2010 Paulatim Magazine - RAAMC Association

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Exercise LEMNOS This year EX LEMNOS was held over the weekend 24-25 Oct at the Murray Bridge Training Area (MUTA). The primary aim was to deploy a surgical platoon (Role 2 (+) (enhanced) that exposed Clinical Coy personnel to the current pattern of injuries that are encountered by health personnel in Afghanistan. The secondary aim was to expose, refresh and develop Clinical Coy personnel to the packing, loading, unloading and setting up of a surgical platoon in the field environment. Of the 18 personnel from Clinical Coy who attended, two were MO’s from the Specialist Advisory Group, and 3 were medical assistants from Health Coy 9 CSSB. The Role 2 (+) was well supported by five personnel from Admin Coy. In addition to a two bay resuscitation team, one bed theatre team, two bed intensive care team, and four bed medium dependency unit team Clinical Coy deployed an operations team and evacuation team. EX LEMNOS involved a two tiered approach along the continuum of care, which facilitated the medics at gaining experience at pre-hospital care and transportation of casualties and handover procedures to a Role 2 (+) and subsequent on going interventions by Medical & NO’s and CMA’s. The concept of operations for the Role 2 (+) was to receive patients for a 24 hour period commencing at 1200 hrs on 24 October. Over this period staff were exposed to a total of 12 casualty scenarios. Patients were collected from the nearby casualty clearing station by the evacuation team and brought into the Role 2 (+) either into the resuscitation bay or directly to the patient ward environment. In line with the current pattern of injuries experienced by health professionals in the Middle Eastern Area of Operations (MEAO), many casualties presented to the Role 2 (+) as multiple presentations. The casualties were experiencing a variety of conditions including gunshot wounds, IED blasts, RPG blasts and snake bites. The multiple presentations developed the medical officers ability to make sound decisions on clinical management and how to effectively manage demand particularly in times of surge. The final casualty presentation to the resuscitation bay was based on a local national family. This scenario exposed and developed the staff members ability to care for the casualties within a cultural sensitive environment. This was made more realistic with the casualties wearing clothes similar to those worn by the local nationals in Afghanistan. This was the fist time all scenarios had individual packages with clinical information, photos and x rays. Each of the Directing Staff (DS) were placed along the continuum of care and in affect “were reading off the same page” The DS were able to feed clinical information into each scenario and comment on how it really happened in their experience. In conclusion all members involved in the exercising of the Role 2 (+) enhanced felt this was a valuable opportunity to expose, refresh and develop their knowledge of providing health care in a field setting. The success of this exercise can be contributed to several members of AUSMTF-4 who have recently returned from Afghanistan. What made EX LEMNOS such a resounding success was the current experiences of COL Thomas, MAJ Jongeneel & CAPT Wirth and the additional work by MAJ Jongeneel of having each scenario in folders for each of the DS and x rays on a laptop computer for the medical officer and other members of the resuscitation team to view as needed. The work done by WO2 Cox, SGT Bailes and SGT Callahan in preparing the casualties and supervising the medics with pre-hospital care and transportation allowed the medics to have several competencies signed off through their exposure to a variety of experiences during the exercise. By: LTCOL K. Haas – (3 HSB) PAULATIM PA U L AT I M – M A GAZINE O F T HE R OYA L A U S T R A L I A N A R M Y M E DICAL C O R P S – 2 0 1 0 3 5
Page 1 and 2: PAULATIM 2010 M A G A Z I N E O F T
Page 3 and 4: HEAD OF CORPS MAJGEN P. Alexander C
Page 5 and 6: Message from the Head of Corps Majo
Page 7 and 8: Message from the Corps RSM RAAMC WO
Page 9 and 10: Message from the Corps Representati
Page 11 and 12: Health Branch HQ Forces Command A Y
Page 13 and 14: a. rebalanced deployable AAPsych ca
Page 15 and 16: 1HSB responding to an adaptive army
Page 17 and 18: 1 HSB - Paulatim 2010 PAULATIM CO
Page 19 and 20: our transition to the unit a welcom
Page 21 and 22: 2 CAV REGT RAP 2010 2 CAV RAP has n
Page 23 and 24: Close Health Support Company, 3 CSS
Page 25 and 26: At Health Coy Training Cell, locate
Page 27 and 28: An average day starts with sick par
Page 29 and 30: ASEAN Regional Forum Voluntary Demo
Page 31 and 32: Ex Predators Gallop 3 HSB provided
Page 33: Ex ANZAC Exchange 09 From August un
Page 37 and 38: Regimental Aid Post (RAP) 5RAR RAP
Page 39 and 40: RAP at 8/9 RAR The RAP at 8/9 RAR w
Page 41 and 42: 3rd Health Coy 9th Combat Service S
Page 43 and 44: 0001 Advanced Medical Technician Co
Page 45 and 46: Army School of Health Advanced Medi
Page 47 and 48: Health Cell - ASLO - ALTC The Army
Page 49 and 50: what was happening in-country. They
Page 51 and 52: PAULATIM Entomologist MAJ Steven Fr
Page 53 and 54: Hiccups and set backs along the way
Page 55 and 56: A National Boer War Memorial to be
Page 57 and 58: ag, stretcher or hootchie. I was, i
Page 59 and 60: dedicated ADF Emergency Vehicle, su
Page 61 and 62: which she relished. The PTI has dev
Page 63 and 64: Proposed Pathway - Medic to PA RAAM
Page 65 and 66: A Combat Medic in Action In Novembe
Page 67 and 68: Water for some R & R. As I had sust
Page 69 and 70: The Medical Retrieval Team - Future
Page 71 and 72: Directorate of Army Health The Dire
Page 73 and 74: Oakey Medical Centre The Oakey Medi
Page 75 and 76: Royal Military College Duntroon Fie
Page 77 and 78: Afghan and Australian medical progr
Page 79 and 80: JeHDI Why is JHC involved in proces
Page 81 and 82: Lavarack Barracks Medical Centre Th
Page 83 and 84: MTF 1 Physiotherapy I am deployed t
Page 85 and 86:
UNMOs of which up to 10 could be as
Page 87 and 88:
What is military health and what’
Page 89 and 90:
Operational Mentor and Liaison Team
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inversion and knee strains. A quick
Page 93 and 94:
Environmental Health Report Exercis
Page 95 and 96:
Demystifying Soldier Career Managem
Page 97 and 98:
Unlike conventional Mission Rehears
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extensive and without continual tra
Page 101 and 102:
School of Infantry and Singleton Mi
Page 103 and 104:
RAAMC Key Ring Register Rank Surnam
Page 105 and 106:
RAAMC Other Ranks Promotions - 2010
Page 107 and 108:
PAUL-3
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2010 Paulatim Magazine - RAAMC Association

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