11

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

2

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

3

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

3

4

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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10

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

1818

• 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

1919

• 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: eluterio.galvez@amedd.army.mil; 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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