Back to Top Skip to main content Skip to sub-navigation

BAMC, Argentine Army medical providers share COVID-19 best practices

Image of Video teleconference image. Argentine Army Col. Oscar Zarich, Argentine Partner Nation Liaison Officer, U.S. Army South, left, moderates a COVID-19 subject matter expert exchange between doctors from the Argentine Army and Brooke Army Medical Center, Oct. 21, 2020. The video teleconference consisted of a panel of medical professionals discussing lessons learned to provide a compilation of best practices in response to the COVID-19 pandemic and other health-related topics. (Photo by Robert A. Whetstone, Brooke Army Medical Center.)

Recommended Content:

Coronavirus & the MHS Response | Global Health Engagement | Health Care Technology | COVID-19 Vaccine Efforts | Public Health | Coronavirus & the MHS Response | Coronavirus and the COVID-19 Vaccine

Medical professionals from around the world are using technology to discuss COVID-19 best practices and share lessons learned. The Brooke Army Medical Center (BAMC) in San Antonio, Texas and Argentine Army’s Central Military Medical Hospital did not let 5,600 miles of separation keep them from discussing best practices against COVID-19.

U.S. Army South facilitated the virtual subject matter expert (SME) exchange between BAMC and CMMH, located in Buenos Aires, which touched on numerous topics and provided lessons learned for the participants. The exchange opened an avenue allowing doctors from both countries to discuss critical aspects of combating the disease to help protect the force and enhance readiness, while strengthening and building partnerships.

The exchange of best practices focused not only on readiness, but how to treat both COVID-19 and non-COVID-19 patients, staff protection, research and development, and testing protocols. A total of 17 medical practitioners participated in the virtual SME exchange.

Although they practice their craft in different countries, both teams understood the importance of reducing risk to staff as paramount to providing safe, quality care to service members and the local communities they serve.

At the beginning of the pandemic, BAMC started with a deliberate operations order to assess staff, logistics and bed expansion capacity. “We have many simultaneous missions to conduct,” said U.S. Army Col. Michael Wirt, BAMC deputy commanding officer. “Not just the mission to provide health care within our hospital; we also deploy some of our staff to respond to local, regional, and national requirements to support the COVID-19 crisis.”

In response to the pandemic, BAMC reduced its inpatient census, tightly managed personal protective equipment until the supply line became more predictable, limited the number of entrances to the hospital, conducted screening of everyone coming into the building, and began drive-through testing, in order to reduce the chance of infection in the hospital.

Both BAMC and CMMH treat COVID-19 and non-COVID-19 patients in separate areas. The CMMH team stated that COVID-19 areas follow strict protocols, requiring PPE in all entrance points. These specific wards are routinely disinfected and CMMH employs a security committee that ensures the non-COVID-19 area stays COVID-19-free.

Supply and demand, particularly with PPE and COVID-19 testing material, was a concern for both BAMC and CMMH. BAMC continues its partnership with University Health System and the Southwest Texas Regional Advisory Council to provide Level I Trauma care for 22 counties, encompassing 2.2 million people, even in the face of unprecedented healthcare system stress across the region. There are over 14 million people in the metropolitan area of Buenos Aires, and CMMH provides care to the military and general population. Even with PPE being such a prime commodity, CMMH manages to test their hospital staff of over 2,400 every 15 days, while still administering about 5,000 COVID-19 tests a day.

U.S. Air Force Col. Patrick Osborn, BAMC deputy commander for surgical services remarked on the trauma and emergency platform used to coordinate pandemic response with the local area and non-military medical healthcare systems. “That allowed for discussions on resources, testing, and policies on managing the pandemic, from a regional standpoint.”

The U.S. Air Force Secretarial Designee program allows BAMC to transport and accept extracorporeal membrane oxygenation (ECMO) patients for complex critical care when hospital capacity allows. The ECMO program provides significant community support for the sickest COVID-19 patients while furthering the readiness of numerous critical care personnel. 

“Through the infectious disease and public health communities, we have been working with public health in the state,” said U.S. Air Force Col. Heather Yun, BAMC deputy commander for medical services. “We’re one of many military health system hospitals in the United States, and all of our subject matter experts have been passing best practices back and forth and actually developing clinical practice guidelines. We’re on the sixth version [of the COVID-19 guidelines].”

Because of the fluid nature and constant learning surrounding COVID-19, protocols have been continuously changing for healthcare professionals. “We’ve had to write a lot of things in pencil, and rewrite them in pencil again two weeks later,” Yun explained. “We certainly follow CDC guidelines when it comes to things like infection prevention and control. When it comes to treatment protocols, we follow the science. Current protocols involve Dexamethasone and Remdesivir for hospitalized patients on oxygen.”

Practices and procedures that require high exposure is an obstacle that medical treatment facilities have to negotiate in order to maintain a safe environment during the pandemic.

When community transmission has been high, many non-emergency procedures are postponed until conditions are favorable. “We haven’t been doing a lot of elective surgeries or aerosol-generating procedures when we have a lot of community transmission,” said Yun. All patients are treated as a potential COVID-19 patient, guarding against the risk of transmission, she stated.

Communicating as a staff during the pandemic also offered challenges. CMMH and BAMC have had to rely on off-the-shelf technology to conduct meetings that would have otherwise been face-to-face.

BAMC is one of the participating sites of the clinical trials for Remdesivir as a treatment for COVID-19 infected patients. BAMC is also involved in trials with convalescent antibodies/convalescent plasma.

As part of the Operation Warp Speed goal to deliver safe and effective vaccines and therapeutics by January 2021, five DOD locations, to include BAMC, have been identified to participate in AstraZeneca’s the Phase III trial evaluating the vaccine candidate.  

You also may be interested in...

MSMR Vol. 25 No. 4 - April 2018

Report
1/1/2018

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Update: Malaria, U.S. Armed Forces, 2017; Surveillance for vector-borne diseases among active and reserve component service members, U.S. Armed Forces, 2010–2016; Diagnostic evaluation of military blood donors screening positive for Trypanosoma cruzi infection

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 12 - December 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Insomnia and motor vehicle accident–related injuries, active component, U.S. Armed Forces, 2007–2016; Seizures among active component service members, U.S. Armed Forces, 2007–2016; Brief report: Prevalence of hepatitis B and C virus infections in U.S. Air Force basic military trainees who donated blood, 2013–2016; Fatigue and related comorbidities, active component, U.S. Armed Forces, 2007–2016.

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 6 - June 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Incidence of Campylobacter intestinal infections, active component, U.S. Armed Forces, 2007–2016; Incidence of nontyphoidal Salmonella intestinal infections, active component, U.S. Armed Forces, 2007–2016; Incidence of Shigella intestinal infections, active component, U.S. Armed Forces, 2007–2016; Using records of diagnoses from healthcare encounters and laboratory test results to estimate the incidence of norovirus infections, active component, U.S. Armed Forces, 2007–2016: limitations to this approach; Incidence of Escherichia coli intestinal infections, active component, U.S. Armed Forces, 2007–2016; Surveillance snapshot: Annual incidence rates and monthly distribution of cases of gastrointestinal infection, active component, U.S. Armed Forces, 2007–2016.

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 7 - July 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Skin and soft tissue infections, active component, U.S. Armed Forces, 2013–2016; Age-period-cohort analysis of colorectal cancer, service members aged 20–59 years, active component, U.S. Armed Forces, 1997–2016; Incidence of gastrointestinal infections among U.S. active component service members stationed in the U.S. compared to U.S civilians, 2012–2014; Brief report: Laboratory characterization of noroviruses identified in specimens from Military Health System beneficiaries during an outbreak in Germany, 2016–2017; Surveillance snapshot: Norovirus outbreaks among military forces, 2008–2016.

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 1 - January 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Update: Malaria, U.S. Armed Forces, 2016; Diabetes mellitus, active component, U.S. Armed Forces, 2008–2015 introduction of the virus in the Western Hemisphere, 1 January 2016; Rates of Chlamydia trachomatis infections across the deployment cycle, active component, U.S. Armed Forces, 2008–2015; Brief report: Selected demographic and service characteristics of the U.S. Armed Forces, active and reserve components, 2001, 2009, and 2016.

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 10 - October 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Measles, mumps, rubella, and varicella among service members and other beneficiaries of the Military Health System, 2010-2016; Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2012-June 2017; Surveillance snapshot: Influenza vaccine effectiveness, U.S. European Command, as estimated by the Department of Defense Global, Laboratory-Based Influenza Surveillance Program, 2016-2017 influenza season; Surveillance snapshot: Influenza immunization among U.S. Armed Forces healthcare workers, August 2012-April 2017

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 11 - November 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Pregnancies and live births, active component service women, U.S. Armed Forces, 2012–2016; Contraception among active component service women, U.S. Armed Forces, 2012–2016; Complications and care related to pregnancy, labor, and delivery among active component service women, U.S. Armed Forces, 2012–2016; Incidence and burden of gynecologic disorders, active component service women, U.S. Armed Forces, 2012–2016; Department of Defense Birth and Infant Health Registry: select reproductive health outcomes, 2003–2014

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 2 - February 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Incident diagnoses of leishmaniasis, active and reserve components, U.S. Armed Forces, 2001–2016; Incidence rates of malignant melanoma in relation to years of military service, overall and in selected military occupational groups, active component, U.S. Armed Forces, 2001–2015; Medical evacuations, active and reserve components, U.S. Armed Forces, 2013–2015.

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 3 - March 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Diagnoses of traumatic brain injury not clearly associated with deployment, active component, U.S. Armed Forces, 2001–2016; Update: Heat illness, active component, U.S. Armed Forces, 2016; Update: Exertional rhabdomyolysis, active component, U.S. Armed Forces, 2012–2016; Update: Exertional hyponatremia, active component, U.S. Armed Forces, 2001–2016.

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 9 - September 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Review of the U.S. military's human immunodeficiency virus program: a legacy of progress and a future of promise; Update: Routine screening for antibodies to human immunodeficiency virus, civilian applicants for U.S. military service and U.S. Armed Forces, active and reserve components, January 2012–June 2017; Sexually transmitted infections, active component, U.S. Armed Forces, 2007–2016; Brief report: Use of ICD-10 code A51.31 (condyloma latum) for identifying cases of secondary syphilis

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 8 - August 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Multiple sclerosis among service members of the active and reserve components of the U.S. Armed Forces and among other beneficiaries of the Military Health System, 2007–2016; Challenges with diagnosing and investigating suspected active tuberculosis disease in military trainees; Brief report: Mid-season influenza vaccine effectiveness estimates for the 2016–2017 influenza season

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 4 - April 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2016; Hospitalizations, active component, U.S. Armed Forces, 2016; Ambulatory visits, active component, U.S. Armed Forces, 2016; Surveillance snapshot: Illness and injury burdens, reserve component, U.S. Armed Forces, 2016; Surveillance snapshot: Illness and injury burdens, recruit trainees, active component, U.S. Armed Forces, 2016; Absolute and relative morbidity burdens attributable to various illnesses and injuries, non-service member beneficiaries of the Military Health System, 2016.

Recommended Content:

Health Readiness & Combat Support | Public Health

MSMR Vol. 24 No. 5 - May 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Viral hepatitis A, active component, U.S. Armed Forces, 2007–2016; Viral hepatitis B, active component, U.S. Armed Forces, 2007–2016; Viral hepatitis C, U.S. military service members and beneficiaries, 2008–2016; Brief report: Tinea pedis, active component, U.S. Armed Forces, 2000–2016; and Surveillance snapshot: Respiratory infections resulting in hospitalization, U.S. Air Force recruits, October 2010–February 2017.

Recommended Content:

Health Readiness & Combat Support | Public Health

Study Finds Strong Immune Response to HPV Vaccine Among Female Service Members

Report
5/11/2016

A new study of female service members that examined their immune response to a vaccine to combat the sexually transmitted virus that causes cervical cancer showed development of antibodies in 80 to 99 percent of recipients against each of the four strains of the disease.

Recommended Content:

Health Readiness & Combat Support | Armed Forces Health Surveillance Division | Public Health | Armed Forces Health Surveillance Division | Medical and Dental Preventive Care Fitness

Review of the Scientific Evidence of Using Population Normative Values for Post-Concussive Computerized Neurocognitive Assessments

Report
2/10/2016

Review of the Scientific Evidence of Using Population Normative Values for Post-Concussive Computerized Neurocognitive Assessments

Recommended Content:

Public Health
<< < 1 2 3 4 5  ... > >> 
Showing results 61 - 75 Page 5 of 20
Refine your search
Last Updated: August 23, 2022

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.