Accession Number : AD1039843


Title :   A Joint Force Medical Command is Required to Fix Combat Casualty Care


Descriptive Note : Technical Report


Corporate Author : U.S. Army War College Carlisle Barracks United States


Personal Author(s) : Nessen,Shawn C


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1039843.pdf


Report Date : 05 Oct 2017


Pagination or Media Count : 51


Abstract : The Military Health System (MHS) is required to provide medical operational forces for military and contingency operations while also providing services that maintain a healthy military force while also caring for a beneficiary population of over 9 million military personnel, dependents, and retirees. The relationship of these competing missions is to some degree adversarial. The most obvious example of the competition between the beneficiary and operational missions is the U.S. Army's Professional Filler System that assigns medical personnel required by operational units to hospitals and clinics while secondarily assigning them to deployable units. This system curtails effective mission command in operational units and severely degrades the MHS ability to provide timely support of joint forcible entry or other contingencies requiring rapid response. Further, the complexity and cost of the beneficiary mission results in prioritization of beneficiary care over the operational medical mission. Finally, the worsening of surgical outcomes in Afghanistan and Iraq, as compared to the Vietnam War, may be related to the lack of a command entity responsible and accountable for battlefield medical outcomes and indicates a Joint Forces Medical Command is required. Medical readiness, specifically the training of those personnel who deliver trauma and surgical capabilities, requires a command hierarchy responsible and accountable for battlefield healthcare with authority to ensure medical forces are prepared to support combat operations.


Descriptors :   combat casualty care , Military medicine , delivery of health care , patient care management , military hospitals , patient care , health care , combat support hospitals , lessons learned , military personnel , combat operations , combat support


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE