Skip to main content

Military Health System

Nurse-led research aims to improve battlefield medicine

Image of Military nurses working on a simulated patient in a helicopter. U.S. Army Maj. Jacob MacGregor (right) certified nurse anesthetist for the 541st Forward Surgical Team (Airborne), prepares an IV bag while Staff Sgt. Jolene Davis (kneeling left) flight medic for C Company, "Northstar Dustoff," 2-211th Aviation Regiment (Air Ambulance), performs a casualty assessment on a simulated casualty, U.S. Navy Operations Specialist 2nd Class Niretzy Hill, PRT tactical operations center watch-stander, while in flight on a UH-60 Black Hawk medevac helicopter during medical evacuation training on FOB Farah, Jan. 9. (Photo by Navy Chief Hospital Corpman Josh Ives.)

Recommended Content:

Health Readiness & Combat Support | Research and Innovation | Nursing in the Military Health System | Readiness Capabilities

As the Department of Defense prepares for future military operations in the multi-domain environment, the U.S. Army Institute of Surgical Research (USAISR) is working to develop solutions for the challenges of prolonged field care, particularly burn casualties, which are expected to be a major concern on the future battlefield.

“The U.S. Army Institute of Surgical Research (USAISR) is made up primarily of research and clinical arms. Together, one of their goals is to create novel solutions to optimize survival and functional recovery of burn casualties. This is achieved through expert analysis, multidisciplinary care, and translational research,” said Army nurse scientist Lt. Col. Christopher VanFosson, Ph.D., MHA, RN, NEA-BC, AN.

In detailing the mission and vision of the USAISR during the November Medical Museum Science Café, held virtually by the National Museum of Health and Medicine in Silver Spring, Maryland, VanFosson discussed how nurse-led research studies seek to improve military readiness in combat medicine. The museum is a division of the Defense Health Agency Research and Development Directorate.

To prepare for future conflicts within the multi-domain battlefield (air, land, maritime, space, and cyberspace), VanFosson and his team study ways to improve outcomes for a variety of operations, including continuing communications, injuries from new weapons systems, medical evacuation and prolonged care on the battlefield.

“One way the USAISR is trying to provide solutions for the multi-domain environment is through the U.S. Army Burn Center’s pre-deployment training. Burn care and the long-term sequela of burn injury are major concerns for the future battlefield,” said VanFosson.

According to VanFosson, due to the expected increase in burn-related injuries caused by new weaponry, burn management may become a large part of the care provided by combat medics in the future. Using the burn patient as a universal trauma model, the United States Army Institute of Surgical Research Burn Center is an ideal training platform for medics to gain pre-combat trauma exposure and experience for the multi-domain battlefield.

In his presentation, VanFosson listed a variety of studies and papers that helped to inform clinical readiness and training based on outcomes seen in the Burn Center and in Afghanistan. For example, one paper in 2012 (Registered Nurses as Permanent Members of Medical Evacuation Crews: The Critical Link) argued for the use of registered nurses as permanent members of medical evacuation crews instead of retraining Army flight medics.

“Lieutenant Colonel Wissemann and I argued that transitioning Army flight medics to paramedics would not achieve the Army’s patient care goals because the active duty flight paramedics would not be able to achieve the exposure and practice that their reserve component counterparts could. However, Army nurses that function in ERs and ICUs on a daily basis had the requisite knowledge, skills, and ability to achieve [this],” said VanFosson.

The results of these studies directly impacted clinical readiness (a term expounded upon during the presentation) efforts in a variety of ways. They have informed Joint Trauma System clinical practice guidelines, highlighted the strengths and weaknesses of clinical readiness training, provided medical planners with better understanding of Role 2 (limited access to hospital facilities) surgical unit capabilities, supported the need for critical care nurses on medical evacuation flights, and finally, pushed for the continued use of the TIP-TOP/Clinical Transition Framework across the Defense Health Agency for clinical competency and consistency.

“We appreciate Lieutenant Colonel VanFosson’s contribution to our science café program,” said Andrea Schierkolk, the museum’s Public Programs Manager. “NMHM is honored to share accounts of triumphs and challenges in military medicine and we look forward to learning more about what’s happening in military medicine when the series resumes in January 2021.”

You also may be interested in...

Barksdale AFB trains medics with Tactical Combat Casualty Care

Article
12/30/2020
Military personnel participating in training exercise, treat a dummy for injuries

Medics of the 2nd Medical Group are becoming a whole lot more lethal, in a good way.

Recommended Content:

Health Readiness & Combat Support | Readiness Capabilities

Protecting the Force: How the MHS helped sustain readiness in the face of COVID

Article
12/23/2020
Hospital personnel treating a patient on a stretcher

The Military Health System is reviewing how it kept warfighters mission-ready and units online in 2020 during the ongoing pandemic.

Recommended Content:

Health Readiness & Combat Support | Coronavirus & the MHS Response | Coronavirus and the COVID-19 Vaccine | Readiness Capabilities

AFHSD’s GEIS collect data worldwide to support force protection

Article
12/22/2020
Medical personnel scanning forehead of soldier with thermometer

AFHSD/GEIS continue work with partners across the globe in their efforts to combat COVID-19 and protect military readiness.

Recommended Content:

Health Readiness & Combat Support | Public Health | Coronavirus & the MHS Response | Environmental Exposures | Global Health Engagement | Armed Forces Health Surveillance Division | COVID-19 Vaccine Efforts | Coronavirus and the COVID-19 Vaccine

MHS Team Resiliency Awards recognize medical response to COVID-19

Article
12/22/2020
Sailors wearing masks, leaning on a table and writing on sheets of paper

Outstanding efforts recognized during Resiliency Awards

Recommended Content:

Coronavirus & the MHS Response | Research and Innovation | Patient Safety | Patient Safety Awards Program | Ready and Resilient Award

Deputy defense secretary stresses team approach in battling COVID

Article
12/10/2020
Soldier wearing mask, standing at computer monitors in an office building

The Military Health System has played an important role implementing the National Defense Strategy, Norquist said.

Recommended Content:

Military Health System Transformation | Coronavirus & the MHS Response | COVID-19 Vaccine Efforts | Health Readiness & Combat Support | Coronavirus and the COVID-19 Vaccine | Coronavirus and the COVID-19 Vaccine

NMRTC Bremerton nurse follows father’s Naval footsteps

Article
12/7/2020
Medical personnel wearing a mask, sitting down

U.S. Navy Lt. Daria Seipeltyra said she knew two things from a very young age; she wanted to be a nurse, and she wanted to join the United States Navy.

Recommended Content:

Nursing in the Military Health System

USAMRIID scientist recognized by French for distinguished service

Article
12/4/2020
Two military officers on stage; one handing the other a certificate

Kugelman...identified genetic markers of persistence of the Chikungunya virus.

Recommended Content:

Health Readiness & Combat Support | Research and Innovation | Health Care Technology

Military medicine confronts an invisible enemy

Article
12/4/2020
Medical personnel set up in an outside military tent

The collective response to the pandemic underscored the MHS reputation for innovation, with practical applications beyond military medicine.

Recommended Content:

Health Readiness & Combat Support | Warrior Care | Public Health | Coronavirus & the MHS Response | Coronavirus & the MHS Response

Seven MTFs recognized by ACS for surgical care

Article
12/3/2020
Military surgeons in an operating room

The MHS hospitals were among 89 recognized facilities and 607 total military and civilian hospitals participating in the program.

Recommended Content:

Health Readiness & Combat Support | Quality & Safety of Health Care (for Health Care Professionals) | Clinical Quality Management

DGMC medical study looks at plant-based diet

Article
12/3/2020
Man wearing mask and gloves putting container of salad into salad bar

Researchers measured important cholesterol, weight and blood pressure markers at baseline and at 4-weeks.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support | Nutritional Fitness

New report finds military hearing health is improving

Article
12/3/2020
Military doctor inspecting patient's ear

Noise-induced hearing loss is decreasing for active-duty service members.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support | Hearing and Balance Injuries | Hearing Center of Excellence

Navy Corpsman helps maintain USS Albany readiness

Article
12/2/2020
Soldier wearing a stethoscope on a submarine

Navy Hospital Corpsman 1st Class Matthew Carter is currently serving aboard Albany as an IDC.

Recommended Content:

Health Readiness & Combat Support | Readiness Capabilities

MSMR Vol. 27 No. 12 - December 2020

Report
12/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Cases of coronavirus disease 2019 and comorbidities among Military Health System beneficiaries, 1 January 2020 through 30 September 2020; Characteristics of U.S. Army beneficiary cases of COVID-19 in Europe, 12 March 2020–17 April 2020; Air evacuation of service members for COVID-19 in U.S. Central Command and U.S. European Command from 11 March 2020 through 30 September 2020; SARS-CoV-2 and influenza coinfection in a deployed military setting— Two case reports.

Recommended Content:

Health Readiness & Combat Support | Public Health

METC improves surgical tech training with new laparoscopy standard

Article
12/1/2020
Surgical team in operating room

A laparoscopy is a low-risk, non-invasive surgical procedure used to examine organs inside the abdomen and repair or remove tissue.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support | Research and Innovation | Health Care Technology | Education & Training | Medical Education and Training Campus

BAMC recognized by American College of Surgeons for outstanding care

Article
11/27/2020
Medical team, wearing masks, rushing a patient in a hospital bed down the hallway

“BAMC provides more complex care to the nation than any other military treatment facility..."

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support | Clinical Quality Management | Quality & Safety of Health Care (for Health Care Professionals) | Readiness Capabilities
<< < ... 11 12 13 14 15  ... > >> 
Showing results 196 - 210 Page 14 of 48
Refine your search
Last Updated: July 20, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery