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I'd like to hear from people with knowledge of Role 1 medical treatment battalion aidstations down range in Afghanistan or Iraq. I'm curious to know what additional capability they had and how it was employed? What was the justification of having it and how was it procured? I know FSTs are going with Role 1s along side Xray, ultrasound, and some lab capability. Has anyone seen a Vet go into a Role 1 or a environmental science officer? Let me know what you have.
Afghanistan
Iraq
Medical
BAS
Capability
Posted >1 y ago
Responses: 4
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An FST at a Role 1 is typically a temporary thing to support an operation that the BN may be conducting (or is the main effort and is expected to recieve more casualties). An FST is not self-supporting past 72hrs and a Role 1 Aid Station has no way of sustaining it as it is pretty much a glorified clinic. FSTs typically get paired with a Role 2 medical company, to produce a Role 2+. A medical company DOES have the ability to sustain an FST and with the ancillary services that a med company provides (lab, x-ray and primitive pharm and patient hold capability), you have what is essentially a baby CSH. ESO and Vets are typically maintained out of a Role 2 and only sent forward to Role 1 for specific missions.
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SFC (Join to see)
We trying to fill in that magic bubble sheet of the "golden hour", commanders were aligning role 1's with FST longer then the typically 72 hr mission set. AMEDD has answered with an FRST (which has been proven down range). I'm just curious about the LOJs that were sent forward acquiring the special permissions to get more capability at that specific role. My main area of interest is with role 1 and what they were able to do there, how they did it, sustained it, and lessons learned.
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LTC Paul Labrador
SFC Jolly, when it comes to doctrinal changes that influence METL, I tend to take a conservative stance. Afghanistan is a very unique situation that we are unlikely to face in the future (ie occupation duty with remote COPs that have long evacuation distances to medical facilities). I don't think changing doctrine to meet this unique need is particularly wise. What IS wise is being flexible enought to think outside of doctrinal guidelines to achieve the mission (which is what we are seeing done in Afghanistan now).
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In the Kabul area our Company (an ASMC, Role II) was split in to many role ones and a role II-. I say II- as 3/4 of the company was all over, and part of the ancillary services was sent to another base out the the area.
As far as additional capabilities, we did have some. we could do some of the rapid labs our self, if we could get the panels to run (getting class VIII was an issue) so for that, yeas we had "some lab".
Xray we had to sen to our role II, Enviro, vet and bio med support were out of another base, which in Kabul happened to be the same as our role II, but they were not co-located.
As far as additional capabilities, we did have some. we could do some of the rapid labs our self, if we could get the panels to run (getting class VIII was an issue) so for that, yeas we had "some lab".
Xray we had to sen to our role II, Enviro, vet and bio med support were out of another base, which in Kabul happened to be the same as our role II, but they were not co-located.
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My excellent NCOs continuously "tactically acquired" medical equipment to improve out ability to deliver care. We found an iStat machine and after a month, cartridges for it. Point of care testing, was a great advantage. We scavenged a 12 lead, 2 heart monitors as well. We ran 2 semi-pro Zoll AEDs forward. Braslow bags were added. We managed to scrounge some cardiac meds. None of this is organic to Role 1 at a BSTB, at least NG set-up. If I was going again, I would have given a kidney to have an ultralight ultrasound and would integrate some wireless telemetry for next time.
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SFC (Join to see)
Keep your kidney, we're trying to put them in the sets for specific units now. It only grows from there.
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