18th MEDCOM: Army Medical Operations in the Pacific | Article



18th MEDCOM: Operationalizing Army Medicine in the Pacific








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(l) Nekaya McGee, Pacific Blood Manager, 18th Medical Corps Clinical Operations Blood Operations Consultant, speaking with attendees at the Army Pacific Symposium and Exposition 2023, Honolulu, Hawaii, May 16, 2023. Army Major (U.S. Army Photo) by Sergeant First Class Timothy Hughes/Released)
(Photo Credit: Sergeant 1st Class Timothy Hughes)

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18th MEDCOM: Operationalizing Army Medicine in the Pacific








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(r) Lt. Col. Lauren Hamlin, Health Protection Officer, 18th Medical Corps, speaks to Army Pacific Symposium and Exposition 2023 participants and unit missions, May 16, 2023, Honolulu, Hawaii. 1st Grade Timothy Hughes/Released)
(Photo Credit: Sergeant 1st Class Timothy Hughes)

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18th MEDCOM: Operationalizing Army Medicine in the Pacific








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Attendees visit the 18th Medical Command static exhibit booth during the Army Pacific Symposium and Exposition 2023 in Honolulu, Hawaii, May 16, 2023. (U.S. Army Photo: Sgt. Timothy Hughes/Released)
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18th MEDCOM: Operationalizing Army Medicine in the Pacific








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Philippines considers ready-to-eat meals during the Veterinary Experts Exchange as part of the 18th Medical Command’s Global Health Engagement Strategy in the Indo-Pacific region on April 21 in Manila, Philippines. military personnel. 2023.
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HONOLULU — More than 2,000 senior Army leaders, military allies and partners, government representatives and industry partners attended the U.S. Army Association’s Pacific Symposium and Exposition 2023.

A major theme was the operationalization of the National Defense Strategy.

“A free and open Indo-Pacific requires multilateral cooperation and interoperability with our global partners,” said Maj. Gen. Paula Lodi, commander of the 18th Medical Command. “As a medical theater that enables command, we have a responsibility to set up a theater for medical surgery.

“We do this by deploying medical forces, building resilient medical logistics capabilities, and building partnerships through operations, operations and experiments,” Lodi said.

In the increasingly uncertain geostrategic environment in the Pacific, theater forces are “taking the lead” through building comprehensive deterrence, operational, and combat advantage. A major contributor to these efforts is the Theater Enablement Command, which provides a unique foundational capability for the Joint Force and provides scalability, customizability, versatility, and enduring support capabilities.

“The 18th Medical Corps supports wargaming, combat and campaign operations across the Indo-Pacific to enhance joint readiness,” Sgt. Major Christy Courtner, 18th MEDCOM Commander Senior Petty Officer.

Operation Pathway is the U.S. Army Pacific’s joint deterrence strategy to increase its presence in the region. This allows the Army to project combat forces and equipment west of the International Date Line to areas of heightened risk, allowing for a sustained and dispersed presence forward. This effort promotes deterrence, increases commitment to partners, and has the added benefit of reducing transportation costs for interoperability.

“We need to advance our capabilities to better support operations across theaters as we transition to crisis or need to respond to natural disasters,” Courtner said.

The 18th MEDCOM oversees medical service assistance and military health protection programs at more than 50 military-to-military events annually with approximately 20 partner countries under the Operation Pathways campaign. This force is primarily designed to be divided into distributed command and control nodes for optimal synchronization of operations with medical forces in the theater.

“The Indo-Pacific medical assistance concept is a combination of joint efforts,” Lodi said. “We have increased our forward presence through Operations Pathway and engaged rotating forces to build joint readiness and be able to assess partner interoperability more accurately and consistently.”

With no NATO-like organization and limited permanent presence in the region, a security cooperation effort is essential to theater command operational strategy. Global health initiatives are a means of gaining access to areas of strategic interest. Knowledge sharing, training, interoperability rehearsals, and citizenship programs all build trust with our global partners. Since medical exchange is one of the few universally desirable exchanges, Army medical plays an essential role in theater command security cooperation.

“More than 210 global health operations are conducted each year in the Indo-Pacific region, overseen by the 18th Medical Command,” said Lodi. “What makes the Theater Medical Command unique is the ability to strategically approach medical expertise located within an Army Medical Command, Medical Research and Development Command, or Medical Center of Excellence.

“In addition to our tactically skilled medical units in the Pacific, we have ongoing interoperability engagement, training and rehearsals with our partners,” she continued. [18th Medical Command] We have the ability to leverage the breadth and depth of expertise from across the Army medical enterprise to develop solutions to patient evacuation, medical logistics, public health, and laboratory research and development challenges. ”

Overall, our security cooperation efforts are focused on interagency and interagency collaboration between nations to identify and implement health solutions. Solutions that are avenues to health are often realized through innovation, experimentation and concept development.

“Modernization projects begin at the strategic level, with initial design and testing conducted at the Army Medical Research and Development Command and Army Futures Command. Together, 18th MEDCOM will coordinate the experimentation of new medical concepts throughout Operation Pathway exercises and test them in the unique environment of the Pacific,” said Col. Carol Anderson, 18th Chief of Operations. 18th Medcom.

Because integrated deterrence is the sum of our capabilities, attitudes, messaging, and will, 18th MEDCOM serves as an operational bridge between strategic medical concepts and tactical implementation. Medical concepts currently focus on long-term on-site care, telemedicine and medical logistics. The challenge of blood resupply in the Pacific continues to be a major concern. Experimentation with unmanned aerial vehicles, artificial intelligence, and synthetic blood products is therefore a focus area in Army modernization.

However, in a highly competitive environment, medical logistics and patient mobility are expected to be the biggest challenges to overcome. 18th MEDCOM is working on solutions through Joint Theater Medical Logistics in conjunction with 8th Theater Sustainability Command and Joint Logistics Operations.

“As Single Integrated Medical Logistics Manager (SIMLM), 18th Medical Corps will re-supply Class VIII medical items throughout the theater to promote supply chain efficiency and minimize medical logistics footprint. can be adjusted,” said Maj. Tania Greene. , 18th MEDCOM Theater Medical Logistics Officer.

“Medical logistics resilience includes prepositioning medical equipment and supplies. But executing joint theater logistics in a highly competitive environment requires agility and a network of allies and partners. “

“Responses to pandemics, conflict impacts, and natural disasters are relatively the same from a military operational medicine perspective,” Lodi said. “Whether climate change causes natural disasters or transforms into conflict, the results are the same. It affects people on land and exacerbates the vulnerabilities of governments. It will lead to increased competition for access to human resources and the displacement of people, resulting in loss of economic strength, destabilization and national security implications.”

18th MEDCOM operates Army medical services in the Pacific with posture, readiness, training focus, and interoperability. This includes sharing advances in medical technology, creating opportunities for live and large-scale medical training, and building capacity and trust among allies and partners. Whether experimenting with doctrinal concepts such as multimodal evacuation solutions, resupplying blood at the point of injury, long-term care, or playing a medical logistics war game, the 18th MEDCOM requires decisiveness and agility. We are at the forefront of enabling land powers.

“Synchronizing the Army’s medical system with our consolidation and integration partners is how we win in the Indo-Pacific,” Roddy said. “At the most critical times, in the most critical theaters, we must strengthen relationships, build trust, and ensure comprehensive preparedness against all adversaries.”



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