1. 1 I MEF Medical Crisis Response G. W. Jones M.D. Force Surgeon 1 st Marine Expeditionary Force

2. Oveview Medical Capabilities Advances in First Responder Care Medical Role in DSCA Gaps and Shortfalls UNCLASSIFIED2

3. Shock Trauma Platoon The STP provides emergency medical care for critically injured Coalition Forces including minor surgical procedures and blood transfusions. The STP can see 50 patients, 20% being critical without any resupply. 1 st MLG, 1 st Medical Battalion, Advisory Training Group

4. Shock Trauma Platoon The STP has 3-4 beds with each bed consisting of a team of 3 Corpsman, 1 ER Nurse, and 1 ER Physician. 1 st MLG, 1 st Medical Battalion, Advisory Training Group

5. Forward Resuscitative Surgery System The 8-man FRSS team consist of 2 surgeons, ( 2 general surgeon or 1 general surgeon and 1 orthopedic surgeon) 1 Anesthesiologist or Certified Registered Nurse Anesthetists, 1 Critical Care Nurse, 1 Independent Duty Corpsman, 2 Surgical Technicians (Corpsman), and 1 Corpsman (FMST).

6. Forward Resuscitative Surgery System The FRSS provides Role 2 surgical capabilities comprised of an 8 man team able to conduct 18 surgical cases within an 48 hour period without resupply. 1 st MLG, 1 st Medical Battalion, Advisory Training Group

7. Battlefield Advances STOP THE BLEEDING UNCLASSIFIED7

8. Fill The Tank UNCLASSIFIED8

9. Use of Blood Products Increase use of blood products Decrease use of fluids Equal use of RBC’s, platelets and plasma UNCLASSIFIED9

10. Improved Mortality UNCLASSIFIED10

11. San Francisco Fleet Week Incorporates DSCA Training STP/FRSS on Ocean Beach Medical Lecture Series at SF General Medical Training for First Responders UNCLASSIFIED11

12. DSCA Medical Support UNCLASSIFIED12

13. Medical Demonstration UNCLASSIFIED13

14. Future Initiatives Freeze Dried Plasma Artificial Blood Electronic Medical Records Portable Medical Equipment –Air, Sea, Vehicle UNCLASSIFIED14