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Military Medicine Fundamentals (MILMED I)

Study Course Description

Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:08.02.2024 11:23:35
Study Course Information
Course Code:MF_052LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical MedicineTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Vladimirs Voicehovskis
Study Course Implementer
Structural Unit:Military Medicine Lecturer Group
The Head of Structural Unit:
Contacts:Riga, 16 Dzirciema Street, mfatrsu[pnkts]lv, +37167409125
Study Course Planning
Full-Time - Semester No.1
Lectures (count)7Lecture Length (academic hours)2Total Contact Hours of Lectures14
Classes (count)6Class Length (academic hours)3Total Contact Hours of Classes18
Total Contact Hours32
Study course description
Preliminary Knowledge:
Molecular and Cellular Biology, Medical Chemistry, Medical Physics, Human Anatomy, Medical Terminology, Medical Biochemistry, Physiology, Medical Microbiology and Immunology, Clinical Microbiology, Pharmacology and Toxicology, Medical Communication, Introduction to Clinical Medicine, Internal Diseases, Basics of Surgical Care, Pathology, Sports for health, Infectology, Surgical diseases I, Orthopedics, Psychiatry, Various types of fitness.
Objective:
To provide basic theoretical and practical knowledge to civilian MF students: • in military medicine (MilMed), • MilMed standards of care, • modular approaches in medical provision, • principles of evacuation, • introduce the tasks of MilMed in war, crisis and peace conditions, • emphasize the role of MilMed in natural and man-made crises. Students will be introduced to: • with the physical and mental expertise and health assessment criteria of conscripted and already serving military personnel (Fit for Service), • with outpatient treatment principles in MilMed institutions.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Introduction: History; Nature, purpose and responsibility of Medical support. Structure of NAF and Military medicine system; Civil and Military medicine interaction.Lectures1.00E-Studies platform
2Military health care: Overview. Multinationality and medical support structures.Lectures1.00E-Studies platform
3Standards of careLectures1.00E-Studies platform
4Modular approach to medical support.Lectures1.00E-Studies platform
5Casualty Principle of Operation of Mass Injuries (MASCAL)Lectures1.00E-Studies platform
6Medical Evacuation.Lectures1.00E-Studies platform
7Combat Behavioural Health (BH).Lectures1.00E-Studies platform
8Modular approach to medical support (Role 1, Role 2), Ground evacuation.Classes1.00METC
9Combat physical and mental state evaluation and rehabilitation.Classes1.00METC
10Skill station – SMARCH algorithm block 1.Classes1.00METC
11Skill station – SMARCH algorithm block 2.Classes1.00METC
12Skill station – SMARCH algorithm block 3.Classes1.00METC
13Skill station – SMARCH algorithm block 4. Work in simulated military reality. Debrief.Classes1.00METC
Assessment
Unaided Work:
8 acad. hours. Students refer to the recommended and optional literature for each practical class; Identify unclear questions and problems. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
Assessment Criteria:
On-line exam from 2 parts: 1. Clinical case (description, 4 MCQs), 2. Theory - MCQ Exam. The student must demonstrate: • understanding of the learned topics, • ability to solve problems in simulated clinical situations.
Final Examination (Full-Time):Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Students will have the following knowledge: - basic theoretical and practical knowledge of the Military medicine, - standards of care, - modular approach to medical support and evacuation principles and its tasks in conditions of war, crise and peace, - criteria for physical and mental expertise and health assessment of military personal being recruited and already serving, - outpatient treatment in Military medical facilities, - role of the Military medicine in conditions of natural and human-caused crises.
Skills:Students will be able: - to adapt their own actions to the requirements of Military medicine; - to create a place of medical activities focusing on evaluation of individual’s health for fitness for military service and in war and crises conditions.
Competencies:Students will be competent: - to use basic knowledge, argumentation and logic to analyse situations identified in Military medicine; - to discuss, to explain own opinion and constructively promote the achievement of professional goals and specific tasks in ensuring health of an individual (persons to be recruited or military persons) and civilians; - to cooperate with and within of Military medical unit in a professional way, including medical colleagues in the atmosphere full of respect, observing national interests and medical ethical standards, respecting human rights and ensuring epidemiological safety.
Clinical Skills:
No.SkillLevel
1Placing of tourniquetC2 - Expert level
2Recovery positionB1 - Basic level
Bibliography
No.Reference
Required Reading
1NATO Int.: AJ P-4.1 O(A) ALLIED JOINT MEDICAL SUPPORT DOCTRINE. Chapter 1: Fundamentals of Medical Support, pp.: 1-1 to 1-8; 1-22 to 1-26. Chapter 2: Organization of Medical Support, pp.: 2-1 to 2-7; 2-8 to 2-22. Chapter 3: Medical Support Related Responsibilities and Authorities, pp.: 3-1; 3-7 (Starting with timelines) to 3-12; 3-16 to 3-23.
2Joint Trauma System (JTS.) Clinical Practice Guideline (CPG) Damage Control Resuscitation
3TECC: Tactical Emergency Casualty Care Course Manual. 2nd Edition, 2019.
4TCCC: Tactical Combat Casualty Care
Additional Reading
1US Army: ATP 4-02.4 Medical Platoon - Army Publishing Directorate (Role 1). -pp. 1-3, 1-19, 1-20 (Capabilities of the Medical Platoon), -pp. 1-36 – 1-58 (Employing the Medical Platoon), -pp. 3-15 – 3-29 (Support to the Defense), -pp. 5-12 – 5-70 (Chemical, Biological, Radiation, Nuclear)
2Joint Trauma System (JTS) Clinical Practice Guideline (CPG) Prehospital Blood Transfusion.
3JTS CPG CBRN Injury Response Part 1.
4JTS CPG CBRN Injury Response Part 2.
5JTS CPG Hypothermia Prevention Monitoring and Management.
Other Information Sources
1Gregory R. Ciottone. Ciottone’s Disaster Medicine. 2nd Edition, Elsevier, 2016.
2Clinical Practice Guidelines (CPGs)
3Miguel A. Cubano, Frank K. Butler. Emergency War Surgery. 5th Edition, Borden Institute US Army Medical Department Center and School Health Readiness Center of Excellence Fort Sam Houston, 2018