Afghanistan: medical evacuation exercise

medevac 1Herat – Late June 2016, some of the Italian national contingent departments operating in Afghanistan have conducted a complex Aeromedical Evacuation – MEDEVAC – exercise to test procedures, coordination and reaction timing of all the various units which have to intervene in case of emergency medical transport to be performed with the use of helicopters. This intervention capacity is very important in the Afghan theatre, and must always be maintained at the highest levels of efficiency and readiness.

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ISSMM-Delta Discussion Day at the Rome TorVergata University

ISSMM LogoAs part of the Academic Path of the II Level International Master ISSMM, whose contents and whose purposes are available online on the website ISSMM – University Tor Vergata (here), in addition to course lectures, the Governing Council has designed and organized various other events such as Conference, Seminars, Workshops, Study Days, taught by recognized High Professionalism and Experience Speakers and sometimes in synergy with Organizations / Research centers, public-private, civil-military institutions to pursue the objectives of Excellence of said Master. (see video)

International University Master – II level – ISSMM-Delta

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Symantec annual CyberWar Games

CyberWar medicineThe scenario: A hospital is conducting a clinical trial of a new drug. The attacker does not want that drug to go to market. In order to thwart the drug’s success, the attacker must sabotage data being collected from patients in the trial so the FDA will not approve it.

There’s no better way to learn something than by doing. With this in mind, Symantec created CyberWar Games, an innovative approach to understanding the cyber threats our customers face every day by giving employees the opportunity to walk in the shoes of the attacker. CyberWar Games allows employees to better understand an attacker’s motives, tactics, techniques, and goals from the hacker’s point of view. Similarly, when a pilot goes through the process to obtain a pilot’s license, they don’t just read a few books, hop into a cockpit and fly the next red eye off of the runway. Instead, they’re trained in classes and spend hours upon hours in simulations before even touching the controls of a real plane. In the same fashion that pilots are trained, we are training our employees to become stronger experts in cyber security.

Last test was rough for County West General Hospital. Its IT staff noticed almost immediately that the kickoff off round of FDA testing for a new drug from Bromley Weyland Pharmaceuticals appeared to be compromised. Patients in the study saw their monitor readings run the gambit of extremes. Worse, patient data was being changed as the worried IT staff monitored the critical situation. Someone had hacked into the hospital network and early indications were it was an inside job. Fortunately, it was just a simulation at a fictional healthcare facility and the ten teams hacking into the live network were all Symantec employees who had won the right to be a part of the company’s three-day 2015 CyberWar Games held in Mountain View, CA.

Many businesses and government-related organizations enlist ethical hackers, or experts who systematically penetrate a computer system or network on behalf of its owners in order to discover its vulnerabilities.

Employees learn how an attacker can exploit networks, applications, products, and solutions, and why they might be motivated to do so. In this year’s simulation, maybe the attacker was a disgruntled employee of the pharmaceutical company conducting the clinical trial, or an employee of a rival company that would prefer its version of the drug go to market first.
This role-reversal changes the way employees think about emerging threats and cyber-criminal tactics.

“This is helping us provide quicker, more contextual input into attacks for our customers,” said Samir Kapuria, General Manager, Cyber Security Services at Symantec.

Tele-health & Tele-medicine: From Saying to Doing.

Tele health TelemedicineThe Information Technology Executives Club of Rome – CDTI, in the spirit of contributing with the skills and experience of its members in the development of the country, involving multidisciplinary professional such as doctors, researchers, entrepreneurs, professionals and IT executives, created an Health Working Group (HWG), which identified the Telemedicine as a fundamental theme for the development of E-Health, also analyzing its recently issued operational guidelines, to synthesize in a single document the information elements for the development of services and the rationalization of costs by the use of information technology.

The working group, considering that,

  • Medical Care needs to address the challenges of aging and chronic disease and that the concept of health has evolved into the concept of well-being, and, as such, requesting improvement in quantity and quality of personalized services;
  • the reorganization of the Medical Care has not yet included in a systemic way those innovative telematic services that would allow a rationalization and saving resources;
  • The addresses of government and recent operational guidelines agreed by the Conference State – Regions and issued by the Ministry of Health, involve the expansion of the territory with a smaller number of hospitals more and more advanced, technologically advanced, dedicated to pathologies high complexity;

and in consideration that the intensive use of information technology and telecommunications (ICT) as key instruments to allow the sharing of information between the various sectors of health and social component without physical travel, the HWG decided to engage himself in the development of a white paper “Telemedicine: from saying to doing.”

This document, which was made public on the occasion of the CDTI September 16, 2014 Seminar in Rome, contains proposals for a concrete and competent support to the “government strategy” for the deployment of telemedicine services in the territory, recognized as an important tool for care and assistance in integration of existing health and social services, effective for cost reduction and increase of services, and also the engine of new jobs in the market.

After years of experimentation isolated, often undertaken voluntarily and dismissed before putting a system on a large scale, a number of national and international experiences have shown that the modern Telemedicine, if programmed in a timely manner in accordance with the more general strategies for improving the quality and efficiency of the health system, is now able to offer significant support to the actions of change in health care systems and proves sustainable in the medium to long term.

Source: Club Dirigenti Tecnologie dell’Informazione di Roma – www.cdti.org

USAF: Contract to CAE for Aeromedical Evacuation Training System

Evacuation Training SystemCAE announced it has been awarded a contract through ADS Inc. and the Defense Logistics Agency (DLA) Tailored Logistics Support (TLS) program to provide the United States Air Force Reserve Command (AFRC) at Dobbins Air Force Base with a comprehensive Aeromedical Evacuation Training System.

The Aeromedical Evacuation Training System, which can be developed for a range of air mobility aircraft platforms, will provide AFRC with a realistic training environment that will be used to prepare aeromedical evacuation crews for pre-flight and emergency procedures as well as in-flight patient care.

CAE will provide a high-fidelity C-130 fuselage trainer that is configured for aeromedical evacuation missions. Within the C-130 fuselage trainer will be CAE Healthcare iStan human patient simulators, which feature internal robotics that mimic human cardiovascular, respiratory and neurological systems. When iStan bleeds, his blood pressure, heart rate and other clinical signs change automatically, and he responds to treatment with minimal input from an instructor. The overall Aeromedical Evacuation Training System provided by CAE will include courseware and curriculum, as well as a hand-held, wireless tablet instructor operator station to provide full control and customization of a variety of training scenarios.

“We are pleased to be working with ADS, who helped the Air Force identify the best solution for their aeromedical training requirements and provided an efficient contracting solution for the procurement of CAE’s Aeromedical Evacuation Training System,” said Ray Duquette, President and General Manager, CAE USA. “The comprehensive, integrated, off-the-shelf training solution we provide will enable the U.S. Air Force to more cost-effectively train both aircrews and medical personnel for critical aeromedical evacuation missions.”

“This program is a great example of CAE’s unique training systems integrator capabilities where we can leverage our extensive air mobility simulation and training experience and combine it with world-class human patient simulators from CAE Healthcare, which demonstrates the unique synergies CAE can achieve between its defence and healthcare business units,” said Gene Colabatistto, CAE’s Group President, Defence and Security.

Source : CAE

New Synthetic Bones Help Army Scientists Get Closer to New ‘brain’ Defenses

Shock waves from battlefield explosions are invisible threats for U.S. Soldiers and their top-of-the-line combat helmets, but with new studies in synthetic human physiology, researchers are learning how to lessen blast wave effects on the brain.

Exactly how, and to what degree, these waves cause brain damage is what the U.S. Army Research Laboratory scientists and engineers and a group of university partners are trying to answer as part of a multi-year, multi-disciplinary research project.

In a related research project, Army researchers are investigating new material development for helmet padding systems, and from this research, they expect greater insight and innovation in addressing what is likely to be the next big development in head protection: strategies for mitigating the effects of blast.

They’re creating synthetic cranial bones that look and behave like the skulls of 20- and 30-year old Soldiers that will be tested in laboratory experiments that mimic combat-like blast events in hopes of improving military helmet pads, shells, and other protective equipment.

Dr. Thomas Plaisted, materials engineer in the Materials and Manufacturing Science Division at the ARL, said even though synthetic bones are commercially available, they’re used primarily by doctors to practice surgical procedures. But, their design prevents them from “behaving like real human bones when subjected to blast tests.”

“The mechanical properties of the human skull change with age and depend on the health of the individual. Donor skulls that may be available for testing would typically come from older people, and the properties of those skulls can be highly variable and may not have the same response as the average skull of the Army Soldier population,” said Plaisted.

He said this is among the variables that “add uncertainty when trying to evaluate head protection devices, like helmets.”

“So we are developing our own synthetic bone, [and] capturing material and architecture response, specific to the human skull.”

A simulated skull ARL researchers are developing is made of synthetic materials, with the goal of creating a uniform response that is representative of the Soldier population to use in tests to understand how to best protect the head during exposure to blast waves and blunt impact.

“The cranial bones have a highly-graded structure, from a tough outer layer, a spongy inner section, to a more brittle inner layer, which together are responsible for how it responds under impact conditions, he said.

Slice-by-slice images taken from a CT scan help researchers get the geometry and structure of the skull right. ARL composite materials, combined with these images, and 3-D printing technology, produce models of bone-like surrogates that ARL researchers will use to test new helmet padding materials in simulated blast and impact conditions. The goal is to determine how the pads and helmet shell materials protect the head from injury, Plaisted said.

“We are developing new helmet padding materials to improve the impact protection afforded by the Army’s helmets. The helmet can withstand impact at a certain velocity, while protecting the head from accelerations that would lead to injury. In the extreme case, excessive acceleration may lead to skull fracture,” he said.

“We are using computer modeling of head and helmet impacts to understand how tailoring the padding properties can reduce acceleration at various impact locations around the helmet,” Plaisted explained. “Then, those properties are engineered into materials and tested in the laboratory to validate what we are seeing in the computer models. The research is giving insight on optimal material structures and material combinations that achieve increased energy absorption while still being comfortable to wear.”

Earlier this year, ARL evaluated the base material of the synthetic bone by hitting it at a high rate, and comparing the fracture properties to human bones tested by the same technique. They’ve determined it to be a “close match” to human bones, he said.

“Our next step is in determining the limits of resolution we can achieve with the 3-D printing, and how fine the resolution needs to be to capture the properties we are looking for.”

He said he expects to start printing synthetic skulls with 3-D technology by the fall.

“Part of ARL’s mission is to take varying levels of risk in finding state of the art science and developing the technologies that could potentially provide the Soldier with more protection, more capability, or both,” said Dr. Shawn Walsh, who leads ARL’s Agile Manufacturing Technology Team. “What is equally important is that ARL strategically reduce the risk of these new technologies so that centers, such as the Natick [Soldier Research, Development and Engineering Center], can begin to think about how they would integrate into a larger Soldier “system.” Many of ARL’s material, processing, and conceptual technologies were transitioned and demonstrated in NSRDEC’s “HEaDS UP” program.”

“[Dr. Plaisted’s] efforts are unique in that he is bringing fundamental material science and modeling to the dual problem of accurately representing biological systems (for example the skull) and coupling this biological model to a materials model to provide better insight on how impulses are transmitted during an impact to the helmet and head. Such insight will lead to new and quantifiably proven methods for reducing the adverse effects of violently applied forces to the head and helmet system,” Walsh said.

The research is also the focus of the latest episode of “Inside the Lab,” an ARL-produced feature news broadcast.

Source : US Army

$7.3 million Contract By Naval Medical Logistics Command

to Provide Research and Development Services for the Behavioral Sciences and Epidemiology Department

Leidos, a national security, health and engineering solutions company, was awarded a prime contract, Behavioral Epidemiology Assessment Research (BEAR), by the Naval Medical Logistics Command to provide research services for multiple behavioral health and epidemiology projects that support the Naval Health Research Center’s (NHRC) Behavioral Sciences and Epidemiology Department. The single-award cost-plus fixed-fee (CPFF) contract has a one-year base period of performance, four one-year options and a total contract value of approximately $7.3 million, if all options are exercised. Work will be performed primarily in San Diego, Calif.

The NHRC’s Behavioral Sciences and Epidemiology Department is dedicated to the study of behavioral trends that impact warfighter readiness. The department examines operationally relevant issues affecting personnel such as combat and operational stress, posttraumatic stress, misconduct, substance use, suicide and career-span health and wellness issues. Under this contract, Leidos will conduct behavioral and epidemiological investigations that address these and other deployment-related health issues. Specific examples of these studies may include determining factors related to the onset of mental disorders in military personnel; mental health surveillance of combat-deployed personnel; assessing the effects of adverse lifestyle behaviors on health, performance, and healthcare costs; and investigating the effects of acute stress on military personnel.

“Finding ways to improve the health and wellness of our military personnel and their families is important to the Nation, which means it’s important to Leidos,” said Steve Comber, President of Leidos Health.  “We are pleased to continue our support of NHRC to help ensure our military is prepared to perform every mission.”

Source : Leidos

Published on ASDNews: Mar 10, 2014