remote practice - the australian defence force perception
TRANSCRIPT
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Headquarters Joint Operations Command
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Remote Medicine the Defence Perspective
Colonel Leonard Brennan
Director Health
ACRRM 5th Scientific Forum and Rural Doctors Conference 2008
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Headquarters Joint Operations Command
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Scope• Personal perspective
• Health support to current ADF operations
• Military medicine is remote and often rural
• Clinical military medicine
• Military medicine training
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Personal perspective• Undergraduate• Parachute Battalion• High Commission PNG• Parachute Surgical Team• 3rd (UK) Armoured Field Ambulance• 1st Field Hospital• HQ 3rd Brigade• 1st Health Support Battalion
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1998 PNG Tsunami
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Bougainville
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East Timor
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Solomon Islands
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RESOLUTEAustralian Border Protection
TESTAMENTWorld Youth Day 08
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DOMESTIC OPERATIONS
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COUNTER TERRORISMDISATER RESPONSE
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HMAS LARRAKIA• Armidale class “patrol boat”
• 21 sailors
• Coxswain
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ASTUTEEast Timor
ANODESolomon Islands
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REGIONAL OPERATIONS
KIRIBATI ASSISTKiribati
PNG ASSISTPapua New Guinea
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East Timor Battle Group• 3 RAR (Para)
• 500+
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AZURE / HEDGEROW
Sudan
CATALYST / SLIPPER
MEAO
MAZURKASinai
PALADINIsrael/Lebanon
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GLOBAL OPERATIONS
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Special Operations Task Group• SAS & Commando
• Operating in Southern Afghanistan
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Oruzgan Province
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Remote and often rural• Remote
– Physical– Professional– Cultural
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Clinical military medicine• Fit healthy population
– Acute general practice– Sports medicine ++– Gastro/URTI/Skin conditions
• Acute trauma• Underwater medicine• Aviation medicine• Aero-medical evacuation• Tropical medicine• Chemical, Biological, Radiological & Nuclear
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Less common• Communicable diseases
– Malaria– Dengue fever
• Battle casualties– PTSD– Traumatic brain injury– Syndromes “Shell Shock”, “Agent Orange”, “Gulf War”
• Humanitarian Aid– Paediatrics– Obstetrics– Third world general practice!
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Military Medical Training
• Undergraduate / GMS +GP training PGY2 • Military Medicine Courses
– EMST Course with military module– FW or RW AME– Underwater Medicine Cse– Aviation medicine Cse– Medical Officer CBRN Cse– Occupational & Environmental Health Cse
• Military Officer Courses
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Not just Doctors • Medical assistant
• Nursing officers – extended roles
• Operating theatre technicians
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Headquarters Joint Operations Command
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AZURE / HEDGEROW
Sudan
CATALYST / SLIPPER
MEAO
MAZURKASinai
PALADINIsrael/Lebanon
RESOLUTEAustralian Border Protection
ASTUTEEast Timor
ANODESolomon Islands
TESTAMENTWorld Youth Day 08
Questions
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OUTREACH