Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 24/25.P.1.00

Description Period: 2024./25 academic year pavasara semestris

Study Course Accepted: -

Study Course Description

Military Medicine Fundamentals for Dentists

Main Study Course Information

Course Code
MMDG_001
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-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 4th year dental faculty 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.

Preliminary Knowledge

Human Molecular Biology; General Medical Chemistry; Medical Physics; Human Anatomy; English in Dentistry; Medical Biochemistry; Normal Physiology; Microbiology, Immunology, Virology; Pathology; Emergency Medicine; Internal Diseases with Propedeutics; Disaster Medicine; Toxicology and narcology; Infectious diseases; Psychosomatic medicine and psychotherapy, General surgery.

Learning Outcomes

Knowledge

1.Students will have the following knowledge: - basic theoretical and practical knowledge of the Military medicine, - standards of care, - modular approach to medical support and evacuation principles and its tasks in conditions of war, crise and peace, - criteria for physical and mental expertise and health assessment of military personal being recruited and already serving, - outpatient treatment in Military medical facilities, - role of the Military medicine in conditions of natural and human-caused crises.

Skills

1.Students will be able: - to adapt their own actions to the requirements of Military medicine; - to create a place of medical activities focusing on evaluation of individual’s health for fitness for military service and in war and crises conditions.

Competences

1.Students will be competent: - to use basic knowledge, argumentation and logic to analyse situations identified in Military medicine; - to discuss, to explain own opinion and constructively promote the achievement of professional goals and specific tasks in ensuring health of an individual (persons to be recruited or military persons) and civilians; - to cooperate with and within of Military medical unit in a professional way, including medical colleagues in the atmosphere full of respect, observing national interests and medical ethical standards, respecting human rights and ensuring epidemiological safety; - to demonstrate and develop themself as a future dental practitioner and health promoter in the context of MilMed.

Assessment

Individual work

Title
% from total grade
Grade
1.
Individual work
-
-
8 acad. hours. Students refer to the recommended and optional literature for each practical class; Identify unclear questions and problems. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.

Examination

Title
% from total grade
Grade
1.
Examination
-
-
The final assessment consists of 2 parts: 1. Clinical case (practical part, 60% from final grade), 2. Theory - MCQ Exam (on-line, "open-book", 60 MCQ, 60 min, 40% from final grade). The student must demonstrate: • understanding of the learned topics, • ability to solve problems in simulated clinical situations.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Introduction: History; Nature, purpose and responsibility of Medical support. Structure of NAF and Military medicine system; Civil and Military medicine interaction.

Annotation: Introduction: • History • Foundations of medical support • The nature of medical support • Purpose of medical support • Responsibility for the health of the forces • Fundamental principles of medical support • Structure of National Military Forces (NAF) and place of Military medicine in it. • Structure of NAF Military medicine system • Civil and Military medicine interaction and cooperation peace, crises and war conditions.
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2

  1. Military health care: Overview. Multinationality and medical support structures.

Annotation: Military health care: • Overview of allied joint military healthcare • Medical training of military and healthcare personnel • Clinical guidelines (different civilian and military) • Surgical care • Mental healthcare • Post-exposure prophylaxis Multinationality and medical support structures: • Aspects of multinationality • Multinational medical support • Barriers to achieving multinational cooperation • Multinational medical support option • Role of nations • Mutual support agreements • Multinational medical units • Host nation support
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2

  1. Standards of care

Annotation: Standards of care: • Casualty response • Clinical timelines • Continuous improvement in healthcare support on operations • Components of deployed health care • Medical command, control and communication and information systems • Medical logistics: long lines of communication and delivery, unpredictability, austere environments • Medical intelligence: general, intelligence requirements and requests for information • Force health protection • Nuclear, Bacterial, Chemical (NBC) contamination, protection methods • Medical capabilities
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2

  1. Modular approach to medical support.

Annotation: Modular approach to medical support: • Medical Treatment Facilities (MTF) • Role 1 - medical response capability • Role 2 - initial surgery response capability, blood transfusion • Role 3 - hospital response capability, MFS • Role 4 - definitive hospital response capability
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2

  1. Casualty Principle of Operation of Mass Injuries (MASCAL)

Annotation: Casualty Principle of Operation of Mass Injuries (MASCAL) • Hot Zone (Care Under Fire/Direct Threat Care) • Warm zone (Tactical Field Care/Indirect Threat Care) - Casualty Collection Point/Triage - MARCH-PAWS • Cold zone (Tactical Evacuation Care/Evacuation Care) • MIST report
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2

  1. Medical Evacuation.

Annotation: Medical Evacuation: • Basic principles of medical evacuation • Medical evacuation assets • Interdependence of evacuation and treatment • Evacuation priorities, triage • Medical regulation • Patient tracking • Hypothermia in evacuation • Maritime evacuation • Aeromedical evacuation
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2

  1. Combat Behavioural Health (BH).

Annotation: Combat Behavioural Health (BH): • exposure to traumatic events of all varieties • adjustment disorders • anxiety • depression • PTSD • Crisis situations, management
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2

  1. Modular approach to medical support (Role 1, Role 2), Ground evacuation.

Annotation: Modular approach to medical support: • Role 1 - medical response capability • Role 2 - initial surgery response capability Medical evacuation: • Ground evacuation
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3

  1. Combat physical and mental state evaluation and rehabilitation.

Annotation: Combat physical and mental state evaluation and rehabilitation principles: • Expertise: - Recruiting legal base - Patient flow analysis. • Outpatient dental treatment in MMC, principles. • Physical fitness to sustain or improve combat's ability to meet the demands of their military occupational specialties, duty assignments, and combat-specific tasks, injury prevention, operational medicine • Purposes and possible options of physical rehabilitation.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3

  1. Skill station – SMARCH algorithm block 1.

Annotation: Skill station – SMARCH algorithm blocks: • S-MARCH (CRAWL, WALK) • Massive haemorrhage
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3

  1. Skill station – SMARCH algorithm block 2.

Annotation: Skill station – SMARCH algorithm blocks: • Airways • Respiration
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3

  1. Skill station – SMARCH algorithm block 3.

Annotation: Skill station – SMARCH algorithm blocks: • Circulation
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3

  1. Skill station – SMARCH algorithm block 4. Work in simulated military reality. Debrief. Practical part of Exam.

Annotation: Skill station – SMARCH algorithm blocks: Warm/Cold zone – MARCH • Work in pairs: static military scenario w/legend in immersive reality room (CRAWL, WALK) • Debrief • Practical part of Exam
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3
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), o 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)

3.

Miguel A. Cubano, Frank K. Butler. Emergency War Surgery. 5th Edition, Borden Institute US Army Medical Department Center and School Health Readiness Center of Excellence Fort Sam Houston, 2018