Device XL Smart Battery 25
Call for Volunteers • FAST team Medical Operations Officer • Commissioned Officer, senior O3 to O5 • Completion of Captain’s Career Course • Field or deployment experience (recommended) • Acquisition certification (recommended) • April: Request for volunteer message distributed to AMEDD • Submission packet/Selection process outlined • Copy ORB, last 3 OERs, • Request for consideration • 3 letters of recommendation • AMEDD S&T Assistance Team reviews applicants & provides recommendations • October: Selection notification • CG, MRMC: Selecting official • Two selectees & two alternates • More Information: MRMC FAST Quick Reaction Coordinator • Mr. Eluterio Galvez, MRMC Quick Reaction Cell Coordinator • E-mail: eluterio.galvez@amedd.army.mil; phone: (301) 619-0606 26
Pre-Deployment Training • RDECOM-FAST Orientation • 4 weeks • RDECOM & FAST Team HQ (Edgewood, MD & FT Belvoir, VA) • RDECS (Research, Development, and Engineering Centers) • NSRDEC, Natick, MA; ARDEC, Picatinny, NJ; TARDEC, Warren, MI; AMRDEC, Redstone Arsenal, AL; CERDEC, Ft. Monmouth, NJ; ARL, Adelphi, MD • MRMC Orientation Training • 2-4 days at Ft. Detrick • Individual appointments with designated POCs • MRMC HQ, USAMMA, USAMMDA • AMEDD C&S & ISR at FT Sam Houston, TX • CONUS Replacement Center (CRC) • 1 week at Ft. Benning prior to flight to Kuwait/Afghanistan Total Pre-deployment Training ~ 5 weeks
FAST Medical Operations Unique Afghanistan deployment opportunity for AMEDD officer Reconnaissance Identify critical medical capability/technology gaps Collect information/recommendations from the deployed force Interface between soldiers & R&D centers Involve SMEs, Materiel Developers, Logisticians, Combat Developers, AMEDD Center and School Assistance Initiate/accelerate rapid acquisition process Facilitate ONS, REF 10-liner, Letters of Justification Deployment Introduce requested new technology products originating from medical R&D, materiel developers, and logistics communities Assessment Evaluate technology solutions in-theater & provide feedback to RDECOM and MRMC Summary 28
Questions & Discussion Egress hatch useless with Slat Armor and Duke box covers it internally Can not hang tow bar once SLAT armor is hung on vehicle Check-6 camera or 360 camera for vehicle, minimum gunner to view Request medical roll down kit, WALK bags are not sufficient for MEV specific mission Answer: NSN 6530-01-515-7651 Panel Modular Medical Trauma (click on attachment) Request Driver’s DVE to be remote or additional DVEs so driver can clear corner before turning Driver’s steering wheel was not user friendly Better Tires: are there other tires authorized with NSN, rugged terrain often tore tires apart FBCB2 location needed to be moved for crew members multi functions Request FBCB2 for driver Possible LED lights transition from current lights Ballistic windshield breaks often and are hard to replace Possible V- Hull integration 25K Tow Rope scarce and seldom in BII. Status on Stryker Recovery Vehicle. Requested internal suction apparatus NBC never used and was in the way often. 29