1 00:00:00,000 --> 00:00:00,000 2 00:00:19,940 --> 00:00:23,220 this was called Operation Firebreak and 3 00:00:23,220 --> 00:00:25,940 it was integrating the roles of care 4 00:00:25,950 --> 00:00:28,730 and higher echelons with the 5 00:00:28,730 --> 00:00:30,952 expeditionary medical facility training 6 00:00:30,952 --> 00:00:34,770 that was concurrently going on . Mm hmm . 7 00:00:35,740 --> 00:00:38,210 We found that a Navy medicine , we 8 00:00:38,210 --> 00:00:40,230 don't do a lot of integrating of 9 00:00:40,230 --> 00:00:42,700 medical units until they're actually 10 00:00:42,710 --> 00:00:46,130 downrange and deployed . So this was 11 00:00:46,140 --> 00:00:48,620 the first time ever exercise that we're 12 00:00:48,620 --> 00:00:51,210 integrating Point of injury care , 13 00:00:51,220 --> 00:00:53,520 which was 2nd battalion 4th marines 14 00:00:53,530 --> 00:00:56,350 operating as the battalion landing team . 15 00:00:57,140 --> 00:00:59,930 They take casualties during a patrol . 16 00:00:59,940 --> 00:01:03,070 They perform teachable , see Valkyrie 17 00:01:03,080 --> 00:01:06,110 at point of injury And then they 18 00:01:06,120 --> 00:01:09,220 transfer that patient to a role one 19 00:01:09,230 --> 00:01:11,340 which is staffed by shock trauma 20 00:01:11,340 --> 00:01:13,470 platoon . In this case it was combat 21 00:01:13,470 --> 00:01:17,320 logistics battalion 13 . You had a 22 00:01:17,320 --> 00:01:20,400 ship loitering off the coast by which 23 00:01:20,400 --> 00:01:23,080 the patient was transported In our 22 24 00:01:23,080 --> 00:01:25,191 Osprey simulator that we have , which 25 00:01:25,191 --> 00:01:27,910 is pretty cool and they go to get 26 00:01:27,920 --> 00:01:31,130 surgery , damage control surgery by a 27 00:01:31,140 --> 00:01:33,930 fleet surgical team On a show on our 28 00:01:33,930 --> 00:01:36,100 ship . Senate leader . So in this case 29 00:01:36,100 --> 00:01:38,050 that fleet surgical team was fleet 30 00:01:38,050 --> 00:01:40,390 surgical team three . Uh they perform 31 00:01:40,390 --> 00:01:42,168 damage control surgery and then 32 00:01:42,168 --> 00:01:44,380 stabilize the patient and transported 33 00:01:44,380 --> 00:01:46,547 them to the role three , which in this 34 00:01:46,547 --> 00:01:49,660 case is R . E . M . F . Staff by E . M . 35 00:01:49,660 --> 00:01:51,827 F . Juliet from Naval Medical Center , 36 00:01:51,827 --> 00:01:54,650 Portsmouth . It's your browser , 37 00:01:57,640 --> 00:02:01,600 press your back . So 38 00:02:01,600 --> 00:02:04,010 on point of injury care , um we call it 39 00:02:04,010 --> 00:02:06,240 the X . Or when a marine or sailor gets 40 00:02:06,240 --> 00:02:08,640 shot blown up , you know , vehicle 41 00:02:08,640 --> 00:02:11,320 explosion , whatever it is . So at the 42 00:02:11,320 --> 00:02:13,542 infantry battalion were responsible for 43 00:02:13,542 --> 00:02:15,709 pulling that patient out of harm's way 44 00:02:15,840 --> 00:02:17,840 and then starting through our march 45 00:02:17,840 --> 00:02:19,729 applause assessment . So starting 46 00:02:19,729 --> 00:02:21,840 through massive hemorrhage , airway , 47 00:02:21,840 --> 00:02:23,840 respirations , circulation , head , 48 00:02:23,840 --> 00:02:25,618 hypothermia , pain management , 49 00:02:25,618 --> 00:02:27,951 antibiotics , wounds and splitting . Um , 50 00:02:27,951 --> 00:02:30,118 and then in there if need be , we also 51 00:02:30,118 --> 00:02:32,830 do a blood transfusion . The reason 52 00:02:32,830 --> 00:02:34,719 this training was better than our 53 00:02:34,719 --> 00:02:36,941 typical training we have with battalion 54 00:02:36,941 --> 00:02:38,997 is because after our point of injury 55 00:02:38,997 --> 00:02:41,219 care , usually the scenario just ends . 56 00:02:41,219 --> 00:02:43,274 Um , but over this last weekend were 57 00:02:43,274 --> 00:02:45,386 able to see the Treatment through the 58 00:02:45,386 --> 00:02:47,552 different role to enroll three kind of 59 00:02:47,552 --> 00:02:49,940 follow that patient ask questions and 60 00:02:49,940 --> 00:02:51,829 see how we can improve a point of 61 00:02:51,829 --> 00:02:53,662 injury to better improve patient 62 00:02:53,662 --> 00:02:53,410 outcomes , 63 00:02:57,760 --> 00:02:59,593 saving money a couple of years . 64 00:03:01,340 --> 00:03:05,310 No empty is a very unique 65 00:03:05,320 --> 00:03:08,400 place in navy medicine . Uh , we're 66 00:03:08,400 --> 00:03:11,460 really working on integrating all of 67 00:03:11,460 --> 00:03:13,571 the medical teams together . That was 68 00:03:13,571 --> 00:03:16,170 our overarching goal . So that whether 69 00:03:16,170 --> 00:03:18,850 medical teams wear a brown shirt or a 70 00:03:18,850 --> 00:03:20,890 green shirt , whether you're Marine 71 00:03:20,890 --> 00:03:23,560 Corps side for your native side 72 00:03:23,640 --> 00:03:27,610 supporting that , you have access to 73 00:03:27,610 --> 00:03:30,100 really high fidelity simulation medical 74 00:03:30,100 --> 00:03:33,210 training so that you can prepare your 75 00:03:33,210 --> 00:03:35,670 team well to operate together to 76 00:03:35,680 --> 00:03:39,010 operate amongst other teams to deliver 77 00:03:39,010 --> 00:03:41,210 the best patient care for our 78 00:03:41,210 --> 00:03:44,810 warfighters . Downrange . That's the 79 00:03:44,810 --> 00:03:46,921 overarching goal of an empty . That's 80 00:03:46,921 --> 00:03:49,990 why we exist . And operation firebreak 81 00:03:50,000 --> 00:03:53,950 was the first time that we're trying to 82 00:03:53,960 --> 00:03:56,910 integrate all these teams together and 83 00:03:56,920 --> 00:04:00,410 it's really set the precedent that we 84 00:04:00,410 --> 00:04:04,270 can't train in silos anymore . I know 85 00:04:04,280 --> 00:04:06,502 going through my own medical training , 86 00:04:06,502 --> 00:04:09,860 you are taught to Triple C 87 00:04:10,630 --> 00:04:13,170 and then in the next couple of weeks 88 00:04:13,180 --> 00:04:16,380 you'll be taught Valkyrie 89 00:04:16,390 --> 00:04:19,720 or you'll go to the hospital and do 90 00:04:19,720 --> 00:04:21,720 some shifts , you know , as part of 91 00:04:21,720 --> 00:04:23,942 your pre deployment training . It's all 92 00:04:23,942 --> 00:04:25,887 of these weekly trainings that are 93 00:04:25,887 --> 00:04:29,040 never fused together and brought 94 00:04:29,040 --> 00:04:32,060 together uh , to be used all at once . 95 00:04:32,660 --> 00:04:35,360 And the patient demands that of us , 96 00:04:35,840 --> 00:04:39,680 it's are privilege 97 00:04:39,770 --> 00:04:41,992 to be able to take care of war fighters 98 00:04:42,020 --> 00:04:45,340 at their time of need and Navy medicine 99 00:04:45,340 --> 00:04:48,350 needs to be prepared for that . This is 100 00:04:48,350 --> 00:04:51,050 a way to prepare them to put all of 101 00:04:51,050 --> 00:04:53,300 that training and culminated together 102 00:04:53,840 --> 00:04:56,040 not only just individuals , but teams 103 00:04:56,040 --> 00:04:58,930 together . Teams on potentially 104 00:04:58,940 --> 00:05:01,560 different islands , different spaces 105 00:05:01,560 --> 00:05:03,782 among the A . O . R . That they're able 106 00:05:03,782 --> 00:05:06,020 to communicate better better because at 107 00:05:06,020 --> 00:05:08,890 the end of the day , the patient care 108 00:05:08,890 --> 00:05:11,800 improves and the patient is taken care 109 00:05:11,800 --> 00:05:13,750 of better .