1. 2015 BATAAN MEMORIAL DEATH MARCH WHITE SANDS MISSILE RANGE, NEW MEXICO MARCH 20-23, 2015 The Bataan Memorial Death March is a challenging march through the high desert terrain of White Sands Missile Range, conducted in honor of the heroic service members who defended the Philippine Islands during World War II, sacrificing their freedom, health and, in many cases, their very lives.

2. THE BATAAN MEMORIAL DEATH MARCH HONORS A SPECIAL GROUP OF WORLD WAR II HEROES. THESE BRAVE SOLDIERS WERE RESPONSIBLE FOR THE DEFENSE OF THE ISLANDS OF LUZON, CORREGIDOR AND THE HARBOR DEFENSE FORTS OF THE PHILIPPINES. THE CONDITIONS THEY ENCOUNTERED AND THE AFTERMATH OF THE BATTLE WERE UNIQUE. THEY FOUGHT IN A MALARIA-INFESTED REGION, SURVIVING ON HALF OR QUARTER RATIONS WITH LITTLE OR NO MEDICAL HELP. ON APRIL 9, 1942, TENS OF THOUSANDS OF AMERICAN AND FILIPINO SOLDIERS WERE SURRENDERED TO JAPANESE FORCES. THE AMERICANS WERE ARMY, ARMY AIR CORPS, NAVY AND MARINES. AMONG THOSE SEIZED WERE MEMBERS OF THE 200 TH COAST ARTILLERY, NEW MEXICO NATIONAL GUARD. THEY WERE MARCHED FOR DAYS IN THE SCORCHING HEAT THROUGH THE PHILIPPINE JUNGLES. THOUSANDS DIED. THOSE WHO SURVIVED FACED THE HARDSHIPS OF A PRISONER OF WAR CAMP.

3. MARCHERS: 5,164 PATIENTS TREATED: 1,453 MEDICAL SUPPORT :400 NEW MEXICO COLORADO A COLORADO B UTAH ARIZONA OREGON DEPARTMENT OF DEFENSE NURSING SCHOOL STUDENTS

4. WHITE SANDS MISSILE RANGE

5. COLORADO B EMPLOYEES Marc Scherschel: Team Commander Jeff Kolts: Planning Section Chief Tom Cribley: Chaplin Sue Matzick: Supervisory RN Sue Demars: RN Loreli Kendall: RN Sonny Carlson: RN Jenn Theisen: Respiratory Therapy John Nowakowski: Paramedic Ben Stone: Paramedic Maya Machammer: Paramedic Rafer Leach: MD Dan Mosley: Mental Health Specialist

6. TRANSPORTATION

7. ACCOUNTABILITY

8. WAITING-

9. ACCOMMODATIONS Billeting: Night 1: University of New Mexico: Center for Disaster Medicine Class Rooms Night 2: White Sands Missile Base Dorms Night 3: Hotel in Albuquerque

10. TRAINING

11. MEDICAL STATIONS

12. MEDICAL TENT BRIEFING

13. JUST IN TIME TRAINING

14. THE COURSE

15. THE MARCHERS

16. COLORADO B MEDICAL TEAM ! Loreli Kendal: RN Kelly Paramedic New Mexico Sue Matzick: RN Jenn Theisen: RT, Maya Machamer:Paramedic Sonny Carlson RN Tom Cribley: Chaplin Sue Demars: RN

17. TENT ASSIGNMENTS

18. WORKING CONDITIONS

19. PATIENTS

20. REHAB AREA

21. BLISTER CARE

22. MORE BLISTERS…….

23. JOB RESPONSIBILITIES Runner Rehab Medical Care Volunteer Support

24. MEDICAL TRANSPORTATION

25. MEDICAL AND MILITARY PARTNERSHIPS

26. THE LAST MEN STANDING: PRISONERS OF WAR

27. CLEAN UP

28. ANALYSIS OF CORE CAPABILITIES Travel Strengths: Starting travel early, with a reasonable amount of time to reach destination Taking buses from Albuquerque to White Sands on Saturday am Traveled by tent assignments- allowed you to know your tent mates prior to working with them Hotel in Albuquerque on Sunday night The Medical Tent Team Leads did all of the accountability and they report it to leadership. Areas for Improvement: Travel: Make it a 3 day trip? Would really really like to stay in White Sands the day before and the day after. The drive back to Albuquerque on Sunday was painful. Have tents 5,6,7 go out later- Waited 2+ hours for first person to come through

29. ANALYSIS OF CORE CAPABILITIES Accommodations: Strengths: Dorm rooms with showers and beds!! – some had no shower curtain or TP Areas for Improvement: It took a LONG time to get rooms- Have someone do the womens dorms and someone do the men’s dorms. Teammates were not in same rooms A map of the base with dinner locations and dorms would have been helpful

30. ANALYSIS OF CORE CAPABILITIES Medical Tents Strengths: Good mix of MD, PA/NP, RN, Medics and Military Sonny’s Betadine Bottles!! Wound Care Buckets- Pre Made Rehydration drinks Areas for Improvement: Accountability: Late cancels by our and other teams made for a lot of last minute scrambling around with logistics Supplies Supplies took a log time to get to the tents (EKG pads) Need more chairs for people to rehab /DQ in Other DQ area needed to be in the shade and larger Need signage- Check in, Wound Care, Rehab, Medical Evaluation… Bring your own snacks!!

31. ANALYSIS OF CORE CAPABILITIES COLORADO B TEAM Strengths: The team stayed together for the travel down and the accommodations on Friday night, as well as maintaining organization with sleeping arrangement, timely to meetings, meals and trainings Colorado B ability to integrate with other teams to provide medical assessment and treatment to 1,000+ patients Productive team Hot Wash at the room Sunday night. The ability to travel as a team to meals/educational trainings was better this year Areas for Improvement: Team communication- due to the nature of the planning some changes were being made literally up to Sunday AM. Engaging more of the Colorado B Team in this event: The trip is always a learning experience from each other as well as other teams

32. ANALYSIS OF CORE CAPABILITIES Preparedness and Training : Strengths 8 Returning Team members 6 new Team members Jeff Kolts!! And the Team behind him- CO, NM and Military ! Areas for Improvement: Engage more Colorado B employees to attend in 2016

33. ANALYSIS OF CORE CAPABILITIES Education / Training Strengths Just in time training on wound care in the tents Areas for Improvement: Wound Care Lectures: Employees felt there should be less words on Power Point slides and have more pictures (wounds, blisters and how to care for them-duct tape, mole skin and when to break blisters). Suggestion for a breakout group to practice bandaging wounds. If possible, in the am of race day- have all of the MD’s at each tent do a hands on demonstration on how to do blister care in the tents (for nursing students) Start lecture with a the history of Bataan Room was too small to present in- many ended up standing the whole time

34. TEAM MEMBER COMMENTS What an amazing and life changing experience. I will definitely do this every year I am able. Great hands on experience. We did what we were meant to do – everyone who needed care and accepted the care got great care. We meshed well with other teams and the military personnel. Nothing like some hands on experience. Jeff did a great job and I am glad he will be assuming a bigger role in coordination next year. I’ll definitely do it again. A hard working feel good event! I will be back and bring 2 more new people with me!

35. REMEMBERING

36. THANK YOU FOR YOUR COMMITMENT TO THE 2015 BATAAN MEMORIAL DEATH MARCH MARC SCHERSCHEL JEFF KOLTS SUE MATZICK TOM CRIBLEY JOHN NOWAKOWSKI LORELI KENDALL SUE DEMARS JENN THEISEN MAYA TELLER BEN STONE DAN MOSEY RAFER LEACH SONNY CARLSON

37. SAVE THE DATE 2016 BATAAN MEMORIAL DEATH MARCH MARCH 18 TH -MARCH 21 TH, 2016

38. THE END