1

United States

European Command

UNCLASSIFIED

UNCLASSIFIED

Colonel Ronald SmithSurgeon General, HQ USEUCOM

Stuttgart, Germany“Europe Matters! Stronger

Together”

The overall classification of this briefing is

UNCLASSIFIEDPOC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U)

UNCLASSIFIED (U)

RESTORE MILITARY READINESS

as we build a more lethal force

STRENGTHEN ALLIANCES

and attract new partners

BRING BUSINESS REFORMS

to the Department of Defense

IMPERATIVES – EUCOM Medical Force Applicable

•Be strategically predictable, but operationally

unpredictable

• Foster a Competitive Mindset

•Resilient and Agile Logistics

• Forward force maneuver and posture reliance

•Uphold a foundation of mutual respect, responsibility,

priorities, and accountability

•Expand regional consultative mechanisms and

collaborative planning

•Deepen interoperability

• Fortify the Trans-Atlantic NATO Alliance

2018 National Defense Strategy

“Our ability to rapidly move and sustain operations around the globe assures our allies and gives our adversaries pause”

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U)

UNCLASSIFIED (U)

Enduring Priorities

• Ensure Ready and Postured Forces

• Strengthen Strategic Partnerships and Build Partner

Capacity, Capability and Interoperability (NATO Unity)

• Adapt to a Complex and Dynamic Strategic Environment

• Develop Resilient Service Members, DoD Civilians and

their Families

Four Broad Ideas

• A Return to Great Power Competition Driven by Strategy

• Establish a Combat Credible Deterrent Posture

• Strengthen EUCOM’s Role as a Warfighting HQ

• Support the Coalition Network to Fight the Violent

Extremist Network

Global and Theater Challenges Influence Focus Areas

USEUCOM CDR’s Vision

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U)

UNCLASSIFIED (U)

Force Flow

Trans Atlantic Operations

Support

Provide Combatant Commander with Flexible Options

Setting Theater Conditions

Support to Operations in

High North

Set the Host Nation Medical

Network

Atlantic Resolve/Enhanced Forward Presence Support

Operation Inherent Resolve Support

Set the Mediterranean for Global Operations

Strategic Medical Objectives

Deter

Prepositioning

Surge Capacity

Capability - Role 1, 2, 3

Survivability

Expand Host Nation Networks

Multimodal Patient Transport

Building NATO and Partnerships

NATO-US Medical Strategy

Collaboration

Interoperability – Standardization

Embeddable Teams

Countering Threats

Disease Surveillance – Emerging

Threats

Countermeasures - Tick Borne

Encephalitis

Cross-Border Transmission – Human,

Animal, Agricultural

Approach

Medical StrategyWhole of

GovernmentUSEUCOM, SHAPE,

NATO, EU Integration

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U)

UNCLASSIFIED (U)

Enabling a Rapid Pivot From Steady-State Environment

to Contingency Response Operations

Setting The Medical Posture

Key Operational Ports

S18-03-038S

Ongoing

• Russia Readiness Review

• All Things Europe

• Casualty and Resource

Estimates – JMPT/MPTk

• EDI Projects

• Class VIII Deep Dive

• Balkan Medical TF

• Network Mapping – RAND Study

• TBE Vaccine Initiative

• Theater Screening and Waivers

Operational/Exercise

• eFP Rotations

• Atlantic Resolve Rotational Force

• CJAS (UK)

• VJTF

• Component Exercises - Saber

Guardian-Sea Breeze-Blue Skies

• COCOM Exercises - Austere

Series, Juniper Series, Jackal

Series, Ultimate Caduceus

• AFRICOM/CENTCOM Support

• Medical Wargames

• Pandemic TTX

Medical Efforts

NATO

• COMEDS – Chiefs of Medicine

• NATO Allied Commands (O&T)

• MilMed Center of Excellence

• NATO School Oberammergau

• MAPF, MNC-NE, HQ ARRC

• JFC - Brunsum and Naples

• Joint Enabling Support

Command (JESC) – Med Element

• Contracting – OLSP, NSPA

Multi-National• Support to Israel

• Ukraine Engagements

• Georgia Amputee Program

• MMCC (DEU)

• Balkans Medical Task Force

• Vigorous Warrior – Trident

Juncture

• Norway Caves Initiative

• Secretarial Designee Program

• State Partnership Program

• Moonshot Cancer (Serbia)

Engagements

UNCLASSIFIED//FOUO

UNCLASSIFIED//FOUOPOC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U)

UNCLASSIFIED (U)POC: COL Ronald Smith, 430-5374

2016 2017 2018

African Swine Fever – Cross-Border Threat

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U)

UNCLASSIFIED (U)

TRANSCOM

Distributed Care Plan: 1. Walter Reed National

Military Medical Center

(WRNMMC)

2. Brooke Army Medical

Center (BAMC)

3. Naval Medical Center San

Diego (NMCSD)

4. Civilian medical centers

Concept:1. Exercise Med Plan – subset of OPLAN

2. Alert-Mobilize-Deploy-MTF Receive-MTF Backfill-Push Forward

Med Teams-Train-Rotate - - 4 week program

3. Academics-Simulations-Perfused Cadaver-Live Tissue Training

4. Key Aspects

a. NG/Reserves; TRANSCOM; MTF Teams

b. Reception at MTF

c. Permanent Admin teams Forward

d. Multinational Embeds

e. Mission Command Element

5. Live Tissue Training – maintain life thru continuum

a. Multinational credentialing

b. Maintain life along continuum of care

c. POI Care-OR-Critical Care-Holding-Enroute Care

d. Permanent Veterinary Teams

e. Partner Nation Host

6. Integrate Capabilities Based Assessments (CBAs)

7. Pilot in Poland

Casualty Receiving Patient Flow Prepositioning

Distributed

Care Plan

• TCCC

• Austere Care

• Go Pro Medic

R2/3

10 Essential PFC Capabilities

Monitoring Physical Exam & Diagnostics

Resuscitation Nursing & Hygiene

Ventilate & Oxygenate Surgical Interventions

Control the Airway Telemedical Consult

Sedation & Analgesia Package & Prepare for Flight

Multi-facility

Embed

Continuous

Exercise of

MEDPLAN

Integrated

Multinational

Professional

Teams

JRSOI

Team

Backbone

• HN Civ Facility

• HN Mil Facility

• Field Facility

• US Facility

• Austere

• Liaisons

• Language

• Billeting

• Admin

• Logistics

• Surgical

• Critical

Care

• Enroute

Care

Patient

Movement

Forward

Deployment

Reserve

Augmentation

MEDPLAN CONCEPTProlonged Field Care (PFC)Partner Nation Interoperability

Programatic and Systematic Approach to Far-Forward CarePOC COL Ronald Smith, 430-5374, ECSG, Updated 20181107