Saturday, March 22, 2025
3/22/2025
Innovations developed by existing joint civilian-military medical training programs are being applied in-theater across the roles of care and within the prehospital and critical care clinical facilities within the Military Health System. These solutions not only help to minimize the morbidity and mortality of combat-related injuries sustained by the Warfighter; they are also often translatable to civilian care. Building on these existing successful programs, academic medical training centers with ongoing and comprehensive infrastructure should be established for military medical providers to practice, experience and discover new ways to provide care and advance the goals of the NDAA. Specifically, areas of focus by the academic medical training centers should include: • Prolonged and In Route Care: The Prolonged and In Route Care portfolio seeks to provide solutions to enable increased levels of care closer to the point of injury, including care provided during evacuation, to provide patient care for longer time periods when delayed evacuation exceeds available capability and/or capacity, and to extend provider capabilities to care for larger numbers of casualties. • Battlefield Resuscitation for Immediate Stabilization of Combat Casualties: Hemorrhage is the leading cause of preventable deaths among combat casualties occurring before a medical treatment facility is reached. The Battlefield Resuscitation for Immediate Stabilization of Combat Casualties portfolio seeks to provide solutions to enable the immediate stabilization at the point of injury. Current strategic objectives are to provide: (1) technologies to control bleeding in the prehospital environment, (2) safer, more effective, and more logistically supportable blood products, and (3) technologies and knowledge sets for improved damage control resuscitation. • Neurotrauma: The Neurotrauma Portfolio (NTP) is focused on closing military-relevant gaps across a broad ran ge of research areas to improve the prevention, diagnosis, management, and treatment of Traumatic Brain Injury (TBI) and related sequelae from point-of-injury through recovery. The NTP’s goal is to decrease morbidity and mortality from neurotrauma, mitigate secondary brain injury across all TBI severities, and advance materiel and knowledge development to expand and develop new clinical practice guidelines, care algorithms, therapies, devices, and procedures that advance the decision-making capabilities of medical personnel, enabling earlier intervention and improved outcomes. To operationalize the programs needed to meet NDAA goals and Zero Preventable Death objectives, expanded partnerships with academic medical institutions must be funded. Funding should expand partnerships within current civilian-military medical training programs that are both capable and experienced with developing pilot initiatives. Authorizing specific funding in the FY 2023 NDAA to establish a minimum of 7 geo-diverse and unique academic military-civilian medical training centers across the country will achieve NDAA objectives. Pilot funding is recommended to be at a minimum $3 million per center for FY 2023. Funding would provide for the start-up costs of recruiting personnel, securing equipment, and educational resources. Funding will allow for the development of academic programs, recruiting talented innovators, securing educational infrastructure, and conducting pilot training initiatives.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).