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US Navy Strategy forMil-Civ Partnerships

Trauma Training - Sustainment

DANIEL GRABO, MD, FACSASSOCIATE PROFESSOR

DIRECTOR OF TRAUMA EDUCATIONWEST VIRGINIA UNIVERSITY

Disclosure Statement

Dr. Grabo has no relevant financial or non-financial interests to disclose. These are his views and do not represent the views of the Department of the Navy or the Department of Defense.

This continuing education activity is managed and accredited by AffinityCE in collaboration with AMSUS. AffinityCE and AMSUS staff as well as Planners and Reviewers, have no relevant financial or non-financial interests to disclose.

Commercial Support was not received for this activity.

“Nothing to Disclose”2

1. Describe the recent history of and current standard trauma training in the US Navy.

2. Discuss the challenges and successes of Navy Trauma Training

3. Illustrate future plans to optimize NAVY TRAUMA READINESS

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Learning Outcomes/Outline

NAVY TRAUMA TRAINING• LAC+USC – TAA• R3/R2

• Individual roles• TEAM• CPGs

• PRE-DEPLOYMENT • CLASSROOM• CLINICAL• SIMULATION/CADAVER

• NEARLY 4000 TRAINED• USN, USMC• IDF

• 3 WEEKSPHYSICIANS/SURGEONSNURSES/CORPSMENSEAL/MARSOC MEDICS 4

SUSTAINMENT

LAC+USC MOUPHYSICIANS/SURGEONSCLINICAL SHIFTSSERVICE TEAMSCALLPRIVILEGES/LICENSINGACADEMICSMALPRACTICE - LEGALNO REIMBURSEMENTFULL & NECESSARY PART OF TEAM

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EVOLUTIONCHALLENGE: CLINICAL TRAINING NEEDSIDF FST – 2013WEEK LONG COURSENSTTAR COURSECLASS/SIM/CADAVER +/-CLINICAL11 V 21 DAYDCS TEAM TRAININGPERFUSED CADAVER

• PILOT STUDY• CAPSTONE SIMULATION• DAMAGE CONTROL• DEBRIEFING/REVIEW• TECHNICAL METRICS• CRITICAL TASK ANALYSIS 6

ACS Clinical Congress. October 2018. Boston, MA

SUCCESSES & CHALLENGES• NTTC – FLAGSHIP• SUSTAINMENT• PREDEPLOYMENT• FST/FRSS/SF MEDICS• IDF, NSTTAR• GME, TECH, PARADIGM• NOVEL SIMULATION –

PERFUSED CADAVER• MOU/TAA MODEL

• LIMITED OPPORTUNITY• TRAINEES - < 40%• CADRE

• PHYSICIAN/SURGEON• CLIN/ACAD BENEFIT

• NURSES/HM • ADMIN/TEACH ONLY

• DISTANCE FROM COMMAND

• NO TEAM PLATFORM

• NOT EASILY REPLICATED

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FUTURE: READINESS• FORCE SUSTAINMENT• KSA

• FORCE GENERATION• GME

• LARGE MTF• WRNMMC• NMCSD, NMCP• NMCCL – LEVEL III

• ROBUST TRAUMA• INHERENT OR PARTNER• ALL DISCIPLINES• GME

• PARTNER WITH AMC• NTTC MODEL• NTTC LITE

• ACS MODEL• NUMBER TBD/VARY• PROBLEMATIC?

• OPERATIONAL REQ.

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SUMMARY

• NTTC: PARTNERSHIP WITH AMC

• SUSTAINMENT AND TRAINING

• ALL OPTIONS SOLUTION

• FORCE SUSTAINMENT

• FORCE GENERATION

• ROBUST MTF

• AMC PARTNERS

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THANK YOU

How To Claim CE Credit

If you would like to receive continuing education credit for this activity, please visit:

amsus.cds.pesgce.com