WEBVTT 00:03.140 --> 00:04.250 Yeah . Mhm . 00:19.540 --> 00:20.540 Yeah . 00:27.540 --> 00:28.960 Yeah . Mhm . 00:34.340 --> 00:36.960 Okay . Yeah . 00:40.440 --> 00:43.240 As a medical system , we've lost our 00:43.240 --> 00:45.018 level one trauma centers in the 00:45.018 --> 00:47.073 military , luckily on most Air Force 00:47.073 --> 00:49.240 bases there are not a lot of seriously 00:49.240 --> 00:51.240 injured patients . They're just not 00:51.240 --> 00:53.296 seeing the multiple gunshot wounds , 00:53.296 --> 00:55.518 multiple stabbings , People that are in 00:55.518 --> 00:57.629 the military where their full time or 00:57.629 --> 00:59.684 their reservists probably don't do a 00:59.684 --> 01:01.907 lot of trauma in their daily practice . 01:01.907 --> 01:04.018 Our Air Force Medical service members 01:04.018 --> 01:06.018 don't have the opportunity to truly 01:06.018 --> 01:08.240 practice their clinical skills . You're 01:08.240 --> 01:07.880 not going to see traumatic injuries 01:07.880 --> 01:09.602 that you would be exposed to . 01:09.602 --> 01:11.658 Downrange . That's not so good to go 01:11.658 --> 01:13.269 and get dropped into Iraq or 01:13.269 --> 01:15.436 Afghanistan or wherever we're going to 01:15.436 --> 01:18.040 be next and have to learn on the job . 01:18.050 --> 01:20.620 So if Air Force personnel and 01:20.620 --> 01:22.842 International Guard personnel are going 01:22.842 --> 01:25.130 to develop and maintain their expertise 01:25.130 --> 01:27.241 for that rapid response , they really 01:27.241 --> 01:29.352 have to be where the injured patients 01:29.352 --> 01:33.260 are . The Sea Stars program is one of 01:33.260 --> 01:35.482 four platforms in the United States Air 01:35.482 --> 01:37.870 Force that allows medics to come from 01:37.870 --> 01:40.150 all over the world , train in a 01:40.150 --> 01:42.490 civilian , high volume trauma center 01:42.520 --> 01:44.800 and allows them to keep their skills 01:44.800 --> 01:46.800 current . It's important to be at a 01:46.800 --> 01:48.967 level one trauma center because you're 01:48.967 --> 01:51.133 going to be in the middle of level one 01:51.133 --> 01:53.244 trauma when you're downrange . We are 01:53.244 --> 01:54.967 one of the only sites that has 01:54.967 --> 01:56.967 partnered with multiple large inner 01:56.967 --> 01:58.522 city hospitals . So we have 01:58.522 --> 01:58.420 partnerships , a long standing 01:58.420 --> 02:00.587 partnership with ST Louis University . 02:00.587 --> 02:02.698 We have a burgeoning partnership with 02:02.698 --> 02:04.809 Washington University in ST louis the 02:04.809 --> 02:06.753 relationship between the Air Force 02:06.753 --> 02:08.809 providers that are here as the Stars 02:08.809 --> 02:11.280 Kadre or as rotator with our civilian 02:11.280 --> 02:13.336 counterparts I think is excellent to 02:13.336 --> 02:15.540 well integrated relationship . The 02:15.540 --> 02:17.484 Ceasar's team is part of the shock 02:17.484 --> 02:20.360 trauma team . We have a permanent cadre 02:20.370 --> 02:22.760 of physicians , nurses , nurse 02:22.760 --> 02:25.040 anesthetists , technicians that are 02:25.040 --> 02:27.151 embedded in the shock trauma center . 02:27.151 --> 02:29.429 So they're part of our everyday fabric . 02:29.429 --> 02:31.540 The Sea stars Qadri members are truly 02:31.540 --> 02:33.151 team members in the civilian 02:33.151 --> 02:35.373 institution that they participate fully 02:35.373 --> 02:37.596 in whatever unit they are assigned to . 02:37.596 --> 02:39.484 They are fully licensed qualified 02:39.484 --> 02:41.651 members of the team and looked upon as 02:41.651 --> 02:43.762 such . Then we have rotator that come 02:43.762 --> 02:45.818 in and out every so often so that we 02:45.818 --> 02:47.900 help those men and women in the Air 02:47.900 --> 02:50.390 Force learn the skills that they need 02:50.400 --> 02:52.960 to be immediately deployed to the field . 02:52.970 --> 02:55.192 So it's our job as cadre to be like the 02:55.192 --> 02:58.280 liaison for the student rotate Urz with 02:58.280 --> 03:00.570 the civilian counterparts . And so 03:00.580 --> 03:02.524 we've been embedded to work on the 03:02.524 --> 03:04.580 floor or doing clinical ships . Even 03:04.580 --> 03:06.580 when we don't have students just to 03:06.580 --> 03:08.580 build that relationship so they can 03:08.580 --> 03:10.691 trust us . They love having sea stars 03:10.691 --> 03:12.913 here , they know who we are , they call 03:12.913 --> 03:12.410 us in any time that there's something 03:12.420 --> 03:14.750 interesting or any type of exceptional 03:14.750 --> 03:16.850 opportunity . They love having a Sea 03:16.850 --> 03:18.906 Stars member in the room with them . 03:18.906 --> 03:21.017 The C Star sites are definitely force 03:21.017 --> 03:23.294 multipliers when it comes to readiness . 03:23.294 --> 03:25.294 There's no other platform available 03:25.294 --> 03:27.239 right now to the Air Force Medical 03:27.239 --> 03:29.183 Service for some of these services 03:29.183 --> 03:31.239 outside of the Sea Stars platforms . 03:31.340 --> 03:33.507 Currently the platforms are run out of 03:33.507 --> 03:36.630 ST louis Baltimore Cincinnati and our 03:36.630 --> 03:38.741 newest one is in Omaha . We basically 03:38.741 --> 03:41.260 started off as a trauma platform for 03:41.270 --> 03:43.492 readiness and deployment and it kind of 03:43.492 --> 03:46.010 turned into medical training that we 03:46.010 --> 03:48.690 don't get at our everyday facilities . 03:48.700 --> 03:51.200 It started as a purely clinical 03:51.200 --> 03:53.910 training shop for surgeons and has 03:53.910 --> 03:56.640 morphed remarkably Sea Star ST louis is 03:56.650 --> 03:59.690 open to about 12 different HFCS , which 03:59.690 --> 04:02.470 NFC is our different duty codes for 04:02.470 --> 04:04.637 across the medical service providers . 04:04.637 --> 04:06.581 Nurse practitioners , physicians , 04:06.581 --> 04:08.803 physician assistants . Uh They can have 04:08.803 --> 04:10.859 backgrounds in anything from general 04:10.859 --> 04:13.300 surgery , trauma surgery , anesthesia 04:13.310 --> 04:15.750 for nurses . We can get flight nurses , 04:15.840 --> 04:17.951 critical care nurses , E . R . Nurses 04:17.951 --> 04:20.680 and core nurses . Mhm . And then our 04:20.680 --> 04:22.847 medics are Baltimore location also has 04:22.847 --> 04:25.180 paramedics and I . D . M . T . S . Yeah . 04:25.540 --> 04:27.429 And then we also have respiratory 04:27.429 --> 04:29.262 therapists that come through the 04:29.262 --> 04:31.530 program when a member shows up for sea 04:31.530 --> 04:33.950 stars , they are here for two weeks and 04:33.950 --> 04:36.061 it is we call it a clinical immersion 04:36.061 --> 04:37.894 and it truly is that uh they are 04:37.894 --> 04:40.061 working pretty much for the entire two 04:40.061 --> 04:42.330 weeks . It's almost a crawl walk run . 04:42.330 --> 04:44.608 We go over a little bit of power point . 04:44.608 --> 04:46.219 Not too much but we get some 04:46.219 --> 04:48.386 foundational education . They get some 04:48.386 --> 04:50.163 basic lectures on TB patients , 04:50.163 --> 04:52.163 traumatic brain injury and the burn 04:52.163 --> 04:54.330 patients . Which is predominantly what 04:54.330 --> 04:54.260 you might come across when you're 04:54.260 --> 04:56.850 downrange deployed . And then they also 04:56.850 --> 04:59.017 do hands on with the equipment . It is 04:59.017 --> 05:01.072 different equipment than Stateside . 05:01.072 --> 05:03.239 This is specific equipment that we use 05:03.239 --> 05:05.406 in the deployed setting . So it's nice 05:05.406 --> 05:05.130 for the students to be able get their 05:05.130 --> 05:07.297 hands on if they are going to deploy , 05:07.297 --> 05:09.463 they already have a basic knowledge of 05:09.463 --> 05:11.574 each piece of equipment . They have a 05:11.574 --> 05:13.741 day at the anatomy lab where they will 05:13.741 --> 05:15.963 work with tissue to perform some of the 05:15.963 --> 05:18.186 technical skills . So they can do chest 05:18.186 --> 05:20.408 tubes and patients and they can do like 05:20.408 --> 05:22.408 needle decompression , which is all 05:22.408 --> 05:22.260 lifesaving techniques , which they need 05:22.260 --> 05:24.720 to know . But you cannot always do on a 05:24.730 --> 05:26.952 live individual . Then we get to go out 05:26.952 --> 05:29.570 and be on the floors , do some practice 05:29.580 --> 05:31.413 some of the most common types of 05:31.413 --> 05:33.469 injuries we would see at a level one 05:33.469 --> 05:35.413 trauma center would be penetrating 05:35.413 --> 05:37.358 injuries here in ST louis , we are 05:37.358 --> 05:39.080 above the national average for 05:39.080 --> 05:41.302 penetrating injuries , gunshot wounds , 05:41.302 --> 05:43.302 blunt trauma , penetrating trauma , 05:43.302 --> 05:45.580 such as knife injuries , occasional 05:45.590 --> 05:48.860 explosions from factory type incidents , 05:48.870 --> 05:52.290 other areas that are a focus for us or 05:52.290 --> 05:54.290 traumatic brain injuries . So motor 05:54.290 --> 05:56.810 vehicle collisions falls , those are 05:56.810 --> 05:58.977 directly translatable into some of the 05:58.977 --> 06:01.199 blast injuries that we see Downrange at 06:01.199 --> 06:03.421 ST Louis University Medical Center . We 06:03.421 --> 06:05.643 take care of a lot of patients that are 06:05.643 --> 06:07.450 seriously injured and it is an 06:07.450 --> 06:10.210 opportunity for people to develop and 06:10.210 --> 06:12.321 to hone and to improve their skills . 06:12.740 --> 06:16.730 Trauma volume is unpredictable . 06:16.740 --> 06:19.010 Some months , we have a lot of blunt 06:19.020 --> 06:21.710 penetrating trauma . Other months are 06:21.720 --> 06:23.620 much lower case volume . So we do 06:23.620 --> 06:26.120 simulations kind of to cover all bases 06:26.120 --> 06:28.342 because we can't guarantee that they'll 06:28.342 --> 06:30.453 see every trauma that we want them to 06:30.453 --> 06:32.398 see or get experience to you while 06:32.398 --> 06:34.453 they're here . So , by utilizing our 06:34.453 --> 06:36.676 simulations , we can guarantee that the 06:36.676 --> 06:38.731 students will get some of the higher 06:38.731 --> 06:40.842 risk types of traumas and know how to 06:40.842 --> 06:42.953 run through a primary survey and take 06:42.953 --> 06:45.176 care of those patients by incorporating 06:45.176 --> 06:48.190 the simulations . Alright , we're very 06:48.190 --> 06:50.650 fortunate to here to have a number of 06:50.660 --> 06:53.260 high fidelity , very realistic 06:53.270 --> 06:55.326 simulators that are tether list that 06:55.326 --> 06:57.940 we're able to control remotely from 06:57.950 --> 07:00.880 ipad or computers . We have high tech 07:00.890 --> 07:03.057 equipment here and so there's very few 07:03.057 --> 07:05.380 things that aren't mimicked exactly as 07:05.380 --> 07:07.380 they would be with a real patient . 07:07.380 --> 07:09.547 They can participate in terms of their 07:09.547 --> 07:11.713 way . They're able to kind of speak to 07:11.713 --> 07:15.350 me , answer questions . What's going on 07:15.350 --> 07:17.740 with your body ? From a breathing 07:17.740 --> 07:19.920 perspective , I can both see visual 07:19.920 --> 07:22.087 chest rise and listen to breast sounds 07:22.087 --> 07:24.309 from a circulation . I can check pulses 07:24.309 --> 07:26.476 on the Vatican . They have pupils that 07:26.476 --> 07:28.587 can change size , they can be awake , 07:28.587 --> 07:30.642 er , on the way we're able to really 07:30.642 --> 07:33.360 duplicate significant injuries trauma 07:33.360 --> 07:36.850 patterns , those high acuity , low 07:36.850 --> 07:38.900 volume scenarios that people are 07:38.900 --> 07:41.250 looking for . So we do burn simulations 07:41.250 --> 07:43.870 and damage control resuscitation . So a 07:43.870 --> 07:45.759 lot of it is tailored towards the 07:45.759 --> 07:47.814 injury patterns that they may see or 07:47.814 --> 07:49.814 incur when they're downrange . What 07:49.814 --> 07:51.870 I've seen in the simulations for sea 07:51.870 --> 07:53.870 stars has been that there certainly 07:53.870 --> 07:55.870 tailoring those scenarios to things 07:55.870 --> 07:58.092 that we anticipate to see . Downrange , 07:58.092 --> 07:59.981 and also tailoring a lot of those 07:59.981 --> 08:02.092 scenarios to everyone involved on the 08:02.092 --> 08:03.870 team . We try and make sure the 08:03.870 --> 08:05.648 students are going in the right 08:05.648 --> 08:07.759 direction , not going down the rabbit 08:07.759 --> 08:09.814 hole the wrong way . We wanted to be 08:09.814 --> 08:12.037 the best learning experiences that they 08:12.037 --> 08:11.950 can have . And if we see there's 08:11.950 --> 08:13.950 something going wrong , we can call 08:13.950 --> 08:15.950 time out and educate at that time , 08:15.950 --> 08:18.117 make your mistakes now . That's one of 08:18.117 --> 08:20.339 the bigger teaching points , usually in 08:20.339 --> 08:22.561 the simulation , that we do this now so 08:22.561 --> 08:22.180 that hopefully in the future you can 08:22.180 --> 08:24.402 work out some of those things to really 08:24.402 --> 08:26.402 optimize your future patients for a 08:26.402 --> 08:28.569 better outcome . So after the students 08:28.569 --> 08:28.500 are done with their simulations , we 08:28.500 --> 08:30.611 have them go back into our debriefing 08:30.611 --> 08:32.833 room and then we talk to them , see how 08:32.833 --> 08:35.056 they think things went , and then we'll 08:35.056 --> 08:36.944 kind of give our ideas on how the 08:36.944 --> 08:39.111 simulation went and give some tips and 08:39.111 --> 08:40.944 tricks . And then we'll have the 08:40.944 --> 08:43.056 students finish up with the debrief , 08:43.056 --> 08:42.440 telling us what they've learned from 08:42.440 --> 08:44.551 this experience and what they hope to 08:44.551 --> 08:46.884 get through the rest of the experiences . 08:46.884 --> 08:49.910 So we're getting a wide array of 08:49.920 --> 08:52.230 exposure . So between our sims and our 08:52.230 --> 08:54.174 hands on , I really feel like they 08:54.174 --> 08:56.397 build us up and build our confidence to 08:56.397 --> 08:58.563 be able to walk into these sims and do 08:58.563 --> 09:00.786 really well or walk in and take care of 09:00.786 --> 09:02.786 our patients really well . So we're 09:02.786 --> 09:02.630 able to bring people through , put them 09:02.630 --> 09:04.852 in an intensive environment And they're 09:04.852 --> 09:07.019 getting those skill sets that were not 09:07.019 --> 09:09.074 able to provide them anywhere else . 09:09.074 --> 09:11.186 And it's really , really rewarding to 09:11.186 --> 09:13.241 see them from day one to day 12 when 09:13.241 --> 09:15.241 they leave , see stars , to see the 09:15.241 --> 09:15.170 improvement , to see the confidence 09:15.170 --> 09:17.170 grow with each one of the different 09:17.170 --> 09:19.170 students . I would highly recommend 09:19.170 --> 09:21.226 this program to anyone , any type of 09:21.226 --> 09:23.392 provider , whether you are a nurse , a 09:23.392 --> 09:25.448 tech , a physician , a scrub tech or 09:25.448 --> 09:27.930 even the surgeon . This is a chance for 09:27.930 --> 09:29.819 you to be able to build upon your 09:29.819 --> 09:31.930 skills , what you know , enhance your 09:31.930 --> 09:34.041 confidence so that you are strong and 09:34.041 --> 09:36.152 ready provider when you step out into 09:36.152 --> 09:38.374 the deployment setting . So this allows 09:38.374 --> 09:42.130 us to have all those people tool off 09:42.140 --> 09:45.890 and hit the ground really ready to go . 09:45.900 --> 09:48.200 We've lost all of our level one trauma 09:48.200 --> 09:50.367 centers in the Air Force . If we don't 09:50.367 --> 09:52.589 have these partnerships , we don't have 09:52.589 --> 09:54.700 the opportunity to take care of these 09:54.700 --> 09:56.644 patients . So in my mind , the sea 09:56.644 --> 09:58.867 stars platforms are not replaceable for 09:58.867 --> 10:00.922 us as an institution to partner with 10:00.922 --> 10:03.033 the military . We really believe that 10:03.033 --> 10:05.144 this is part of our commitment to our 10:05.144 --> 10:07.256 country . It's a partner with our men 10:07.256 --> 10:09.311 and women who are on the front lines 10:09.311 --> 10:11.422 taking care of us . So if we can take 10:11.422 --> 10:13.644 care of them in this small way , we are 10:13.644 --> 10:15.867 all in and delighted to do so . I think 10:15.867 --> 10:18.910 everyone understands the importance of 10:18.910 --> 10:21.120 the knowledge we're passing on , the 10:21.120 --> 10:23.480 important of the mission and the end 10:23.480 --> 10:25.480 goal , which is to save our wounded 10:25.480 --> 10:28.260 warriors and soldiers lives down range .