Surgeon General, HQ USEUCOM Stuttgart, Germany Europe Matters! - - PowerPoint PPT Presentation

1 United States

European Command

UNCLASSIFIED UNCLASSIFIED

Colonel Ronald Smith Surgeon General, HQ USEUCOM Stuttgart, Germany “Europe Matters! Stronger Together”

The overall classification of this briefing is UNCLASSIFIED

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U) UNCLASSIFIED (U) RESTORE MILITARY READINESS as we build a more lethal force

STRENGTHEN ALLIANCES and attract new partners

BRING BUSINESS REFORMS to the Department of Defense

IMPERATIVES – EUCOM Medical Force Applicable

• Be strategically predictable, but operationally

unpredictable

• Foster a Competitive Mindset
• Resilient and Agile Logistics
• Forward force maneuver and posture reliance
• Uphold a foundation of mutual respect, responsibility,

priorities, and accountability

• Expand regional consultative mechanisms and

collaborative planning

• Deepen interoperability
• Fortify the Trans-Atlantic NATO Alliance

2018 National Defense Strategy

“Our ability to rapidly move and sustain operations around the globe assures our allies and gives our adversaries pause”

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U) UNCLASSIFIED (U)

Enduring Priorities

• Ensure Ready and Postured Forces
• Strengthen Strategic Partnerships and Build Partner

Capacity, Capability and Interoperability (NATO Unity)

• Adapt to a Complex and Dynamic Strategic Environment
• Develop Resilient Service Members, DoD Civilians and

their Families Four Broad Ideas

• A Return to Great Power Competition Driven by Strategy
• Establish a Combat Credible Deterrent Posture
• Strengthen EUCOM’s Role as a Warfighting HQ
• Support the Coalition Network to Fight the Violent

Extremist Network

Global and Theater Challenges Influence Focus Areas

USEUCOM CDR’s Vision

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U) UNCLASSIFIED (U)

Force Flow

Trans Atlantic Operations Support

Provide Combatant Commander with Flexible Options

Setting Theater Conditions

Support to Operations in High North Set the Host Nation Medical Network Atlantic Resolve/ Enhanced Forward Presence Support Operation Inherent Resolve Support Set the Mediterranea n for Global Operations

Strategic Medical Objectives

Deter Prepositioning Surge Capacity Capability - Role 1, 2, 3 Survivability Expand Host Nation Networks Multimodal Patient Transport Building NATO and Partnerships NATO-US Medical Strategy Collaboration Interoperability – Standardization Embeddable Teams Countering Threats Disease Surveillance – Emerging Threats Countermeasures - Tick Borne Encephalitis Cross-Border Transmission – Human, Animal, Agricultural

Approach

Medical Strategy Whole of Government USEUCOM, SHAPE, NATO, EU Integration POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U) UNCLASSIFIED (U)

Enabling a Rapid Pivot From Steady-State Environment to Contingency Response Operations

Setting The Medical Posture

Key Operational Ports

S18-03-038S

Ongoing

• Russia Readiness Review
• All Things Europe
• Casualty and Resource

Estimates – JMPT/MPTk

• EDI Projects
• Class VIII Deep Dive
• Balkan Medical TF
• Network Mapping – RAND Study
• TBE Vaccine Initiative
• Theater Screening and Waivers

Operational/Exercise

• eFP Rotations
• Atlantic Resolve Rotational Force
• CJAS (UK)
• VJTF
• Component Exercises - Saber

Guardian-Sea Breeze-Blue Skies

• COCOM Exercises - Austere

Series, Juniper Series, Jackal Series, Ultimate Caduceus

• AFRICOM/CENTCOM Support
• Medical Wargames
• Pandemic TTX

Medical Efforts

NATO

• COMEDS – Chiefs of Medicine
• NATO Allied Commands (O&T)
• MilMed Center of Excellence
• NATO School Oberammergau
• MAPF, MNC-NE, HQ ARRC
• JFC - Brunsum and Naples
• Joint Enabling Support

Command (JESC) – Med Element

• Contracting – OLSP, NSPA

Multi-National

• Support to Israel
• Ukraine Engagements
• Georgia Amputee Program
• MMCC (DEU)
• Balkans Medical Task Force
• Vigorous Warrior – Trident

Juncture

• Norway Caves Initiative
• Secretarial Designee Program
• State Partnership Program
• Moonshot Cancer (Serbia)

Engagements

UNCLASSIFIED//FOUO UNCLASSIFIED//FOUO

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U) UNCLASSIFIED (U) POC: COL Ronald Smith, 430-5374

2016 2017 2018

African Swine Fever – Cross-Border Threat

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107

UNCLASSIFIED (U) UNCLASSIFIED (U)

TRANSCOM Distributed Care Plan:

1. Walter Reed National Military Medical Center (WRNMMC) 2. Brooke Army Medical Center (BAMC) 3. Naval Medical Center San Diego (NMCSD) 4. Civilian medical centers

Concept:

1. Exercise Med Plan – subset of OPLAN 2. Alert-Mobilize-Deploy-MTF Receive-MTF Backfill-Push Forward Med Teams-Train-Rotate - - 4 week program 3. Academics-Simulations-Perfused Cadaver-Live Tissue Training 4. Key Aspects a. NG/Reserves; TRANSCOM; MTF Teams b. Reception at MTF c. Permanent Admin teams Forward d. Multinational Embeds e. Mission Command Element 5. Live Tissue Training – maintain life thru continuum a. Multinational credentialing b. Maintain life along continuum of care c. POI Care-OR-Critical Care-Holding-Enroute Care d. Permanent Veterinary Teams e. Partner Nation Host 6. Integrate Capabilities Based Assessments (CBAs) 7. Pilot in Poland

Casualty Receiving Patient Flow Prepositioning

Distributed Care Plan

• TCCC
• Austere Care
• Go Pro Medic

R2/3

10 Essential PFC Capabilities

Monitoring Physical Exam & Diagnostics Resuscitation Nursing & Hygiene Ventilate & Oxygenate Surgical Interventions Control the Airway Telemedical Consult Sedation & Analgesia Package & Prepare for Flight

Multi-facility Embed Continuous Exercise of MEDPLAN Integrated Multinational Professional Teams JRSOI Team Backbone

• HN Civ Facility
• HN Mil Facility
• Field Facility
• US Facility
• Austere
• Liaisons
• Language
• Billeting
• Admin
• Logistics
• Surgical
• Critical

Care

• Enroute

Care

Patient Movement Forward Deployment Reserve Augmentation

MEDPLAN CONCEPT

Prolonged Field Care (PFC) Partner Nation Interoperability

Programatic and Systematic Approach to Far-Forward Care

POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107