Atrium Health (AH) maintains an active Medical Training Agreement (MTA) with the United States Army Special
Operations Command (USASOC) to train, educate, and integrate into clinical operations four (4) ten-person Austere Resuscitative Surgical Teams (ARSTs). The goal of this project is to provide comprehensive high-quality trauma training and sustainment of highly perishable, mission essential medical skills for these active-duty Department of Defense ARSTs, while also advancing military and civilian partnerships nationwide. The project objectives are to: 1) Fully integrate four USASOC ARSTs into AH Carolinas Medical Center Level I trauma center; 2) Develop, implement, and evaluate a comprehensive trauma training curriculum through high-fidelity simulation, formal coursework, and high-acuity clinical practice; and 3) Develop a robust infrastructure for advancement of military-civilian partnerships, internally and nationally. The expected outcomes of this project are: 1) Improved operational readiness and trauma resuscitation capabilities of USASOC surgical teams as measured by Individual Critical Task Lists (ICTLs) and medical Joint Knowledge Skills and Abilities (Med-JKSA) with sustainment of highly perishable mission essential medical skills for austere environments; and 3) Value determination of military-civilian partnerships and publication of best practices. The products are: 1) Formalized comprehensive trauma training curricula for Special Operations Combat Medics and medical officers; 2) Annual reports of specialty-based clinical employment and work metrics for military personnel; 3) Data assessment of specialty-specific ICTLs and Med-JKSA; and 4) Abstracts and articles for publication of military-civilian partnerships.
