Leading Edge Technology at Walter Reed Army Medical Center

8/8/2019 Leading Edge Technology at Walter Reed Army Medical Center

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Leading EdgeLeading Edge

Military Medicine @Military Medicine @Walter Reed Army Medical Center

COL Van Coots

Commander, WRHCS


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MISSIONMISSIONMISSIONMISSIONWe provide a World Class healthcare experience to past, present, and

future Warriors, and all those entrusted to our care.We lead the Military Health System in education, research, and

readiness.

We are Walter Reed .. Americas Hospital . The Home of Warrior

Care .. We strive to exceed ALL expectations!

-We value our patients and employees-We create the future of military healthcare-and We will carry the Torch of MAJ Walter Reeds legacy toWalter Reed National Military Medical Center

VISIONVISIONVISIONVISION

Home of Warrior CareHome of Warrior CareHome of

Warrior CareHome of Warrior Care


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LEGACY of MAJOR WALTER REEDLEGACY of MAJOR WALTER REED

MAJ Walter Reed was an Army Soldier, physician,teacher and investigator who was able to connectclinical science at the bedside through the

laboratory to benefit all mankind.


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Scope of OperationScop

e of Operation

Total beds = 235/ Surg 296

Avg census = 170Daily admits = 30

Daily Rx = 2050

Outpt visits/yr = 761,000

Ongoing research protocols= 700

60 Outpatient ClinicsTertiary Care

Warrior Clinic

MATCIntegrated Services

(NNMC)

Emergency

Department17 Beds)

Health ServicesDischarge Planning Nursing

Dept of Ministry and

Pastoral CareSocial Work Services

21 Anesthetizing

Locations16 Starts/day40 Cases/day

Critical Care30 beds + 25

Telemetry UnitsSICU, MICU, PICU, IMCU,

Cardio-Thoracic

Adult Med-Surg138 Beds

Psychiatric26 Beds

Pediatrics16 Beds

Executive Services-Outpatient Care

-Ward 72

-Visitors Bureau

GME/HPEGME = 66/NCC

HPE = 12


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Commanders IntentCommanders IntentPOTUS:

We have an obligation, we have a moral obligation to provide the best possible care and treatment to the menand women who have served our country. They deserve it, and theyre going to get it.

SECDEF:

Apart from the war itself, we have no higher priority!

CSA:

Taking care of wounded Warriors is the most important thing we can do.

Walter Reed Army Medical CenterHome of Warrior Care

Walter Reed AMC:

> Honoring our past

>

Embracing emerging missions PrimaryCare, Tertiary Greatness

> Leader in Education (physicians, nurses,medics)

> Ensuring we: Never Leave a FallenComrade

Our Way Ahead:

>Strategic Asset for the Army, DoD

> Forging the Era of Opportunity> Access to Care for All

> Warrior-in-Transition (WT) Care

> Supporting Families

> Advocacy and Healthcare Hospitality

> Integration/BRAC


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Centers of ExcellenceCenters of Excellence Prostate Cancer

Breast Care

Gynecological Disease

Integrative Cardiac Health

Regional Anesthesia and Acute Pain

U.S. Military Cancer Institute

Diabetes Institute

Deployment Health Clinical Center

3D Medical Applications Center

Gastroenterology/Liver Disease

Vaccine Health

Defense Veterans Brain Injury Center

Combat Wound Initiative Program


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Military Advanced Training CenterAmputee & Sports Medicine

31,000-square-foot facilityUnprecedented medical care

and services for amputees and

functional, limb-loss patients

Offers therapy and exercise

areas

Computer simulation training

for military specific tasksOffices for psychologists,

Veterans Affairsrepresentatives, social

workers, benefits counselors,

researchers, physicians, and

nurse case managers


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FATSFATSMilitary Advanced Training Center (MATC)


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CARENCARENMilitary Advanced Training Center (MATC)


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GAIT LabGAIT LabMilitary Advanced Training Center (MATC)


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Next Generation ProstheticsNext Generation ProstheticsMilitary Advanced Training Center (MATC)

X2 microprocessor knee

Funded through Military Amputee ResearchProgram

Electronically controlled prosthetic knee joint

that meets the specific demands of military staff

in real-world activity


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Wii StationsWii StationsMilitary Advanced Training Center (MATC)


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Driving SimulationDriving SimulationMilitary Advanced Training Center (MATC)


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Anesthesia and Acute Pain MedicineAnesthesia and Acute Pain Medicine

Continuous Peripheral Nerve Catheters Acupuncture

Implantable spinal and nerve stimulators

3-dimensional trans esophageal echo machinefor anesthesia delivery

High dose and low dose ketamine protocol onthe wards


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3D3D Applications CenterApplications Center


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3D3D Applications CenterApplications Center


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Advanced Robotic Renal & Prostate SurgeryAdvanced Robotic Renal & Prostate SurgeryMinimally Invasive Surgical FellowshipMinimally Invasive Surgical Fellowship


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Emergency Bedside UltrasoundEmergency Bedside Ultrasound


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EMMAEMMA


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Combat Wound Initiative ProgramCombat Wound Initiative ProgramTechnologically advanced assessment and

treatment of complex wounds and limb injuries

Translational research in support of treatment,informatics, tissue banking &research

Collaboration with AFIP and private partnerships in

the study and management of complex wound andlimb salvage

Expertise in wound bio burden analysis, molecular

diagnostics and therapeutics.

Collaboration with AFIP and the VA in developingcritical decision support tools for complex treatment

of wounds

Shockwave therapy used to stimulate tissue growth

regeneration and combat bacterial infections


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New TechniquesNew Techniques

Minimally invasive balloon sinus surgeryImplantable Nerve Stimulators

3 dimensional imaging support for Vascular surgery

Rectal and esophageal motility testing (one of few

places in the country for adults and children)

Vestibulo-Evoked Myogenic Potentials (VEMP)(audiology)

Cochlear Implantation

3D Stereo lithography (in craniofacial reconstruction)

Computerized Dynamic Posturagraphy (sway testing)

Off Axis Rotary Chair (brainstem & vestibularfunctions)

Implementing Emergency protocol for

therapeutic hypothermia


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National Military Medical CenterNational Military Medical Center


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The Community Hospital @The Community Hospital @ Fort BFort Belvoirelvoir


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Patient RoomsPatient Rooms at Fort Belvoirat Fort Belvoir


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Patient RoomsPatient Rooms at Fort Belvoirat Fort Belvoir


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To The Future, And BeyondTo The Future, And BeyondTo The Future, And BeyondTo The Future, And Beyond

Documents

Leading Edge Technology at Walter Reed Army Medical Center