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

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...

MSMR Vol. 28 No. 012 - December 2021

Report
12/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Osteoarthritis and spondylosis, active component, U.S. Armed Forces, 2016–2020; Incident COVID-19 infections, active and reserve components, 1 January 2020–31 August 2021; Surveillance snapshot: Donovanosis among active component service members, U.S. Armed Forces, 2011–2020

Recommended Content:

Health Readiness & Combat Support | Public Health

Wounded Warriors and Caregivers Online Resources

Article
11/29/2021
Airmen race for a loose ball during an Air Force Wounded Warrior basketball game

The Defense Department programs listed here are staffed with nearly 800 recovery care coordinators and case managers who are standing by to respond to individual queries.

Recommended Content:

Health Readiness & Combat Support | Warrior Care

Mental Stress is like a ‘Check Engine Light’ Flashing–Don’t Ignore It

Article
11/29/2021
Air Force Chief Master Sgt. Jason David talks about his  journey of recovery through the Air Force Wounded Warrior Program during a video conversation with Defense Health Agency Command Sgt. Major Michael Gragg.

Air Force Chief Master Sgt. Jason David speaks about his own journey of recovery through the Air Force Wounded Warrior Program.

Recommended Content:

Health Readiness & Combat Support | Warrior Care | Warrior Care – A Virtual Show of Strength | Psychological Fitness

How Maintaining Prosthetic Services Can Help Prepare for the Next Fight

Article
11/18/2021
Navy Seaman Chris Krobath, a prosthetics patient at Naval Medical Center San Diego, reached for new heights on the hospital’s climbing wall as part of rehabilitation therapy.

Despite the winding down of the conflicts in Afghanistan and Iraq, Military Health System services for our wounded warriors, particularly those who have lost limbs in these conflicts, remain steady and may well increase in scope during the coming years.

Recommended Content:

Health Care Technology | Research and Innovation

Army Recovery Care Coordinator Guides Veterans, Caregivers in Recovery

Article
11/12/2021
Recovery Care Coordinator

A warrior care coordinator shares how she supports recovering service members, their families and caregivers.

Recommended Content:

Health Readiness & Combat Support | IHD COVID-19 Vaccine Resource Center for Health Care Personnel | Immunization Healthcare

MHS Reaches 6 Million Doses of Vaccine Against COVID

Article
11/10/2021
Airmen of the 139th Airlift Wing, Missouri Air National Guard, receive COVID-19 immunizations as a part of the federal mandate at Rosecrans Air National Guard Base, St. Joseph, Missouri, Oct. 2, 2021. The 139th Medical Group oversees the operation. .

Military passes 6 million mark for COVID-19 shots administered across the Military Health System.

Recommended Content:

Health Readiness & Combat Support | Coronavirus | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine | COVID-19 Information for Military Treatment Facility Directors

Giving Back Helps Veteran Caregiver Connect with Military Caregivers

Article
11/10/2021
Veteran caregiver, Diane Hupko with U.S. Army veteran she cares for smile at camera

Giving back helps veteran caregiver connect with other military caregivers to build a community of support.

Recommended Content:

Health Readiness & Combat Support

Are You Prepared for Flu Season? Let TRICARE Help.

Article
11/1/2021
A hospital corpsman administers an influenza vaccination to an airman as part of a seasonal shot exercise onboard Naval Air Station Sigonella.

Flu season is here once again. Are you prepared? With the COVID-19 Delta variant​ continuing to spread and our health care system overburdened, it’s important for all of us to help combat the spread of flu. And the best way to do so is to get a flu shot.

Recommended Content:

Health Readiness & Combat Support | Total Force Fitness

MSMR Vol. 28 No. 11 - November 2021

Report
11/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2016–June 2021; Brief report: The challenge of interpreting recurrent SARS-CoV-2 positive tests among military service members, Fort Jackson, SC, 2020–2021; Surveillance snapshot: History of COVID-19 vaccination among Air Force recruits arriving at basic training, 2 March–15 June 2021; Surveillance snapshot: Influenza immunization among U.S. Armed Forces health care workers, August 2016–April 2021

Recommended Content:

Health Readiness & Combat Support | Public Health

New MHS Podcast Explores Women’s Health in the Military

Article
10/27/2021
Keyeser

The new podcast series, Wise Health for Women Warriors, aims to help servicewomen overcome the specific health care obstacles they encounter.

Recommended Content:

Health Readiness & Combat Support | Women's Health

Practice makes perfect: Uniformed Services University students learn combat casualty care

Article Around MHS
10/22/2021
An instructor gives advice on how a team of medical school students at the Uniformed Services University should work on their simulated patient during the Advanced Combat Medical Experience. 

The Advanced Combat Medical Experience (ACME), a four-day medical field practicum at the Uniformed Services University of the Health Sciences (USU), is intense

Recommended Content:

Health Readiness & Combat Support | Uniformed Services University of the Health Sciences

WICC Podcast

Photo
10/18/2021
WICC Podcast

Today’s female service member population is now at 17%.

Recommended Content:

Health Readiness & Combat Support | Warrior Care | Total Force Fitness

Expeditionary Medical Force Brings Optimal Readiness in Pacific Region

Article Around MHS
10/18/2021
A male soldier talks about a chart to to a female sailor.

The 121st Field Hospital of the 549th Hospital Center recently introduced an innovative way to increase medical Soldiers’ proficiency and competency by enhancing access to the field hospital equipment.

Recommended Content:

Health Readiness & Combat Support | Health Readiness & Combat Support

MSMR Vol. 28 No. 10 - October 2021

Report
10/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2016–June 2021; Brief report: The challenge of interpreting recurrent SARS-CoV-2 positive tests among military service members, Fort Jackson, SC, 2020–2021; Surveillance snapshot: History of COVID-19 vaccination among Air Force recruits arriving at basic training, 2 March–15 June 2021; Surveillance snapshot: Influenza immunization among U.S. Armed Forces health care workers, August 2016–April 2021

Recommended Content:

Health Readiness & Combat Support | Public Health

Health Promotion duo optimizes health on Incirlik Air Base

Article Around MHS
9/30/2021
Air Force Capt. Sydney Sloan, 39th Operational Medical Readiness Squadron health promotion element chief (right), and Air Force Senior Airman Gloriann Manapsal, 39th Operational Medical Readiness Squadron health promotion technician (left), promote making healthy choices at the Sultan’s Inn Dining Facility on Incirlik Air Base, Turkey.

The 39th Operation Medical Readiness Squadron health promotion team provides and integrates evidence-based programs to optimize the health and readiness, even during these unprecedented times.

Recommended Content:

Health Readiness & Combat Support | Total Force Fitness | Coronavirus
<< < ... 6 7 8 9 10  ... > >> 
Showing results 91 - 105 Page 7 of 48
Refine your search
Last Updated: July 20, 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.