LtCol Andrew Gordon proposes an improved field Resuscitation and Assessment Post (RAP) based on a box trailer. The RAP-mobile aims to be more mobile, require less time from required care to starting patient care, involve less double handling, be air portable, independent, flexible, simple, and conform to military medical doctrine. It is designed with practical loading, priorities of medical equipment, and considerations for air transport and casualty handling. The RAP-mobile has undergone engineering improvements and is ready for field testing, with the goal of developing a standardized, logistically sound mobile field medical unit.

1. 11
Field RAP, box trailer.
Medicine in the middle of nowhere.
Proposal for improved transport and function of
a field RAP, Resuscitation Bay, Laboratory, FST.
LtCol Andrew Gordon, MBBS, BMedSci, FRACP, FRCPA.
Australian Military Medicine Association.
National Convention Centre, Canberra, ACT., AUSTRALIA.
30 October 2010.
Reference c21 / Lectures c21 / Fd RAP box tlr 20101029 AMMA.ppt

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3. 33
Field RAP, box trailer.
Proposal for an improved field RAP, based on
recognition of current inadequacies;
more mobile.
less time from ‘required’ to starting patient care,
less double handling,
air portable,
independent,
flexible / adaptable,
simple,
conforms to ideals & RAAMC doctrine.

4. 44
Field RAP, box trailer.
The RMO is;
the most important person in the military medical system.
We must support the RMO in terms of;
training,
systems,
equipment.
We must overcome inadequacies in;
equipment,
logistics,
etc.

5. 55
Field RAP, box trailer.
Current inadequacies;
why carry the stores in a truck and double-handle?
Logistics is logical.
we, the member of the military medical services, are now
able to transport our stores;
logically and practically,
with tactical loading
with a RAP-mobile / field RAP box trailer.

6. 66
Field RAP, box trailer.
Improvements since the presentation in Hobart, 2008.
better engineering,
extensive use of aluminum,
military wheels, Land Rover,
disc brakes,
military paint scheme,
more, hence this presentation.
The RAP-mobile is nearly ready for a field trial.

7. 77
Field RAP, box trailer.
This presentation.
some history,
steps taken so far in this project.
it is nearly ready for a field trial.
At the end of this presentation;
please inspect the RAP-mobile,
suggest improvements,
tell me if you want to borrow it.

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Field RAP, box trailer. IMG 2172.

9. 99
Field RAP, box trailer. IMG 2186.

10. d RAP, box trailer.
equirements for an improved field RAP;
idea,
concept,
function,
engineering safety,
engineering finesse,
aesthetics,

11. d RAP, box trailer.
quirements to develop a RAP-mobile;
the idea then;
initiative,
commitment,
enthusiasm,
support,
“ fire in one’s belly”,
resilience / stamina (Liddell-Hart),
flexibility,
maintain the momentum,
adaptability.

12. d RAP, box trailer.
quirements for an improved field RAP;
KISS principle; Keep it simple (stupid),
It must be workable;
in the cold,
in the dark,
in the heat,
in the rain,
under pressure (being shot at!).

13. d RAP, box trailer. 1 Australian Field Hospital, Vietnam.

14. d RAP, box trailer.
fantry;
… to seek out and close with the enemy regardless
of weather season or terrain.”
Medical;
… to seek out, find and treat the sick
and injured by day and by night,
regardless of weather, season or

15. d RAP, box trailer. Shaggy Ridge, PNG. 1943.

16. d RAP, box trailer.
e of this mobile field RAP-mobile;
actical loading,
medical priorities based loading,
“master” side is the kerb / curb / passenger side,
“master” box is front left, airways equipment,
then IV access equipment,
casualty handling; RAAMC protocols,
air portable considerations.

17. d RAP, box trailer.
ayout.

18. d RAP, box trailer.
To treat this …

19. d RAP, box trailer. Shrapnel, 1945. (Russian soldier, German mine.)

20. d RAP, box trailer.
In a thousand steps!

21. d RAP, box trailer.
ere are the thousand steps!
with some history, developments and some
discussion about problems.

22. d RAP, box trailer – loaded, c. March 2008.

23. d RAP, box trailer. Tents, heavy, packed low down for stability and
H & S considerations.

24. d RAP, box trailer.

25. d RAP, box trailer.

26. d RAP, box trailer.
xes closed, tie down straps. IMG 2185.

27. d RAP, box trailer. Dimensions, tent.

28. d RAP, box trailer. Dimensions, stretcher.

29. d RAP, box trailer. Lighting.

30. d RAP, box trailer.
nd-rover wheels/ spare wheel / Land Cruiser wheels.
G. 2183.

31. d RAP, box trailer.
isc brakes. IMG 2163, 2133.

32. d RAP, box trailer.
isc brakes. IMG 2163, 2133.

33. d RAP, box trailer.
rile technique, towel, gloves. IMG 2179.

34. d RAP, box trailer.
ungee” tool. IMG 2180. Battery box.

35. d RAP, box trailer. Battery box, open, 20090427. View from kerb
rb side, battery in place.

36. d RAP, box trailer.
nstrument trays. IMG 2067.

37. d RAP, box trailer.
ecial back rests. IMG 2166.

38. d RAP, box trailer.
ecial back rests. IMG 2086.

39. d RAP, box trailer.
e extinguisher. IMG 2169.

40. d RAP, box trailer.
her ideas and devices.
Arm-board.
Waste disposal.
Sharps bin.
Trailer lighting plug protector.
Oxygen bottle security / trailer roll-over.
Roll-up canvas sides.
Aerodynamic “nose cone”.
Continued.

41. d RAP, box trailer.
her ideas and devices.
Clock.
Sphygmomanometer mounting fitting.
Hand cleaner.
Equipment lists, see folders on RAP-mobile.
Perspex “liners” for lids of bin pack boxes.
Instrument display fittings.
Paper towel dispenser.
Jack, hydraulic, storage.
Etc.

42. d RAP, box trailer.
thology box, not all bin pack boxes are equal. IMG 2151.

43. d RAP, box trailer.
ecial stretchers.
Australian citizens, hence patients, are becoming;
taller,
wider,
heavier.
Thus we need;
longer, wider, stronger hospital beds,
longer, wider, stronger field stretchers / litters,
thought related to; AME, RW, FW, C-130, C-17.

44. d RAP, box trailer.
ecial stretchers.
Thus we need;
longer, wider, stronger field stretchers / litters,
“taller” wider back supports, see my stretcher,
thought related to; AME, RW, FW, C-130, C-17;
design,
construction,
loading,
thought related to Ambulances, Land-Rovers, etc…..

45. d RAP, box trailer.
ecial stretchers.
aller” wider back supports, see my stretcher.

46. d RAP, box trailer. 20090430. Hexagonal tent peg, 19 mm diameter.
hese are easy to pull out after rotation 360 - 720°.

47. d RAP, box trailer.
ou have now seen some of the thousand steps!

48. d RAP, box trailer.
tra uses for this RAP-mobile;
Pathology on wheels / Laboratory in a box, 2008.
Forensic pathology / Disaster victim identification.
Sports events;
football etc,
mountain biking.
etc.

49. d RAP, box trailer.
What next;
copy and,
lighter,
more capacity,
better centre of gravity,
standardized packing of boxes,
hence lists, database(s),
Field trial

50. d RAP, box trailer.
hat next;
improve storage of “difficult” shaped equipment;
sterilizer,
oxy-viva,
jack,
generator,
odds and ends, tools etc.,

51. d RAP, box trailer.
hat next;
aluminum “box”, lighter,
more compatibility with pre-existing military equipment;
wiring,
practice with medical assistants,
stowage for camouflage nets,
field trial,
RAEME / EME discussions (my idols),
re-review what is in” the system”. Do not reinvent the wheel.
etc.

52. d RAP, box trailer.
mmary.
We have developed a RAP-mobile which is;
highly mobile,
logistically, sound,
ergonomically sound,
consistent with RAAMC doctrine.
It is ready for a field trial.
You may contact me any time.

53. ld RAP, box trailer. Air portable, C5 and box trailer.

54. ld RAP, box trailer. Air portable, C130 and box trailer.

55. The true map of the world.

56. eld RAP, box trailer. Remember to take the tool kit!

57. ld RAP, box trailer.
ndrew Gordon, MBBS, BMedSci, FRACP, FRCPA Suite 19, upper level, top NE cnr,
ant Physician in General Medicine John James Medical Centre,
ant Physician in Infectious Diseases 175 Strickland Crescent,
ologist DEAKIN, ACT, 2600.
ne 61 (0)2 6282 7333
61 (0)407 008 512
61 (0)2 62 888 450
e 61 (0)2 6282 7575
A 1 415 602 1837
andrew.gordon.e5@webone.com.au

58. eld RAP, box trailer.
End.

59. eld RAP, box trailer.