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LTC Carl Brinkley,Medical Officer; OIF Team 20
MAJ Victor MelendezMedical Officer, OEF Team 2
LTC Carl Brinkley,Medical Officer; OIF Team 20
MAJ Victor MelendezMedical Officer, OEF Team 2
FAST-FWD: Overview of AMEDD Integration with the Deployed
RDECOM-FAST Teams
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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
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How do we provide innovative technology rapidly enough to adapt to changing enemy Tactics, Techniques & Procedures?
Warfighters face special needs from an unpredictable, asymmetric battlefield
Technology Gaps
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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.
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• 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
• 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
• 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
FAST Team
Past AMEDD FAST Team Members
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
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
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
Team 2
Team 3
Nov 09 – Mar 10
Mar 10 – Oct 10
MAJ Victor Melendez
MAJ Robert Carter
MS/71B
MS/71B
OIF/OND
OEF
Forward Deployed TeamsOIF & OEF
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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
CMD HQ NATO Lead
FAST Team (2010)
RC-Capital
Kabul France, Italy, Turkey
Yes
RC-North
MarzESharif Germany No
RC-West
Herad Italy No
RC-South
Kandahar Canada, UK, Netherlands
Yes-Primary FAST Med Ops presence for RC coverage
RC-East
Bagram USA Yes8
Armament Research, Development and
Engineering Center (ARDEC)
Army Research Laboratory
(ARL)
Edgewood Chemical
and Biological Center (ECBC)
Natick Soldier Research,
Development and Engineering Center
(NSRDEC)
Communications-Electronic Research,
Development and Engineering Center
(CERDEC)
Simulation and Training
Technology Center (STTC)
Aviation and Missile Research, Development
and Engineering Center
(AMRDEC)
Tank Automotive Research,
Development & Engineering Center
(TARDEC) Strategic Partnership
for Shared Mission
Army Materiel Command Relationship
RDECOMTACOM
LCMC
Army Material Command
(AMC)
HQ Department of the Army
(DA)
Army Forces Command (FORSCOM)
Training and Doctrine
Command (TRADOC)
Army Service Component
Commands (ASCC)
Direct Reporting Units (DRU)
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Medical Research & Materiel
5 RMCsPUBLIC HEALTH
COMMAND (P)AMEDDC&S
MRMC
MEDCOM
WARRIOR TRANSITION
DENCOMVETCOM
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
US Army Medical Materiel Development Activity (USAMMDA)
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
US Army Aeromedical Research Lab (USAARL)
US Army Institute of Surgical Research (USAISR)
US Army Medical Research Institute of Chemical Defense (USAMRICD)
US Army Medical Research Institute of Infectious Diseases (USAMRIID)
US Army Research Institute of Environmental Medicine (USARIEM)
Walter Reed Army Institute of Research (WRAIR))
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MRMC Advanced Development
• 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
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
COMMODITIESPROGRAMS
MRMC Advanced Developers = Rapid Acquisition GatekeepersMRMC Advanced Developers = Rapid Acquisition Gatekeepers
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• 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
Rapid Acquisitions
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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
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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
Materiel Solution Process
ID Warfighter need or
Capability Gap
Write RFI
ID Warfighter need or
Capability Gap
Write RFI
FAST - FWDFAST - FWD FAST - FWDFAST - FWD
MEDCOM • USAMRMC
– R&D Labs & Centers– Product Developers– MEDLOG SMEs
• AMEDD C&S/Combat Dev• Public Health Command• OTSG• Consultants/SMEs
FAST HQ/G3 & FAST HQ/G3 & MRMC - CONUSMRMC - CONUS
Track & VetIssues
Track & VetIssues
Present leadership solutions & help w/
COA
Present leadership solutions & help w/
COA
FAST - FWDFAST - FWD FAST - FWDFAST - FWD ONS
REF 10-liner
PM/PEO funding
Prototype Assessment
ONS
REF 10-liner
PM/PEO funding
Prototype Assessment
COAsCOAsCOAsCOAs
Medical Need
Non-Medical Need
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)
•Need
•Gap
•Solution
•Need
•Gap
•Solution
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• Capability Gap– Up-armored ground ambulance
• Solution– Ambulance variant of Mine Resistant Ambush
Protected Vehicle (MRAP)
Technology Need1 of 7
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• Capability Gap – Non-medical vehicle
evacuation requirement
• Solution– Ground vehicle CASEVAC
Conversion Kits
Technology Need2 of 7
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• 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
Technology Need3 of 7
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• Capability Gap – Child restraint to prevent
“submarine” effect during MEDEVAC transport
• Solution– Air-worthy certified COTS
product
Technology Need4 of 7
2020
• 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
Technology Need5 of 7
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• 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
Technology Need6 of 7
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• 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
Technology Need7 of 7
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• 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
MEDEVAC-Related RFIs
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Soldier-Requested Availability of NSNs for COTS items
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Combat Application Tourniquet (CAT)
Combat Application Tourniquet (CAT)
Golden Hour Blood TransportGolden Hour Blood Transport
Digital Filmless Dental X-Ray
Digital Filmless Dental X-Ray
Other Technology Insertions
Into OIF/OEFVibration Dampening Map for
MRAP GunnersVibration Dampening Map for
MRAP Gunners
Warrior Aid Litter Kit (WALK)Warrior Aid Litter Kit (WALK) Zoll Critical Care Device XL Smart Battery
Zoll Critical Care Device XL Smart Battery
Hemostatic Bandages
Hemostatic Bandages
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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: [email protected]; phone: (301) 619-0606
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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 weeksTotal Pre-deployment Training ~ 5 weeks
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Summary
• 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 28
Questions & Discussion
Requested internal suction apparatus
Request medical roll down kit, WALK bags are not sufficient for MEV specific missionAnswer: NSN 6530-01-515-7651 Panel Modular Medical Trauma (click on attachment)
Adobe Acrobat Document
Egress hatch useless with Slat Armor and Duke box covers it internally
NBC never used and was in the way often.
Better Tires: are there other tires authorized with NSN, rugged terrain often tore tires apart Possible V- Hull
integration 25K Tow Rope scarce and seldom in BII. Status on Stryker Recovery Vehicle.
Request Driver’s DVE to be remote or additional DVEs so driver can clear corner before turning
Check-6 camera or 360 camera for vehicle, minimum gunner to view
Can not hang tow bar once SLAT armor is hung on vehicle
Possible LED lights transition from current lights
FBCB2 location needed to be moved for crew members multi functions
Request FBCB2 for driverBallistic
windshield breaks often and are hard to replace
Driver’s steering wheel was not user friendly
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