1
00:00:00,000 --> 00:00:00,000


2
00:00:22,820 --> 00:00:24,931
Special Operations Center for Medical 

3
00:00:24,931 --> 00:00:27,290
Integration and Development . Um was 

4
00:00:27,300 --> 00:00:31,150
really created on the underpinnings of 

5
00:00:31,150 --> 00:00:33,206
a clinic statement program we've had 

6
00:00:33,206 --> 00:00:35,372
for a number of years at University of 

7
00:00:35,372 --> 00:00:37,594
Alabama Birmingham to maintain our high 

8
00:00:37,594 --> 00:00:40,390
and perishable trauma skills . Andi 

9
00:00:40,390 --> 00:00:42,557
have run it into a program to meet and 

10
00:00:42,557 --> 00:00:44,810
only our proficiency requirements , but 

11
00:00:44,810 --> 00:00:46,977
also a currency requirements as well . 

12
00:00:46,977 --> 00:00:50,090
It's AH 110 hour program that spans 

13
00:00:50,090 --> 00:00:53,430
over two weeks . It's fully immersive , 

14
00:00:53,430 --> 00:00:56,680
comprehensive , integrative . That 

15
00:00:56,690 --> 00:00:59,020
culminates with a 24 hour field 

16
00:00:59,020 --> 00:01:01,680
training exercise at the historically 

17
00:01:01,690 --> 00:01:04,120
the term software Special Operations 

18
00:01:04,120 --> 00:01:06,270
Force Medic has been able to find in 

19
00:01:06,270 --> 00:01:10,010
the spring of 2019 . So 

20
00:01:10,010 --> 00:01:12,900
come officially deemed the critical 

21
00:01:12,910 --> 00:01:15,630
task list that defines the soft medic . 

22
00:01:15,640 --> 00:01:17,640
There's five critical items that go 

23
00:01:17,640 --> 00:01:19,751
into being a soft medic . First , you 

24
00:01:19,751 --> 00:01:21,696
have to be a nationally registered 

25
00:01:21,696 --> 00:01:23,918
paramedic . He has to be certified as a 

26
00:01:23,918 --> 00:01:26,140
medical provider in T trouble . See the 

27
00:01:26,140 --> 00:01:28,084
tactical combat casualty care . Of 

28
00:01:28,084 --> 00:01:30,029
course , you have to be capable of 

29
00:01:30,029 --> 00:01:31,918
doing small unit care , too small 

30
00:01:31,918 --> 00:01:33,918
maneuver elements and often austere 

31
00:01:33,918 --> 00:01:36,780
environments . You have to be prepared 

32
00:01:36,780 --> 00:01:39,480
to take care of nonstandard patients 

33
00:01:39,480 --> 00:01:41,480
for prolonged periods of time , and 

34
00:01:41,480 --> 00:01:44,210
then lastly , we train our medics to 

35
00:01:44,220 --> 00:01:46,920
manage sometimes multiple complex 

36
00:01:46,930 --> 00:01:49,200
trauma patients in chemical and 

37
00:01:49,200 --> 00:01:51,400
biological environments . So the net 

38
00:01:51,400 --> 00:01:53,260
benefit is that we add to the 

39
00:01:53,260 --> 00:01:54,927
interoperability from special 

40
00:01:54,927 --> 00:01:57,204
operations standard on the battlefield . 

41
00:01:57,204 --> 00:01:59,316
Agnostic to your component or service 

42
00:01:59,316 --> 00:02:02,180
type is that if you run into a soft 

43
00:02:02,190 --> 00:02:05,180
medic somewhere down range , you know 

44
00:02:05,180 --> 00:02:07,291
what he's capable of doing . You know 

45
00:02:07,291 --> 00:02:09,680
that he's , you know , he's practiced 

46
00:02:09,680 --> 00:02:11,847
it . He's been objectively evaluated . 

47
00:02:11,847 --> 00:02:14,300
He's been tested against a soft , 

48
00:02:14,300 --> 00:02:17,010
specific standard solution . Currently , 

49
00:02:17,010 --> 00:02:19,560
within 24 South , we can definitively 

50
00:02:19,560 --> 00:02:22,070
say that the pararescue men are PJ's , 

51
00:02:22,070 --> 00:02:23,903
as most people know him . In the 

52
00:02:23,903 --> 00:02:26,014
Special Operations , independent duty 

53
00:02:26,014 --> 00:02:27,626
medical technicians meet the 

54
00:02:27,626 --> 00:02:29,570
requirement of a special Operation 

55
00:02:29,570 --> 00:02:31,848
Forces medic . The PJs , in particular , 

56
00:02:31,848 --> 00:02:33,903
have very complex skill sets . Their 

57
00:02:33,903 --> 00:02:35,903
tactical skills that shoot , move , 

58
00:02:35,903 --> 00:02:38,126
communicate . It takes a lot of time to 

59
00:02:38,126 --> 00:02:40,292
master those in this to sustain them . 

60
00:02:40,440 --> 00:02:42,900
And so , by doing this course , we're 

61
00:02:42,910 --> 00:02:44,910
optimizing the experience . They're 

62
00:02:44,910 --> 00:02:46,577
able to not only kind of core 

63
00:02:46,577 --> 00:02:48,632
requirements , but then get clinical 

64
00:02:48,632 --> 00:02:50,854
reps in , um in the larger Air Force as 

65
00:02:50,854 --> 00:02:52,966
we see it as an opportunity to really 

66
00:02:52,966 --> 00:02:55,132
unify the pair of rescue mint not only 

67
00:02:55,132 --> 00:02:57,860
in soft but in a combat Air forces well 

68
00:02:58,550 --> 00:03:00,661
to kind of drive to the same standard 

69
00:03:01,340 --> 00:03:04,240
eso kind of working in concert . We 

70
00:03:04,240 --> 00:03:06,351
certainly have partnered heavily with 

71
00:03:06,351 --> 00:03:08,407
the Air Force Research Lab , a blood 

72
00:03:08,407 --> 00:03:10,073
tech development . But really 

73
00:03:10,073 --> 00:03:11,907
underpinning is all of it is the 

74
00:03:11,907 --> 00:03:11,810
University of Alabama Birmingham 

75
00:03:11,810 --> 00:03:13,643
Medical Center , and they really 

76
00:03:13,643 --> 00:03:16,260
provide additional trump expertise . 

77
00:03:16,740 --> 00:03:18,907
There's several different areas within 

78
00:03:18,907 --> 00:03:21,073
the facility in Birmingham , where the 

79
00:03:21,073 --> 00:03:23,820
gods rotate in and out of . They rotate 

80
00:03:23,820 --> 00:03:26,250
through the emergency room . They 

81
00:03:26,640 --> 00:03:28,862
rotate through the trauma resuscitation 

82
00:03:28,862 --> 00:03:30,584
unit . They rotate through the 

83
00:03:30,584 --> 00:03:32,696
traumatic brain injury intensive care 

84
00:03:32,696 --> 00:03:34,251
unit . They have the option 

85
00:03:34,251 --> 00:03:37,360
availability to do some , um , 

86
00:03:37,740 --> 00:03:40,380
ocular wound care , burn management 

87
00:03:40,390 --> 00:03:42,730
agreements , stuff like that . And they 

88
00:03:42,730 --> 00:03:45,840
do that in 12 hour shifts We also have 

89
00:03:45,850 --> 00:03:47,961
embedded in the University of Alabama 

90
00:03:47,961 --> 00:03:50,740
Birmingham are sauce teams . So our 

91
00:03:50,740 --> 00:03:52,740
special Officer Jewel teams , which 

92
00:03:52,740 --> 00:03:54,907
allows us to train how you fight so we 

93
00:03:54,907 --> 00:03:56,907
can bring in PJs and medics . We're 

94
00:03:56,907 --> 00:03:58,796
gonna do point of injury and then 

95
00:03:58,796 --> 00:04:00,629
handed off those patients to the 

96
00:04:00,629 --> 00:04:02,296
surgical teams . Their trauma 

97
00:04:02,296 --> 00:04:04,040
department sees over 30 trauma 

98
00:04:04,040 --> 00:04:06,520
activations annually , which doing the 

99
00:04:06,520 --> 00:04:08,770
math gets you somewhere in the order of 

100
00:04:08,770 --> 00:04:12,150
a 10 trump activations a day which is 

101
00:04:12,150 --> 00:04:14,372
impressive . They also have a very high 

102
00:04:14,372 --> 00:04:16,317
percentage of penetrating trauma , 

103
00:04:16,317 --> 00:04:18,317
which means it is an opportunity to 

104
00:04:18,317 --> 00:04:20,428
make a difference in civilian lives , 

105
00:04:20,428 --> 00:04:22,428
but also to kind of really hone our 

106
00:04:22,428 --> 00:04:24,317
skills for those folks down Range 

107
00:04:24,317 --> 00:04:26,539
charges take care of Way Spend hundreds 

108
00:04:26,539 --> 00:04:28,539
of thousands of dollars on advanced 

109
00:04:28,539 --> 00:04:30,594
medical training and some things you 

110
00:04:30,594 --> 00:04:32,761
just can't recreate or duplicate . And 

111
00:04:32,761 --> 00:04:34,928
having the availability of resource is 

112
00:04:34,928 --> 00:04:37,100
such a virtuality . Trainers way can 

113
00:04:37,110 --> 00:04:40,300
recreate those in real time , you know , 

114
00:04:40,300 --> 00:04:43,090
just almost instantaneously . Whereas 

115
00:04:43,090 --> 00:04:46,620
you may virtually go through like doing 

116
00:04:46,630 --> 00:04:49,860
a nab domino ultrasound on a guy or a 

117
00:04:49,870 --> 00:04:53,480
fast focus exam . And then 

118
00:04:53,490 --> 00:04:55,379
12 hours later , he's in the ER , 

119
00:04:55,379 --> 00:04:57,157
actually doing it on real lives 

120
00:04:57,157 --> 00:04:59,380
patients and in getting some of that 

121
00:04:59,390 --> 00:05:02,010
direct feedback . So having the 

122
00:05:02,010 --> 00:05:04,200
availability Thio rotate through 

123
00:05:04,200 --> 00:05:07,300
clinically get caught up on the latest 

124
00:05:07,300 --> 00:05:09,522
and greatest of what's in the community 

125
00:05:09,522 --> 00:05:12,010
on being able to rotate through the 

126
00:05:12,010 --> 00:05:14,580
facility is invaluable . As emergency 

127
00:05:14,590 --> 00:05:17,640
physician , I've trained for years to 

128
00:05:17,640 --> 00:05:20,380
do similar tasks , um , that they were 

129
00:05:20,380 --> 00:05:22,547
called on to do and failed potentially 

130
00:05:22,547 --> 00:05:24,630
with very little support . There's 

131
00:05:24,630 --> 00:05:28,070
often quoted the 10,000 reps . Thio be 

132
00:05:28,070 --> 00:05:30,610
an expert so way don't have the luxury 

133
00:05:30,610 --> 00:05:32,832
of time . That takes a lot of time . So 

134
00:05:32,832 --> 00:05:34,666
how do we get more reps faster ? 

135
00:05:34,666 --> 00:05:36,554
There's ways of doing that in the 

136
00:05:36,554 --> 00:05:38,554
center allows us to really start to 

137
00:05:38,554 --> 00:05:41,130
learn how to teach how to accelerate 

138
00:05:41,130 --> 00:05:41,650
learning .