{"id":2077,"date":"2011-05-17T15:11:06","date_gmt":"2011-05-17T15:11:06","guid":{"rendered":"http:\/\/www.faceofmalawi.com\/?p=2077"},"modified":"2011-05-17T15:11:06","modified_gmt":"2011-05-17T15:11:06","slug":"soldiers-share-combat-lifesaving-skills-with-malawian-troops","status":"publish","type":"post","link":"https:\/\/new.faceofmalawi.com\/index.php\/2011\/05\/17\/soldiers-share-combat-lifesaving-skills-with-malawian-troops\/","title":{"rendered":"Soldiers Share Combat Lifesaving Skills with Malawian Troops"},"content":{"rendered":"<div id=\"attachment_2078\" style=\"width: 310px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2078\" class=\"size-medium wp-image-2078\" title=\"file.asp\" src=\"http:\/\/www.faceofmalawi.com\/wp-content\/uploads\/2011\/05\/file.asp_-300x214.jpg\" alt=\"\" width=\"300\" height=\"214\" \/><p id=\"caption-attachment-2078\" class=\"wp-caption-text\">LILONGWE, Malawi \u2013 Malawi Defense Force medics apply combat lifesaving skills taught by soldiers from the Army Reserve\u2019s 399th Combat Support Hospital during a field training exercise at Medreach 11 in Lilongwe, Malawi, May 12, 2011. Medreach 11 is a U.S. Army Africa-run exercise designed to enhance U.S. and Malawian military medical capabilities and enhance the two militaries\u2019 ability to work together during a humanitarian emergency or other crisis. (U.S. Army photo by Sergeant Jesse Houk)<\/p><\/div>\n<p>Army Sergeant 1st Class Chris Richey knows a lot about battlefield  medicine. With three deployments \u2014 one to Kosovo and two to Iraq \u2014 and  more than 400 combat convoy missions under his belt, he\u2019s learned a  thing or two about combat casualty care.<\/p>\n<p>During his most recent deployment, as part of the troop surge in Iraq  from 2007 to 2008, he shared what he\u2019s learned as a military transition  team advisor to Iraqi security force medics.<\/p>\n<p>So when Richey, a training noncommissioned officer with the Army  Reserve\u2019s 399th Combat Support Hospital, arrived in Lilongwe to train  Malawian defense forces during Medreach 11, the Malawi soldiers were all  ears.<\/p>\n<p>\u00ab\u00a0It gave me a lot of credibility,\u00a0\u00bb Richey said as he sat alongside  his students preparing for a field training exercise that would put some  of the lessons imparted during the past 10 days to the test.<\/p>\n<p>Medreach 11 is a U.S. Army Africa-run exercise designed to enhance  U.S. and Malawian military medical capabilities and enhance the two  militaries\u2019 ability to work together during a humanitarian emergency or  other crisis.<\/p>\n<p>In addition to humanitarian and civic assistance outreach projects, a  major emphasis during the exercise was on training: in the classroom,  in training lanes and ultimately, during a field training exercise.<\/p>\n<p>The Malawians shared with their American counterparts insights into  how they identify and treat tropical diseases and HIV, and were anxious  to hear about a variety of U.S. treatment techniques. But what they most  wanted to tap into was the wealth of experience the U.S. military has  developed over the past decade in providing combat medicine and trauma  care. It\u2019s of particular interest now that Malawi has deployed a  battalion of about 850 soldiers to support a U.N. peacekeeping mission  in the Ivory Coast.<\/p>\n<p>The U.S. military has learned many lessons about field medicine  during the past 10 years of war, particularly the importance of combat  lifesavers who provide that first critical \u00ab\u00a0golden hour\u00a0\u00bb care to  wounded troops, Colonel Marcus De Oliveira, U.S. Army Africa chief of  staff, said.<\/p>\n<p>In addition to incorporating these lessons into its own operations,  the U.S. military shares them with partners, such as Malawi, that may  need to draw on them during peacekeeping or other operations, he said.<\/p>\n<p>Brigadier General (Dr.) Alfred Chitsa Banda, director of the Malawi  Defense Force\u2019s medical service, said he hopes to develop combat  lifesaver expertise among his own troops based on the U.S. example. So  in support of that request, medical teams from the 399th Combat Support  Hospital conducted a variety of instruction during Medreach 11, much of  it focusing on combat lifesaver instruction.<\/p>\n<p>The 399th instructors applied the \u00ab\u00a0crawl, walk, run\u00a0\u00bb approach to  the training, explained Army Sergeant 1st Class Joleen Millette, the  399th\u2019s NCO in charge of plans and operations. Classroom instruction  advanced to hands-on practical exercises, as the Malawian medics  practiced triaging casualties and moving them \u2014 with a litter, if one  was available, and if not, using a belt, sling or fellow soldier to  help.<\/p>\n<p>Lanes training culminated the training, with a litter-carry course  set up on an obstacle course at the Kamuzu Barracks complex. The  Malawian medics carried casualties through five different stations on  the course, taking turns so each soldier got to lead the team.<\/p>\n<p>\u00ab\u00a0We made it stressful for them, but I think they loved it, from what  they told us,\u00a0\u00bb Millette said. \u00ab\u00a0And we loved doing it, too. The way I  see this, we\u2019re paying it forward, teaching them what we have learned  from our own experience.\u00a0\u00bb<\/p>\n<p>Millette said the unit\u2019s combat deployments brought credibility and  value to the training. \u00ab\u00a0We have been there,\u00a0\u00bb she said, citing her own  deployment to Contingency Operating Base Speicher in Tikrit, Iraq, from  June 2006 to October 2007. \u00ab\u00a0We have touched it and we have seen it and  we have been there.\u00a0\u00bb<\/p>\n<p>Yesterday\u2019s field-training exercise put the Malawian troops\u2019 skills  to the test in a realistic combat scenario. As a convoy advanced down  the roadway, the second vehicle was hit by a simulated improvised  explosive device, followed by an ambush. The troops quickly dismounted  to suppress the ambush, then established security as soldiers exercised  their new combat lifesaver skills on the casualties.<\/p>\n<p>The \u00ab\u00a0casualties\u00a0\u00bb were moulaged to reflect their wounds. One soldier  was \u00ab\u00a0killed\u00a0\u00bb during the attack. One suffered a gunshot wound to the  neck, and another had a sucking chest wound. Two had less-threatening  injuries: a leg fracture and bruises.<\/p>\n<p>With red smoke still choking the ground, litter teams rushed in to  triage the wounded and transport them to advanced-level care at a field  hospital configured in a tent at the barracks compound.<\/p>\n<p>\u00ab\u00a0What you just saw was care under fire,\u00a0\u00bb Army Major Jack Twomey, a  399th Combat Support Hospital nurse, told international observers  attending the demonstration. It\u2019s a time of quick decision-making for  troops on the ground, he explained. A tourniquet applied to stop  bleeding or an airway cleared to restore breathing can make the  difference between life and death.<\/p>\n<p>\u00ab\u00a0It was good training,\u00a0\u00bb Malawian Staff Sergeant George Matubwa said  after the exercise. \u00ab\u00a0We learned how to react to an ambush, both  medically and tactically, and how to get the casualties and move them to  advanced care.\u00a0\u00bb<\/p>\n<p>As the field hospital team went to work on the casualties, Malawi  Defense Force Major Edward Mandala, the senior clinical officer,  reflected on the increased confidence his soldiers showed in applying  life-saving skills and moving casualties from the point of injury.<\/p>\n<p>In addition to getting a refresher on their basic skills, the 399th  classes had introduced them to new ones such as how to operate in a  biological environment or conduct a mass casualty evacuation, he said.<\/p>\n<p>Richey, who accompanied the Malawian soldiers through the field  training exercise, gave their performance a thumbs up. \u00ab\u00a0I love it when  good training all comes together,\u00a0\u00bb he said.<\/p>\n<p>Citing his own experience, Richey said the training the Malawian  soldiers received during Medreach 11 will provide a foundation for them  to draw on when and if it\u2019s needed.<\/p>\n<p>\u00ab\u00a0No scenario is ever the same,\u00a0\u00bb he said. \u00ab\u00a0You train from A to Z.  Then, when you actually get in there, that training kicks in. As you are  sizing up the scene, it all comes to you.\u00a0\u00bb<\/p>\n<p>By Donna Miles<br \/>\nAmerican Forces Press Service<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Army Sergeant 1st Class Chris Richey knows a lot about battlefield medicine. With three deployments \u2014 one to Kosovo and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2078,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[428],"tags":[426,547,443],"class_list":["post-2077","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-malawi-defence-force","tag-army","tag-training","tag-usa"],"_links":{"self":[{"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/posts\/2077","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/comments?post=2077"}],"version-history":[{"count":0,"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/posts\/2077\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/media?parent=2077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/categories?post=2077"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/new.faceofmalawi.com\/index.php\/wp-json\/wp\/v2\/tags?post=2077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}