In the field pharmacy specialist are responsible for taking care of entire pharmacy operation including counseling patients

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As a 68Q Pharmacy Specialist, I have been in MEDCOM my entire career which supports Health Service Support (HSS). In the field pharmacy specialist are responsible for taking care of entire pharmacy operation including counseling patients. Counseling patients on how to properly use countless number of medications comes with practice. MEDCOM is the perfect place to learn and practice the skill of counseling different medications. In the field, pharmacy specialist is also responsible for making IV fluids and as well as compounding medication while maintaining sterile environment.

In regard to the Large Scale Combat Operations (LSCO), “Army forces must be organized, trained, and equipped to meet worldwide challenges against a full range of threats.” (Department of the Army, 2017) My unit enforce Individual Critical Task List (ICTL) to keep soldiers’ skills up to date which enable soldiers to support LSCO. Pharmacy Specialist plays a vital role in medical readiness and recovery for the troops which in turn support Combat Operations.

 

References

Department of the Army. (2020). Army Health System Doctrine SmartBook. https://amedd.ellc.learn.army.mil/bbcswebdav/courses/082_3-68-                                                                                                                                                C45DL_2021_219_01_A/Army%20Health%20System%20Doctrine%20Smart%20Book%20%281%20June%202020%29.pdf

 

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As a flight medic my primary role is Health Service Support (HSS).  MEDEVAC units require a no less than a paramedic level provider in every helicopter. Our main mission is to evacuate service members from the point of injury or POI to a Role 2 or Role 3 facility. We are also charged with transferring patients from lower levels facilities to higher level of care, i.e., role 1 to role 2 or 2 to 3 and so on. Flight medics have to be critical care certified and have to be able to maintain care of patients during extended transport times. Flight medics are able to maintain airways and respirations using ventilators (Procedure A-XII, SMOG), and administer different blood products (Procedure B-XI, SMOG) depending on the patients needs.

Large Scale Combat Operations (LSCO) may facilitate the need for the coordination of multiple aircrafts to transport one patient to a higher echelon of care.  Aircraft in a particular Area of Operations (AO) are only able to fly a predetermined distance from their assigned centers. This distance can be affected by operational and environmental conditions. One operational consideration is fuel, will there be fuel available at the location of drop off. If no fuel is available then the aircraft must maintain enough fuel for a return trip. This requires the medics to complete a tail-to-tail transfer of patients, sometimes multiple transfers between multiple aircraft in order to get a patient to the appropriate facility. Environmental factors can be anything from weather to altitude considerations. Higher altitudes cause the engines of a helicopter to work harder due to thinner air, which in turn increases the amount of fuel consumed during a mission. The UH60 Blackhawk has maximum range of approximately 600 nautical miles (690 miles) and a service ceiling altitude of 20,000 feet (CBP.gov).

 

 

References

Standard Medical Operating Guidelines, 2021

https://jts.amedd.army.mil/assets/docs/cpgs/Standard_Medical_Operating_Guidelines_(SMOG)_for_Critical_Care_Flight_Paramedics_2021.pdf

Fact Sheet 2017 UH-60A Blackhawk, CBP.gov

 

 

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As a flight medic my primary role is Health Service Support (HSS).  MEDEVAC units require a no less than a paramedic level provider in every helicopter. Our main mission is to evacuate service members from the point of injury or POI to a Role 2 or Role 3 facility. We are also charged with transferring patients from lower levels facilities to higher level of care, i.e., role 1 to role 2 or 2 to 3 and so on. Flight medics have to be critical care certified and have to be able to maintain care of patients during extended transport times. Flight medics are able to maintain airways and respirations using ventilators (Procedure A-XII, SMOG), and administer different blood products (Procedure B-XI, SMOG) depending on the patients needs.

Large Scale Combat Operations (LSCO) may facilitate the need for the coordination of multiple aircrafts to transport one patient to a higher echelon of care.  Aircraft in a particular Area of Operations (AO) are only able to fly a predetermined distance from their assigned centers. This distance can be affected by operational and environmental conditions. One operational consideration is fuel, will there be fuel available at the location of drop off. If no fuel is available then the aircraft must maintain enough fuel for a return trip. This requires the medics to complete a tail-to-tail transfer of patients, sometimes multiple transfers between multiple aircraft in order to get a patient to the appropriate facility. Environmental factors can be anything from weather to altitude considerations. Higher altitudes cause the engines of a helicopter to work harder due to thinner air, which in turn increases the amount of fuel consumed during a mission. The UH60 Blackhawk has maximum range of approximately 600 nautical miles (690 miles) and a service ceiling altitude of 20,000 feet (CBP.gov).

 

 

References

Standard Medical Operating Guidelines, 2021

https://jts.amedd.army.mil/assets/docs/cpgs/Standard_Medical_Operating_Guidelines_(SMOG)_for_Critical_Care_Flight_Paramedics_2021.pdf

Fact Sheet 2017 UH-60A Blackhawk, CBP.gov

https://www.cbp.gov/sites/default/files/assets/documents/2017-Mar/FS_2017_UH-60A%20Black%20Hawk_FINAL_0.pdf

 

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As a 68W, Combat Medic Specialist, my job entails the administration of emergency medical care in the field in both combat and humanitarian situations. I serve as a first responder and triage illnesses and injuries to save lives. I also train other Soldiers in lifesaver/first responder courses (goarmy.com). As a 68W, my current and primary role falls under the HealthService Support (HHS). Being the only Army Reserve hospital unit in Hawaii, our primary function is to support and back fill all the active-duty components within our area of responsibility (AOR). This includes but not limited to countries and territories located in the Pacific such as Japan, Guam, Korea, and the Philippines.

 

With the tensions looming around South China sea and especially the threat of the global pandemic, medical resources and how it is utilized are constantly changing. We are beginning to see how future battles are being fought while we transition to Large Scale Combat Operations (LSCO). Twenty-first century LSCO will be joint and multinational. The threat of chemical, biological, radiological, and nuclear (CBRN) attacks are heightened (Kiely, 2019). Our biggest problem to date is how we conduct Large Scale Combat Operations (LSCO) in a place where COVID-19 has hit. Our unit is currently training extensively and intensively, setting up field hospitals to simulate a disease-stricken area of operations. We are also doing our part in supporting other units in the Pacific, doing mass vaccinations in places where vaccines are not readily available. We back fill Tripler Army Medical Center (TAMC) and fill in for other unit’s missions so that our war-fighters can focus more in preparing and training for the transition in Large Scale Combat Operations. We are faced with a difficult choice as to whether the enemy or the disease is the main threat. Planning for Large Scale Combat Operations means planning for outbreaks, and planning to win means that disease has to be a primary concern for everyone.

 

The effect of disease on our force has put a temporary halt in Large Scale Combat Operations. Given the increased lethality anticipated in future great-power conflict and the trends in emerging disease our forces can little afford to fail in this critical aspect of preparation. Only by working together we can beat this and continue on to bigger and better things.

 

 

 

 

 

References

Combat Medic Specialist, 2020

https://www.goarmy.com/careers-and-jobs/career-match/science-medicine/intensive-    care/68w-combat-medic-              

specialist.html

Kiely, R. (2019). FM 3-0: Operations. Retrieved from

https://www.armyupress.army.mil/journals/nco-journal/archives/2019/july-2019/fm-3-0-operations/

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