Defense Medical Readiness Training Institute (DMRTI)

Linda Hill, CHS-V, CFAMMA, MLS(ASCP)CM

CBRNE Programs Manager

March 2010

Agenda

• Command Background

• Courses Available through DMRTI

• JKDDC Relationship– Emergency Preparedness & Response

Course

– Clinical Practice Guidelines for Deployed Medical Personnel

DMRTI Mission/Vision

• Mission: … support DoD and global partners through innovative design and delivery of contingency readiness training.

• Vision: First choice here and abroad for readiness needs.

• Forward as One!

DMRTI Roles

Train as we fight/operate this/nextcontingency

Advise on DoDPolicy (MedicalReadiness)

DMRTI Facts

• Tri-service/Joint” Staff: 124 tri-service motivated, innovative military & civilians

• Tenant on Ft Sam, with Tactical Simulation center at Camp Bullis

• Oversight by Assistant Secretary of Defense for Health Affairs (Force Health Protection & Readiness)

• Integrate training for COCOMs

• Superb relationships with Defense Institute for Medical Operations and JKDDC

DMRTI Facts: FY09

• 37,400 student trained in 2009, 141 courses at over 50 events at over 30 locations

– 6,322 courses in-person; prodominately Military Medical Officers

• Over 4,000 courses doctors, nurses, Physician Assistants (PAs), Medical Service Corps in classrooms worldwide

• Over 2,000 courses for doctors/nurses/PAs at Ft Sam/Camp Bullis

• Over 450 physician and senior subject matter experts flown to meet students

– Over 31,100 trained on line (EPRC Courses)

DMRTI CoursesMedical Operations

ATLS

Advanced Trauma Life Support®

ABLS Advanced Burn Life Support Course®

BLAST Blast Course (New)

C4 Combat Casualty Care Course

ENPC Emergency Nursing Pediatrics Course ®

EWSC Emergency War Surgery Course

PHTLS Pre-Hospital Trauma Life Support®

TC3 Tactical Combat Casualty Care Course (New)

TNCC Trauma Nursing Core Course®

DMRTI Courses Contingency Operations

EPRC Emergency Preparedness & Response Course

EMRWMD Emergency Medical Response to WMD Course

HLSMPC Homeland Security Medical Professionals Course

JOMMC Joint Operations Medical Managers Course

MMHAC Military Medical Humanitarian Assistance Course

MSOC Medical-security, Stability, (transition,reconstruction) Operations Course

DMRTI Courses Contingency Operations

IS-100 Introduction to Incident Command System

IS-200 ICS for Single Resources & Initial Action Incidents

IS-300 Intermediate Incident Command System for Expanding Incidents

IS-400 Advanced Incident Command System, Commandand General Staff

IS-402 Incident Command System (ICS) Overviewfor Executives/Senior Officials

IS-700 National Incident Management Systems (NIMS)

IS-800 National Response Framework

JKDDC Relationship

• Initial work begun in 2007 with the Emergency Preparedness & Response Course

• Work closely to maintain course and provide Services quarterly reports

• Developed partnership in 2010 to establish JKO-DMRTI relationship to promote ADL capabilities for the DoD/joint medical training community

Emergency Preparedness Response Course

• Developed as a result of GAO Audit addressing CBRNE Training for DOD Medical Personnel

• Original program deployed in 2004/2005 on individual Services Learning Management Systems

• Courses included:– Basic/Awareness– Operator/Responder– Clinician’s– Executive/Commander

Emergency Preparedness Response Course

• Course revision begun in October 2006 adding short courses for Operators and Clinicians

• JKDDC agreed to host course in April 2007

• Launched Dec 2008

• “Joint certified” in 2009/2010

• Continual updates most recent occurred in January 2010, next update due to be deployed in April 2010

• Completions - 3,441 in FY2009

Future Projects

• Development of game ware into 2 EPRC courses – 3 lessons and a overall exercise

• Incorporate addition level 3 interactivity into EPRC course

• Develop new medical courses that will available on high and low bandwidth

• Development of Community of Interest (COI)

Clinical Practice Guidelines (CPGs) for Deployed Personnel

• Project underway to develop course

• Available on high and low bandwidth

• Utilizes level 2 and 3 interactivity

15

• Compartment Syndrome and Fasciotomy

• Damage Control Resuscitation at Level IIb/III Treatment Facilities

• Frozen and Deglycerolized Red Blood Cells

• Fresh Whole Blood (FWB) Transfusion

• Management of Mild Traumatic Brain Injury (mTBI)/Concussion in the Deployed Setting

• Management of Patients with Severe Head Trauma

• Pelvic Fracture Care

• Blunt Abdominal Trauma

• Vascular Injury

• Intratheater Transfer and Transport of Level II and III Critical Care Trauma Patients

• Initial Care of Ocular and Adnexal Injuries at Level I and Level II Facilities

• Burn Care

CPGs for Deployed Personnel

Questions