In-theater medical treatment keeps warriors in the fight

Published July 4, 2010
By Senior Airman Spencer Gallien
379th Air Expeditionary Wing Public Affairs

SOUTHWEST ASIA -- A group of deployed Airmen stand around a table, each carefully performing a job they've trained for years to do.

Doctors stand over a patient meticulously inserting a long, cylindrical laparoscopic tube through, what appears to be, the patient's abdomen. An anesthesiologist monitors his heart rate, ensuring he is adequately sedated during the procedure. The surgery technician hurriedly prepares equipment, knowing the doctors' minds before they can ask him for the next medical instrument. Finally, a nurse in the background keeps track of each piece of equipment used, compiling the necessary paperwork.

The patient is receiving a Right Inguinal Hernia Repair by 379th Expeditionary Medical Group members as part of the In-Theater Care Program, also known as the Wounded Warrior program.

"In the past year, we provided care to 359 in-theater care patients and 628 regulated aeromedically evacuated patients," said Col. Rachel Lefebvre, 379th EMDG commander. "Treating forces who need medical procedures or wound recovery in theater is a force multiplier that is in high demand by frontline forces. The ITCP allows us to meet medical needs and provide a recuperative environment that has returned 98 percent of our patients without extended removal from the AOR."

The ITCP, an above-and-beyond initiative of the 379th EMDG, brings U.S. servicemembers and Coalition partners, who have been injured in the U.S. Central Command area of responsibility, here to receive medical treatment, rather than being sent out of theater.

"The ITCP goal is to do procedures with relative short recovery times," said Lt. Col. Eric Burdge, 379th EMDG general surgeon. "By doing this, we keep troop strength up and
allow forward medical units space for more serious injuries.

"When servicemembers deploy, they put a lot more stress on their bodies, and maybe some of their injuries were pre-existing and they've aggravated them. We're here to make sure they can get back to doing their job."

Although hernias and knee injuries are some of the more common injuries, the medical unit sees a variety of ailments coming through the program.

The team here has also worked on fractured bones, gunshot wounds, ruptured tendons, gall bladders, infections, and various other injuries and ailments, said Col. David Noll, 379th EMDG orthopedic surgeon.

Currently, the medical group ranges from nurses, doctors and medical technicians to administrative and support personnel.

"We are all part of a team," said Maj. Dion Vecchio, 379th EMDG nurse manager for in-patient services. "Many of us know each other, working together at some point in our career. Everyone does their job, fills their role, but in the end, we're all one team supporting the medical needs of the AOR."

After the need for the 379th EMDG to host the ITCP program was identified, the medical group began treating wounded warriors in January 2007.

"It's a worthwhile cause - we've seamlessly integrated the program into our normal operations, while continuing to support the needs of the base with the same manning we've always had," said Lt. Col. Billye Hutchison, 379th EMDG deputy commander.
"We are a level-2 care facility," she added. "After patients are stabilized in the AOR, their injuries are assessed and medical professionals decide whether they need to be sent home for more intensive treatment or if they can be sent here for treatment and return to their unit."

During many of the medical professionals' time here, being able to support the frontline fighter through the ITCP has been a dream come true.

"I'm a military brat and a nurse," said Major Vecchio. "Taking care of the warfighter is something I was born to do."

As Operations Iraqi and Enduring Freedom continue, the medical group here will continue to provide servicemembers with the proper medical treatment to stay in the "fight," through teamwork and hard work.

"Collective contributions have defined teamwork with a capital T-E-A-M, completing the mission with discipline, focus, innovation, commitment and a positive attitude," said Colonel Lefebvre. "One team taking care of the mission - one family taking care of each other. Mission first, people always."