UNCLASSIFIED Colonel Ronald Smith Surgeon General, HQ USEUCOM Stuttgart, Germany “ Europe Matters! Stronger Together” United States UNCLASSIFIED The overall classification of this briefing is European Command 1 UNCLASSIFIED POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107
UNCLASSIFIED (U) 2018 National Defense Strategy 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 • Uphold a foundation of mutual respect, responsibility, unpredictable priorities, and accountability • Foster a Competitive Mindset • Expand regional consultative mechanisms and collaborative planning • Resilient and Agile Logistics • Deepen interoperability • Forward force maneuver and posture reliance • Fortify the Trans-Atlantic NATO Alliance “Our ability to rapidly move and sustain operations around the globe assures our allies and gives our adversaries pause” UNCLASSIFIED (U) POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107
UNCLASSIFIED (U) USEUCOM CDR’s Vision 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 UNCLASSIFIED (U) POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107
UNCLASSIFIED (U) Setting Theater Conditions Strategic Medical Objectives Support to Operations in Deter High North Trans Atlantic Prepositioning Operations Support Atlantic Surge Capacity Resolve/ Capability - Role 1, 2, 3 Enhanced Survivability Forward Expand Host Nation Networks Presence Support Multimodal Patient Transport Building NATO and Partnerships NATO-US Medical Strategy Collaboration Interoperability – Standardization Force Flow Embeddable Teams Countering Threats Disease Surveillance – Emerging Operation Set the Host Threats Inherent Nation Medical Countermeasures - Tick Borne Resolve Network Support Encephalitis Cross-Border Transmission – Human, Animal, Agricultural Approach Set the Mediterranea n for Global Operations Whole of USEUCOM, SHAPE, Medical Strategy Government NATO, EU Integration Provide Combatant Commander with Flexible Options UNCLASSIFIED (U) POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107
UNCLASSIFIED//FOUO UNCLASSIFIED (U) Setting The Medical Posture Key Operational Ports Medical Efforts Ongoing Operational/Exercise • • Russia Readiness Review eFP Rotations • • All Things Europe Atlantic Resolve Rotational Force • • Casualty and Resource CJAS (UK) Estimates – JMPT/MPTk • VJTF • EDI Projects • Component Exercises - Saber • Class VIII Deep Dive Guardian-Sea Breeze-Blue Skies • • Balkan Medical TF COCOM Exercises - Austere Series, Juniper Series, Jackal • Network Mapping – RAND Study Series, Ultimate Caduceus • TBE Vaccine Initiative • AFRICOM/CENTCOM Support • Theater Screening and Waivers • Medical Wargames • Pandemic TTX Engagements NATO Multi-National • • COMEDS – Chiefs of Medicine Support to Israel • • Ukraine Engagements NATO Allied Commands (O&T) • Georgia Amputee Program • MilMed Center of Excellence • MMCC (DEU) • NATO School Oberammergau • Balkans Medical Task Force • MAPF, MNC-NE, HQ ARRC • Vigorous Warrior – Trident • JFC - Brunsum and Naples Juncture • Joint Enabling Support • Norway Caves Initiative Command (JESC) – Med Element • Secretarial Designee Program • Contracting – OLSP, NSPA • State Partnership Program • Moonshot Cancer (Serbia) S18-03-038S Enabling a Rapid Pivot From Steady-State Environment to Contingency Response Operations UNCLASSIFIED//FOUO UNCLASSIFIED (U) POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107
UNCLASSIFIED (U) African Swine Fever – Cross-Border Threat 2016 2017 2018 UNCLASSIFIED (U) POC: COL Ronald Smith, 430-5374 POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107
UNCLASSIFIED (U) Concept: MEDPLAN CONCEPT Exercise Med Plan – subset of OPLAN 1. 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 Prolonged Field Care (PFC) 4. Key Aspects a. NG/Reserves; TRANSCOM; MTF Teams Partner Nation Interoperability b. Reception at MTF c. Permanent Admin teams Forward TRANSCOM 10 Essential PFC Capabilities d. Multinational Embeds Distributed Care Plan: e. Mission Command Element Monitoring Physical Exam & Diagnostics Live Tissue Training – maintain life thru continuum 5. 1. Walter Reed National a. Multinational credentialing Military Medical Center Resuscitation Nursing & Hygiene b. Maintain life along continuum of care (WRNMMC) c. POI Care-OR-Critical Care-Holding-Enroute Care Ventilate & Oxygenate Surgical Interventions 2. Brooke Army Medical d. Permanent Veterinary Teams Center (BAMC) e. Partner Nation Host Control the Airway Telemedical Consult 3. Naval Medical Center San 6. Integrate Capabilities Based Assessments (CBAs) Diego (NMCSD) Sedation & Analgesia Package & Prepare for Flight 7. Pilot in Poland 4. Civilian medical centers Casualty Receiving Patient Flow Prepositioning Distributed Care Plan R2/3 • TCCC • Austere Care • Go Pro Medic • Liaisons • HN Civ Facility • Surgical Integrated Continuous JRSOI • Language • HN Mil Facility • Critical Multi-facility Multinational • Billeting • Field Facility Exercise of Team Care Embed Professional • Admin • US Facility • Enroute MEDPLAN Backbone Teams • Logistics • Austere Care Patient Reserve Forward Movement Augmentation Deployment Programatic and Systematic Approach to Far-Forward Care UNCLASSIFIED (U) POC COL Ronald Smith, 430-5374, ECSG, Updated 20181107
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