U.S. Army Medical Department Journal (October-December 1999)

Abstract : This issue of the AMEDD Journal is dedicated to the combat medic of the future, the 91W Healthcare Specialist. Several articles in this issue focus on the 91W or the missions they accomplish. "91W: Force XXI Combat Medic" provides a concise overview of the 91W initiative. Many of the issues that sparked and propelled the program are outlined in this article. Commanders, leaders, and especially, soldier medics will appreciate this timely information "Providing Echelon II CHS to a Digitized Fourth Brigade" shows a glimpse into the future combat health support in Force XXI. Using the Prairie Warrior battle simulation exercise, the article explores some of the challenges of providing care on the battlefield. "Preparing for a Disaster" highlights the potential threat of chemical and biological warfare agents. This article is a potent reminder of the need for continual vigilance and preparedness for these and other weapons of mass destruction. "Case Studies in Aviation Medicine: Bosnian Deployment" describes the challenges of providing fight medicine in a deployed environment. The article uses a series of case studies to highlight strategies to meet the aviators' medical needs. "The Letterman System for Casualty Treatment and Evacuation" reviews Dr. Jonathan Letterman's efforts to preserve life and ease suffering during the American Civil War. The effectiveness of the AMEDD's evacuation system is owed, in part, to Dr. Letterman's revolutionary ideas. "Combat Stress Control Garrison Mission: A Model for the Future" describes the dual mission of peacetime and operational mental health and the challenge of achieving both. Several potential models to achieve the optima! approach are presented and discussed. "Setting the (Dental) Record Straight" provides a step-by-step approach to achieving excellence in dental records. "Treating Rampant Caries: Winning the Battles, Losing the War" highlights the importance of disease prevention and treatment with regard to dental caries.