Fort McCoy News May 09, 2014

Army Reserve's Global Medic Joint Exercise underway

BY LT. COL. TERI OMAN
Medical Readiness & Training Command Public Affairs

SAN ANTONIO — Soldiers of 3rd Medical Training Brigade departed their headquarters here for Fort McCoy, Wis., where they will be central to the Army Reserve's Global Medic Joint Exercise held between April 26 and May 16.

Photo for Global Medic story
Joint service members work together during the 2013 Global Medic exercise.
File photo by Staff Sgt. Eric W. Jones

Col. Deirdre Kane, Global Medic exercise director and the brigade's commander, said she was looking forward to training with medical personnel, not only from the Army Reserve component, but also the Navy, Marines and Air Force.

"The exercise gives us the opportunity to share training experiences with fellow medical professionals within sister components," said Kane. "Every year we learn a little more about each other and improve our skills together."

Global Medic is a joint medical training exercise designed to imitate realistic scenarios of combat service support on the battlefield. The training allows each participant to train for active-service mobilizations and/or deployments.

As one of the largest joint services medical command and control exercises, Global Medic effectively trains medical professionals and their staff for real-world missions.

The Medical Readiness and Training Command (MRTC), Army Reserve Medical Command, also based in San Antonio, directed the brigade to act as the lead element during the exercise at Fort McCoy.

The MRTC hosts a second, west coast, Global Medic 2014 exercise in June at Fort Hunter-Liggett, Calif. Almost 10,000 Soldiers, Sailors, Marines and Airmen are slated to participate collectively between the services at both locations.

The exercise replicates medical stability operations as conducted on the battlefield, where the efforts and expertise of medical personnel have resulted in a survivability rate of more than 90 percent.

Ensuring participating units synchronize training objectives to permit end-to-end management of medical casualties requires leaders at each level of treatment to make time-sensitive decisions and encourage force interaction.

Global Medic builds upon the successes of previous exercises incorporating live and virtual simulations in providing realistic battle-focused training scenarios while Medical Battle Operating Systems exercise individual and collective sub-tasks.

Each year the MRTC, in conjunction with the Combat Support Training Exercise, sponsored by the 84th Training Command in Fort Knox, Ky., hosts conferences to develop the training foundation during the unit's functional year of the Army Reserve Training System to support Army Force Generation and Army Reserve Expeditionary Force models.

Training begins with the leadership, which focuses on the overall exercise concepts, Mission Essential Task Lists and training objectives, and culminates with the Commander's Assessment. Participating units express training interests and areas of improvement for next year's exercise through training objectives. The goal is to ensure each Soldier involved in the exercise receives practical, up-to-date and inspiring training.

Soldiers of medical units nationwide will complete the well-rounded experience by sharing their expertise in briefings and workshops. Global Medic is designed to exercise every Mission Essential Task and every person in various levels; communication between teams and units is critical to a successful exercise.

In May 2012, Global Medic became the first U. S. Army Reserve exercise to receive joint accreditation.

The accreditation program description states: The MRTC oversees the Global Medic exercise, a notional OCONUS (outside the continental United States) scenario that spans several U.S. states.

Units participating in the exercise are task organized under a notional Fifth U.S. Corps in support of "Operation Azeri Fire," a Phase IV stability operation.

The medical units are organized under the constructive Joint Medical Task Force (JMTF) 30, with the primary medical training audience organized under an Army Reserve Medical Brigade.

Participating Air Force components fall under a joint task force construct organized under the Air Force Reserve Command as the Air Force forces and provide support for the JMTF and other line and medical functions.

A significant portion of the deployable Combat Support Hospitals and Forward Surgical Teams are augmented with Navy personnel. Robust employment of patient-tracking systems, from the local exercise level through the joint patient movement system, coupled with actual transport of simulated casualties aboard Air Force aircraft, further support exercise realism.

More than 600 patients are role playing concurrently across exercise locations, using the Multinational Health Service and Support Capabilities Roles 1-4 to conduct treatment, evacuation, resupply and other functions essential to the maintenance of the health of the force, and utilizing strategic and tactical airlift capabilities for evacuation missions.

The four roles of treatment are:

Role 1 — This is the first and the lowest level, where at least one medically qualified doctor is available in the team. A Medical Treatment Facility (MTF) provides primary health care, specialized first aid, triage, and resuscitation and stabilization. These include routine sick call and the management of minor sick and injured personnel for immediate return to duty, as well as casualty collection from the point of wounding and preparation of casualties for evacuation to the rear.

Role 2 It usually includes damage-control surgery and a limited holding facility for the short-term holding of casualties until they can be returned to duty or evacuated. The deployment of Role 2 MTFs is mission-dependent, and some Role 2 MTFs are structured with improved clinical capability. MTF is a structure that is capable of the reception and triage of casualties, as well as the capacity to perform resuscitation and treatment of shock to a higher level than Role 1.

Role 3 MTFs are designed to provide theater secondary health care within the restrictions of the theater holding policy. Role 3 medical support is deployed hospitalization and the elements required to support it. It includes a variety of mission-tailored clinical specialties including primary surgery and appropriate diagnostic support.

Role 4 MTF provides the full spectrum of definitive medical care that cannot be deployed to theater or is too time consuming to be conducted in theater. It typically includes definitive care specialists, surgical and medical procedures, reconstructive surgery and rehabilitation.

The MRTC activated in 2006, and is headquartered at the Maj. Gen. James Earl Rudder U.S. Army Reserve Center here.

The MRTC is comprised of three brigades: 1st Medical Training Brigade, Fort Gordon, Ga.; 2nd Medical Training Brigade, Salt Lake City, Utah and 3rd Medical Training Brigade, here, in additional to three Regional Training Support Medical sites. Each assists in providing realistic, synchronized, collective unit training events and medical exercises for medical units in preparation for worldwide deployment.