WEBVTT 00:29.209 --> 00:31.153 Colonel Matt Brushzinski , I'm the 00:31.153 --> 00:33.376 commander of the 433rd Medical Group at 00:33.376 --> 00:35.542 Lackland Air Force Base . I'm also the 00:35.542 --> 00:36.931 commander of Lamont 25 . 00:55.869 --> 00:58.091 The purpose of the Lamont mission , I'm 00:58.091 --> 01:00.313 going to break it down into 3 . Mission 01:00.313 --> 01:03.540 number one is to bring good medicine to 01:03.540 --> 01:05.596 our friends in the Lesser Antilles . 01:05.596 --> 01:07.207 Mission number 2 is to build 01:07.207 --> 01:09.980 partnerships with countries that we 01:09.980 --> 01:12.313 work with routinely . And then number 3 , 01:12.313 --> 01:14.480 and most importantly is to enhance our 01:14.480 --> 01:16.813 readiness as a deployable medical force . 01:17.339 --> 01:19.879 This is Major Alicia Young . I'm the 01:19.879 --> 01:22.360 medical officer in charge of the , uh , 01:22.500 --> 01:25.580 6 , now 7 man team in the emergency 01:25.580 --> 01:28.040 room at the Georgetown Public Health 01:28.040 --> 01:30.540 Hospital Corporation . Some of the 01:30.540 --> 01:32.373 critical care skills that we are 01:32.373 --> 01:34.635 exchanging with our local gynee . On 01:34.635 --> 01:36.857 the park include trauma resuscitation . 01:37.074 --> 01:39.407 Day one we walk into the emergency room . 01:39.407 --> 01:41.407 We already have what's considered a 01:41.407 --> 01:43.574 level one trauma with multiple gunshot 01:43.574 --> 01:45.630 wounds to summon these bilateral low 01:45.630 --> 01:47.685 extremity . And so we found the same 01:47.685 --> 01:49.852 algorithm , yet our counterparts being 01:49.852 --> 01:52.130 asked to do it with a lot of resources . 01:52.595 --> 01:54.635 Sometimes they do without supply of 01:54.635 --> 01:56.974 blood bank and medication as we do , 01:57.035 --> 01:59.257 yet to deliver the same level of care , 01:59.275 --> 02:01.442 and this is what we have to learn from 02:01.442 --> 02:03.497 each other . For example , relying a 02:03.497 --> 02:05.680 lot more on our assessment , what we 02:05.680 --> 02:07.736 see , what we hear , what we touch , 02:07.760 --> 02:09.927 instead of relying on some of the more 02:09.927 --> 02:12.038 technological capabilities we have to 02:12.038 --> 02:14.038 reach diagnosis such if people have 02:14.038 --> 02:16.038 broken bone , internal injury , our 02:16.038 --> 02:18.093 counterpart actually is able to do a 02:18.093 --> 02:20.149 lot of that which will be similar to 02:20.149 --> 02:22.316 what we encounter in the battlefield . 02:22.316 --> 02:24.260 Those are the hands on skills that 02:24.260 --> 02:25.871 we're here to learn from our 02:25.871 --> 02:28.779 counterparts . So we have been having a 02:28.779 --> 02:31.460 busy week and I'm having a great day 02:31.460 --> 02:33.571 because there are lots of help in the 02:33.571 --> 02:35.904 ER today , which I'm grateful for . Yes , 02:35.904 --> 02:38.016 there are lots of changes , but still 02:38.016 --> 02:40.127 there are lots of things that we need 02:40.127 --> 02:42.293 to improve on as well . And one of our 02:42.293 --> 02:42.139 major challenges we are having 02:42.139 --> 02:44.979 currently is staff shortages , and we 02:44.979 --> 02:47.740 know that it's a global crisis that you 02:47.740 --> 02:49.796 know that's not an issue that can be 02:49.796 --> 02:52.059 addressed overnight , but yet we are 02:52.059 --> 02:54.226 happy to have you . Guys on board with 02:54.226 --> 02:56.226 us because the ER is very dynamic , 02:56.226 --> 02:58.529 it's unpredictable , and there are lots 02:58.529 --> 03:00.809 of demand in terms of human resources 03:00.809 --> 03:03.449 and we don't ever have enough funds to 03:03.449 --> 03:05.560 provide this kind of help . So we are 03:05.560 --> 03:07.727 grateful for the Lama medical force to 03:07.727 --> 03:09.838 be here with us because you guys have 03:09.838 --> 03:11.949 the clinical skills and so forth that 03:11.949 --> 03:14.005 we have as well , and we incorporate 03:14.005 --> 03:16.060 those we learn from you and you guys 03:16.060 --> 03:18.282 learn from us and which we are grateful 03:18.282 --> 03:21.839 and happy for you . We are 03:21.839 --> 03:25.399 being tasked from the highest levels to 03:25.399 --> 03:28.039 the lowest in the Air Force to innovate , 03:28.119 --> 03:30.550 to change , and to do it very rapidly 03:30.919 --> 03:33.479 um that has been the messaging uh from 03:33.479 --> 03:35.646 our leadership now for several years , 03:35.919 --> 03:38.199 uh , that we need to be prepared for 03:38.199 --> 03:40.088 the next conflict that we need to 03:40.088 --> 03:42.199 change the way we're doing things and 03:42.199 --> 03:44.839 that we can't wait to do it um this is 03:44.839 --> 03:47.440 an example of what it means to be ready 03:47.440 --> 03:49.160 now and to transform for the future .