The Art of Combat Medicine: Prolonged Casualty Care Unpacked Part 2 (Ep. 14)
Off the Radar, Special Operations Training DetachmentShow Notes
This is part two of a three-part conversation with SFC Mondrian Bogert (or Mo) discussing Special Forces approach to prolonged casualty care in austere and resource constrained environments during a Large-Scale Combat Training scenario emphasizes multi-domain operations (land, air, space, cyberspace, information, and human) at the National Training Center (NTC).
SFC Bogert is an Observer Coach / Trainer (OC/T) on the the Burro Team; Special Operations Training Detachment AOB-W at Fort Irwin and NTC. SFC Bogert has over 16 months experience as an SOF (SF) OC/T, he has planned, resourced, coordinated, and supervised the execution of multiple prolong casualty care scenarios at NTC. Mo shares his experiences observing and supervising the execution of prolonged casualty care at NTC. Highlighting insights on how what prolong casualty care might look like in LSCO, the differences in planning and approach to MASCAL versus prolonged casualty care, and recommendations on how to prepare for an upcoming CTC rotation.
SFC Bogert is the type of OC/T that wants to see the training unit improve and he consistently goes above and beyond during rotation and outside of rotation to train Soldiers both in and outside of ARSOF. The Off the Radar team want to thank Mo for his time, dedication to the profession, and willingness to help improve the force through sharing the lessons he learns as an OC/T.
About the Host:
CPT Weston Rich is a member of SOF Plans at the NTC and former member of Burro Team, the Special Operations Training Detachment OC/T Team at NTC. Prior to his time at NTC, Weston served as a Detachment Commander with 1st SFG (A) and as an Infantry Officer with 3-509th IN (ABN)/4/25 ID (now part of 2/11 ABN DIV). Following his time at NTC, Weston will attend Carnegie Mellon University with a follow-on assignment to Army Futures Command.
This episode covers:
- medical planning including examples of PACE (primary, alternate, contingency, emergency) plans. Blood PACE, who from the team or partner force are you pulling blood from. Where in country X can you secure medical supplies when needed? Midwives, animal husbandry services, etc.
- Cross training for the Detachment and for your partner force. Layering medical training into other training. SOPs for simple things like place of tourniquets.
- what does a rotation at NTC look like from the medical perspective. Recommendations on medical load out: personal aid bag, truck bag, MASCAL bag, pro-longed field care bag, contingency kits (crush kit, burn kit, envenomation kit, etc). Recommendations on equipment and medicine to bring. Consider your partner force as well as the Detachment.
- Medical field craft – functional tourniquet, stretchers, etc.
- personnel management in MASCAL and pro-longed field care. The moral dilemma of discontinuing treatment on a casualty that will not make it to save another casualty or discontinuing treatment based on limited resources.
- medical load out and sustainment balanced with load out and sustainment of the other MOSs and war fighting functions
- detailed medical planning, developing a medical common operation picture (what does SOF have, what does the conventional force have, what does the partner force have, what exists in the environment / with the local population)
- medical overmatch. Know what phase you are in and understand how to bring medical overmatch or mitigate the adversaries overmatched in critical moments in time and space on the battlefield.
- approach as a observer coach trainer overseeing pro-longed casualty care. Ensuring the 18D, special forces medic, understands the basics of medical treatment and resource management.
Please like, subscribe, and share these episodes with ARSOF any conventional Soldiers and Leaders to spread the knowledge of ARSOF in LSCO.
To provide feedback please email the host, CPT Rich, at [email protected].
Produced, edited, and sound engineering by Micah Popp of Salty Sounds
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