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Medical Communications for Combat Casualty Care (MC4)

Medical Communications for Combat Casualty Care (MC4). Bernard L. DeKoning, M.D. Colonel, Medical Corps Assistant Surgeon General United States Army. MC4. Medical Surveillance Electronic Medical Record Logistics Patient Movement Tracking. Is integrated into U.S. Defense Department’s

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Medical Communications for Combat Casualty Care (MC4)

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  1. Medical Communications for Combat Casualty Care (MC4) Bernard L. DeKoning, M.D. Colonel, Medical Corps Assistant Surgeon General United States Army

  2. MC4 • Medical Surveillance • Electronic Medical Record • Logistics • Patient Movement Tracking Is integrated into U.S. Defense Department’s Joint Theater Medical Information Program

  3. Hurricane Katrina(New Orleans, Louisiana, USA)September-November 200514st Combat Support Hospital (14st CSH)21th Combat Support Hospital (21th CSH)

  4. Hurricane Katrina • 14th CSH was first to arrive and became trained in MC4 • 21st CSH replaced 14th CSH in October 2005 • Electronic Medical Record (EMR) System: • used internally to CSH – no outside connection • Challenges: • No common communication system among federal agencies • Survivors had no identification with them • Patients requiring medication refills • Patients with allergies

  5. 21st Combat Support Hospital PATIENT ADMINISTRATION DIVISION • Became skilled w/ MC4 system • Registered over 1300 Patients (14th and 21st CSH: 2300 patients) • Admitted over 30 Patients • Transferred over 60 Patients • Assisted w/ all death proceedings • Faxed, COPIED, COPIED and COPIED for all 21st CSH Missions PAD TO THE BONE

  6. Pakistan Earthquake(Muzaffarabad, Pakistan) October 2005-March 2006212th Mobile Army Surgical Hospital (212th MASH)

  7. Pakistan Earthquake by Tech. Sgt. Mike Buytas, October 21, 2005This photo appeared on www.army.mil.

  8. Pakistan Earthquake • Deployed a “SMART MC3T” team (Special Medical Augmentation Response Team-Medical Command and Control Communications and Telemedicine) - Established satellite communications - Joint Patient Tracking Application (JPTA) - Telemedicine for consultation (radiology) • Challenges with JPTA - No administrative information for patients • “Social Security Numbers” • Unknown age/birth date • Same names • Electronic Medical Record not done (manpower intense) Different challenges than in Hurricane Katrina (200 patients per day)

  9. Pakistan Earthquake • 212th MASH - treated well over 20,000 patients over 5 months (compared to 2300 over 2 months with Katrina) - provided vaccinations to 8,000 patients • 212th MASH donated hospital shelter and equipment (except MC4 equipment) to government of Pakistan

  10. Pakistan Earthquake

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