AFSOC Medical Modernization - Telemedicine & Advanced ...
AFSOC Medical Modernization - Telemedicine & Advanced ...
AFSOC Medical Modernization - Telemedicine & Advanced ...
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AIR FORCE SPECIAL OPERATIONS COMMAND<br />
Air Commandos – Quiet Professionals<br />
<strong>AFSOC</strong> <strong>Medical</strong><br />
<strong>Modernization</strong><br />
Lt Col Scott Walter<br />
HQ <strong>AFSOC</strong>/SGR<br />
Chief, <strong>Modernization</strong> Division<br />
30 April 2011<br />
UNCLASSIFIED/FOUO<br />
Why We Do What We Do…<br />
2<br />
1
<strong>AFSOC</strong> Unique<br />
Operational Challenges<br />
Medics/Pararescue (PJs) must function efficiently/effectively with<br />
limited manpower & sustainment<br />
Self supporting - minimal conventional support, resupply or BOS<br />
Small footprint footprint - limited capabilities, capabilities resources resources, manpower manpower, time<br />
Embedded in operational units; personnel are multitasked w/medical<br />
Human Limitations – sustainment, enhancement, optimization<br />
Operate effectively in austere locations - climates, altitudes & terrains<br />
Missions are shorter but higher intensity than conventional deployments<br />
ST/Battlefield Airman med R&D needs often overlooked (small population)<br />
EEquipment i t Challenges Ch ll – accept tth the “80 percent” t” solution l ti<br />
Typically COTS developed/configured for clinical or stateside use<br />
Large, bulky, heavy & dependent on conventional power sources<br />
Often need enhanced specs/stds to operate in all environments & flight<br />
Need interoperability that is not always a primary design for big Army/AF<br />
Need to be adaptable to multiple vehicles/airframes<br />
5 Special Operations<br />
Force (SOF) Truths<br />
1 - Humans are more important<br />
than hardware<br />
2 - Quality is better than quantity<br />
3 - Special Operations Forces<br />
cannot be mass produced<br />
4 - Competent Special Operations<br />
Forces cannot be created after<br />
emergencies occur<br />
5 - Most Special Operations<br />
require non-SOF assistance<br />
3<br />
4<br />
2
The SGR Mission & Team<br />
NEW MED S&T<br />
NEW MED TECH R&D<br />
CURRENT USER<br />
NEEDS / SHORTFALLS<br />
NEW CAPABILITIES<br />
SO SOLUTIONS O S TO O CURRENT C<br />
SHORTFALLS<br />
MED S&T/R&D<br />
INFORMATION<br />
NEW MED DEVICES,<br />
PROJECTS, PRGMS<br />
Team of 6 Highly Motivated Individuals!<br />
Lt Col Scott Walter: Chief, <strong>Modernization</strong> Division<br />
Mr Dan Dumas: Deputy Chief, Med Requirements Manager<br />
Ms Nikki Brace: SG CIO, IM/IT/Comm Manager for <strong>Medical</strong> Deployment Teams<br />
Mr Joe Montalvo: COTS Manager, T&E Facilitator, Safe to Fly Certification POC<br />
Mr Andrew Reinert, <strong>Medical</strong> Research Manager, S&T Liaison<br />
Mr Joseph Rose, <strong>Medical</strong> <strong>Modernization</strong> Analyst<br />
Capability<br />
Advancing Capabilities<br />
Directed<br />
<strong>Modernization</strong><br />
Time<br />
Normal Evolution<br />
Military Utility Assessments<br />
SGR<br />
(MUAs) & OT&E<br />
SGX<br />
Science Tech Sys Dev Test Field Sustain<br />
<strong>Modernization</strong><br />
New Technology & Systems<br />
Fielding & Sustainment<br />
COTS & Certification Testing<br />
5<br />
6<br />
3
SGR Interactions:<br />
Deployed <strong>Medical</strong><br />
Personnel & Assets<br />
• After Action Reports<br />
• Lessons Learned<br />
• User Assessments<br />
• Requests for Support<br />
• Equipment & Materials for<br />
Military Utility Assessments<br />
• Knowledge from Med Research<br />
<strong>AFSOC</strong> SGR:<br />
• Collect/Refine<br />
Med Needs<br />
• Refine Med<br />
Knowledge Gaps<br />
• Identify New<br />
Technologies<br />
• Refined/Prioritized Needs<br />
• Requests for Information<br />
• Request/Guide <strong>Medical</strong><br />
• Lighter, easier, more capable Research & Development<br />
equipment & materials<br />
• Knowledge from Med Research<br />
7<br />
Academia, Industry, DoD Labs, DARPA & More<br />
<strong>Medical</strong> <strong>Modernization</strong><br />
Process Improvements<br />
Codified our processes to<br />
make us more “tactical”<br />
Created MOA w/pilot units<br />
Units appointed modernization<br />
representative POCs<br />
Created a teaming effect<br />
Wrote <strong>AFSOC</strong> <strong>Modernization</strong><br />
Operating Instruction<br />
Ensured all actions are solidly<br />
requirements-based<br />
Developed a vendor plan for<br />
hosting visits & demos<br />
8<br />
4
Examples of Capability<br />
Enhancements for 2011-2012<br />
Military Utility Assessments: Rapid Acquisition of Med Tech<br />
Remote Physiological Monitoring<br />
M<strong>Medical</strong> di l TTeam CCommunication i ti<br />
Portable/Deployable Patient Oxygen<br />
SMEED Redesign & Enhancement<br />
Heat Stress Prevention & Performance Optimization<br />
ATTU Cart/Trailer/Generators/ECU Revision<br />
CASEVAC Power Utilization Assessment<br />
Addressing <strong>AFSOC</strong>’s <strong>Medical</strong> Research Requirements<br />
Plasma Furnace/Waste Disposal (<strong>Medical</strong> Waste)<br />
Military Utility Assessments<br />
<strong>AFSOC</strong>/SGR<br />
assesses & selects<br />
those that are a<br />
significant<br />
improvement<br />
Non-successful<br />
assessments results in<br />
feedback to in industry<br />
Industry, developers and may results in<br />
and users identify new requirements for<br />
potential p commercial research & development<br />
technologies of<br />
interest<br />
Results of assessment<br />
& testing presented to<br />
Readiness (SGX) for<br />
allowance standard<br />
consideration<br />
<strong>AFSOC</strong>/SGR obtains<br />
test articles for<br />
assessing & sends<br />
to unit(s) to use use, try- tryout<br />
& demo<br />
Pilot unit uses articles<br />
in near-real world<br />
applications, completes<br />
user assessment for<br />
<strong>AFSOC</strong>/SGR<br />
Articles identified as<br />
increasing capabilities<br />
are further assessed,<br />
evaluated & tested<br />
9<br />
10<br />
5
Military Utility Assessments:<br />
Rapid Acquisition of Med Tech<br />
Obtained over $200K of new med equipment for OSMS via FY09 &<br />
$683K FY10<br />
Capnocheck Capnometer<br />
Laerdal Portable<br />
Suction<br />
Philips IntelliVue<br />
MP2 Monitor<br />
IMPACT EMV Ventilator<br />
Siemens Hand-held Sonogram<br />
Simplified Automated<br />
Ventilator (SAVe)<br />
Haiti 2010<br />
Created back-packable surgical kits; reduced cube/weight by 50% &<br />
increased capabilities-SOF medics in Haiti: "the new kits saved lives!"<br />
Remote Physiological<br />
Monitoring<br />
Developed experience/expertise last 6 yrs for:<br />
Automated, continuous collection of<br />
troop/patient physiological vitals<br />
Non-invasive, non-intrusive device<br />
Predictive of life-threatening condition<br />
Health/safety tool for field training<br />
Working to field capability for monitoring/tracking<br />
multiple troops during field training (COTS item)<br />
Working to establish CONOPS and Capability<br />
Development Document (CDD) guide future R&D<br />
Future: integrate w/Friendly Force Tracker<br />
11<br />
12<br />
6
<strong>Medical</strong> Team Communication<br />
Wireless intercom system for<br />
CASEVAC intra-team com<br />
Voice activated or PTT mode<br />
w/active noise canceling<br />
Interfaces w/ MBITR radios<br />
Trulink System used by AE Teams<br />
Purchased 24 units for Military Utility Assessments<br />
Tactical Comm: <strong>Medical</strong> Teams allotted 6 SOF High<br />
Speed p Agile g Reachback Kits (SHARKs) ( ) from A6<br />
Provides NIP/SIPR voice, data & VTC for 5 man teams<br />
Setting up SHARK, MBITRs & wireless intercom training<br />
Establishing Global Cellular Service as cost<br />
effective & flexible capability for IW/MSO med tms<br />
Portable/Deployable Pt Oxygen<br />
Requirement: Downrange capability to provide, produce<br />
and store (refill) patient oxygen (systems)<br />
Testing other systems to ID the best/most effective<br />
Backpack<br />
<strong>Medical</strong> Oxygen<br />
System (BMOS)<br />
BMOS Filling<br />
Station<br />
13<br />
Oxygen Generation<br />
System (OSG): liquid<br />
& gaseous oxygen<br />
14<br />
7
Special <strong>Medical</strong> Emergency<br />
Evacuation Device (SMEED)<br />
Pilot unit OSM identified need for<br />
lighter SMEED w/more capabilities to<br />
support newer equipment<br />
Utilized post deployment system<br />
assessment to leverage Army Defense<br />
<strong>Medical</strong> Research and Development<br />
Program Applied Research (DMRDP) funding:<br />
$24K received in FY10 & programmed $26K in FY11<br />
Working w/AFRL at Tyndall and USAMMDA to utilize<br />
lighter materials and add folding/swivel surface for a<br />
surgical support platform<br />
Funding will support creation of 8<br />
prototype SMEEDs for surgical UTCs<br />
& trainers<br />
<strong>Advanced</strong> SOF Surgical Table<br />
Require small, lightweight, mobile and<br />
stable surgical platform capability<br />
Joint Casualty Management JCM JCM-1-2: 1 2:<br />
Inadequate initial emergent resuscitative<br />
surgery coupled with life- and limb-saving<br />
actions<br />
Joint Casualty Management JCM-2-1:<br />
Inadequate stabilization of injuries and ability<br />
to monitor response to treatment<br />
No COTS man-portable systems available<br />
that meet wt & performance requirements<br />
Identified Rapid Deployable Surgical<br />
Table for deployed resuscitative, surgical<br />
care & monitoring equipment at POI<br />
Submitted to DMRDP for joint funding<br />
15<br />
16<br />
8
Heat Stress Prevention &<br />
Performance Optimization<br />
Heat stress a significant health concern & mission limiter<br />
during training in summer at in Florida’s ranges<br />
Conducted Military Utility Assessment (MUA)<br />
w/Special Tactics for DARPA’s CoreControl<br />
Rapid Thermal eXchange Cooling Devices in 2010<br />
Limited overall effectiveness, but learned a lot<br />
Published 2 Requests For Information with 711 HPW<br />
for both conductive and convective cooling<br />
Lead to 11.2 SBIR DDR&E DHP selection of SBIR topic for<br />
"Improved Coupling Factor of Personal Cooling Systems”<br />
AFMSA/SG fund Natick Soldier RD&E Cntr $2.3M (4 yr) for<br />
“Microclimate Cooling Technology Development” R&D<br />
Looking at forced air (convective) technology to enhance<br />
individual evaporative cooling effect<br />
Air Transportable Treatment<br />
Unit (ATTU) Cart/Trailer<br />
Future R&D: Self Propelled Carts<br />
Self contained; no forklift or tow tow-vehicle vehicle<br />
Steerable w/handbrake onto/off aircraft<br />
Variable speed control (0-3 mph)<br />
Run off batteries, generator or auxiliary<br />
Detachable gear system for towing<br />
Increase power & ECU size/capability<br />
New: Expeditionary Trailer System<br />
Pull w/gator or vehicle with standard hitch<br />
All terrain, terrain 22-man man moveable moveable, 20” 20 clearance<br />
Supports new Utilis TM36 tent systems<br />
Integrated 6.8 kW power /2 ton ECU sys<br />
Floor loaded or transport via 463L pallet<br />
17<br />
18<br />
9
Plasma Furnace<br />
(Waste Disposal)<br />
Uses intense heat of plasma to gasify<br />
& vitrify virtually any type of waste<br />
Gases are used to generate electricity<br />
which generates more plasma & more gas<br />
Unit is self sustaining & may produce<br />
net energy w/marketable by-products<br />
and no pollutants<br />
Eliminates solid waste disposal in landfills & incineration<br />
of medical waste; estimated payback is 3 years<br />
Plasma Furnace Plant at Hurlburt came online Aug 2010<br />
Soon will treat Eglin AFB & Hurlburt Field MTF medical waste<br />
Technology being demonstrated/refined for deployment:<br />
Eliminate open pit burning and/or clean up polluted sites<br />
CASEVAC Power Study<br />
Indentified need for additional, portable power on<br />
extended & unconventional CASEVAC missions<br />
Submitted requirement to AFMSA/SGR; initiated a<br />
AFMESA directed study to determine power & duration<br />
Team visited 21 Jun 10; collected data & requirements<br />
Team demonstrated potential vendor at Emerald<br />
Warrior exercise (Mar 11); users very impressed<br />
Will define and validate requirement for acquisition of<br />
small, portable power system as a mission extender<br />
Will enable for MedMod Panel funding for acquisition and<br />
possibly procurement of COTS system(s)<br />
19<br />
20<br />
10
<strong>AFSOC</strong>’s 2011-2012 <strong>Medical</strong><br />
Research Requirements<br />
1. Heat Stress (Monitoring, Prevention, Treatment)<br />
2. Assessing Trauma Oxygen Needs<br />
3. <strong>Advanced</strong> Patient Vital Monitoring<br />
4. Mental Resiliency<br />
5. High Altitude Operations<br />
6. Fatigue Countermeasures<br />
7. Injury Prevention & Focused Conditioning<br />
8. Trauma Management in a Tactical Environment<br />
9. Deployed Nutritional Needs/ Supernutrition<br />
10. Traumatic Brain Injury (TBI)<br />
11. Motion Sickness Prevention<br />
12. Post Traumatic Stress Disorder (PTSD)<br />
13 13. RRuggedized di d Human H Patient P ti t Simulator Si l t<br />
14. Improved Eye Protection<br />
15. Neuroprotective Medications<br />
16. <strong>Advanced</strong> Aircrew Oxygen Supply<br />
17. Improving RPA/RPS Operations<br />
18. Disease Identification, Modeling and Treatment<br />
19. Improve Tilt Rotor Spatial Disorientation Training<br />
Addressing <strong>AFSOC</strong>’s <strong>Medical</strong><br />
Research Requirements<br />
Working w/AFMSA/SG5/9 & 711 HPW to address <strong>AFSOC</strong>’s<br />
medical requirements & help them codify processes<br />
Combined medical research requirements into Battlefield<br />
Airman Performance Optimization (BAPO) Initiative:<br />
Nutrition, Heat Stress Reduction, Exercise Physiology*, Fatigue<br />
Management, Mental Resilience, Rehab Improvement<br />
BAPO Research Requirements Document signed by Gen Carroll<br />
Submitted POM initiative for $3M per year research program<br />
<strong>AFSOC</strong>’s <strong>AFSOC</strong> s goal goal is to become the nexus for human<br />
performance optimization for “tactical athletes”<br />
Lining up a baseline “task analysis” for Special Tactics<br />
personnel to improve physical fitness training<br />
Optimize performance, reduce injury potential & enhance mission<br />
* work-based exercise/training/strengthening<br />
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