Medicine and War: Part Two

09/15/2014

07/15/2014: This second video in a three-part video series looks at how medical advances that began 100 years ago are still used today, by both military and civilian hospitals.

It asks medical, military and history experts whether dealing with today’s combat injuries– such as IED strikes and post traumatic stress disorder (PTSD) – were influenced by treatment of injuries such as shellshock 100 years ago.

 It also highlights how technology is now on the frontline of medical treatment but asks: is today’s problem that there aren’t enough medical personnel to operate the technology?

 As the 100th anniversary of World War I approaches, NATO Review magazine asks: if any good came out of the carnage of the ‘Great War’, was it advances in medicine?

 Credit:Natochannel:6/24/14

Also watch the following:

USS America at Sea

09/13/2014

09/13/2014: In this slideshow, various aspects of the USS America training its crew and working with allies are highlighted.

Two tiltrotor MV-22 Osprey, assigned to the “Argonauts” of Marine Operational Test and Evaluation Squadron (VMX) 22, transport distinguished visitors from Trinidad and Tobago to the future amphibious assault ship USS America (LHA 6).

Credit: USS America:September 2014

  • In photo 2, Aviation Electronics Technician 3rd Class Trevor Vindelov, assigned to the “Blackjacks” of Helicopter Sea Combat Squadron (HSC) 21, performs a corrosion inspection on a MH-60S Seahawk helicopter in the hangar bay of future amphibious assault ship USS America (LHA 6).
  • In photos 3-5, a Brazilian S-70B Seahawk helicopter departs the flight deck of future amphibious assault ship USS America (LHA 6) during deck landing qualifications (DLQs) as part of a training partnership between the Brazilian and U.S. navies.
  • In photo 6, a Brazilian EC-725 Cougar helicopter prepares to land on the flight deck of future amphibious assault ship USS America (LHA 6) during deck landing qualifications (DLQs) as part of a training partnership between the Brazilian and U.S. navies.
  • In photo 7, Marines assigned to Combat Cargo Department aboard future amphibious assault ship USS America (LHA 6) prepare cargo on the flight deck for transport, during a vertical replenishment (VERTREP) qualifying evolution.
  • In photo 8, Marines assigned to Combat Cargo Department aboard future amphibious assault ship USS America (LHA 6) clear the area after attaching cargo to an MH-60S Seahawk helicopter, assigned to the “Blackjacks” of Helicopter Sea Combat Squadron (HSC) 21, during a vertical replenishment (VERTREP) qualification evolution.
  • In photo 9, Marines assigned to Combat Cargo Department aboard future amphibious assault ship USS America (LHA 6) attach cargo to an MH-60S Seahawk helicopter, assigned to the “Blackjacks” of Helicopter Sea Combat Squadron (HSC) 21, during a vertical replenishment (VERTREP) qualification evolution.
  • In photo 10, an aviation boatswain’s mate (handling) directs an MH-60S Seahawk helicopter, assigned to the “Blackjacks” of Helicopter Sea Combat Squadron (HSC) 21, to maintain its elevation as Marines assigned to Combat Cargo Department clear the area after attaching cargo during a vertical replenishment (VERTREP) qualification evolution aboard future amphibious assault ship USS America (LHA 6).
  • In photo 11, Interior Communications Electrician 2nd Class Allen Trent, assigned to future amphibious assault ship USS America (LHA 6), uses a multimeter to test continuity on a pier-to-ship telephone connection box in the IC repair shop.
  • In photo 12, Chief Personnel Specialist Daniel Peters reads testing instructions to participants of the Navywide advancement examination for petty officer second class, on the mess decks of future amphibious assault ship USS America (LHA 6).

For an overview on the USS America and its capabilities see the following:

http://sldinfo.wpstage.net/wp-content/uploads/2014/08/USS-America.pdf

 

 

 

 

 

 

Medicine and War: From World War I to Today

09/12/2014

09/12/2014: This first video in a three-part video series looks at how medical advances that began 100 years ago are still used today, by both military and civilian hospitals.

It asks medical, military and history experts whether dealing with today’s combat injuries– such as IED strikes and post traumatic stress disorder (PTSD) – were influenced by treatment of injuries such as shellshock 100 years ago.

 It also highlights how technology is now on the frontline of medical treatment but asks: is today’s problem that there aren’t enough medical personnel to operate the technology?

 As the 100th anniversary of World War I approaches, NATO Review magazine asks: if any good came out of the carnage of the ‘Great War’, was it advances in medicine?

 Credit: Natochannel:6/24/14

According to the NATO Review:

At the outset of World War I, military medicine was designed around field hospitals and casualty clearing stations behind the fighting lines, with a link to transportation of wounded away from the front. It was clear to all that patients had to be brought to the hospitals as soon as possible and treatment had to start earlier than upon arrival.

With the invention of the field ambulance to transport wounded away from battlefields in the Napoleonic Wars of the early nineteenth century, a start had been made with frontline medicine. This was improved in WWI by bringing hospital care further forward, experimenting with blood transfusion and further developing a system of patient evacuation.

Today we see a tremendous emphasis on starting treatment early at the scene of wounding and improving the speed of transportation. Battlefield healthcare is bringing prevention, surgical procedures and stabilization of wounded to the frontline. Timelines for transportation are used to start treatment within 10 minutes and bring each wounded soldier the needed medical attention within an hour.

Since WWI, the perception of life and health has transformed from collective to a much more individual focus. This is also reflected in expectations of deployed forces, where military medicine is no exception.

For example, starting with the Vietnam War, US soldiers who died in combat were no longer buried locally, but brought home. Families now demand the best outcome of care for their military; soldiers need to count on optimal care for morale. Commanders focus more on protection, military health care aims to save life, prevent disease and restore abilities.

Military medicine is now no longer a logistic function (of transporting wounded), but has become a societal function, reflecting these improvements. In particular over the last 30 years, health care (including in the military) has become an important player in society, providing a huge number of jobs and playing a key economic role.

It is also a game changer: health care providers from the military, international organizations and non-governmental organizations, are concerned that they can also often be a target for opposing forces. It has become an operational and strategic influential element.

Another major change is that whereas during WWI, health care was a purely national function, today’s military health care is very multinational.

The field-hospitals of ISAF in Afghanistan are often manned by seven different nationalities, and they provide not only care to their own military, but also to all coalition forces, local citizens and – if needed – to the wounded of the opposing force.

That creates a different role, where multinational cooperation, language, standardized procedures, mutual trust, security, etc have driven the way we work today

Also watch the following:

The Afghan Trucking System Feeds the Grid

09/12/2014: To operate ground forces in Afghanistan, a very large logistics structure has been put in place over time.

Various forms of transport, ground, air and sea provide inputs. 

The Afghan trucking system linked with external routes into Afghanistan is an important part of the grid.

Credit Video: American Forces Network Afghanistan:9/10/14

For example, look at the following highlights by one provided of trucking services in the Afghan operations, Vanquish Worldwide:

Vanquish Worldwide provides a secure, timely and reliable means of distributing reconstruction material, security equipment, fuel, miscellaneous dry cargo, and life support assets throughout the Combined/Joint Operations Area-Afghanistan (CJOA-A) to and from Forward Operating Bases and Distribution Sites. Since September of 2011, Vanquish has been assigned over 12,500 missions on the NAT contract.

To date we have distributed more than 6.8 million liters of fuel in support of this contract utilizing our fleet of 5,000 and 10,000 gallon fuel tankers. In addition, Vanquish Worldwide has delivered over 20,000 tons of dry goods and 15,000 tons of heavy equipment across Afghanistan managing and maintaining a fleet of over 1260 trucks.

We provide all services, including but not limited to, personnel, materials, supervision, and other items necessary to perform NAT requirements. Services include the secure ground transportation of Class I, II, III, IV, VI, VII, VIII, IX, X and multi-class cargo throughout Afghanistan. We provide shipping containers as well as all management and logistics support resources necessary to pick up material and equipment at origin and deliver to destination on the dates required by the United States Government (USG).

We ensure the integrity and safety of materials and equipment being transported and provide armed security escorts for all missions, unless otherwise specified by the USG. Vanquish Worldwide has zero “No Go” areas within the CJOA-A; our clients trust us to transport their valuable assets and materials to specified locations in the most dangerous areas in country.

Our convoy management services are integrated into the Afghanistan movement control system using Global Database Management System (GDMS)/Tapestry to achieve theatre-wide ground movement visibility across Afghanistan and maintain In-Transit Visibility (ITV) at all times. Vanquish provides 24/7 continuous convoy management at our Tactical Operations Center which includes 100% asset tracking of trucks, containers, reefers, and fuel from start to finish.

Vanquish Worldwide provides certified full-time mechanics, parts, tools and equipment required to perform scheduled preventative and unscheduled maintenance and repairs on our vehicle fleet. Our trained mechanics are able to recover down vehicles, evaluate and perform necessary repairs either en route, or at one of our maintenance facilities throughout Afghanistan. In addition, our personnel provide facility system and generator support at our Afghan villa, which contains our Tactical Operations Center, office space and living quarters.

We are solely responsible for ensuring all equipment and satellite connections are in full working order to track trucking assets, communicate with drivers, and maintain established remote service locations with dedicated IT support for very small aperture terminal (VSAT), voice over Internet Protocol (VOIP), and GDMS.

To ensure our success, Vanquish Worldwide brings all of our management, logistics and transportation skills that we have gained from executing previous Host Nation Trucking (HNT) and Ministry of Interior (MOI) transportation contracts to the complex contract of NAT. As a prime contractor on NAT, Vanquish manages all aspects of project coordination and management, contract compliance, procedures, manpower, logistics, and administrative actions.

http://www.govanquish.com/projects/national-afghan-trucking-nat-contract-to-support-the-us-government/

 

 

 

Steadfast Javelin II Canadian Air Assault

09/10/2014

09/10/2014: Night vision footage of Royal Canadian Regiment soldiers loading into U.S. Army CH-47 Chinook helicopters and conducting an air assault operation.

Steadfast Javelin II is a NATO exercise involving over 2,000 troops from 10 nations, and takes place across Estonia, Germany, Latvia, Lithuania and Poland.

The exercise focuses on increasing interoperability and synchronizing complex operations between allied air and ground forces through airborne and air assault missions.

Credit:55th Combat Camera:9/7/14

According to a story by Spc. Michael Crawford ( USARC) published 9/5/14:

LIELVARDE, Latvia – Generals and ambassadors from NATO nations, troops and media gathered to watch U.S., Canadian and Italian paratroopers conduct a night-time joint forcible-entry exercise as part of Steadfast Javelin II late Sept. 5.

Steadfast Javelin II is a NATO exercise involving over 2,000 troops from 10 nations, and takes place across Estonia, Germany, Latvia, Lithuania and Poland.

The exercise focuses on increasing interoperability and synchronizing complex operations between allied air and ground forces through airborne and air assault missions.

“By definition, if you are in an alliance you need to train as an alliance with all the members of the alliance, because if you don’t do that you’re not going to be interoperable, you’re not going to be effective and you’re not going to be able to deliver your mission,” said British Lt. General Ed Davis, deputy commander of NATO’s Allied Land Command.

“Exercises such as Steadfast Javelin II are absolutely essential to the operational readiness of NATO and all the nation forces in it.”

Earlier in the week, air and ground forces gathered at Ramstein Airbase in Germany to begin days of planning, rehearsals and the loading of equipment and paratroopers necessary to complete the mission.

“We don’t know where we’re going to go to next – what operation, what mission or what crisis is going to pop up around the world. We do know that we’re not going to deploy there alone; we’re going to deploy with our allies, and if we’re going to deploy together then we’ve got to train together,” said Maj. Gen. Walter Piatt, deputy commanding general of U.S. Army Europe, a native of Somerset, Pennsylvania.

“We train very hard, because when we’re needed, our nations aren’t going to ask us if we’re ready; they’re going to expect it. We’re ready.”

Approximately 500 paratroopers dropped from U.S. Air Force C-130 aircraft over Lielvarde Airbase, quickly consolidating and clearing the airfield of enemy air defense and forces.

Once the allied ground-force commander, Col. Michael Foster, brigade commander of the U.S. Army’s 173rd Airborne Brigade, declared the runway open, additional C-17 aircraft brought in Stryker armored vehicles from the U.S. 2nd Cavalry Regiment.

Simultaneously in Lithuania, approximately 160 paratroopers from the allied force conducted a similar airborne operation, dropping paratroopers and heavy equipment such as 105mm Howitzer artillery to seize secondary objectives. Combined with air-assault raids taking place across Poland, Latvia and Lithuania, the exercise showcased a combined effort by NATO air and ground troops.

“Interoperability means … we can work together, that we understand each other, that we have the same procedures and tactics and we practice it together,” said German Gen. Hans-Lothar Domroese, commander of NATO Joint Force Command Brunssum. “This exercise is so important to maintain the high standard of interoperability.

Tonight, we have seen Soldiers from 10 nations working together, and the results were perfect. Tonight, it would not have been possible without those elements from Italy, Latvia, Germany, Poland and all the other nations to be successful.

I’m convinced, as a NATO officer, together we can achieve great things; NATO is an alliance of 28 nations, and they guarantee the protection and integrity of the territory. Steadfast Javelin II shows we have the capability to train and exercise and also ensure the alliance is prepared to defend its territory and their people. That’s a strong signal; you can rely on NATO.”

That signal has been heard by the host nation.

“Such exercises are very important for us; it gives signal to our society that we are not alone,” said Raimonds Vejonis, Latvian minister of defense.

“We are together with our partners here.” Alongside strong signals to the citizens of NATO nations, Steadfast Javelin II has taught NATO militaries valuable lessons about each other.

“The alliance is very strong, as it has demonstrated this evening with this exercise,” said Piatt.

“These Soldiers have been up here, built relationships with Latvian forces … for months. We live here … to build these relationships, to build strong friendships, so when we have to deploy we’re not meeting each other for the first time.”

In addition to participating in Steadfast Javelin II, approximately 600 paratroopers from the 173rd Airborne Brigade, based in Vicenza, Italy, are spread throughout Estonia, Latvia, Lithuania and Poland for Operation Atlantic Resolve to demonstrate commitment to NATO obligations and sustain interoperability with allied forces.

Over the course of several days, paratroopers will use the airfield at Lielvarde to launch air-assault raids and offload equipment, demonstrating the capability of NATO troops to gain strategic access and rapidly build and project combat power.

 http://www.army.mil/article/133236/

According to Russian sources, the exercise is counter productive.

The Russian Foreign Ministry said the new force would sabotage the fragile peace process in eastern Ukraine.



“Together with the rhetoric at the summit, and the planned military exercises before the end of the year, this will increase tension, destabilization the nascent peace process, and further widen the division in Ukraine,” the ministry’s statement said. 



As tensions remain high in Ukraine, a US Navy destroyer, a Canadian frigate and, reportedly, a French frigate have entered the Black Sea.

A Spanish warship is reportedly on its way there as well.

 http://rt.com/news/185692-nato-military-drills-latvia/

 

 

Steadfast Javelin II Exfiltration Operation: Inserting Canadian Forces into the Baltics

09/10/2014: A C-130H Hercules aircrew from the 142nd Airlift Squadron, Delaware Air National Guard, transports U.S. and Royal Canadian Army paratroopers for an airfield seizure operation at Lielvarde Air Base, Latvia as part of Steadfast Javelin II, September 5, 2014.

Steadfast Javelin II is a NATO exercise involving over 2,000 troops from nine nations, and takes place across Estonia, Germany, Latvia, Lithuania and Poland.

The exercise focuses on increasing interoperability and synchronizing complex operations between allied air and ground forces through airborne and air assault missions.

 

Credit:3rd Combat Camera Squadron:9/7/14

NATO Baltic Air Policing Mission

09/09/2014

09/09/2014: Royal Air Force No 135 Expeditionary Air Wing (EAW) has formally handed over the role of supporting nation in the Baltic Air Policing (BAP) mission to the Royal Canadian Air Force, the United Kingdom’s Ministry of Defence says.

 Credit:Natochannel:9/5/14

More from their news release:

The handover ceremony marked the conclusion of the four month deployment of four RAF Typhoon fighter aircraft that have been providing reassurance to the UK’s allies in the region.

Over the past 10 years the BAP mission has seen NATO allies deploy air defence aircraft to secure NATO’s airspace over the Baltic nations of Latvia, Estonia and Lithuania.

Additionally, the role of lead nation was handed over from the Polish Air Force to the Portuguese Air Force.

The British Ambassador to Lithuania, His Excellency David Hunt said:

The deployment of the RAF Typhoons has been seen as an act of solidarity during a period of genuine insecurity in Lithuania’s Eastern neighborhood. Our bilateral relationship is already close but the RAF’s augmentation of BAP has added another dimension to our growing defense cooperation.

http://ottawacitizen.com/news/national/defence-watch/raf-hand-over-baltic-air-policing-mission-to-rcaf

NATO Baltic Air Policing mission video includes shots of Canadian CF-18 and Dutch C-130.