Veidlapa Nr. M-3 (8)
Study Course Description
Military Medicine Fundamentals for Health Care Specialists
Course Code
MMDG_002
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Medical Services; Midwifery; Nursing Science; Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Vladimirs Voicehovskis
Structure Unit Manager
Vladimirs Voicehovskis
Structural Unit
Military Medicine Lecturer Group
Contacts
Riga, Dzirciemu iela 16, LV-1007, rsu@rsu.lv
About Study Course
Objective
The purpose of the course is to provide for civil Health Care specialities students basic theoretical and practical knowledge of the: - military medicine, - standards of care, - modular approach to medical support, - evacuation principles, - SMARCH algorithmes, - to introduce its tasks in conditions of war, crise and peace, - emphasise the role of the Military medicine in conditions of natural and human-caused crises.
The course will familiarise students with: - criteria for physical and mental expertise and health assessment of military personal being recruited and already serving (Fit for Service), - will introduce to outpatient treatment in Military medical facilities, - principles of rehabilitation.
Preliminary Knowledge
Biology, Human Anatomy, Normal Physiology, Emergency Medicine.
Learning Outcomes
Knowledge
1.Students will acquire and be able to apply theoretical and practical basic knowledge to MilMed: • MilMed care standards, • a modular approach to medical support, • evacuation principles, • Tasks of MilMed in the face of war, crisis and peace, • principles of rehabilitation, • The role of MilMed in natural and man-made crises. As a result of the completion of the study course, the student will be able to provide tactical healthcare to the victim professionally and according to the situation at the pre-hospital stage, operating in military and civil military conditions in all three hazard areas.
Skills
1.Students will be able to: • adapt their actions to the requirements of MilMed, in case of their involvement in the tasks of MilMed; • participate in the creation of a MilMed activity site, in times of war and crisis. Student understands the principles, phases and uses of TCCC (tactical Combat Casualty care) in the military and Civil military context. Is familiar with the possibilities of medical solutions, medicines and materials, their application in different situations. Has knowledge of COMPONENTS of the MARCH-PAWS algorithm (Massive bleeding. Airways. Breathing. Circulation. Shock. Hypothermia. Head injuries. Eye injuries. Sickening. Antibiotics. Wounds. Burns. Fractures. Observation).
Competences
1.Students will be competent: • use basic knowledge, reasoning and logic when analyzing situations identified by MilMed; • discuss, explain and constructively promote the achievement of professional objectives and specific tasks, in ensuring the health of the individual; • work professionally with the MilMed unit, including medical colleagues in a respectful atmosphere, respecting national interests and medical ethical standards, respecting human rights and ensuring epidemiological safety; • demonstrate and improve yourself as a future medical practitioner and health promoter in the context of MilMed.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Student should demonstrate: • an independent understanding of the learned topics in fulfilling the assigned tasks • the ability to solve problems in fulfilling simulated clinical situations. In order to evaluate the quality of the study course as a whole, the student must complete the study course evaluation questionnaire on the student portal. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
10 points
|
|
Final assessment consists of 2 parts: 1. Clinical case (practice with dummy), during the last practical class. 2. Online MCQ exam (60 MCQ, 60 min) at the end of term. |
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction:
• History;
• Basics of the military medical system;
• The nature of the military medical system;
• Purpose of medical support;
• Basic principles of medical support;
• The structure of the National Armed Forces (NBS) and the place of military medicine in it;
• Structure of the NBS Military Medical System;
• Cooperation between civil and military medicine in peace, crisis and war.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Military Health Care Review;
Multinationality and its impact in medical support structures.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Standards of care. Medical capabilities in an NBC/CBRN environment.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
A modular approach to medical support.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Operating principles for mass casualty incidents (MASCAL).
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Medical evacuation.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Mental health of soldiers. Crisis situations, management.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
A modular approach to medical support. Medical evacuation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Soldier's physical training, injury prevention. Objectives and possibilities of physical rehabilitation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
• S-MARCH (CRAWL, WALK);
• Massive bleeding.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
• Respiratory tract;
• Breathing.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
• Circulation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
"Warm" / "cold" zone - MARCH
• Work in pairs: static scenario with legend in simulated military reality (CRAWL, WALK);
• Discussion.
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (OSCE)
PART-TIME
Part 1
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction:
• History;
• Basics of the military medical system;
• The nature of the military medical system;
• Purpose of medical support;
• Basic principles of medical support;
• The structure of the National Armed Forces (NBS) and the place of military medicine in it;
• Structure of the NBS Military Medical System;
• Cooperation between civil and military medicine in peace, crisis and war.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Military Health Care Review;
Multinationality and its impact in medical support structures.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Standards of care. Medical capabilities in an NBC/CBRN environment.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
A modular approach to medical support.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Operating principles for mass casualty incidents (MASCAL).
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Medical evacuation.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Mental health of soldiers. Crisis situations, management.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
A modular approach to medical support. Medical evacuation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Soldier's physical training, injury prevention. Objectives and possibilities of physical rehabilitation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
• S-MARCH (CRAWL, WALK);
• Massive bleeding.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
• Respiratory tract;
• Breathing.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
• Circulation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Skills station – SMARCH algorithm blocks:
"Warm" / "cold" zone - MARCH
• Work in pairs: static scenario with legend in simulated military reality (CRAWL, WALK);
• Discussion.
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (OSCE)
Bibliography
Required Reading
1.
NATO Int.: AJ P-4.1 O(A) Allied Joint Medical Support Doctrine: - Chapter 1: Fundamentals of Medical Support, pp.: 1-1 to 1-8; 1-22 to 1-26; - Chapter 2: Organization of Medical Support, pp.: 2-1 to 2-7; 2-8 to 2-22; - Chapter 3: Medical Support Related Responsibilities and Authorities, pp.: 3-1; 3-7 (Starting with timelines) to 3-12; 3-16 to 3-23.
2.
Joint Trauma System (JTS) Clinical Practice Guideline (CPG) Damage Control Resuscitation
3.
TECC: Tactical Emergency Casualty Care Course Manual. 2nd edition, 2019.
4.
TCCC: Tactical Combat Casualty Care
Additional Reading
1.
US Army: ATP 4-02.4 Medical Platoon - Army Publishing Directorate (Role 1): - pp. 1-3, 1-19, 1-20 (Capabilities of the Medical Platoon); - pp. 1-36 – 1-58 (Employing the Medical Platoon); - pp. 3-15 – 3-29 (Support to the Defense); - pp. 5-12 – 5-70 (Chemical, Biological, Radiation, Nuclear).
2.
Joint Trauma System (JTS) Clinical Practice Guideline (CPG) Prehospital Blood Transfusion.
3.
JTS CPG CBRN Injury Response Part 1 and 2
4.
JTS CPG Hypothermia Prevention Monitoring and Management
Other Information Sources
1.
Gregory R. Ciottone. Ciottone’s Disaster Medicine. 2nd edition, Elsevier, 2016
2.
Clinical Practice Guidelines (CPGs)