Paul Fischer

Future conflict winners will be those with the best, technologically advanced offensive weapons and countermeasures to defend against these offensive weapons.

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In a sad and revealing study, Pentagon data shows that US Soldiers are 9x more likely to die from suicide than from enemy fire. The armed forces have taken significant steps to address this tragic issue, but creating and maintaining access for behavioral treatment for current and former soldiers should be a top priority for ALL actors in our behavioral health system. While this means we need to maintain focus on clinician-based access points, this should also include programs that harness the growing body of evidence on the efficacy of structured peer-to-peer support as well as funding to continue studying the impact of MAT in treatment resistant depression and PTSD. https://lnkd.in/gJqHCx_K

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#exoskeletons and Soldiers ➡ One of the most recent and most published DoD #exoskeleton projects was the Army Futures Command effort - "Pathfinder" - a bottom-up study, collaboration and evaluation of potential solutions for the 101st Airborne Division out of Ft. Campbell and Vanderbilt University. 📌 The #biomechanics study provided the opportunity to observe Soldiers while conducting operations of high intensity and known to increase the risk for MSD. 👉🏼 The project was a successful proof-of-principle (following the open source literature) on the collaboration between the AFC/DEVCOM lab system and ARL + Soldier Center, Vanderbilt University and the 101st R&D group. It also allowed for updating the design of a commercial-off-the-shelf product to suit [a particular] user needs. Some of the assumptions included that the results from the study are a) conclusive and b) apply broadly accross the DoD. The Vanderbilt team spent +12 months with a limited number of Soldiers in a specific unit of operation, learning, gathering insight, information and mutually beneficial data. Eye opening to say the least for all the players involved, particularly for students and academics with limited knowledge on the rigors of military work and service. Fascinating for the military supporting an Army funded effort and the opportunity to work with a prestigious academic institution! 😁 One of the valuable lessons learned is that there is definitely "a" need for DoD adoption and use of #wearables #exosuits and it left a door wide open to understand that one small group is not representative of the risks of military service/users and one product can't satisfy the needs of all. 🤝 Leaving the door open for further investigation, analysis, technology vetting and DoD consideration of which products and under what conditions (cost, usability, operational value, etc.). ⁉ Want to learn more about how many different jobs could be exobeneficiaries? This video is a snapshot of another much larger community representing 167 different types of operators that come together for mission (s). Leaving us feeling that definitely "one size will not fit most or all". Also refer to Borislav Marinov thoughts on soldiers challenging work. And this is ONE COMMAND of several. Can you imagine? Thus, as needing of assistance as the 101st is, they can't represent THE ARMY in general. 🌭 And this is just the U.S.A - each country evaluating #biomechanics, #ergonomics #softsuits and exoskeletons have their own focus, priorities and deployment strategies. For a reason. Our servicemembers could benefit from exos. Which one (s) will it be? The story is still to be written! (The views herein expressed are meant only as the authors thoughts and not those of DoD, or hard academic data but many different sources) William Billotte Matthew Dickinson Galder Arego Isoird Carlos Fernandez Isoird Amir Jafari Nora Nimmerichter Matthew Marino Zachary Coulson Ergonauts Performance Technologies

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Force on Force training at Tactical Simulations Force-on-Force (FOF) training is a critical component in preparing those working in high risk environments for real-life situations involving firearms and self-defense. This training approach provides a needed realistic and immersive learning experience. One of the primary benefits of scenario-based training is exposing trainees to the unpredictable nature of human adversaries, move, react, engage and make reactive decisions, allowing trainees to develop a more comprehensive understanding of what it takes to effectively respond to a threat. Counter-terrorism Hostage Rescue Urban / CQB Close Protection / Executive Protection Medical Response Scenarios Additionally, FOF training helps participants develop important psychological and physiological coping mechanisms for dealing with the stress of a life-threatening situation. Research shows that force-on-force training stimulates a stronger stress reaction better preparing military and law enforcement for the actual experience they may encounter in the field. Tactical Simulations is a 14000sqft immersive training facility designed for force on force training. www.tac-sim.co.uk

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The U.S. Department of Veterans Affairs is now a different system compared to what it was before Congress implemented the Veterans Choice program over a decade ago. With the Mission Act further expanding veterans' choice in 2018, the VA permanently transformed into a system that integrates VA-based facilities and community care.  As much as the VA has progressed in recent years, any system cannot be sustained without investments that keep pace with a rapidly changing environment. A world-class system of care for veterans requires the VA to invest in modernizing its facilities, technology and workforce. Please see my opinion piece below #veterans affairs #electronic health records #modernization https://lnkd.in/e6q2PXWa

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Testing out different management options for casualties is one of the ways we’re going to figure out how approach medical in a DMO/EABO environment. What I’m more interested in is the logistical support to establish the role II and the plan for maintaining the supply chain once the role II supplies are used up.

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TAKE HOME MESSAGES ON THE DHA AND MHS-DR. MALANOSKI 1. **Transformation of Military Healthcare**:    The episode delves into the evolution of the Military Health System, highlighting the significant changes since the establishment of the Defense Health Agency (DHA) in 2013. It emphasizes the strategic efforts to stabilize and modernize the system in response to evolving challenges. 2. **Financial and Operational Challenges**:    The discussion reveals how financial adversities, such as those introduced by the COVID-19 pandemic and inflation, have necessitated a paradigm shift in managing and funding military healthcare. Leaders have had to craft innovative strategies to navigate these fiscal challenges to ensure the continued provision of high-quality care. 3. **Patient-Centric Healthcare Model**:    A major focus of the DHA's modernization efforts is the transition towards a patient-centric, value-based healthcare model. This approach aims to improve clinical outcomes and patient experience by leveraging data and emphasizing the quality of care without compromising efficiency. 4. **Workforce Stabilization**:    The episode highlights the critical issue of workforce stabilization within the Military Health System. Strategies are being implemented to address the reduction of medical billets and the competitive hiring landscape, aiming to maintain a robust and stable workforce essential for military readiness and healthcare delivery. 5. **Leadership and Cultural Shifts**:    The conversation addresses the leadership challenges and cultural shifts within the DHA and the broader Military Health System. The episode underscores the importance of patience and resilience as the system undergoes transformation, with a focus on aligning resources with mission requirements and fostering a culture of respect and collaboration. HOW TO LISTEN AND WATCH The episode featuring Dr. Malanoski is available on all major podcast platforms.  Here are some popular links that will bring you directly to the episode: Apple: https://apple.co/4cJJhJW Spotify: https://spoti.fi/4czJQ9S Check out the full episode on our YouTube channel- https://lnkd.in/g2xJWpmu #MedicalWorkforce #HealthcareChallenges #HealthSystemModernization #MilitaryHealthSystem

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Is it beginning to appear that the people suffering from myo and pericarditis or any other cardiac issues are base target for more commercialization??? OR Is there some greater chaos of some experiment gone haywire with bugs and ticks let loose that can be triggered by RF leading to radioactive or other issues hence necessitating remote emotion or skin mapping via millimetre wave BiO RADAR? https://lnkd.in/gZ_mDVGu

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I recently underwent the Military Medical Commission (MMC) process, and noticed the inefficiency. With the new mobilization law about to take effect, there's real concern about whether the medical system can handle the surge of new recruits. Having seen the process firsthand, I'm skeptical. The system feels stuck in the past. Perhaps it's because I'm used to private clinics where efficiency is crucial for business. In public institutions, it's like the old Soviet system still prevails. Given that the medical community might read this, here are some key observations and suggestions for improvement: Blood Tests: Why do I have to give blood in three different rooms with separate queues for the same test? This system creates confusion and delays. Consumables. The staff uses consumables at almost every stage – containers, blood collection systems, test kits, swabs, bandages, etc. Everything costs money. As someone who knows about it, I looked for efficiencies and where it's not. It seems like they're not being very efficient with their budget. For example, using syringes and open test tubes for blood draws in the 21st century seems barbaric! There are also cheaper, faster, and more reliable tools (like an analyzer and reagents) to test for HIV and virus hepatitis than the quick tests they use. On the other hand, they don't even have basic supplies like paper towels for after an ECG or band-aids for after blood draws. Roadmaps: The lack of organization and the many redundant steps create long lines and confusion. Other government agencies have figured this out—why not MMC? Record-Keeping: Everything, absolutely everything, is done on paper. Mountains of paper at every stage – referrals, cards, exam sheets, test results. In each office, they rewrite your basic information by hand in a paper journal. This creates a huge amount of unnecessary work for the staff and wastes everyone's time. Out of all the offices I visited, only the surgeon had a computer – and he was using it to browse Facebook 😉 This is a systemic problem, and there's still time to address it before the new mobilization law takes effect. Healthcare facilities conducting MMC exams must take a close look at their processes and make changes to handle the expected surge in recruits. Efficiency, modern tools, and better organization can make all the difference. Despite the challenging conditions and low pay, the medical staff is remarkably positive and friendly. Their attitude is the only bright spot in the process. I know, that the international medical community is not faced with such challenges for the system as Ukraine. However, I hope, that good clinical practices of internal patient management processes should be implemented in Ukraine.

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The U-2 Dragon Lady, designed for high-altitude reconnaissance missions, excels in intelligence gathering and surveillance tasks above 70,000 feet, evading most surface-to-air threats. Key performance features include: - Takeoff and Landing Requirements: The U 2's large wingspan and lightweight structure necessitate a runway, with engines generating force for takeoff and high-speed chase cars aiding in precise landings. - Climbing Rate: Swift ascension to operational altitudes is facilitated by the U 2's engines and lightweight build, minimizing interception risks. The U-2's maneuverability at high altitudes is attributed to its aerodynamic design and advanced flight control systems, ensuring stability. These features, combined with principles of motion physics, enable the U-2 Dragon Lady to deliver reliable intelligence in reconnaissance missions. Watch the YouTube video for a demonstration of the U-2's landing process and the role of high-speed chase cars in ensuring controlled touchdowns. Video Credit: War History Online #U2 #Reconnaissance #Surveillance #Aircraft #IntelligenceGathering #HighAltitudeMissions

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An alarming study published by the Defense Health Agency reveals that suicide was the leading cause of death among active-duty soldiers from 2014 to 2019, with 883 suicides compared to 96 combat deaths. https://lnkd.in/gw4UrAzH Close behind is the construction industry, now with the second-highest rate of suicide. Construction workers are 5x more likely to die by suicide than by an accident on the job. Tragically, the go-to solution in both cases is largely one of providing individual resources - and a failure to address root causes, which are more systemic in nature, such as: - Low levels of psychological safety, - Broad-based stigma associated with seeking help and talking about mental health issues,  - Unrelenting, high-pressure culture, and - Leaders who have not been trained on how to build cultures of compassion. It has been my honor to partner with The INGAA Foundation, Inc., an association comprised of 200 member companies in the natural gas and pipeline construction industry, in tackling these systemic issues. Through our “Leading Mental Well-Being” initiative, executives and managers are applying a culture-first approach in order to meaningfully make a difference. #mentalhealth #INGAA #MentalHealthAwareness #MensMentalHealthMonth #WorkplaceWellness #Leadership #MentalWellbeing #Managers

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Think becoming a military officer is just about orders? Think again! Strong communication and leadership skills are a must. Developing these skills can really boost your chances in the competitive selection processes for the Air Force Academy, Naval Academy, or West Point. Great leaders aren't just about giving orders; they're about connecting with their teams, understanding their needs, and motivating them to get the job done. By improving your communication and leadership skills, you’ll not only stand out in the selection process but also set yourself up for a successful military career. So, if you're serious about becoming a military officer, focus on building those key skills. You're gonna love what's coming next... trust me. Stay tuned and I'll help you take your abilities to the next level. #airforceacademy #airforce #navyacademy #usairforce #usnavy #explorepage

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🇮🇱IDF Spokesman: The Joint Chiefs of Staff investigation mechanism will investigate last night's IDF attack in Rafah. Last night, an aircraft attacked significant terrorist targets in Rafah, including senior officials in the West Bank headquarters of the terrorist organization Hamas, who directed attacks by Hamas operatives in Judea and Samaria and carried out murderous attacks against the citizens of the State of Israel. The attack was carried out on the basis of preliminary intelligence information about the terrorists' inventions on the spot. Prior to the attack, many steps were taken to reduce the chance of harm to non-involved people, including checking contracts from the air, the use of precision weaponry and additional intelligence information, based on which it was estimated that no harm was expected to non-involved civilians. Also, the attack was not carried out in the humanitarian area in El Mawasi, where the IDF called on the population to evacuate. The incident is being investigated by the Joint Chiefs of Staff's investigation mechanism, an independent body responsible for examining unusual incidents in combat. The mechanism is investigating the circumstances of the deaths of civilians in the area of ​​the attack. The IDF deplores any injury to those not involved in the fighting.

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What industries do we serve? Here’s a quick overview: Medical (Military & Clinical): Through its military contracts, Hourglass contributes to the advancement of medical technologies and solutions tailored to the unique needs of military personnel. The collaboration underscores Hourglass Medical's commitment to supporting...(Continued in link below) Industrial: Hourglass is actively engaged in collaborations with manufacturing partners, channeling its expertise into the development of Smart Safety Glasses aimed at enhancing employee productivity & efficiency. Through strategic contracts with manufacturing entities, Hourglass contributes to...(Continued in link below)

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If you're new to government contracting or even a seasoned vendor with the Federal Government, I highly recommend you follow Steven Koprince for easy-to-understand analysis of current legislation and other changes. This one discusses the possibility of more sole source opportunities for SDVOSB and VOSBs.

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My good friend and colleague, Lt. Col Adam Hohman (Col select) and I will be presenting at the 2024 Department of the Air Force Modeling and Simulation Summit in the great state of Texas next week, Thursday, May 9th at 1430 in the Presidio ABC conference room. If you are in the area, please join us for the presentation along with the question-and-answer session. Subcommittee Category: Cross Cutting Technologies Title: Advancing Military Medical Training Through Civilian-Military Simulation Relationships Abstract: A collaborative effort between the 934th Aeromedical Staging Squadron (ASTS), the 934th Aeromedical Evacuation Squadron (AES), and the HealthPartners Institute Clinical Simulation Center has yielded an impactful simulation training platform, marking a significant milestone in military medical training for Guard and Reserve units. Through precise coordination, the platform achieved tailored clinical training for U.S. Air Force reserve personnel while fostering enduring partnerships with the local community. This unique collaboration ensures that simulations align closely with the dynamic objectives outlined in the Joint Trauma System Clinical Practice Guidelines, leveraging established best practices and industry standards. By tapping into the vast knowledge and skill sets offered by the civilian program, military personnel benefit from enhanced training opportunities that are both highly realistic and comprehensive. Participants engage in hands-on simulations and practical exercises, enabling them to acquire and refine critical skills essential for trauma care, medical assessment, and effective teamwork. The program's adherence to clinical practice guidelines ensures that training remains rooted in established standards, promoting consistency and efficacy across military medical practices. Moreover, the platform significantly enhances the preparedness of military medical personnel for diverse scenarios, including forward deployed operations in contingency war zones. This heightened readiness is essential for responding effectively to emergencies and delivering timely medical care in high-stress environments. In summary, the presentation will provide a descriptive overview of the collaborative platform, showcasing how it utilizes established best practices and industry standards to meet the evolving needs of military medical training. Through practical examples and demonstrations, the presentation will highlight the platform's ability to deliver realistic training opportunities and facilitate seamless coordination between military and civilian organizations, ultimately ensuring optimal medical readiness. Keywords: BEST PRACTICES, HEALTH CARE, LEARNING TECHNOLOGY STANDARDS, SIMULATIONS, TRAINING Additional Keywords not in the list above: Military medical training, simulation, collaboration, clinical practice guidelines, readiness, partnership. #dafmss24

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