WEBVTT

00:22.820 --> 00:24.931
Special Operations Center for Medical

00:24.931 --> 00:27.290
Integration and Development . Um was

00:27.300 --> 00:31.150
really created on the underpinnings of

00:31.150 --> 00:33.206
a clinic statement program we've had

00:33.206 --> 00:35.372
for a number of years at University of

00:35.372 --> 00:37.594
Alabama Birmingham to maintain our high

00:37.594 --> 00:40.390
and perishable trauma skills . Andi

00:40.390 --> 00:42.557
have run it into a program to meet and

00:42.557 --> 00:44.810
only our proficiency requirements , but

00:44.810 --> 00:46.977
also a currency requirements as well .

00:46.977 --> 00:50.090
It's AH 110 hour program that spans

00:50.090 --> 00:53.430
over two weeks . It's fully immersive ,

00:53.430 --> 00:56.680
comprehensive , integrative . That

00:56.690 --> 00:59.020
culminates with a 24 hour field

00:59.020 --> 01:01.680
training exercise at the historically

01:01.690 --> 01:04.120
the term software Special Operations

01:04.120 --> 01:06.270
Force Medic has been able to find in

01:06.270 --> 01:10.010
the spring of 2019 . So

01:10.010 --> 01:12.900
come officially deemed the critical

01:12.910 --> 01:15.630
task list that defines the soft medic .

01:15.640 --> 01:17.640
There's five critical items that go

01:17.640 --> 01:19.751
into being a soft medic . First , you

01:19.751 --> 01:21.696
have to be a nationally registered

01:21.696 --> 01:23.918
paramedic . He has to be certified as a

01:23.918 --> 01:26.140
medical provider in T trouble . See the

01:26.140 --> 01:28.084
tactical combat casualty care . Of

01:28.084 --> 01:30.029
course , you have to be capable of

01:30.029 --> 01:31.918
doing small unit care , too small

01:31.918 --> 01:33.918
maneuver elements and often austere

01:33.918 --> 01:36.780
environments . You have to be prepared

01:36.780 --> 01:39.480
to take care of nonstandard patients

01:39.480 --> 01:41.480
for prolonged periods of time , and

01:41.480 --> 01:44.210
then lastly , we train our medics to

01:44.220 --> 01:46.920
manage sometimes multiple complex

01:46.930 --> 01:49.200
trauma patients in chemical and

01:49.200 --> 01:51.400
biological environments . So the net

01:51.400 --> 01:53.260
benefit is that we add to the

01:53.260 --> 01:54.927
interoperability from special

01:54.927 --> 01:57.204
operations standard on the battlefield .

01:57.204 --> 01:59.316
Agnostic to your component or service

01:59.316 --> 02:02.180
type is that if you run into a soft

02:02.190 --> 02:05.180
medic somewhere down range , you know

02:05.180 --> 02:07.291
what he's capable of doing . You know

02:07.291 --> 02:09.680
that he's , you know , he's practiced

02:09.680 --> 02:11.847
it . He's been objectively evaluated .

02:11.847 --> 02:14.300
He's been tested against a soft ,

02:14.300 --> 02:17.010
specific standard solution . Currently ,

02:17.010 --> 02:19.560
within 24 South , we can definitively

02:19.560 --> 02:22.070
say that the pararescue men are PJ's ,

02:22.070 --> 02:23.903
as most people know him . In the

02:23.903 --> 02:26.014
Special Operations , independent duty

02:26.014 --> 02:27.626
medical technicians meet the

02:27.626 --> 02:29.570
requirement of a special Operation

02:29.570 --> 02:31.848
Forces medic . The PJs , in particular ,

02:31.848 --> 02:33.903
have very complex skill sets . Their

02:33.903 --> 02:35.903
tactical skills that shoot , move ,

02:35.903 --> 02:38.126
communicate . It takes a lot of time to

02:38.126 --> 02:40.292
master those in this to sustain them .

02:40.440 --> 02:42.900
And so , by doing this course , we're

02:42.910 --> 02:44.910
optimizing the experience . They're

02:44.910 --> 02:46.577
able to not only kind of core

02:46.577 --> 02:48.632
requirements , but then get clinical

02:48.632 --> 02:50.854
reps in , um in the larger Air Force as

02:50.854 --> 02:52.966
we see it as an opportunity to really

02:52.966 --> 02:55.132
unify the pair of rescue mint not only

02:55.132 --> 02:57.860
in soft but in a combat Air forces well

02:58.550 --> 03:00.661
to kind of drive to the same standard

03:01.340 --> 03:04.240
eso kind of working in concert . We

03:04.240 --> 03:06.351
certainly have partnered heavily with

03:06.351 --> 03:08.407
the Air Force Research Lab , a blood

03:08.407 --> 03:10.073
tech development . But really

03:10.073 --> 03:11.907
underpinning is all of it is the

03:11.907 --> 03:11.810
University of Alabama Birmingham

03:11.810 --> 03:13.643
Medical Center , and they really

03:13.643 --> 03:16.260
provide additional trump expertise .

03:16.740 --> 03:18.907
There's several different areas within

03:18.907 --> 03:21.073
the facility in Birmingham , where the

03:21.073 --> 03:23.820
gods rotate in and out of . They rotate

03:23.820 --> 03:26.250
through the emergency room . They

03:26.640 --> 03:28.862
rotate through the trauma resuscitation

03:28.862 --> 03:30.584
unit . They rotate through the

03:30.584 --> 03:32.696
traumatic brain injury intensive care

03:32.696 --> 03:34.251
unit . They have the option

03:34.251 --> 03:37.360
availability to do some , um ,

03:37.740 --> 03:40.380
ocular wound care , burn management

03:40.390 --> 03:42.730
agreements , stuff like that . And they

03:42.730 --> 03:45.840
do that in 12 hour shifts We also have

03:45.850 --> 03:47.961
embedded in the University of Alabama

03:47.961 --> 03:50.740
Birmingham are sauce teams . So our

03:50.740 --> 03:52.740
special Officer Jewel teams , which

03:52.740 --> 03:54.907
allows us to train how you fight so we

03:54.907 --> 03:56.907
can bring in PJs and medics . We're

03:56.907 --> 03:58.796
gonna do point of injury and then

03:58.796 --> 04:00.629
handed off those patients to the

04:00.629 --> 04:02.296
surgical teams . Their trauma

04:02.296 --> 04:04.040
department sees over 30 trauma

04:04.040 --> 04:06.520
activations annually , which doing the

04:06.520 --> 04:08.770
math gets you somewhere in the order of

04:08.770 --> 04:12.150
a 10 trump activations a day which is

04:12.150 --> 04:14.372
impressive . They also have a very high

04:14.372 --> 04:16.317
percentage of penetrating trauma ,

04:16.317 --> 04:18.317
which means it is an opportunity to

04:18.317 --> 04:20.428
make a difference in civilian lives ,

04:20.428 --> 04:22.428
but also to kind of really hone our

04:22.428 --> 04:24.317
skills for those folks down Range

04:24.317 --> 04:26.539
charges take care of Way Spend hundreds

04:26.539 --> 04:28.539
of thousands of dollars on advanced

04:28.539 --> 04:30.594
medical training and some things you

04:30.594 --> 04:32.761
just can't recreate or duplicate . And

04:32.761 --> 04:34.928
having the availability of resource is

04:34.928 --> 04:37.100
such a virtuality . Trainers way can

04:37.110 --> 04:40.300
recreate those in real time , you know ,

04:40.300 --> 04:43.090
just almost instantaneously . Whereas

04:43.090 --> 04:46.620
you may virtually go through like doing

04:46.630 --> 04:49.860
a nab domino ultrasound on a guy or a

04:49.870 --> 04:53.480
fast focus exam . And then

04:53.490 --> 04:55.379
12 hours later , he's in the ER ,

04:55.379 --> 04:57.157
actually doing it on real lives

04:57.157 --> 04:59.380
patients and in getting some of that

04:59.390 --> 05:02.010
direct feedback . So having the

05:02.010 --> 05:04.200
availability Thio rotate through

05:04.200 --> 05:07.300
clinically get caught up on the latest

05:07.300 --> 05:09.522
and greatest of what's in the community

05:09.522 --> 05:12.010
on being able to rotate through the

05:12.010 --> 05:14.580
facility is invaluable . As emergency

05:14.590 --> 05:17.640
physician , I've trained for years to

05:17.640 --> 05:20.380
do similar tasks , um , that they were

05:20.380 --> 05:22.547
called on to do and failed potentially

05:22.547 --> 05:24.630
with very little support . There's

05:24.630 --> 05:28.070
often quoted the 10,000 reps . Thio be

05:28.070 --> 05:30.610
an expert so way don't have the luxury

05:30.610 --> 05:32.832
of time . That takes a lot of time . So

05:32.832 --> 05:34.666
how do we get more reps faster ?

05:34.666 --> 05:36.554
There's ways of doing that in the

05:36.554 --> 05:38.554
center allows us to really start to

05:38.554 --> 05:41.130
learn how to teach how to accelerate

05:41.130 --> 05:41.650
learning .