Air Force Operational Medicine: Using the Estimating Supplies Program to Develop Materiel Solutions for the Operational Clinical Requirements of the Expeditionary Medical Support (EMEDS). Volume 2. EMEDS System [Basic]

Abstract : A modeling and simulation effort was completed on the Air Force Expeditionary Medical Support (EMEDS) Basic system using current Naval Health Research Center methodology and the Estimating Supplies Program (ESP). The clinical functional areas modeled were the Flight Medicine, Emergency Room, Operating Room, Anesthesia, Central Sterile Supply, and Medical Ward. Ancillary functional areas modeled were Radiology, Laboratory and the Pharmacy. The logistics functional area, while not a clinical component of EMEDS Basic does provide materiel support and was modeled. EMEDS Basic is the follow on echelon of the SPEARR system and is the lead element of the more robust Expeditionary Medical Support (EMEDS) deployable medical system and provides emergent life- and limb-saving resuscitative surgical care as well as limited outpatient services in austere environments. The EMEDS was the subject of a Force Development Evaluation (FDE) where the system was set up as in a deployable setting and patient streams were presented and treated in the various functional areas. As part of the FDE, significant modernization of the Allowance Standard was performed. During the FDE, data were collected and used to construct the models used in the simulation. The simulation was a patient stream derived from Operation Iraqi Freedom I and was representative of the kind of patients and their occurrence frequency this system was developed to support. The study of the Allowance Standards resulted in modernization of the three functional areas, most notably the Operating Room. The surgical capability was enhanced by adding Factor VII for uncontrollable hemorrhage, negative pressure dressing supplies and equipment, and compression boots.