Technology for the United States Navy and Marine Corps, 2000-2035: Becoming a 21st-Century Force Volume 4: Human Resources (1997) / Chapter Skim
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3 Combat Medicine
3 Combat Medicine
Pages 63-71
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From page 63... ...
This continually evolving role places increased pressure on the Navy to be able to respond to all contingency operations with immediate combat care. The current Gulf War medical debate illustrates how new weapons (chemical and biological)
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From page 64... ...
These include drugs and vaccines to protect our forces against nuclear, chemical, and biological agents; physiological monitoring of body temperature, hydration, and alertness; specially designed ensembles for protection from projectiles, directed-energy devices, and chemical and biological agents; and psychological aids, such as land navigation and local communication devices that enhance security and provide information regarding available support. The Department of the Navy should seek to integrate lightweight body armor into its combat forces so that each sailor or marine within a group will be wearing unencumbering body armor with an integrated personal status monitor.
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From page 65... ...
In particular, technology development will be required to realize the reliable performance of these devices under combat conditions. The expected availability of a complete DNA analysis for individual service personnel will facilitate the design of individually tailored countermeasures to anticipated chemical and biological assaults.
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From page 66... ...
In addition to the individual's voice channel, the monitor inputs will include indicators of heart rate, respiration, body temperature, skin resistance, arterial blood pressure, stress, and alertness. In the past, the military has actually developed personal status monitors, but their deployment was not continued due to insufficient testing.
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From page 67... ...
will be used to enhance shock trauma management. Most investigators and experienced clinicians accept a definition of shock as a persistent state of poor peripheral perfusion.
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From page 68... ...
Hemostatic wound dressings combined with small-volume, stable, concentrated oxygen-carrying fluid will also reduce shock in combat casualties. Major hemorrhaging can be stopped with an automatic response from body armor acting as a tourniquet.
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From page 69... ...
The integrated construction of the prostheses will prevent the complication of fibril shredding that is characteristic of adhesively bonded fibril surface systems. Because the bulk mechanical properties of the graft are determined principally by the solid nonporous substrate, the desired graft compliance may be achievable by simply adjusting substrate thickness.
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From page 70... ...
Whether or not they are actually available to naval forces and supported by people who can use them well will depend on the extent to which the Department of the Navy emphasizes combat medical care capabilities care that can be provided in the first 30 minutes. The Department of the Navy should accelerate and support R&D in combat medicine that focuses on integrated protection and monitoring systems, on at-sea medical systems using telemedical capabilities, and on advanced pharmaceutical products that are effective against new battlefield weapons.
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From page 71... ...
Timely and effective response to new threats depends on making the knowledge of potential threats and countermeasures available to the combat medical specialist. Finally, and most importantly, the Department of the Navy should place much more emphasis on the pursuit of combat medicine capability in its medical caregivers and should reward those who specialize in combat medicine more fully in accord with its value to our naval forces and naval operations.
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