AUSN

SUMMER 2017

Navy magazine is distributed on Capitol Hill,the Pentagon and naval bases around the world. It provides information that impacts Sailors, their families and the Navy. Navy is published quarterly by the Association of the United States Navy (AUSN).

Issue link: http://digital.ausn.org/i/873128

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29 Association of the United States Navy known best-practices as they establish and expand their own geographic trauma systems. According to Dr. Butler, "the goal of the JTS is to ensure that every fatality that can be prevented is prevented." EN ROUTE CARE When a warfighter is traumatically injured, imme- diate aid is provided by a first responder in the field. e wounded fighter is then transported to a nearby facility (usually a temporary structure like a tent) where DCS is performed before being sent on to a theater hospital where more sophis- ticated surgeries or interventions can be done. At this point, the patient either will recover enough to be returned to the field or will be transported to a facility where more definitive care can be given and rehabilitation begun. e care provided while en route can be critical to the retention of limbs, brain function, and overall recovery. Depending on where the patient was physically injured, the nature of the injury, and the means of transport available, keeping the patient safe and providing interim care while moving him or her can be extremely difficult. Over the last 15 years, improving en route care (ERC) has become a high priority for all the armed services. Perhaps the most significant change in ERC is the staffing model – severely injured patients being transported "in-theater" are now accompanied by specialized medical teams. Since the early 2000's, critical-care patients have been accompanied by doctors or highly-trained clinicians as part of a Critical Care Air Transport Team. Similarly, an Acute Lung Transport Team was created to travel with patients hooked up to ventilators or other life-support systems while being transported, and a Burn Flight Team to travel with burn casualties. is staffing change has improved en route care and led to lower casualty rates while in transport. e development of specialized care teams that can be quickly deployed to help evacuate even the most severely injured has also helped decrease the amount of time it takes to move these patients out of the combat theater. In the Vietnam War, it took an average of 21 days to evacuate a casualty, but during the conflicts in Iraq and Afghanistan the average time was 28 hours. PROSTHETICS ere have been many advances in prosthetic technology over the last 15 years, but one particu- larly exciting advance is the creation of prosthetics that become an integrated part of the patient's body rather than an external component. e process is MC3 JAKE BERENGUER Steven McManus, right, from Coronado Surfing Academy, teach- es basic surfing to amputee par- ticipants and physical therapists from the 2009 Military Amputee Advanced Skills Training (MAAST) workshop in San Diego.

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