| Time | Lab Title | Faculty |
|---|
| 0800- 1700 | Fundamental Critical Care Support (FCCS): Resource Limited - Part 1
Target Audience: SOF Providers interested in becoming FCCS instructors and course directors.
During this two-day lab participants will: - Summarize the fundamentals of resource-limited critical care and how they apply to clinician knowledge, skills, abilities, equipment, supplies, and time available
- Describe the epidemiology and management of unique illnesses and injuries associated with armed conflicts and disasters and the implications of risk to caregiver
- Employ the principles of resource-limited critical care management, including preplanning, the minimum-better-best paradigm, resource utilization, and telemedicine
This is a Society of Critical Care Medicine course that includes a certificate of completion. | SCCM Consultant & Instructor: Jeremy Pamplin, MD; Course Director & Instructor: William N. Vasios III PA-C; Instructors: Sean Keenan, MD
Dave Cantong 18D
Paul Loos 18D
Jamie Riesberg, MD |
|---|
|
| Monday, June 28, 2021 Lab Schedule - Day 2 |
|
|---|
|
Time |
Lab Title |
Faculty |
0730-1230
| Advanced Cadaver Development Course: Critical Skills, Mobility & Perfusion Realities
The Advanced Cadaver Development Course (ACDC) specifically focuses on evidence-based emergent interventions and the reality needed for teaching tomorrow’s providers. Participants engage in a comprehensive hands-on experience that gracefully blends fresh (non-fixed) human specimens, experienced medical professionals, demanding procedures, and the skill needed for Human Specimen Patient Simulation (HSPS). This course is orchestrated to dissect, explain, and train through: bleeding control (digital; wound-packing; tourniquets; junctional bleeding, and REBOA), airway and ventilation management (BLS; ALS – video and direct laryngoscopy, bronchoscopy, and cricothyroidotomy) vascular access (IV - peripheral, cut-down, and exchange; IO – manual, powered; and central venous access), thoracic injury management (anterior and lateral needle decompression, simple thoracostomy, chest tube placement, pericardiocentesis, and resuscitative thoracotomy), fundamental suturing and securing, and ultrasound usage. Participants will actively locate, visualize, mobilize, and engage the freshly dissected anatomy of the neck, chest, abdomen, and extremities, while simultaneously learning how to safely and legally employ human specimens in a training routine. The goal of this course is to singularly enhance human specimen utilization by offering hands-on experience where it matters most.
| Scott Bolleter, BS, EMT-P
|
|---|
| 0800- 1700 | Fundamental Critical Care Support (FCCS): Resource Limited - Part 2
Target Audience: SOF Providers interested in becoming FCCS instructors and course directors.
During this two-day lab participants will:- Summarize the fundamentals of resource-limited critical care and how they apply to clinician knowledge, skills, abilities, equipment, supplies, and time available
- Describe the epidemiology and management of unique illnesses and injuries associated with armed conflicts and disasters and the implications of risk to caregiver
- Employ the principles of resource-limited critical care management, including preplanning, the minimum-better-best paradigm, resource utilization, and telemedicine
This is a Society of Critical Care Medicine course that includes a certificate of completion. | SCCM Consultant & Instructor: Jeremy Pamplin, MD; Course Director & Instructor: William N. Vasios III PA-C; Instructors: Sean Keenan, MD
Dave Cantong 18D
Paul Loos 18D
Jamie Riesberg, MD |
|---|
0800 - 1700
| Military EMS Medical Direction Overview (MDOC)
The National Association of EMS Physicians (NAEMSP®) has, for many years, conducted a successful, single-day overview course geared toward those physicians tasked with EMS medical oversight who do not have formal EMS Fellowship training or even an opportunity to do the 3-day EMS Medical Director’s Course and Practicum offered at their annual scientific assembly. Seeing the need for a similar educational course aimed at military providers, COL Robert Mabry, during his term as President of the Special Operations Medical Association (SOMA), commissioned a working group of NAEMSP® and SOMA physicians to develop this program.
| Elliott Ross, MD
|
0800 – 1700
| CONTOMS
This course details the rationale and scientific basis for modified standards and scope of practice in the tactical environment. It is designed for physicians and others who provide medical control for prehospital personnel operating with tactical law enforcement teams.
| Gregory Smith
|
| 0800 – 1700 | K9 Tactical Casualty Care
The K9 Tactical Emergency Casualty Care (K9-TECC) course is an eight-hour course that focuses on prehospital tactical casualty care for the injured Operational K9.
| Lee Palmer, DVM, DACVECC, CCRP, EMT-T, NRP, TP-C Melissa Edwards DVM, DACVECC Bruce Carlton EMTP Nell Dalton DVM John Kooistra EMTP, TacMed Sean Smarick VMD, DACVECC Rita Hanel, DVM, DACVECC Lisa Peters DVM, DACVECC |
0800 – 1200
| Osteopathic Manipulative Medicine
Musculoskeletal pain is a common occurrence for operators and desk jockeys alike. Pain experienced can range from a minor annoyance to downright debilitating. This lab will teach you the skills to diagnose skeletal dysfunction and the techniques to fix them. You will also enhance your physical exam assessment with the palpatory skills that you will gain.
| Michael Mack, DO
|
| 0800 – 1200 | The A-FAST Exam: Getting Our Priorities in Order
The FAST exam, as it is currently taught, is outdated. This lab will teach a new FAST exam methodology that matches the MARCH algorythm and allow participants to practice using ultrasound to augment the primary survey.
| Justin Grisham, DO, FS, FAWM, DiMM
|
1300-1700
| Tactical Medicine Review: Earning Your IBSC Board Certifications
18D, SOCM medics, NSOCM medics and paramedics are allowed to sit the IBSC board certification for Tactical Paramedic, Flight Paramedic, Critical Care Paramedic and Tactical Responder. Additionally, medical doctors and physician assistants can sit this exam. This workshop will provide 1.5 hours of tactical medicine review followed by the IBSC board exams. This exam will be the paper-based exam which has a higher pass rate than the computer-based exam. Additionally, any of the IBSC exams can be taken during this workshop. That includes: Flight Paramedic, Critical Care Paramedic, or Tactical Responder. Exam fees are $269.50 when you register on the IBSC website (https://www.ibscertifications.org/) using this discount code: “COROMTMR”.
| Aebhric O'Kelly, PhD(c), FAWM, FRSPH, CCP-C, TP-C
|
1300-1700
| Practical Point of Care Ultrasound for Tactical Operators and Providers
This workshop is designed for tactical operators and providers interested in learning practical ultrasound skills for use in far forward and tactical environments. Choose up to four different ultrasound skills to master with an expert by rotating to a different skills station every 60 minutes.
| Melissa Myers, MD Cody F. Newell Amie Billstrom Vance Rothmeyer
|
|---|
1300-1700
| Acupuncture First Principles for Special Operations & Tactical Law Enforcement Responses
This is a basic acupuncture course developed by 20th Special Forces Group medical, dental, and veterinary surgeons in 1997 and has been taught to SF operators, 18Ds, SOCOMS, tactical medics and has been part of the 20th SF Group NTM curriculum for over 20 years. It is designed for the medic or operator who has basica medical knowledge.
| Michael Mouri, DDS, DAc, MD, MPH
|
|---|
1300-1800
| Advanced Cadaver Development Course: Critical Skills, Mobility & Perfusion Realities
The Advanced Cadaver Development Course (ACDC) specifically focuses on evidence-based emergent interventions and the reality needed for teaching tomorrow’s providers. Participants engage in a comprehensive hands-on experience that gracefully blends fresh (non-fixed) human specimens, experienced medical professionals, demanding procedures, and the skill needed for Human Specimen Patient Simulation (HSPS). This course is orchestrated to dissect, explain, and train through: bleeding control (digital; wound-packing; tourniquets; junctional bleeding, and REBOA), airway and ventilation management (BLS; ALS – video and direct laryngoscopy, bronchoscopy, and cricothyroidotomy) vascular access (IV - peripheral, cut-down, and exchange; IO – manual, powered; and central venous access), thoracic injury management (anterior and lateral needle decompression, simple thoracostomy, chest tube placement, pericardiocentesis, and resuscitative thoracotomy), fundamental suturing and securing, and ultrasound usage. Participants will actively locate, visualize, mobilize, and engage the freshly dissected anatomy of the neck, chest, abdomen, and extremities, while simultaneously learning how to safely and legally employ human specimens in a training routine. The goal of this course is to singularly enhance human specimen utilization by offering hands-on experience where it matters most.
| Scott Bolleter, BS, EMT-P
|
|---|
| Tuesday, June 29, 2021 Lab Schedule - Day 3
| |
|---|
Time
| Lab Title | Faculty
|
|---|
| 1315-1715 | Non-Trauma Module
Instruction provided for 18Ds for non-trauma related topics to include: dental, veterinary, physical therapy, mental health, and preventative medicine.
| Eli Edmunds, DDS
|
1315-1715
| Acupuncture First Principles for Special Operations & Tactical Law Enforcement Responses
This is a basic acupuncture course developed by 20th Special Forces Group medical, dental, and veterinary surgeons in 1997 and has been taught to SF operators, 18Ds, SOCOMS, tactical medics and has been part of the 20th SF Group NTM curriculum for over 20 years. It is designed for the medic or operator who has basica medical knowledge.
| Michael Mouri, DDS, DAc, MD, MPH
|
1315-1715
| Osteopathic Manipulative Medicine
Musculoskeletal pain is a common occurrence for operators and desk jockeys alike. Pain experienced can range from a minor annoyance to downright debilitating. This lab will teach you the skills to diagnose skeletal dysfunction and the techniques to fix them. You will also enhance your physical exam assessment with the palpatory skills that you will gain.
| Michael Mack, DO
|
1315-1715
| Introduction to Point of Care Ultrasound for Tactical Operators and Providers
A subject matter expert will provide a focused lecture to provide an introduction to the use of point of care ultrasound and machine operation, followed by focused lectures on practical modalities for operators including the Extended Focused Assessment in Trauma (E-FAST) exam, musculoskeletal ultrasound, and intravenous access.
| Melissa Myers, MD
|
1315 – 1715
| The A-FAST Exam: Getting Our Priorities in Order
The FAST exam, as it is currently taught, is outdated. This lab will teach a new FAST exam methodology that matches the MARCH algorythm and allow participants to practice using ultrasound to augment the primary survey.
| Justin Grisham, DO, FS, FAWM, DiMM
|
1315 - 1515
| Medical Mission Analysis
Medical Mission Analysis is a key part of a TEMS medic duty. Pre-planning the set-up and support of mission operations is key to success. Looking at location, terrain, weather, and several other factors to effectively assess the situation at hand and the health hazards, a TEMS medic is a safety net for your team, and medical mission planning is a key element of the tactical scenario success.
| Jason Tartalone, NRP, FAWM, TP-C, WEMT-P, EMPF
|
| Wednesday, June 30, 2021 Lab Schedule - Day 4
| |
|---|
Time
| Lab Title
| Faculty
|
|---|
1315-1715
| Practical Point of Care Ultrasound for Tactical Operators and Providers
This workshop is designed for tactical operators and providers interested in learning practical ultrasound skills for use in far forward and tactical environments. Choose up to four different ultrasound skills to master with an expert by rotating to a different skills station every 60 minutes.
| Melissa Myers, MD Cody F. Newell Amie Billstrom Vance Rothmeyer
|
1315 – 1715
| Tactical Medicine Review: Earning Your IBSC Board Certifications
18D, SOCM medics, NSOCM medics and paramedics are allowed to sit the IBSC board certification for Tactical Paramedic, Flight Paramedic, Critical Care Paramedic and Tactical Responder. Additionally, medical doctors and physician assistants can sit this exam. This workshop will provide 1.5 hours of tactical medicine review followed by the IBSC board exams. This exam will be the paper-based exam which has a higher pass rate than the computer-based exam. Additionally, any of the IBSC exams can be taken during this workshop. That includes: Flight Paramedic, Critical Care Paramedic, or Tactical Responder. Exam fees are $269.50 when you register on the IBSC website (https://www.ibscertifications.org/) using this discount code: “COROMTMR”.
| Aebhric O'Kelly, PhD(c) FAWM FRSPH CCP-C TP-C
|
1315-1715
| Dentistry for the SOF Operator
This lab will review the diagnosis and treatment of common dental pathologies and dental emergencies in the austere setting, utilizing minimal equipment. Hands-on review of dental blocks, temporary fillers and other techniques will be taught. This course will also review use of simple dental procedures in running a UW medical/dental program for host nation civilians in contested areas.
| COL (Ret) Robert Harrington, DMD, MPH; COL Jerold Kouchi, DDS; MAJ Ross Cook, DMD; MAJ Tristan Tran, DDS; MAJ James Do, DMD; MAJ Matt Peers; MAJ Andrew Jenzen |
| 1315 – 1515 | Medical Mission Analysis
Medical Mission Analysis is a key part of a TEMS medic duty. Pre-planning the set-up and support of mission operations is key to success. Looking at location, terrain, weather, and several other factors to effectively assess the situation at hand and the health hazards, a TEMS medic is a safety net for your team, and medical mission planning is a key element of the tactical scenario success.
| Jason Tartalone, NRP, FAWM, TP-C, WEMT-P, EMPF
|
1515 – 1715
| Operating in a Radiological Contaminated Environment Knowledge, Skills, and Abilities (KSA) Workshop
This lab offers a didactic and hands-on training in management of radiologically exposed and contaminated patients. The lab will provide an overview of acute radiation syndrome, and hands-on triage of exposed and contaminated patients.
| Lien Senchak, MD
Charles Woodruff
Balasz Bene, PhD, CPT, MS
|
|
| Thursday, July 1, 2021 Lab Schedule - Day 5
|
|
|
Time | Lab Title |
Faculty |
| 0800 - 1200 | Advanced Point of Care Ultrasound for Tactical Operators and Providers
This workshop is designed for tactical operators and providers interested in learning advanced ultrasound techniques that are useful for care in austere environments or during prolonged field care. Topics covered include regional anesthesia, intracranial assessment, including optic nerve sheath diameter and transcranial doppler, as well as the Rapid Ultrasound in Shock and Hypotension Exam, and advanced point of care echocardiogram techniques.
| Melissa Myers, MD
|
0800-1200
| Basic to Advanced Airway: What You Need to Know
This lab will cover basic techniques to analyze how, when, and what to do in order to maintain a patient airway. The presenters will also offer a brief discussion on most efficient devices and best practices to use them.
| Leandro Castro, MD
|
0800-1200
| Dentistry for the SOF Operator
This lab will review the diagnosis and treatment of common dental pathologies and dental emergencies in the austere setting, utilizing minimal equipment. Hands-on review of dental blocks, temporary fillers and other techniques will be taught. This course will also review use of simple dental procedures in running a UW medical/dental program for host nation civilians in contested areas.
| COL (Ret) Robert Harrington, DMD, MPH; COL Jerold Kouchi, DDS; MAJ Ross Cook, DMD; MAJ Tristan Tran, DDS; MAJ James Do, DMD; MAJ Matt Peers; MAJ Andrew Jenzen
|
0800-1200
| Wilderness Rescue Operations
TEMS teams are well prepared and usually well trained for the urban response environment. But how will you respond when one of your team goes down in a wilderness or austere environment? The Wilderness Rescue Operations Seminar will introduce the tactical medic to new decisions and some of the possible challenges encountered during operations in a wilderness setting.
| Jason Tartalone, NRP, FAWM, TP-C, WEMT-P, EMPF
|
0800-1000
| Treating a Teammate: Care vs Person - Oriented Resuscitation
What are the challenges facing a close team that takes a casualty? Will the medic be able to effectively turn off thinking of their teammate as a friend and turn on focused treatment protocols? What does it take to make the switch, or to navigate between the two? What are the hazards of focusing on the individual and not seeing them as a patient? This two-hour lab is an adaptation of small team discussions held at a USAF Special Tactics Squadron (STS) on the challenges of flipping the switch from “person” to “patient” within small teams. This lab will start with a review on the success of such discussions at the unit level. Then, starting from the EMCrit Podcast “Care-Oriented Resus vs. People-Oriented Resus”, we launch into a group discussion on the mindset required to effectively treat a friend.
| CAPT Christopher Pokorny
|
0800-1000
| Operating in a Radiological Contaminated Environment Knowledge, Skills, and Abilities (KSA) Workshop
This lab offers a didactic and hands-on training in management of radiologically exposed and contaminated patients. The lab will provide an overview of acute radiation syndrome, and hands-on triage of exposed and contaminated patients.
| Lien Senchak, MD
Charles Woodruff
Balasz Bene, PhD, CPT, MS
|
1330-1530
| Women's Health Care in an Austere Environment
Four bacic skills will be taught that a medic can use to recognize and treat the most common causes of morbidity and mortality related to women’s health care in the developing world. These are: treatment of postpartum hemorrhage, postpartum infection, shoulder dystocia, and postpartum lacerations.
| David Ludlow, MD
|
| 1330 – 1730 | Basic to Advanced Airway: What You Need to Know
This lab will cover basic techniques to analyze how, when, and what to do in order to maintain a patient airway. The presenters will also offer a brief discussion on most efficient devices and best practices to use them.
| Leandro Castro, MD
|
1330 – 1730
| Just a Fancy BVM: A Mechanical Ventilation Workshop
Mechanical ventilation and the use of the ventilator is a force multiplier and improves the care of our patients by providing consistent, measurable ventilation with minimal interaction from the provider. This workshop will provide hands-on experience with a range of ventilators available to the prehospital provider utilizing Swine lungs and lung simulators. Attendees will work through scenarios and troubleshooting to learn to manipulate the ventilator to optimize settings for each patient they may face.
| Sam Matta, RN, CFRN, NRP
Sarah Beth Burton
Jim Phipps
|
1330 – 1730
| Wilderness Rescue Operations
TEMS teams are well prepared and usually well trained for the urban response environment. But how will you respond when one of your team goes down in a wilderness or austere environment? The Wilderness Rescue Operations Seminar will introduce the tactical medic to new decisions and some of the possible challenges encountered during operations in a wilderness setting.
| Jason Tartalone, NRP, FAWM, TP-C, WEMT-P, EMPF
|
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