1. IDC/IDMT 2010 Armed Forces
Operational Medicine Symposium
UNCLASSIFIED//FOUO
RADM Tom Cullison, MC, USN
Deputy Surgeon General of the Navy
17 May 2010
This brief is classified UNCLASS/FOUO
UNCLASSIFIED//FOUO 1

2. UNCLASSIFIED//FOUO
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3. Navy Medicine
Casualty
Receiving
Operational
UNCLASSIFIED//FOUO and Fleet Hospitals
Fleet
TRICARE US Overseas Treatment Hospitals Ships
and
Network Hospitals Hospitals Ships & &
Fleet Marine
and EMFs Soft Power
Forces
Medical
Battalions
Force Health Protection
Navy Medicine’s Dual Mission
Benefit Mission The Readiness Health Care Continuum Readiness Mission
Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO

4. Naval Medical Center San Diego
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

5. Patient and Family Centered Care
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6. UNCLASSIFIED//FOUO
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7. Marine Corps Recruit Depot,
San Diego, CA
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11. Navy Medicine at Home
UNCLASSIFIED//FOUO
Navy Medicine Deployed
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

12. Deployed Forces Providing the
Dual Mission of Navy Medicine
Prepared 5 Mar 10
OEF USMC
LRMC US Role 3
UK Role 3
FDPMU
2 x FSE
3 x FST
EMF-GTMO
2 x AST
UNCLASSIFIED//FOUO
JTF-Haiti
EMF-Kuwait
FDPMU-Kuwait
Africa
Partnership OIF USMC
Station Pacific
Partnership
Continuing
Promise
EMF-Djibouti
Enduring missions Recurring missions Emergent missions
UNCLASSIFIED//FOUO

13. BSO-18 OPERATIONAL SUPPORT
Historical and Projected (AC/RC)
4500
OIF
4000
3500
COMFORT
OIF COMFORT MERCY LHA/LPD
MERCY OIF
3000 EMF-K OIF
BOXER EMF-K
DUBUQUE LHA/LPD OIF/OEF
2500
KATRINA
UNCLASSIFIED//FOUO
LRMC
COMFORT
EMF-K
LRMC
KEARSARGE LRMC
OEF
OIF/OEF
OIF/OEF
EMF-K
EMF-K MERCY
LRMC LHA/LPD
OIF 4-6 PELELIU EMF-K LRMC
TSUNAMI LRMC
2000 OIF 2
1500
1000
500
0
Y03
Y03
Y04
Y04
Y05
Y05
Y06
Y06
Y07
Y07
Y08
Y08
Y09
Y09
Y10
Y10
Y11
Y11
Y11
Y11
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
BSO-18 RESERVES
UNCLASSIFIED//FOUO

14. Fleet Medical Support
Ships and Submarines
• Deployable Battle Force Ships: 286
Ships Underway (away from homeport): 142 ships (50% of total)
On deployment: 108 ships (38% of total)
Attack submarines underway (away from homeport):
20 submarines (37%)
UNCLASSIFIED//FOUO
Data as of 23 Apr 10
Source: http://www.navy.mil/navydata/navy_legacy_hr.asp?id=146
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22. Operation Iraqi Freedom
UNCLASSIFIED//FOUO
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23. Operation Enduring Freedom
UNCLASSIFIED//FOUO
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24. The Continuum of Care
Corpsman in the Field
(Level I)
Forward Resuscitative Care
(Level II)
Theater level care
(Level III)
Forward Definitive Care (Landstuhl)
(Level IV)
Restorative-Rehabilitative Care
UNCLASSIFIED//FOUO
(Level V)
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Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

30. UNCLASSIFIED//FOUO
Photo: Office of the Army Surgeon General (86th CSH) UNCLASSIFIED//FOUO

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Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

32. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

33. UNCLASSIFIED//FOUO
Photo: Office of the Air Force Surgeon General UNCLASSIFIED//FOUO

34. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection
Office of the Air Force Surgeon General UNCLASSIFIED//FOUO

35. Landstuhl Regional Medical Det,
Germany
UNCLASSIFIED//FOUO
In 2006, JFCOM tasked the Navy with providing medical staffing in support of the Army's Landstuhl
Regional Medical Center (LRMC), Germany. Since then, the Navy Medical Augmentation Det has continued
to augment LRMC with Navy medical personnel in support of wounded OEF/OIF warfighters. Currently, the
Navy augmentation staff includes; 292 Navy medical personnel (260 reservist/32 active).
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

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38. National Naval Medical Center
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

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40. Combat Stress
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43. USMC Wounded Warrior Regiment
-- Single Command with Strategic Reach --
WWR services the Total Force –
Active Duty / Reserve / Retired / Former Marines
Quantico
UNCLASSIFIED//FOUO
Landstuhl
Camp Camp
Okinawa Pendleton Lejeune
Guam
Hawaii
WW Regiment
Level of Effort
WW Battalions
Current (Mil / Civ): 212 WW Company
Contractor Support: 24 Patient Affairs Team (PAT)/VA Liaisons
Future Total: 361 District Injured Support Cells (DISC)
Reference: Wounded Warrior Regiment Command Brief UNCLASSIFIED//FOUO 43

44. Navy Safe Harbor - Strategic Reach
Wounded, Ill, and Injured (WII)
BREMERTON (1)
GREAT LAKES / MINNEAPOLIS (1)
UNCLASSIFIED//FOUO
PALO ALTO (1) BETHESDA / WRAMC (2)
WASHINGTON DC (12)
AT-LARGE EAST (1)
PORTSMOUTH/RICHMOND (1)
SAN DIEGO (2)
AT-LARGE WEST (1) MILLINGTON TN (2)
JACKSONVILLE (1)
BAMC (2)
TAMPA (1)
VA POLY TRAUMA CENTER
MILITARY TREATMENT FACILITY
SAFE HARBOR HEADQUARTERS STAFF
NAVY OPERATONAL SUPPORT CENTER
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Reference: Navy Safe Harbor Program Command Brief UNCLASSIFIED//FOUO

45. Navy Medicine Fixed Assets
Worldwide in support of the Warfighter
Prepared 5 Mar 10
UNCLASSIFIED//FOUO
NM East Military Treatment Facility
NM West Military Treatment Facility
NM NCA Military Treatment Facility
NM Support Command Activity
UNCLASSIFIED//FOUO

46. UNCLASSIFIED//FOUO
Reference: Office of the Army Surgeon General UNCLASSIFIED//FOUO

47. Major Military Medicine Facilities
UNCLASSIFIED//FOUO
Navy
Army
Air Force
Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO 47

48. DoD / VA Partnership Examples
*VA Southern Nevada *VA Eastern Colorado Health
*North Chicago VA Medical
Health Care System / Care System / Buckley AFB;
Center / Great Lakes Naval
Nellis AFB USAF Academy; Evans Army
Health Clinic = Federal
Community Hospital
Health Care Clinic
UNCLASSIFIED//FOUO
*VA Pacific Islands Health
Care System / Tripler Army
Medical Center
*VA Gulf Coast Veterans
Health Care System /
Keesler AFB; Eglin AFB;
Naval Hospital Pensacola
UNCLASSIFIED//FOUO

49. Keesler & Eglin AFB; Naval Hospital
Pensacola / VA Gulf Coast Health Care
UNCLASSIFIED//FOUO
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51. Department of the Navy
DoD/VA Partnerships
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