PMI Presentation

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PMI Presentation

  1. 1. Dustoff 2UH-1 helicopter (Huey) workhorse of the Viet Nam era..MedEvacchoppers typically referred to as "Dustoff.“Photo source: USUHSPAO, Sandra Carbajal, November 2, 2011.http://www.flickr.com/photos/48481327@N07/6305741094/in/photostream/
  2. 2. • Patient Movement Items (PMI) consists of critical life-sustaining medical equipment• Without this equipment, casualty survivability would not be possible during transport between medical facilities• This equipment is also very expensive, and the initial treatment team (usually a Forward Surgical Team) has very limited resources• If the life-sustaining equipment is evacuated with the casualty, the treatment team loses this equipment and thus loses the ability to treat additional casualties• The PMI program was implemented as a solution to this problem• The basic concept is to provide additional “theater-owned” medical equipment that is solely used to sustain patients during transport• Replacement PMI is exchanged one-for-one during patient evacuations• The patient is able to remain on life support during transport, and the
  3. 3. TERM MEANINGCL VIII Military class of supply pertaining to Medical itemsCSH Combat Support Hospital (Role III Medical facility)CASEVAC Casualty Evacuation- This type of evacuation pertains to the use of non-medical evacuation platforms (e.g. transporting casualties in the back of a truck as opposed to an ambulance)DUSTOFF A term used for rotary wing (helicopter) air-evacuation unitsFST Forward Surgical Team (Role II+ Medical facility)MEDEVAC Medical Evacuation- This type pertains to the transporting of casualties using standard medical evacuation platforms (e.g. ambulances or medically configured helicopters)MEDLOG Medical LogisticsMLC Medical Logistics CompanyPAD Patient AdministratorRole II Medical unit located closest to or within conflict zone able to provide resuscitative, surgical, and post-op care in order to stabilize a casualty for evacuation to a Role III facility (Ref 4)Role III Larger medical facility located further from the conflict zone that has additional diagnostic, surgical, and specialty care capabilities. Facility is able to fully recover casualties or further stabilize injuries requiring more definitive care outside of the Theater of Operations (such as an established hospital in Germany or in the U.S.)
  4. 4. Defibrillator, Zoll MedSys III IV Pump 326M Suction Unit Vital Sign Monitor Pulse Oximeter 754M Ventilator LTV 1000 PCA Pump Ventilator Kendall SCD 9525 KCI Wound Vac Oxygen Monitor***Photos taken directly from the Southwest Asia (SWA) PMI Cell presentation (Ref
  5. 5. Durables consist of reusable medical items that are not categorized as life-sustaining equipment. Examples include: • Litters, wheeled litter carriers, litter straps • Adjustable back elevators • Litter pads Vignette Terminology AOR: Area of Responsibility FOB: Forward Operating Base• “Package about how the 386th Expeditionary Medical Group recently stood up a new mission titled the Patient Movement Item or PMI hub in support of several area of responsibility operations. Soundbite includes SSgt. Taylor Ramos - 386 MDG PMI Manager. Produced by SSgt. Peter Ising.” Accessed from the Defense Video and Imagery Distribution Sustem (DVIDS) at http://www.dvidshub.net/video/125230/medical-supplies-quick-fast-and-hurry#.T8LkHLBfGIk.
  6. 6. DEPLOYED MEDICAL UNIT REQUIRES MEDEVAC OF CASUALTIES) MEDEVAC REQUEST IS SENT AND INCLUDES DETAILS OF REQUIRED PMI DUST OFF NOTIFIES HIGHER ECHELON DUST OFF UNIT RECEIVES MEDICAL FACILITY (ROLE REQUEST AND LOADS III) OF PMI BEING USED REQUESTED PMI ROLE III PREPARES EXCHANGE PMI PAD OFFICER LOGS REQUESTING MEDICAL UNIT EQUIPMENT FOR PMI EQUIPMENT TO PREPARES CASUALTIES FOR EXCHANGE WITH DUST BE TRANSPORTED MEDEVAC TRANSPORT USING ON- OFF WITH CASUALTIES SITE PMI EQUIPMENT PAD OFFICER INSPECTS MEDEVAC ARRIVES, EXCHANGES PMI FOR SERVICEABILITY PMI EQUIPMENT (1 for 1), AND AND LOGS PMI EQUIPMENT TAKES CASUALTIES FOR AS RECEIVED IN TRANSPORT TO ROLE III DATABASE/REPORT DUST OFF TRANSFERS PAD OFFICER THEN RESETS THE PMI CASUALTIES AT ROLE III INTO A TRANSPORTABLE AND RECEIVES 1-for-1 CONFIGURATION ENSURING EXCHANGE OF PMI EQUIPMENT IS CHARGING AND EQUIPMENT FUNTIONAL ROLE III REQUESTS REPLACEMENT PMI MLC REQUESTS THEATER PMI CELL MLC SENDSFROM MLC -- also relays REPLACEMENT PMI PROCESSES REQUEST REPLACEMENT PMIto the Theater PMI Cell for FROM THE THEATER AND PUSHES PMI TO TO ROLE III replacement PMI CELL MLC
  7. 7. Photo contributed by co-worker
  8. 8. DEPARTMENT OF THE ARMY UNIT NAME TASK FORCE NAME UNIT LOCATION/ADDRESS 31 Oct 2011MEMORANDUM FOR AFCENT/SGSUBJECT: Patient Movement Item (PMI) Level ReviewFROM: Unit, Location1. IAW USARCENT Policy Memorandum SURG-13, dated 3 May 2010, the following levelswere reviewed and authorized by the medical treatment facility commander based on theminimum prepositioned levels equal to three days of expected patient flow. EQUIPMENT LIST CURRENT LEVELS REQUESTED LEVELS 4 Bay Battery Charger Single Bay Battery Charger Defibrillator, Zoll IV Controller Monitor, Propaq Oxygen Analyzer Pulse Oximeter, BCI 3303 Stryker Frame Suction Unit LTV Ventilator 1000 0 1 Ventilator KCI Freedom Vac PCA Ambit Pump Sequential Compression Device Vacuum Spinal Board 2. JUSTIFICATION FOR INCREASE/DECREASE IN LEVELS: This MTF receives a high number of pediatric trauma patients. An LTV Ventilator 1000 is needed for the emergency MEDEVAC of these patients. Signature NAME OF OFFICER IN CHARGE RANK, AFFILIATION Duty Title
  9. 9. TWO OPTIONS: OPTION 1:• Each piece of equipment has a service tag• Keep track of the expiration dates• Request replacement equipment within 60 days of expiration from the Theater PMI Cell• Once replacement is received, ship equipment requiring maintenance to the Med Maintenance Team or PMI Cell OPTION 2:• If the Med Maintenance Team is willing andPatients for Movement, by MAJ Richard Morton, Preparing able, request a visit to perform services and recalibrate the equipment on-site Care Division, OIC, Joint Enroute Care Course, Director, Joint Enroute Jan 2007• Ensure you maintain a good working relationship with Med Maintenance! NEVER, NEVER, NEVER LET YOUR EQUIPMENT EXPIRE!
  10. 10. “The Special Medical Emergency Evacuation Device (SMEED) allowsfor Intensive Care Unit-level monitoring of patients while they are beingflown to higher-level treatment facilities.” Accessed from the National “The Special Medical Emergency Evacuation Device (SMEED)Museum of Health and Medicine at the following address: provides a safe, convenient and lightweight platform with universalhttp://nmhm.washingtondc.museum/exhibits/balad/balad5.html anchor points for mounting standard issue monitors and life support equipment to litters for use in evacuation of patients.” Photo accessed from the Combat Casualty Care Research Program (CCCRP) at the following address: https://ccc.amedd.army.mil/task-areas/advanced-capabilities-for- emergency-medical-monitoring.jspx
  11. 11. Yes– it looks a mess, but it’s all plugged in, charged, and ready to go!!!Personal photo
  12. 12. •••••
  13. 13. Theater * FM6943 (P) 332nd CASF IRAQ UNIT BALAD (1) A1C Cox 443-2617 EQUIPMENT LEVEL On-Hand RDY QA POC 4 Bay Battery Charger 3 3 3PMI Battery Charger Single Bay 0 0 0Equipment Defibrillator Zoll 4 5 5List IV Controller 28 23 23 Levels: Monitor Propaq 33 30 28 2 Authorizations Oxygen Analyzer 2 3 3 Pulse Oximeter BCI 3303 8 7 7 On-Hand: Bi- Stryker Frame 1 1 1 weekly inventory Suction Units 18 11 11 RDY: Ready for use LTV Ventilator 1000 1 2 1 1 QA: # of pieces Ventilator 23 25 18 7 Oversized Litters 0 0 0 with deficiencies KCI Freedom Vac 12 1 1 (due-cal, in need of PCA Ambit Pumps 14 16 14 2 repair....) AWIS 0 0 0 SCD 18 1 1 VSB 2 2 2 TOTALS 167 130 118 12 ***Information taken directly from the Southwest Asia (SWA) PMI Cell presentation
  14. 14. ••• • ••• • • • •• • •••

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