50 graduate Fatima Girls High School

Tabasum Sharqi (left) opens a book she received for graduating at the top of her Fatima Girls High School class at a ceremony held at the Kunar Department of Women’s (click for more)

Polish and US Forces bond through weapons

Soldiers from the Polish Army and the Texas National Guard Agribusiness Development Team-IV check their shot grouping during qualification on the Polish AK-74 5.56 mm Mini-Beryl short assault rifle Feb. (click for more)

TF Duke Soldiers volley for peace

U.S. Army Soldiers from Company B, 1st Battalion, 26th Infantry Regiment, 3rd Brigade Combat Team, 1st Infantry Division, Task Force Duke, play an impromptu game of volleyball against a team (click for more)

Nurgaram District leaders electrify Nangaresh schools

Dr. Mehirulla Muslim, the Nurgaram District subgovernor, addresses an audience of teachers, government officials and citizens during a ceremony to celebrate a completed solar panel electricity project Feb. 21 in (click for more)

10th CAB Soldiers bring communications to Bagram’s east side

U.S. Army Spc. Raheem Stewart, an automations specialist with TF Phoenix, steps along the rafters of the building his team helped wire for communications. Stewart, from Dallas, was one of (click for more)

ANA, Red Bulls search Parwai during Operation Brass Monkey

An Afghan National Army soldier from Weapons Company, 1st Battalion, 201st Infantry Regiment, searches a pile of rocks in the courtyard of a high-value target home outside the village of (click for more)

Female engagement teams trained to aid communication with Afghan women

U.S. Army Capt. Nicole Zupka of Fair Lawn, N.J., a battlewatch captain with Combined Joint Task Force-Paladin, helps an Afghan child with her writing skills during female engagement team training (click for more)

ANA, TF Storm break trail, make difference in Kharwar

LOGAR PROVINCE, Afghanistan – Afghan National Army soldiers move through Kharwar District to prevent the Taliban’s freedom of movement Feb. 12. U.S. and Afghan soldiers braved more than 3 feet (click for more)

Ky. ADT II begins Panjshir sheep parasite project

Kentucky Agribusiness Development Team II members, U.S. Army Spc. Justin Allen (left), a London, Ky., native, and U.S. Army Sgt. Nicholas Combs, a Corbin, Ky., native, get to know a (click for more)

Engineer Soldiers deliver aid to Afghans

An Afghan carrying a child approaches U.S. Army Staff Sgt. Peter Moeller of Atkins, Iowa, a medic with Task Force Red Bulls, for humanitarian aid at Qale-Mussa Pain Middle School (click for more)

http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/4689251.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/6806902.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/4660053.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/6838114.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/2413645.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/2877986.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/2731507.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/5259568.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/8323039.jpg http://cjtf101.com/components/com_gk2_photoslide/images/thumbm/25198410.jpg


KUNAR PROVINCE, Afghanistan – An Afghan man simulates a penetrating eye injury during a recent mass-casualty exercise as a medic checks his condition at Forward Operating Base Bostick in eastern Afghanistan Feb. 2. (Photo by U.S. Army Staff Sgt. Mark Burrell, Task Force Bastogne Public Affairs)KUNAR PROVINCE, Afghanistan – A couple of months ago, an Afghan road worker was using dynamite to clear a section of road in a village in eastern Afghanistan’s Kunar Province.

The dynamite went off early and hit him in the eye. He went to the closest hospital at Forward Operating Base Bostick, located in Naray District.

“He came in with, basically, his eyeball hanging out,” said U.S. Army Lt. Col. Steven E. Spencer, a Bastrop, La., native and squadron surgeon for 1st Squadron, 32nd Cavalry Regiment, Task Force Bandit, 1st Brigade Combat Team, 101st Airborne Division. “What do you do in this case? So we practice (treating) the penetrating eye injury.”

On Feb. 3, they did just that. The “voodooo medics,” assigned to Headquarters and Headquarters Troop, Task Force Bandit, along with newly arrived Soldiers from the 102nd Forward Surgical Team, conducted a mass-casualty exercise to hone their skills.

Simulated injuries from a mortar attack and a suicide bomb came pouring into the aid station and chaos ensued.

“You fall back on training and repetition,” said Spencer. “Even though things look bad and scary, you fall back on doing things in a certain order. Yes, there’s a hand missing; that’s not what we’re worried about right now. Have we controlled breathing? Is the patient in shock or not? Is the patient breathing or not? Does the patient have an airway where he can breathe? You follow your training algorithm first, and then move over to the scary-looking wound.”

That’s exactly how the medics worked with the FST Soldiers to categorize the patients coming in the doors. They quickly sorted a Soldier with an amputated left leg, an Afghan guard with shrapnel in his eye and a Soldier with mild traumatic brain injury.

“Where’s a tourniquet?” yelled one medic.

“Let’s get an IV in this one,” said another medic.

“Was it a blast injury? Do we need X-rays?” added a third medic.

“I try to call it controlled chaos,” said U.S. Army 1st Lt. Derrick W. Duff, a field medical assistant from Adel, Iowa, with the voodoo medics. “The main thing we try to do is get the patients triaged. The most urgent patients go into the FST and the others go to the aid station medics.”

Duff explained that the reason for the MASCAL exercise was twofold: it gave new FST Soldiers a chance to learn some of their procedures and provided aid station medics an opportunity to enhance their procedures through practice.

Spencer explained the main differences between an FST and an aid station.

Forward surgical teams are trained under advanced trauma life support guidelines. This training is geared toward blunt-force trauma that would occur in the U.S.

On the other hand, the combat medics are trained with tactical combat casualty care.

These two different training guidelines sometimes call for different methods of care, Spencer added.

“The thinking on the battlefield is different, because of the big explosions and the mechanism of injury that Soldiers get and the fact that we’re wearing body armor,” said Spencer. “So we tend to get a different pattern of injuries than people back home get. So whenever you get a new FST with a combat unit, the training of the medics and the personnel is completely different. We have to make sure we’re not butting heads and going against each other in what we’re trying to do for the patient, so we have to practice integrating together.”

He explained that integrating into a cohesive team is critical for what is defined as the “golden hour.” The first 60 minutes after injury that usually determines weather or not a patient is going to survive is considered the most critical time.

“Wheels up from JAF,” yelled Duff, referring to the medical evacuation flight coming from Jalalabad Airfield, which is an indicator of how much time the medics have to prepare a casualty for transport to the larger hospital at Forward Operating Base Fenty.

Spencer explained time is paramount for a patient and placing medics and surgeons at the point of injury, like FOB Bostick, saves a lot of lives on the battlefield.

As the simulated casualties were being prepped for their MEDEVAC flight, an Afghan man walked into the aid station with a swelling hand.

“I pretty much wrapped up my section and reset my area,” said U.S. Army Pfc. Keely S. Layne, a medic from Goochland, Va., assigned to 102nd FST. “Then there was a real patient here with an opportunity to get some real-life training. So I peeled off and went over to see how the doctors ran things in the aid station.”

She quickly learned that a large piece of wood crushed his hand. He was at risk of infection as well as fracture.

Layne volunteered to give him an intravenous injection of medication while the doctors took some X-rays.

The patient flinched and contorted his face when the needle penetrated his skin.

“In the end, he’s going to think, ‘Thanks,’” said Layne. “He’s going to be very grateful. It sucks getting stuck. I don’t like getting stuck. I don’t think anybody likes it. But in the end, as long as his pain is gone and we helped him get back to where he was, then the next time he comes in here he’ll look at us as people who can get the job done.”

That’s exactly how other people have felt about the Soldiers who work in the white concrete building with the medical guidon waving patients inside.

“It helps relieve some of the tension Soldiers might have about going outside the wire because they know that the FST and the aid station are ready to treat them in case the worst does happen,” said Duff. “They know that we’re prepared. So when Soldiers see stuff like this going on, they know that we’re practicing. They know that we’re training. The same way that they do their battle drills to go outside the wire, we’re doing our battle drills to receive casualties.”

After the IVs were pulled out and the simulated patients went back to work, the Soldiers gathered together to compare how the exercise went. For being in Afghanistan for just under a week, the new FST Soldiers were adapting well. The MASCAL exercise brought attention to things that needed to be fixed, but more importantly, it highlighted the strength of these two units, working together to help save lives at the point of injury on the battlefield.

KUNAR PROVINCE, Afghanistan – U.S. Army Pfc. Keely S. Layne, a medic from Goochland, Va., assigned to 102nd Forward Surgical Team, attached to 1st Squadron, 32nd Cavalry Regiment, Task Force Bandit, 1st Brigade Combat Team, 101st Airborne Division, checks on a simulated patient during a mass-casualty exercise at Forward Operating Base Bostick in eastern Afghanistan Feb. 2. (Photo by U.S. Army Staff Sgt. Mark Burrell, Task Force Bastogne Public Affairs)

KUNAR PROVINCE, Afghanistan – An Afghan man with a wounded hand waits for medicine to kick in while lying in the aid station at Forward Operating Base Bostick in eastern Afghanistan Feb. 2. Soldiers assigned to 102nd Forward Surgical Team and Headquarters and Headquarters Troop attached to 1st Squadron, 32nd Cavalry Regiment, Task Force Bandit, 1st Brigade Combat Team, 101st Airborne Division, helped the patient after coming in during a recent mass casualty training exercise. (Photo by U.S. Army Staff Sgt. Mark Burrell, Task Force Bastogne Public Affairs)


Last Updated on Saturday, 05 February 2011 02:06


Related Links

Bagram Airfield

The Flood





Fallen Heroes

Language Selection

Press Releases

ADT launches several Ghazni projects


GHAZNI PROVINCE, Afghanistan – Task Force White Eagle Texas Agribusiness Development Team IV attended a ground breaking ceremony hosted by Ghazni Deputy sub-Gov. Mohammad Ali Ahmadi at the Ghazni Governor’s compound April 27.

TF Dolch launches UAV in Logar Province


Coalition forces engage insurgents in Kapisa

BAGRAM AIRFIELD, Afghanistan – Coalition forces killed seven insurgents in defensive operations in the Alah Say District, Kapisa Province, eastern Afghanistan, March 29.

Coalition forces and aircraft responded to an insurgent attack. Four insurgents were killed by air strike and three were killed by direct fire from coalition forces.

All rounds were reported safe and on target. There were no reports of injuries or damages to civilians in the area.

ANSF, ISAF begin major operation in Laghman valley

LAGHMAN PROVINCE, Afghanistan – The Afghan National Security Forces, partnered with U.S. Task Forces Red Bulls and Phoenix and French Task Force La Fayette, began operations in Galuch Valley, Laghman Province, March 25.

Soldiers of the Afghan National Army’s 201st Corps, Afghan National Police’s 202nd Shamshod and the U.S. Army’s 2nd Brigade Combat Team, 34th Infantry Division, TF Red Bulls, supported by the 10th Combat Aviation Brigade, TF Phoenix, conducted an air assault into the valley to remove enemy forces. Battle Group Richelieu, TF La Fayette, provided artillery support from Kapisa Province.

While conducting operations, the forces found multiple weapons caches including assorted rocket propelled grenades, mortar rounds, Russian rockets, materials to make homemade explosives, various other ordnances and communication equipment.  

While moving through the valley, unit leadership met with village elders to discuss the security situation and to allow them to give up insurgents still in the area.

The operation will assist the Government of the Islamic Republic of Afghanistan in establishing the valley as a new district giving the Afghan people in the area freedom from the insurgency.   

President Hamid Karzai approved the creation of the additional district and hopes the new district will help improve the security of the area and support the reconstruction effort.

Mohammad Iqbal Azizi, Laghman Province governor, held a press conference March 7 announcing the establishment of a new district located in the valley.