Page 29 - Journal of Special Operations Medicine - Summer 2014

Table 2 Key Points
Servicemembers can and will present with urgent and CPT Studer, MC, FS, USA, is a recent graduate of the USF
emergent conditions to any medical facility. College of Medicine (Class of 2014) and a transitional intern
at San Antonio Military Medical Center. A critical care para-
At many geographically isolated installations, the TMC or medic with 10 years experience in prehospital care, he has ex-
equivalent Role 1 facility is the “only game in town” for tensive experience in medical simulation and training. During
medical care.
his time at USF in Tampa, he oversaw trauma and critical care
The facility’s designed intent or staff discomfort with training offered to personnel stationed at MacDill AFB and in
providing emergency care should not be a factor when the the surrounding area. He is interested in emergency medicine
sick and injured arrive on their doorstep.
as a specialty. E-mail: nicholas.m.studer2.mil@mail.mil.
All nondeployed Role 1 facilities—and those staffing
them—should be prepared to provide the initial steps MAJ Horsley, SP, APA­C, FLARNG started his career in
of resuscitation for any “emergent” condition, just as is 1987 as an infantryman in 2nd Bn 75th RGR RGT. After
expected in the deployed environment. 3 years in the regiment, he reenlisted and attended the Spe-
Substantial cost-savings are realized with handling minor cial Forces Qualification Course. On graduating as a Special
“emergencies” within the MTF rather than needlessly Forces medical sergeant, he was assigned to 3rd Bn 10th SFG
transferring to civilian care. (A). After 3 years in group, he left active duty and joined A
Co 2nd Bn 19th SFG (A) RIARNG. In 1997, MAJ Horsley
was chosen to attend the Interservice Physician Assistant Pro-
Paul, ENS Cameron Paterson, and Capt Lynette Studer gram. MAJ Horsley graduated and was commissioned as a
deserve recognition for their strong efforts in executing 2LT in the RIARNG in 1999. On graduation, MAJ Horsley
the described quality improvement project. was attached to the Medical Detachment RIARNG until his
assignment as the Bn physician assistant (PA) of 2nd Bn 103
FA RIARNG. After 9/11, MAJ Horsley joined 2nd Bn 19th
Disclaimer
SFG (A) WVARNG as the battalion PA and mobilized Decem-
The views expressed in this article are those of the au- ber 2001 with deployment to Uzbekistan and Afghanistan.
thors and do not necessarily reflect the official position MAJ Horsley remained assigned to 2nd Bn 19th SFG (A) until
or policy of the U.S. Army, Department of Defense, or 2006, when he joined Special Operations Detachment-Global
U.S. Government. RIARNG. On assignment to the SOD-G, MAJ Horsley was
mobilized for 3 years in support of the Global War on Ter-
ror with assignments at Special Operations Command Central
Disclosures and United States Special Operations Command. MAJ Hors-
The authors have nothing to disclose. No funding was ley joined the FLARNG as the PA of the 48th Civil Support
Team in 2009 and was promoted to the deputy state surgeon
accepted for this document.
position in February 2014.
References LTC Godbee, MC, FS, DMO, FLARNG has more than 37
years of service to the United States Army, starting his career in
1. United States Army. Army Regulation 40-3: Medical, Dental, 1976 as a Special Forces engineer and subsequently serving as
and Veterinary Care. 23 April 2013. http://www.armypubs a Special Forces medical sergeant, intelligence sergeant, team
.army.mil/epubs/pdf/r40_3.pdf. Accessed 5 February 2014. sergeant, and company operations sergeant. He holds master’s
2. American College of Emergency Physicians. Freestanding degrees in mechanical engineering and industrial and systems
emergency departments: an information paper. July 2013. engineering, both from Georgia Tech. After an initial career
http://www.acep.org/uploadedFiles/ACEP/Practice_ in engineering, he attended medical school (Mercer Univer-
Resources/issues_by_category/administration/Freestanding sity School of Medicine, Class of 1999), and was promoted to
%20Emergency%20Departments%200713.pdf. Accessed sergeant major just after graduation. He was commissioned a
5 February 2014. captain in the Medical Corps during his intern year. He has
3. Florida National Guard. Camp Blanding Joint Training extensive experience in the Active Army, Army Reserve, and
Center. 2012. http://www.floridaguard.army.mil/units/cbjtc. National Guard with multiple deployments to Iraq and Af-
Accessed 5 February 2014. ghanistan. He also served on the MFO in the Sinai Peninsula
4. Fritz J. Tragedy of errors. Florida Times-Union. 17 Jan- in 1982 with the 82nd Abn Div. He is a dive medical officer
uary 1999. http://www.jacksonville.com/tu-online/stories/ and flight surgeon in addition to completing an emergency
011799/met_1a1bland.html. Accessed 5 February 2014. medicine residency at Louisiana State University, where he
5. Environmental Protection Agency. Lean thinking and presently serves as faculty. His most recent assignment has
methods: 5S. 10 November 2011. http://www.epa.gov/lean been as battalion surgeon for 3/20th SFG (A), Florida Army
/environment/methods/fives.htm. Accessed 5 February 2014. National Guard at Camp Blanding.
6. United States Army. General information: Tactical Com-
bat Medical Care. 2009. http://www.first.army.mil/diveast
/(X(1)S(msu3kwbfbmzby2e1uhfxvknb))/documents/pdf
/Coursedescription09.pdf. Accessed 5 February 2014.

Preparedness for Resuscitation at an Isolated Army Troop Medical Clinic 19