MHCE MARCH 2024

News from MHCE 

MARCH 2024 EDITION 

Pentagon Inspector General Launches 

Probe Into Navy Suicides 

See page 14 

Monthly Newsletter 

WWW.MHCE.US 

Naval Expeditionary Medical Training 

Institute to exercise the continuum of 

care across the battlefield, receiving 

patients from 1st Medical Battalion’s 

Role 2 Surgical Platoons and Forward 

Resuscitative Surgical Systems during 

their Marine Corps Combat Readiness 

Evaluation,” said Navy Capt. Elizabeth 

Smith, commanding officer of EMF 

150 Alpha. 

The exercise provided valuable 

training and practical application 

for both commands, but even more 

valuable was the opportunity to train 

together. 

EMF 150 Alpha Provides Role 3 Medical 

Capability During 1st Med Bn MCCRE 

Sailors from Expeditionary Medical 

Facility 150 Alpha provided the 

Role 3 medical capability during the 

1st Medical Battalion, 1st Marine 

Logistics Group, Marine Corps 

Combat Readiness Evaluation from 

Feb. 26 through March 1, 2024, aboard 

Naval Expeditionary Medical Training 

Institute. 

Per Office of the Chief of Naval 

Operations Instruction 3501.176D, 

Required Operational Capabilities and 

Projected Operational Environment 

for the Role 3 Navy Expeditionary 

Medical Facility, the EMF is “capable 

of providing Role 3 in a flow-through 

mode for patients in any operational 

area, scalable care in terms of beds, 

providing scalable care by surgical 

and medical specialists, and 

providing patient movement.” 

The MCCRE provided EMF 150 

Alpha a great opportunity to train 

the way they will fight by setting up 

the Role 3 capability in a separate 

location from 1st Med. Bn. to 

receive, process, and treat patients. 

“Expeditionary Medical Facility 

150 Alpha personnel integrated 

with 1st Medical Battalion and 

“The garrison training relationship 

between 1st Medical Battalion and 

EMF 150 Alpha will directly affect 

survivability on the future battlefield,” 

said Navy Capt. Sean Hussey, 

commanding officer of 1st Medical 

Battalion. “Marines and Sailors need 

the Role 2 and Role 3 teams to spend 

as much time working together now so 

that the future wartime hospital system 

(echelons of care) is primed well 

before the first casualty is received.” 

To facilitate an austere environment, 

the EMF set up their Role 3 capability 

aboard the NEMTI training facility 

in the northern part of Marine Corps 

Base Camp Pendleton. 

Continued on page 9

2 | MHCE - News www.mhce.us MARCH 2024 EDITION WWW.MHCE.US 

Monthly Newsletter | 3 

2023 Reentry Recap: Program Success at CoreCivic 

Research shows that general education and vocational training programs are critical to preparing 

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

assessed to determine which tools, resources, and programs are best to adequately support their 

rehabilitation needs. 

CoreCivic is helping pave 

the way to a brighter future 

for those in our care by 

providing evidence-based 

reentry programming. 

Take a look at some of 

the reentry programming 

progress at CoreCivic in 

2023.



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Monthly Newsletter | 7



“NEMTI’s mission is to 

ensure readiness of our 

medical personnel to support 

the warfighter in austere 

environments through 

partnerships across Navy 

/ Marine Corps medical 

platforms. These events 

are crucial in providing 

an opportunity to exercise 

those partnerships and “train 

like we fight” with complete 

integration of Navy and 

Marine Corps medical 

personnel simulating real 

world operations and the 

roles of care,” said Cmdr. 

Damian Storz, NEMTI’s 

officer in charge. 

“Our 

continued 

collaboration with NEMTI 

allowed us to utilize their 

pre-positioned EMF tents, 

equipment, and subject 

matter experts to maximize 

our Role 3 capability,” 

said Navy Capt. Adolfo 

Granados, executive officer 

of EMF 150 Alpha. “This 

was impactful because we 

were in the field dealing with 

conditions similar to real 

world situations, honing our 

skills as an expeditionary 

unit.”v 

The EMF team obtained 

great, realistic training 

and experience during the 

evolution that will pay 

dividends in the event they 

must deploy in support of 

contingency operations. 

“We were able to evaluate 

Mission Essential Tasks 

such as command and 

control, patient movement, patient 

tracking, and casualty receiving. We also 

field tested the use of Battlefield Assisted 

Trauma Distributed Observation Kits 

(BATDOKs) that allow medical personnel 

to monitor patient’s vitals wirelessly, 

from point of injury, autonomously 

document patient care and transmit data 

throughout the patient’s continuum of 

care,” added Smith. “These exercises 

continue to demonstrate interoperability 

and warfighting readiness across the 

Navy and Marine Corps team.” 

The EMF team was kept busy each 

training day with a steady throughput 

of simulated casualties to maintain 

the operational tempo of a combat 

environment. 

“Over the course of the MCCRE, EMF 

150 Alpha received, treated, tracked, 

and medically evacuated 76 patients,” 

said Lt. Jg. Amber Campaign, EMF 150 

Alpha’s acting operations officer. 

The exercise offered the opportunity to 

try out some state-of-the-art, emerging 

equipment on the simulated battlefield. 

“We employed medical battlefield 

technology new to the Navy in the form 

of the BATDOKs. This is a promising 

tool for battlefield medical documentation 

and communication throughout the care 

continuum,” added Granados. “We will 

provide feedback to Naval Medical Forces 

Pacific about their applicability and 

functionality.” 

Taking advantage of an opportunity to 

include a Role 3 capability during 1st Med. 

Battalion’s MCCRE was indicative of 

similar operationally focused mindsets in 

both commanding officers where combat 

readiness is paramount.



None of the American forces will 

Hamas militants’ surprise assault on 

It was not clear Friday how much 

enter Gaza at any time, including to 

Israelis on Oct. 7. 

the new aid operations would cost 

deliver aid or build the temporary 

pier, he said at the Pentagon. Ryder 

said the pier should be operational 

within about 60 days. 

Humanitarian aid has been slow 

getting into Gaza for reasons 

including blockades at land crossings 

and tight controls of aid trucks by 

U.S. taxpayers, Ryder said. 

The Navy will deploy the floating 

pier and causeway toward Gaza via 

ships, and soldiers and sailors will 

“We’re working to set this up as 

Israel, which has accused Hamas of 

prepare them for use, Ryder said. 

quickly as possible, but we expect 

stealing humanitarian goods. 

Commercial vessels will be able to 

1,000 US Troops 

Will Deploy for 

Temporary Port 

Operations to 

Move Aid into 

Gaza 

The Pentagon will soon deploy 

about 1,000 American troops to 

build a temporary seaport just off the 

coast of war-torn Gaza to provide 

its inhabitants some 2 million meals 

per day, a Defense Department 

spokesman said Friday. 

The American troops will deploy a 

floating pier and a roughly 1,800-foot 

causeway in the Mediterranean Sea 

off Gaza’s coast, where commercial 

vessels can dock and offload aid to 

be transported by smaller vessels 

and vehicles into Gaza, said Air 

Force Maj. Gen. Pat Ryder, the 

Pentagon’s top spokesman. 

The operation will use a makeshift 

dock known as a Joint Logistics 

Over-the-Shore, or JLOTS, and 

include Navy and Army personnel, 

Ryder said. 

that it will take several weeks to 

plan and execute,” he said. “Once 

operational the actual amount of 

aid delivered will depend on many 

variables and will likely scale over 

time. However, we expect that 

deliveries via JLOTS could provide 

more than 2 million meals to the 

citizens of Gaza per day.” 

Not all the forces to be used in the 

operation had been selected as of 

Friday, Ryder said. However, the 

Army’s 7th Transportation Brigade 

based at Joint Base Langley-Eustis 

in Virginia had already been notified 

it would be deployed, he said. That 

unit is described by the Army as its 

JLOTS experts. 

President Joe Biden announced 

Thursday during his State of the 

Union speech that he ordered the 

Pentagon to conduct the new aid 

mission. He also called on Israel 

to do more to protect civilians and 

ensure they receive humanitarian aid 

as the Israelis fight Hamas militants 

in the Palestinian enclave. 

The U.N. said the roughly 2.3 

million people in Gaza now face 

near-famine conditions amid the 

fighting launched in the wake of 

The United States in recent days 

has begun airdropping some 

humanitarian aid into Gazavia 

Air Force C-130s. The U.S. and 

Jordanian militaries airdropped 

about 11,500 meals into northern 

Gaza on Friday, according to U.S. 

Central Command, which oversees 

American military operations in the 

Middle East. To date, the United 

States has airdropped about 124,000 

meals to Gazans, Ryder said. 

He also said the U.S. would continue 

to press Israel to allow more 

humanitarian aid into Gaza via land 

crossings, but it would continue to 

work to find creative ways to get 

meals to the enclave’s civilians. 

“This is part of a full-court press 

by the United States to not only 

focus on working on opening up 

and expanding routes via land — 

which of course are the optimal way 

to get aid into Gaza — but also by 

conducting air drops, and now, as the 

president has said, not enough aid is 

getting in, and so this is a capability 

that we have [and] it’s a capability 

that we are going to execute,” the 

general said. 

dock at the floating pier, where their 

cargo can be offloaded and reloaded 

onto smaller Navy logistics support 

vessels, he said. 

Those Navy ships will then deliver 

the aid onto the causeway, where it 

will be loaded onto trucks that will 

drive it onto the beach in Gaza for 

delivery, Ryder said. 

The aid will be driven into Gaza 

by vetted U.S. partners and not 

American troops, he said. The U.S. 

was in talks with partner nations, 

nongovernmental organizations and 

Israel about who would conduct 

those operations. 

“The concept that is being planned 

involves the presence of U.S. 

military personnel on military 

vessels offshore but does not 

require U.S. military personnel to 

go ashore,” Ryder said. 

He said the U.S. military would work 

to ensure proper security measures 

were in place on the ground and 

would take precautions to protect 

its troops offshore. He declined to 

provide specifics about such plans 

to protect American forces.



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Pentagon Inspector General Launches Probe Into 

Navy Suicides 

The Defense Department inspector general is sending 

investigators to several Navy installations to evaluate 

suicide rates, the Pentagon confirmed Thursday. 

Site visits are planned for Naval Base Kitsap in 

Washington, Naval Base San Diego, Naval Station 

Pearl Harbor in Hawaii, and Naval Air Station 

Norfolk in Virginia, according to a memo about 

the review. It will also look at suicides and suicide 

attempts on ships at sea. Dates for inspections at 

each facility have not been announced. 

The Pentagon said investigators could visit additional 

installations as the review moves forward. The 

timing and scope of the review will not be released 

in advance. 

The suicide review was mandated in the 2023 

National Defense Authorization Act, which sets 

policy and spending priorities for the Pentagon. 

The Navy has reported an increase in suicides and 

suicide attempts in recent years, with 71 suicides by 

active-duty sailors in 2022. The service reported 65 

suicides in 2020 and 59 in 2021. Final statistics for 

2023 are not yet available. 

Suicide rates differ because of fluctuations in the 

number of Navy personnel each year. The rate per 

100,000 active-duty sailors was 20.6 in 2022, 17 in 

2021 and 19 in 2020, according to the Pentagon’s 

2022 annual report on suicide in the military. 

A federal study in 2021 found 30,177 active-duty 

personnel and veterans in all service branches who 

served in the military died from suicide in the 20 

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

four times higher than the 7,057 service members 

killed in combat during the same time. 

The review will “determine whether the Department 

of Navy effectively took actions to prevent and 

respond to incidents of deaths by suicide, suicide 

attempts and suicidal ideation among members 

of the Navy assigned to sea duty or shore duty,” 

according to a Feb. 27 memo from the inspector 

general’s office.



Importance of Cyber Warfare a Key 

Takeaway From This Year’s Cobra Gold, 

General Says 

RAYONG, Thailand — Thousands of 

troops from 30 nations started for home 

Friday as the largest military exercise in 

mainland Asia officially came to a close. 

More than 9,000 service members from 

30 countries — including 4,500 troops 

from the U.S. Army, Navy, Air Force and 

Marine Corps — gathered throughout 

Thailand beginning Feb. 27 for Cobra 

Gold, the world’s longest-running annual 

exercise of its kind. 

Over nearly two weeks, those troops made 

amphibious assaults and airborne drops, 

fired live artillery rounds, trained for 

jungle survival and took part in community 

relations projects and other activities. 

Lt. Col. Lindsay Mathwick, commander 

Combat Logistics Battalion 15 and 

Marines aboard the amphibious transport 

dock USS Somerset, said she visited each 

training area where members of the 15th 

Marine Expeditionary Unit were engaged. 

“We learned so much as a force,” she told 

Stars and Stripes by email Friday. 

“Some of our Marines also had the 

opportunity to participate in community 

relations events with locals — a truly 

memorable experience,” Mathwick wrote. 

“But what truly moved me and showed me 

the impact we have coming to participate 

in these exercises, was seeing the Marines 

laughing, eating, and sharing stories with 

each other during their breaks.” 

Marines also exchanged photos, uniform 

patches and information that “makes us a 

more powerful team,” she said. 

This year’s exercise served as a reminder 

that the United States and its allies share 

common goals, said Army Maj. General 

Matthew McFarlane, deputy commander 

of I Corps, the overall joint force command 

for Cobra Gold. 

“Everyone is interested in participating 

here to build relationships with regional 

partners that are interested in a stable and 

secure, free and open Indo-Pacific,” he said 

on a conference call Thursday. “That’s a 

key message that we got from everybody.” 

Thailand, the host nation, is a “key 

partner in the region” for building those 

relationships and maintaining readiness, 

McFarlane said. The nation has maintained 

official diplomatic ties with the United 

States since 1833, nearly 200 years. 

Cobra Gold is “a positive example of 

multilateral cooperation, as is demonstrated 

by the continued increase in participating 

nations; everyone walks away from this 

better and able to solve problems together,” 

he said. 

A key takeaway this year is the growing 

importance of cybersecurity and 

cyberwarfare, McFarlane said. Other 

lessons included the importance and 

utility of equipment and technology, such 

as those used to communicate between 

nations. 

This was McFarlane’s fourth Cobra Gold; 

his first was in 1996. Since then, the 

exercise has grown from primarily combat 

operations between U.S. and Thai forces 

to vast, multinational training with many 

more scenarios and drills. 

“So, it’s certainly a wider variety and a 

larger contingent working at multiple 

echelons,” he said. 

Planning for next year’s Cobra Gold is 

already underway, though it’s too early to 

provide details, McFarlane said. 

“We’e building upon the progress to date, 

but that doesn’t mean we’ll do the exact 

same thing and just do it bigger,” he told 

Stars and Stripes. “Sometimes we’ll add 

different things. You know, the senior 

Thai military leadership are going to be 

specific about different aspects that they 

want to train or be better at.”



Naval Medical 

Center San Diego 

In an effort to recognizing the versatile and multitalented 

aspect of dental assistants, Naval Medical 

Center San Diego (NMCSD) celebrates Dental Assistant 

Recognition Week, March 3-9. 

One dental assistant at NMCSD, Hospitalman Ariel 

Sherwood, from Saint Paul, Minn., and daughter of an 

active-duty U.S. Marine, was inspired from a young age 

to pursue a dental profession. 

“Seeing the spirit of service that my father has always 

demonstrated to our nation, Marine Corps, and his fellow 

Marines is something that made me appreciate the act of 

service,” said Sherwood. “It was second nature for me 

to pursue a military career.” 

Sherwood had initially embarked on a child development 

career, but her curiosity and yearning to learn more 

about orthodontics derailed any further pursuit of the 

former career interest. 

“There is something truly transformative in the world of 

maxillofacial procedures that has drawn me to enlist in 

the Navy and become part of this amazing community,” 

explained Sherwood. “With my dad serving as a recruiter 

at the time, I conducted extensive research as to which 

service had the best fit for me and it came down without 

a question that it would be the Navy.” 

The journey from boot camp, through dental assistant 

training and to her first duty station at NMCSD was 

about as thorough as it could be for Sherwood. 

“Nothing could prepare me for the abundance in onthe-job 

training opportunities, actual patient care, and 

— best of all —witnessing transformational changes in 

the lives of our beneficiaries as what I’ve lived since 

reporting to NMCSD,” accounts Sherwood. “By far 

the most exciting component of my job is the ability 

to really have more hands-on patient interaction as an 

orthodontist dental assistant.” 

The journey has only begun for Sherwood as she has 

her eyes set on attending dental school. 

“I have every intention to go on to dental school and 

hopefully reaffiliate myself with the Navy,” expresses 

Sherwood. “I feel that my calling is not only the Navy, 

but also our military affiliated beneficiaries. The 

opportunity to serve our active-duty, retirees, and family 

members is priceless.” 

For now Sherwood shares the following message with 

her fellow dental assistants. 

“I want everyone to know that I am honored to serve 

as a dental assistant in the Navy and that the value you 

bring to the fight in truly immeasurable,” said Sherwood. 

“We ensue the readiness of our service members and we 

also restore dignity — one smile at a time. 

NMCSD continuously seeks professional civilian 

talent, not just limited to health care providers and 

administrative support. For anyone seeking a federal 

job, visit USAJobs at usajobs.gov – the Federal 

Government’s official employment site. 

The mission of NMCSD is to prepare service members 

to deploy in support of operational forces, deliver 

high quality health care services, and shape the future 

of military medicine through education, training, and 

research. NMCSD employs more than 6,000 activeduty 

military personnel, civilians and contractors in 

southern California to provide patients with world-class 

care anytime, anywhere.



‘Women Are Here’: Fly Girls Event at Tokyo 

Air Base Aims to Inspire Future Aviators 

YOKOTA AIR BASE, Japan — 

International Women’s Day at 

this airlift hub in western Tokyo 

dawned cold and wet but the 

weather did not deter the third 

annual Fly Girls celebration. 

More than 100 girls and boys 

from Yokota and Yokosuka 

middle and high schools attended 

Friday’s event, organized by 

Capt. Casey Guardia, a Huey 

pilot with Yokota’s 49th Airlift 

Squadron. Also present were 

airmen from Misawa Air Base 

and the Japan Air Self-Defense 

Force. 

“Women’s numbers have been 

rising (in the military) and it’s 

exciting to show the students 

that women are here, that we’re 

making an impact and that 

we work really well with our 

male counterparts in aviation,” 

Guardia told Stars and Stripes 

at the event. 

“And for the little girls out 

there, you can do whatever you 

set your mind to … you can still 

have an impact and you can still 

make a big difference,” she said. 

The students’ day started with a 

morning ride on a C-130J Super 

Hercules airlifter. 

“Today really opened my (eyes) 

to a new experience of joining 

the Air Force,” Kaiya Tryka, 17, 

an 11th grader at Yokosuka’s 

Nile C. Kinnick High School, 

told Stars and Stripes. “This 

was just really a fun experience, 

and I really enjoyed it.” 

Tryka said she plans to join the 

Air Force after graduation and 

wants to fly the F-15 Eagle. 

“Being able to experience 

getting on the plane and seeing 

a different perspective, and 

how pilots manage and work 

things on the plane was really 

interesting to me,” she said. 

Guardia invited the Japan 

Air Self-Defense Force 

and Misawa’s 14th Fighter 

Squadron, and organized 

aircraft static displays and 

information tables in the 459th 

Airlift Squadron hangar. There, 

attendees met the women who 

pilot and maintain the aircraft. 

“I was just looking at the aircrew 

equipment, said Senior Airman 

Kyoka Kusuhashi, a C-130H 

Hercules maintainer for the Air 

Self-Defense Force. “I’ve never 

seen that, so that was very cool. 

I’ve also never seen the aircraft, 

as well, and it is a chance for 

me to meet all our American 

friends here as well.” 

Kusuhashi said only about 10 

out of 200 people working at 

Komaki Air Base are women, 

a big difference that she sees 

between the American and 

Japanese military. 

Guardia said her mother, 

Charlene Guardia, served 

six years in the Army as an 

occupational therapist and has 

been a great role model as her 

daughter paves her own path in 

the military. 

“I’m really lucky to serve when I 

am, when women’s numbers are 

rising,” she said. “About 25% of 

the of the students were women 

when I was in pilot training at 

the Air Force Academy. 

Guardia said it’s great to an 

increasing number of women in 

the service. 

“We’re grateful for all the 

women that came before us and 

kind of paved the path, and that 

we just don’t face the hardships 

they faced because they’ve 

really led the way,” she said. 

CAMP 

NURSE



they’ve gotten the chance to do 

many different procedures.” 

The GHE was a predecessor to 

potential upcoming missions, 

in which military medical 

personnel would maintain 

skillsets related to trauma care 

and prolonged care in resource 

limited environments. 

Expeditionary Medical 

Unit’s Honduras Mission 

SAN PEDRO SULA, Honduras 

– Expeditionary Medical Unit 

(EMU) 10 G-Rotation 16 

strengthened health capability 

and expanded U.S. Navy 

readiness with Honduran 

medical professionals during 

a Global Health Engagement 

(GHE) in San Pedro Sula, Feb. 

17 – March 2, 2024. 

According to U.S. Navy Capt. 

Jamie Fitch, the officer-incharge 

for EMU 10 G-R16, her 

team cared for multiple trauma 

patients daily during the twoweek 

medical mission. 

“Working in a global health 

engagement environment has 

allowed my team to come 

together,” said Fitch. “They’ve 

gotten to know each other, 

learn each other’s strengths and 

weaknesses to some extent, and 

how to work through challenging 

circumstances together.” 

While working in Hospital 

Nacional Mario Catarino Rivas, 

Sailors from Expeditionary 

Medical Facility Kilo and 

Navy Medicine Readiness 

and Training Command 

Camp Lejeune assisted in 

the emergency room and the 

operating room, allowing many 

of them to work together for the 

first time. 

“The Sailors have seen around 

30 to 40 patients,” said Dr. 

Guillermo Saenz, a medical 

officer and foreign service 

national with Joint Task Force 

Bravo. “During their time here, 

According to Fitch, her team 

observed pathology they may not 

normally see in America due to 

monetary limitations for injury 

care. Patients were brought in 

immediately after a traumatic 

injury or, sometimes, days or 

weeks later. These differences 

showed Sailors how trauma 

care results can vary depending 

upon the environment. 

“For this mission we brought our 

emergency room resuscitative 

team and our surgical team 

together to see and resuscitate 

critically injured patients,” 

explained Fitch. “We worked 

through the full scope of trauma 

care, from the patient’s arrival 

to the hospital, through the 

operating room, and then on to 

an intensive care unit or a ward. 

Our expectation was that we 

would see patients, and we’d run 

them through the full gambit, 

partnering with the Hondurans, 

doing the full scope of care.”

24 | MHCE - News www.mhce.us MARCH 2024 EDITION

MHCE MARCH 2024

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