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News from <strong>MHCE</strong><br />

<strong>MARCH</strong> <strong>2024</strong> EDITION<br />

Pentagon Inspector General Launches<br />

Probe Into Navy Suicides<br />

See page 14<br />

Monthly Newsletter<br />

WWW.<strong>MHCE</strong>.US<br />

Naval Expeditionary Medical Training<br />

Institute to exercise the continuum of<br />

care across the battlefield, receiving<br />

patients from 1st Medical Battalion’s<br />

Role 2 Surgical Platoons and Forward<br />

Resuscitative Surgical Systems during<br />

their Marine Corps Combat Readiness<br />

Evaluation,” said Navy Capt. Elizabeth<br />

Smith, commanding officer of EMF<br />

150 Alpha.<br />

The exercise provided valuable<br />

training and practical application<br />

for both commands, but even more<br />

valuable was the opportunity to train<br />

together.<br />

EMF 150 Alpha Provides Role 3 Medical<br />

Capability During 1st Med Bn MCCRE<br />

Sailors from Expeditionary Medical<br />

Facility 150 Alpha provided the<br />

Role 3 medical capability during the<br />

1st Medical Battalion, 1st Marine<br />

Logistics Group, Marine Corps<br />

Combat Readiness Evaluation from<br />

Feb. 26 through March 1, <strong>2024</strong>, aboard<br />

Naval Expeditionary Medical Training<br />

Institute.<br />

Per Office of the Chief of Naval<br />

Operations Instruction 3501.176D,<br />

Required Operational Capabilities and<br />

Projected Operational Environment<br />

for the Role 3 Navy Expeditionary<br />

Medical Facility, the EMF is “capable<br />

of providing Role 3 in a flow-through<br />

mode for patients in any operational<br />

area, scalable care in terms of beds,<br />

providing scalable care by surgical<br />

and medical specialists, and<br />

providing patient movement.”<br />

The MCCRE provided EMF 150<br />

Alpha a great opportunity to train<br />

the way they will fight by setting up<br />

the Role 3 capability in a separate<br />

location from 1st Med. Bn. to<br />

receive, process, and treat patients.<br />

“Expeditionary Medical Facility<br />

150 Alpha personnel integrated<br />

with 1st Medical Battalion and<br />

“The garrison training relationship<br />

between 1st Medical Battalion and<br />

EMF 150 Alpha will directly affect<br />

survivability on the future battlefield,”<br />

said Navy Capt. Sean Hussey,<br />

commanding officer of 1st Medical<br />

Battalion. “Marines and Sailors need<br />

the Role 2 and Role 3 teams to spend<br />

as much time working together now so<br />

that the future wartime hospital system<br />

(echelons of care) is primed well<br />

before the first casualty is received.”<br />

To facilitate an austere environment,<br />

the EMF set up their Role 3 capability<br />

aboard the NEMTI training facility<br />

in the northern part of Marine Corps<br />

Base Camp Pendleton.<br />

Continued on page 9

2 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 3<br />

2023 Reentry Recap: Program Success at CoreCivic<br />

Research shows that general education and vocational training programs are critical to preparing<br />

justice-involved individuals for a successful reentry. From day one, those in our care are individually<br />

assessed to determine which tools, resources, and programs are best to adequately support their<br />

rehabilitation needs.<br />

CoreCivic is helping pave<br />

the way to a brighter future<br />

for those in our care by<br />

providing evidence-based<br />

reentry programming.<br />

Take a look at some of<br />

the reentry programming<br />

progress at CoreCivic in<br />


4 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 5<br />



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6 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 7

8 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 9<br />

“NEMTI’s mission is to<br />

ensure readiness of our<br />

medical personnel to support<br />

the warfighter in austere<br />

environments through<br />

partnerships across Navy<br />

/ Marine Corps medical<br />

platforms. These events<br />

are crucial in providing<br />

an opportunity to exercise<br />

those partnerships and “train<br />

like we fight” with complete<br />

integration of Navy and<br />

Marine Corps medical<br />

personnel simulating real<br />

world operations and the<br />

roles of care,” said Cmdr.<br />

Damian Storz, NEMTI’s<br />

officer in charge.<br />

“Our<br />

continued<br />

collaboration with NEMTI<br />

allowed us to utilize their<br />

pre-positioned EMF tents,<br />

equipment, and subject<br />

matter experts to maximize<br />

our Role 3 capability,”<br />

said Navy Capt. Adolfo<br />

Granados, executive officer<br />

of EMF 150 Alpha. “This<br />

was impactful because we<br />

were in the field dealing with<br />

conditions similar to real<br />

world situations, honing our<br />

skills as an expeditionary<br />

unit.”v<br />

The EMF team obtained<br />

great, realistic training<br />

and experience during the<br />

evolution that will pay<br />

dividends in the event they<br />

must deploy in support of<br />

contingency operations.<br />

“We were able to evaluate<br />

Mission Essential Tasks<br />

such as command and<br />

control, patient movement, patient<br />

tracking, and casualty receiving. We also<br />

field tested the use of Battlefield Assisted<br />

Trauma Distributed Observation Kits<br />

(BATDOKs) that allow medical personnel<br />

to monitor patient’s vitals wirelessly,<br />

from point of injury, autonomously<br />

document patient care and transmit data<br />

throughout the patient’s continuum of<br />

care,” added Smith. “These exercises<br />

continue to demonstrate interoperability<br />

and warfighting readiness across the<br />

Navy and Marine Corps team.”<br />

The EMF team was kept busy each<br />

training day with a steady throughput<br />

of simulated casualties to maintain<br />

the operational tempo of a combat<br />

environment.<br />

“Over the course of the MCCRE, EMF<br />

150 Alpha received, treated, tracked,<br />

and medically evacuated 76 patients,”<br />

said Lt. Jg. Amber Campaign, EMF 150<br />

Alpha’s acting operations officer.<br />

The exercise offered the opportunity to<br />

try out some state-of-the-art, emerging<br />

equipment on the simulated battlefield.<br />

“We employed medical battlefield<br />

technology new to the Navy in the form<br />

of the BATDOKs. This is a promising<br />

tool for battlefield medical documentation<br />

and communication throughout the care<br />

continuum,” added Granados. “We will<br />

provide feedback to Naval Medical Forces<br />

Pacific about their applicability and<br />

functionality.”<br />

Taking advantage of an opportunity to<br />

include a Role 3 capability during 1st Med.<br />

Battalion’s MCCRE was indicative of<br />

similar operationally focused mindsets in<br />

both commanding officers where combat<br />

readiness is paramount.

10 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 11<br />

None of the American forces will<br />

Hamas militants’ surprise assault on<br />

It was not clear Friday how much<br />

enter Gaza at any time, including to<br />

Israelis on Oct. 7.<br />

the new aid operations would cost<br />

deliver aid or build the temporary<br />

pier, he said at the Pentagon. Ryder<br />

said the pier should be operational<br />

within about 60 days.<br />

Humanitarian aid has been slow<br />

getting into Gaza for reasons<br />

including blockades at land crossings<br />

and tight controls of aid trucks by<br />

U.S. taxpayers, Ryder said.<br />

The Navy will deploy the floating<br />

pier and causeway toward Gaza via<br />

ships, and soldiers and sailors will<br />

“We’re working to set this up as<br />

Israel, which has accused Hamas of<br />

prepare them for use, Ryder said.<br />

quickly as possible, but we expect<br />

stealing humanitarian goods.<br />

Commercial vessels will be able to<br />

1,000 US Troops<br />

Will Deploy for<br />

Temporary Port<br />

Operations to<br />

Move Aid into<br />

Gaza<br />

The Pentagon will soon deploy<br />

about 1,000 American troops to<br />

build a temporary seaport just off the<br />

coast of war-torn Gaza to provide<br />

its inhabitants some 2 million meals<br />

per day, a Defense Department<br />

spokesman said Friday.<br />

The American troops will deploy a<br />

floating pier and a roughly 1,800-foot<br />

causeway in the Mediterranean Sea<br />

off Gaza’s coast, where commercial<br />

vessels can dock and offload aid to<br />

be transported by smaller vessels<br />

and vehicles into Gaza, said Air<br />

Force Maj. Gen. Pat Ryder, the<br />

Pentagon’s top spokesman.<br />

The operation will use a makeshift<br />

dock known as a Joint Logistics<br />

Over-the-Shore, or JLOTS, and<br />

include Navy and Army personnel,<br />

Ryder said.<br />

that it will take several weeks to<br />

plan and execute,” he said. “Once<br />

operational the actual amount of<br />

aid delivered will depend on many<br />

variables and will likely scale over<br />

time. However, we expect that<br />

deliveries via JLOTS could provide<br />

more than 2 million meals to the<br />

citizens of Gaza per day.”<br />

Not all the forces to be used in the<br />

operation had been selected as of<br />

Friday, Ryder said. However, the<br />

Army’s 7th Transportation Brigade<br />

based at Joint Base Langley-Eustis<br />

in Virginia had already been notified<br />

it would be deployed, he said. That<br />

unit is described by the Army as its<br />

JLOTS experts.<br />

President Joe Biden announced<br />

Thursday during his State of the<br />

Union speech that he ordered the<br />

Pentagon to conduct the new aid<br />

mission. He also called on Israel<br />

to do more to protect civilians and<br />

ensure they receive humanitarian aid<br />

as the Israelis fight Hamas militants<br />

in the Palestinian enclave.<br />

The U.N. said the roughly 2.3<br />

million people in Gaza now face<br />

near-famine conditions amid the<br />

fighting launched in the wake of<br />

The United States in recent days<br />

has begun airdropping some<br />

humanitarian aid into Gazavia<br />

Air Force C-130s. The U.S. and<br />

Jordanian militaries airdropped<br />

about 11,500 meals into northern<br />

Gaza on Friday, according to U.S.<br />

Central Command, which oversees<br />

American military operations in the<br />

Middle East. To date, the United<br />

States has airdropped about 124,000<br />

meals to Gazans, Ryder said.<br />

He also said the U.S. would continue<br />

to press Israel to allow more<br />

humanitarian aid into Gaza via land<br />

crossings, but it would continue to<br />

work to find creative ways to get<br />

meals to the enclave’s civilians.<br />

“This is part of a full-court press<br />

by the United States to not only<br />

focus on working on opening up<br />

and expanding routes via land —<br />

which of course are the optimal way<br />

to get aid into Gaza — but also by<br />

conducting air drops, and now, as the<br />

president has said, not enough aid is<br />

getting in, and so this is a capability<br />

that we have [and] it’s a capability<br />

that we are going to execute,” the<br />

general said.<br />

dock at the floating pier, where their<br />

cargo can be offloaded and reloaded<br />

onto smaller Navy logistics support<br />

vessels, he said.<br />

Those Navy ships will then deliver<br />

the aid onto the causeway, where it<br />

will be loaded onto trucks that will<br />

drive it onto the beach in Gaza for<br />

delivery, Ryder said.<br />

The aid will be driven into Gaza<br />

by vetted U.S. partners and not<br />

American troops, he said. The U.S.<br />

was in talks with partner nations,<br />

nongovernmental organizations and<br />

Israel about who would conduct<br />

those operations.<br />

“The concept that is being planned<br />

involves the presence of U.S.<br />

military personnel on military<br />

vessels offshore but does not<br />

require U.S. military personnel to<br />

go ashore,” Ryder said.<br />

He said the U.S. military would work<br />

to ensure proper security measures<br />

were in place on the ground and<br />

would take precautions to protect<br />

its troops offshore. He declined to<br />

provide specifics about such plans<br />

to protect American forces.

12 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 13<br />



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14 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 15<br />

Pentagon Inspector General Launches Probe Into<br />

Navy Suicides<br />

The Defense Department inspector general is sending<br />

investigators to several Navy installations to evaluate<br />

suicide rates, the Pentagon confirmed Thursday.<br />

Site visits are planned for Naval Base Kitsap in<br />

Washington, Naval Base San Diego, Naval Station<br />

Pearl Harbor in Hawaii, and Naval Air Station<br />

Norfolk in Virginia, according to a memo about<br />

the review. It will also look at suicides and suicide<br />

attempts on ships at sea. Dates for inspections at<br />

each facility have not been announced.<br />

The Pentagon said investigators could visit additional<br />

installations as the review moves forward. The<br />

timing and scope of the review will not be released<br />

in advance.<br />

The suicide review was mandated in the 2023<br />

National Defense Authorization Act, which sets<br />

policy and spending priorities for the Pentagon.<br />

The Navy has reported an increase in suicides and<br />

suicide attempts in recent years, with 71 suicides by<br />

active-duty sailors in 2022. The service reported 65<br />

suicides in 2020 and 59 in 2021. Final statistics for<br />

2023 are not yet available.<br />

Suicide rates differ because of fluctuations in the<br />

number of Navy personnel each year. The rate per<br />

100,000 active-duty sailors was 20.6 in 2022, 17 in<br />

2021 and 19 in 2020, according to the Pentagon’s<br />

2022 annual report on suicide in the military.<br />

A federal study in 2021 found 30,177 active-duty<br />

personnel and veterans in all service branches who<br />

served in the military died from suicide in the 20<br />

years after the 9/11 terrorist attacks. It was more than<br />

four times higher than the 7,057 service members<br />

killed in combat during the same time.<br />

The review will “determine whether the Department<br />

of Navy effectively took actions to prevent and<br />

respond to incidents of deaths by suicide, suicide<br />

attempts and suicidal ideation among members<br />

of the Navy assigned to sea duty or shore duty,”<br />

according to a Feb. 27 memo from the inspector<br />

general’s office.

16 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 17<br />

Importance of Cyber Warfare a Key<br />

Takeaway From This Year’s Cobra Gold,<br />

General Says<br />

RAYONG, Thailand — Thousands of<br />

troops from 30 nations started for home<br />

Friday as the largest military exercise in<br />

mainland Asia officially came to a close.<br />

More than 9,000 service members from<br />

30 countries — including 4,500 troops<br />

from the U.S. Army, Navy, Air Force and<br />

Marine Corps — gathered throughout<br />

Thailand beginning Feb. 27 for Cobra<br />

Gold, the world’s longest-running annual<br />

exercise of its kind.<br />

Over nearly two weeks, those troops made<br />

amphibious assaults and airborne drops,<br />

fired live artillery rounds, trained for<br />

jungle survival and took part in community<br />

relations projects and other activities.<br />

Lt. Col. Lindsay Mathwick, commander<br />

Combat Logistics Battalion 15 and<br />

Marines aboard the amphibious transport<br />

dock USS Somerset, said she visited each<br />

training area where members of the 15th<br />

Marine Expeditionary Unit were engaged.<br />

“We learned so much as a force,” she told<br />

Stars and Stripes by email Friday.<br />

“Some of our Marines also had the<br />

opportunity to participate in community<br />

relations events with locals — a truly<br />

memorable experience,” Mathwick wrote.<br />

“But what truly moved me and showed me<br />

the impact we have coming to participate<br />

in these exercises, was seeing the Marines<br />

laughing, eating, and sharing stories with<br />

each other during their breaks.”<br />

Marines also exchanged photos, uniform<br />

patches and information that “makes us a<br />

more powerful team,” she said.<br />

This year’s exercise served as a reminder<br />

that the United States and its allies share<br />

common goals, said Army Maj. General<br />

Matthew McFarlane, deputy commander<br />

of I Corps, the overall joint force command<br />

for Cobra Gold.<br />

“Everyone is interested in participating<br />

here to build relationships with regional<br />

partners that are interested in a stable and<br />

secure, free and open Indo-Pacific,” he said<br />

on a conference call Thursday. “That’s a<br />

key message that we got from everybody.”<br />

Thailand, the host nation, is a “key<br />

partner in the region” for building those<br />

relationships and maintaining readiness,<br />

McFarlane said. The nation has maintained<br />

official diplomatic ties with the United<br />

States since 1833, nearly 200 years.<br />

Cobra Gold is “a positive example of<br />

multilateral cooperation, as is demonstrated<br />

by the continued increase in participating<br />

nations; everyone walks away from this<br />

better and able to solve problems together,”<br />

he said.<br />

A key takeaway this year is the growing<br />

importance of cybersecurity and<br />

cyberwarfare, McFarlane said. Other<br />

lessons included the importance and<br />

utility of equipment and technology, such<br />

as those used to communicate between<br />

nations.<br />

This was McFarlane’s fourth Cobra Gold;<br />

his first was in 1996. Since then, the<br />

exercise has grown from primarily combat<br />

operations between U.S. and Thai forces<br />

to vast, multinational training with many<br />

more scenarios and drills.<br />

“So, it’s certainly a wider variety and a<br />

larger contingent working at multiple<br />

echelons,” he said.<br />

Planning for next year’s Cobra Gold is<br />

already underway, though it’s too early to<br />

provide details, McFarlane said.<br />

“We’e building upon the progress to date,<br />

but that doesn’t mean we’ll do the exact<br />

same thing and just do it bigger,” he told<br />

Stars and Stripes. “Sometimes we’ll add<br />

different things. You know, the senior<br />

Thai military leadership are going to be<br />

specific about different aspects that they<br />

want to train or be better at.”

18 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 19<br />

Naval Medical<br />

Center San Diego<br />

In an effort to recognizing the versatile and multitalented<br />

aspect of dental assistants, Naval Medical<br />

Center San Diego (NMCSD) celebrates Dental Assistant<br />

Recognition Week, March 3-9.<br />

One dental assistant at NMCSD, Hospitalman Ariel<br />

Sherwood, from Saint Paul, Minn., and daughter of an<br />

active-duty U.S. Marine, was inspired from a young age<br />

to pursue a dental profession.<br />

“Seeing the spirit of service that my father has always<br />

demonstrated to our nation, Marine Corps, and his fellow<br />

Marines is something that made me appreciate the act of<br />

service,” said Sherwood. “It was second nature for me<br />

to pursue a military career.”<br />

Sherwood had initially embarked on a child development<br />

career, but her curiosity and yearning to learn more<br />

about orthodontics derailed any further pursuit of the<br />

former career interest.<br />

“There is something truly transformative in the world of<br />

maxillofacial procedures that has drawn me to enlist in<br />

the Navy and become part of this amazing community,”<br />

explained Sherwood. “With my dad serving as a recruiter<br />

at the time, I conducted extensive research as to which<br />

service had the best fit for me and it came down without<br />

a question that it would be the Navy.”<br />

The journey from boot camp, through dental assistant<br />

training and to her first duty station at NMCSD was<br />

about as thorough as it could be for Sherwood.<br />

“Nothing could prepare me for the abundance in onthe-job<br />

training opportunities, actual patient care, and<br />

— best of all —witnessing transformational changes in<br />

the lives of our beneficiaries as what I’ve lived since<br />

reporting to NMCSD,” accounts Sherwood. “By far<br />

the most exciting component of my job is the ability<br />

to really have more hands-on patient interaction as an<br />

orthodontist dental assistant.”<br />

The journey has only begun for Sherwood as she has<br />

her eyes set on attending dental school.<br />

“I have every intention to go on to dental school and<br />

hopefully reaffiliate myself with the Navy,” expresses<br />

Sherwood. “I feel that my calling is not only the Navy,<br />

but also our military affiliated beneficiaries. The<br />

opportunity to serve our active-duty, retirees, and family<br />

members is priceless.”<br />

For now Sherwood shares the following message with<br />

her fellow dental assistants.<br />

“I want everyone to know that I am honored to serve<br />

as a dental assistant in the Navy and that the value you<br />

bring to the fight in truly immeasurable,” said Sherwood.<br />

“We ensue the readiness of our service members and we<br />

also restore dignity — one smile at a time.<br />

NMCSD continuously seeks professional civilian<br />

talent, not just limited to health care providers and<br />

administrative support. For anyone seeking a federal<br />

job, visit USAJobs at usajobs.gov – the Federal<br />

Government’s official employment site.<br />

The mission of NMCSD is to prepare service members<br />

to deploy in support of operational forces, deliver<br />

high quality health care services, and shape the future<br />

of military medicine through education, training, and<br />

research. NMCSD employs more than 6,000 activeduty<br />

military personnel, civilians and contractors in<br />

southern California to provide patients with world-class<br />

care anytime, anywhere.

20 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 21<br />

‘Women Are Here’: Fly Girls Event at Tokyo<br />

Air Base Aims to Inspire Future Aviators<br />

YOKOTA AIR BASE, Japan —<br />

International Women’s Day at<br />

this airlift hub in western Tokyo<br />

dawned cold and wet but the<br />

weather did not deter the third<br />

annual Fly Girls celebration.<br />

More than 100 girls and boys<br />

from Yokota and Yokosuka<br />

middle and high schools attended<br />

Friday’s event, organized by<br />

Capt. Casey Guardia, a Huey<br />

pilot with Yokota’s 49th Airlift<br />

Squadron. Also present were<br />

airmen from Misawa Air Base<br />

and the Japan Air Self-Defense<br />

Force.<br />

“Women’s numbers have been<br />

rising (in the military) and it’s<br />

exciting to show the students<br />

that women are here, that we’re<br />

making an impact and that<br />

we work really well with our<br />

male counterparts in aviation,”<br />

Guardia told Stars and Stripes<br />

at the event.<br />

“And for the little girls out<br />

there, you can do whatever you<br />

set your mind to … you can still<br />

have an impact and you can still<br />

make a big difference,” she said.<br />

The students’ day started with a<br />

morning ride on a C-130J Super<br />

Hercules airlifter.<br />

“Today really opened my (eyes)<br />

to a new experience of joining<br />

the Air Force,” Kaiya Tryka, 17,<br />

an 11th grader at Yokosuka’s<br />

Nile C. Kinnick High School,<br />

told Stars and Stripes. “This<br />

was just really a fun experience,<br />

and I really enjoyed it.”<br />

Tryka said she plans to join the<br />

Air Force after graduation and<br />

wants to fly the F-15 Eagle.<br />

“Being able to experience<br />

getting on the plane and seeing<br />

a different perspective, and<br />

how pilots manage and work<br />

things on the plane was really<br />

interesting to me,” she said.<br />

Guardia invited the Japan<br />

Air Self-Defense Force<br />

and Misawa’s 14th Fighter<br />

Squadron, and organized<br />

aircraft static displays and<br />

information tables in the 459th<br />

Airlift Squadron hangar. There,<br />

attendees met the women who<br />

pilot and maintain the aircraft.<br />

“I was just looking at the aircrew<br />

equipment, said Senior Airman<br />

Kyoka Kusuhashi, a C-130H<br />

Hercules maintainer for the Air<br />

Self-Defense Force. “I’ve never<br />

seen that, so that was very cool.<br />

I’ve also never seen the aircraft,<br />

as well, and it is a chance for<br />

me to meet all our American<br />

friends here as well.”<br />

Kusuhashi said only about 10<br />

out of 200 people working at<br />

Komaki Air Base are women,<br />

a big difference that she sees<br />

between the American and<br />

Japanese military.<br />

Guardia said her mother,<br />

Charlene Guardia, served<br />

six years in the Army as an<br />

occupational therapist and has<br />

been a great role model as her<br />

daughter paves her own path in<br />

the military.<br />

“I’m really lucky to serve when I<br />

am, when women’s numbers are<br />

rising,” she said. “About 25% of<br />

the of the students were women<br />

when I was in pilot training at<br />

the Air Force Academy.<br />

Guardia said it’s great to an<br />

increasing number of women in<br />

the service.<br />

“We’re grateful for all the<br />

women that came before us and<br />

kind of paved the path, and that<br />

we just don’t face the hardships<br />

they faced because they’ve<br />

really led the way,” she said.<br />

CAMP<br />


22 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION WWW.<strong>MHCE</strong>.US<br />

Monthly Newsletter | 23<br />

they’ve gotten the chance to do<br />

many different procedures.”<br />

The GHE was a predecessor to<br />

potential upcoming missions,<br />

in which military medical<br />

personnel would maintain<br />

skillsets related to trauma care<br />

and prolonged care in resource<br />

limited environments.<br />

Expeditionary Medical<br />

Unit’s Honduras Mission<br />

SAN PEDRO SULA, Honduras<br />

– Expeditionary Medical Unit<br />

(EMU) 10 G-Rotation 16<br />

strengthened health capability<br />

and expanded U.S. Navy<br />

readiness with Honduran<br />

medical professionals during<br />

a Global Health Engagement<br />

(GHE) in San Pedro Sula, Feb.<br />

17 – March 2, <strong>2024</strong>.<br />

According to U.S. Navy Capt.<br />

Jamie Fitch, the officer-incharge<br />

for EMU 10 G-R16, her<br />

team cared for multiple trauma<br />

patients daily during the twoweek<br />

medical mission.<br />

“Working in a global health<br />

engagement environment has<br />

allowed my team to come<br />

together,” said Fitch. “They’ve<br />

gotten to know each other,<br />

learn each other’s strengths and<br />

weaknesses to some extent, and<br />

how to work through challenging<br />

circumstances together.”<br />

While working in Hospital<br />

Nacional Mario Catarino Rivas,<br />

Sailors from Expeditionary<br />

Medical Facility Kilo and<br />

Navy Medicine Readiness<br />

and Training Command<br />

Camp Lejeune assisted in<br />

the emergency room and the<br />

operating room, allowing many<br />

of them to work together for the<br />

first time.<br />

“The Sailors have seen around<br />

30 to 40 patients,” said Dr.<br />

Guillermo Saenz, a medical<br />

officer and foreign service<br />

national with Joint Task Force<br />

Bravo. “During their time here,<br />

According to Fitch, her team<br />

observed pathology they may not<br />

normally see in America due to<br />

monetary limitations for injury<br />

care. Patients were brought in<br />

immediately after a traumatic<br />

injury or, sometimes, days or<br />

weeks later. These differences<br />

showed Sailors how trauma<br />

care results can vary depending<br />

upon the environment.<br />

“For this mission we brought our<br />

emergency room resuscitative<br />

team and our surgical team<br />

together to see and resuscitate<br />

critically injured patients,”<br />

explained Fitch. “We worked<br />

through the full scope of trauma<br />

care, from the patient’s arrival<br />

to the hospital, through the<br />

operating room, and then on to<br />

an intensive care unit or a ward.<br />

Our expectation was that we<br />

would see patients, and we’d run<br />

them through the full gambit,<br />

partnering with the Hondurans,<br />

doing the full scope of care.”

24 | <strong>MHCE</strong> - News www.mhce.us <strong>MARCH</strong> <strong>2024</strong> EDITION

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