Training SEAL Combat Medics and Corpsmen by Petty Officer 2nd Class Matthew C. Duncker Naval Special Warfare Group ONE
September 3, 2020
The Navy SEAL ethos states that it demands discipline and expects
innovation; a teammate’s life, as well as the success of the mission
depends on technical skill, tactical proficiency and attention to
detail. Training is never complete. This is especially true for
combat medics.
A combat medic’s skills must be continuously
practiced and maintained at the highest level. High-intensity
training promotes and nurtures opportunities for skill advancement
and sustainment which translates to lives saved on the battlefield.
August 6, 2020 - A Special Operator (SO) treats a medical dummy for simulated injuries during a Tactical Combat Critical Care (TCCC) and Prolonged Field Care (PFC) training evolution held at Strategic Operations. The evolution was part of a week-long training course held by Naval Special Warfare Group 1 Operational Medical Training Cell for SO medics and independent duty Hospital Corpsmen to practice and develop TCCC and PFC training. (U.S. Navy photo by Petty Officer 2nd Class Matthew C. Duncker)
|
Answering the call from deck-plate leadership for more medical
training, Naval Special Warfare Group (NSWG) 1’s newly established
Tactical Medical Cell (TMC) developed an advanced combat medicine
course of instruction. The course covers Tactical Combat Casualty
Care (TCCC) and Prolonged Field Care (PFC) and provides training to
an integrated team of SEAL medics and augmented independent duty
corpsmen (IDC).
TMC Training Director Cmdr. Levi Kitchen
believes that this course will help to ensure SEAL medics and IDCs
are proficient in the latest combat medical concepts aimed to limit
preventable combat trauma death.
“To my knowledge, there is
no training like this within NSW that is organically sourced amongst
Department of Defense (DoD) components,” said Kitchen. “There are
courses similar to this, but they are generally contracted out with
a heavy price tag. Though labor intensive for the NSWG-1 TMC, we
provide advanced training for a fraction of the cost.”
Kitchen added that the TMC is uniquely positioned to provide this
excellent training because the unit has the support of its leaders
in addition to the use of one of the largest military medical
centers in the world.
The weeklong training, held at Naval
Medical Center San Diego (NMCSD) BioSkills & Simulation Training
Center focuses on TCCC which was initially developed by Dr. Frank
Butler, a former Navy SEAL officer, in 1996. Hoping to reduce
preventable combat trauma deaths, Butler developed research
protocols and examined combat trauma experiences to find where
medicine had fallen short in saving lives on the battlefield.
After identifying areas for improvement, a curriculum was
developed and utilized by Special Operations Forces (SOF) personnel
beginning in 1997. It has since grown into a DoD-wide training
curriculum.
PFC is an extension of TCCC concepts and designed
to care for combat casualties in austere locations without available
medical evacuation resources – a scenario not uncommon to SOF.
Special Warfare Operator 1st Class Noel Sons is the TMC tactical
medical lead. Sons states that from his experience in SOF medicine,
the best possible outcome in SOF medicine is a result of dedicated
and diverse teams of medical professionals working in close
partnership with SEAL medics and IDCs.
“Cmdr. Kitchen and I
developed the TMC program to be an example of the proud NSW
tradition of persistence, perseverance, and excellence under
challenging conditions,” said Sons.
According to Chief
Special Warfare Operator Dave Dillehay, the TMC leading chief petty
officer, SEAL medics are often cross-trained in different
specialties such as sniper or breacher. The time available for
specific medical training is limited or difficult to obtain due to
the cost and logistics involved.
“This week is protected time
specifically focused on combat trauma without the distractions of
other roles and responsibilities,” said Dillehay. “The training via
NSWG-1 puts the combat medics and IDCs in direct contact with a
subject matter expert (SME) in combat trauma medicine by utilizing
the extensive resources of NMCSD.”
The course is
strategically placed at the end of the Inter-Deployment Training
Cycle to provide a high-fidelity combat medical refresher prior to a
SEAL team’s deployment.
The first three days of training
employ the didactic method of learning and build upon the strong
foundational knowledge of the combat medics and IDCs. Lectures are
facilitated by SMEs from trauma surgery, orthopedic surgery,
emergency medicine, otolaryngology, anesthesia, and general surgery.
Additionally, time is spent in simulation and cadaver labs
practicing TCCC and PFC techniques.
Kitchen notes that this
training allows for the integration of IDCs into medical treatment
teams with medics.
August 6, 2020 - Special Operators (SO) perform a simulated tracheal intubation on a role-player during a Tactical Combat Critical Care (TCCC) and Prolonged Field Care (PFC) training evolution held at Strategic Operations. The evolution was part of a week-long training course held by Naval Special Warfare Group 1 Operational Medical Training Cell for SO medics and independent duty Hospital Corpsmen to practice and develop TCCC and PFC training.(U.S. Navy photo by Petty Officer 2nd Class Matthew C. Duncker)
|
“IDCs and SEAL medics have completely separate training
pipelines, rarely do they interact in a training environment which
can lead to confusion with roles, responsibilities and capabilities
in the operational environment,” said Kitchen. “By focusing this
course on a SEAL team’s medics and IDCs, they are able to train
together and become a fully integrated medical treatment team.”
The fourth day is the capstone of the week’s training. SEALs and
IDCs are involved in realistic scenario training at Strategic
Operations, a combat medical training facility in San Diego.
“The capstone event provides simulated environments in
order to fully immerse the students and allow them to use the skills
and training received throughout the course,” said Sons.
“Environments range from naval vessels and a crashed helicopter to a
medical trauma center. Realism is added with explosions, sounds of
gun fire, and role-players that utilize prosthetics and fake blood
to simulate realistic combat injuries.”
The fifth and final
day is conducted in small groups and covers controlled substance
inventory, authorized medical allowance list refresher, advanced
ultrasound.
Kitchen believes that in the current medical
climate, developing in-house training for NSW combat medics and IDCs
is crucial. The course is the first step of a training program which
includes special operations diving medicine, whole blood
transfusion, and high fidelity combat casualty scenarios
interspersed throughout the training cycle.
“At a time when
training is being cancelled or becoming untenable due to restriction
of movement (ROM) requirements, we are able to produce an extremely
high quality, locally sourced product thereby reducing the risk of
COVID-19 and the associated ROM requirements for course attendees,”
said Kitchen.
In providing regular local training classes and
simulated environments, NSWG-1’s TMC has created a program that,
despite constrained timelines and a global pandemic, allows for
combat medics and IDCs to remain fully prepared to care for combat
casualties. With continued support, TMC will further develop a
robust training program that will measure its continued success in
lives saved on the battlefield.
Naval
Special Warfare Center | U.S. Navy
|
U.S. Navy Gifts |
U.S.
Department of Defense
Our Valiant Troops |
Veterans |
Citizens Like Us
|
|