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Since the alpha of the pandemic, Navy Medicine has always acclimatized to accommodated the evolving attributes of COVID-19. One archetype is the celebrated deployment of Naval Hospital Jacksonville’s Expeditionary Medical Facility-M.
On March 30, EMF-M answered the nation’s alarm by accomplishing what no added expeditionary hospital has anytime done: it deployed to bristles stateside locations accompanying in abutment of a communicable response.
EMFs — accepted as Fleet Hospitals above-mentioned to 2005 — are advanced deployed platforms with Role Three medical and surgical capabilities advised to access the survivability of those afflicted in a action theater. They are the Navy’s agnate to Mobile Army Surgical Hospital, or MASH, units fabricated accepted by the blur and TV alternation of the aforementioned name. For the Navy, they accept been deployed in one anatomy or addition back World War II, but historically, annihilation absolutely compares to the communicable mission.
Navy Capt. Kevin Brown, who served as EMF-M’s advantageous administrator for this deployment, accustomed the character of the mission.
”The acceptable deployment of an EMF would be into a amphitheater area there’s some array of activity, usually it’s a action accompanying activity, on the arena that would be breeding [or would be advancing to generate] a ample cardinal of action accompanying casualties,” Brown said.
Brown said he began audition rumors in mid-March that the EMF-M would activate as allotment of the U.S. Northern Command communicable acknowledgment as allotment of the Federal Emergency Management Agency’s appeal for Defense Abutment to Civil Authorities. The destination was uncertain, and there was altercation about accessible deployments to Montana, Wyoming or the Jacob K. Javits Convention Center in New York. But aural 48 hours of a planned deployment to New York, the destination changed, with the EMF now actuality beatific to Dallas and New Orleans to serve as ”release valves” for the bounded hospital systems.
Brown beatific planning beef to these cities to actuate their requirements and to assignment with bounded association leaders on how the Navy could best abutment the mission. Unlike archetypal EMF wartime missions, the Navy did not use pre-positioned accessories for ambience up a 150-bed hospital. Instead this mission alleged for the EMF to accumulation the cadre based on the requirements of bounded communities as accurate by FEMA. For this mission, EMF-M broke into its basin of 450 medical providers absorbed to the belvedere and broadcast them to anniversary area by requirement. As added needs embodied at added locations, cadre were taken from the aboriginal two detachments, as able-bodied as those confined on standby apprehension orders.
The association on the deployments were accommodating to participate in that anarchy and do it with a smile and do it with a aerial akin of professionalism and integrity.”
Two weeks into the aboriginal mission, EMF-M transferred 104 medical providers from the Dallas and New Orleans detachments to Baton Rouge, Louisiana, area they staffed two 30-bed COVID-19 wards and helped affliction for some 600 patients.
As the Baton Rouge mission was accepting underway, EMF-M was deploying addition disengagement to the hospital address USNS Comfort in New York.
”It was absitively they bare added analytical affliction capability, and area was the Navy activity to acquisition it?” Brown said. ”Well, the Navy’s activity to acquisition it in its ‘Tier One’ assets.”
Navy Cmdr. Meredith Miller served as the administrator in allegation for the EMF’s USNS Comfort detachment. She and her aggregation of 50 analytical affliction specialists accustomed orders for deployment April 13, and were aboard the address the abutting day. The attendance of the disengagement gave the abandoned medical agents much-needed support.
”When you accomplished some of them had formed 14 canicule straight, 12-on-12-off, … they were aloof athrill to accept added support,” Miller said. ”So, we were appealing aflame to be there and be able to jump in and advice the team.”
On April 24, the fifth and final disengagement deployed to the Bennett Medical Center in Stamford, Connecticut. Forty-nine associates of the EMF-M formed in affiliation with 85 Army Reserve soldiers with the 811-1 Urban Augmentation Medical Task Force to accommodate abutment in alleviative COVID-19 patients.
For Navy Capt. Chad Roe, the controlling administrator of the EMF and the Dallas detachment’s administrator in charge, this was addition archetype of how Navy Medicine comes calm to achieve a specialized mission.
”If it’s Afghanistan, or if it’s shipboard in the average of the Baltic Sea, you’ve got a accumulation of bodies who apperceive how to booty affliction of patients and to get a mission done,” Roe said. ”And it’s been a absolute amusement to be able to appear in and abutment that in your own country.”
Brown said he believes that the aberrant attributes of the deployment enabled a abundant accord of breadth for how to accommodated the mission requirements.
”The bad account was that there was no templated plan for how to breach an EMF into bristles detachments and adapt it in a way area you can advance absolute command and control” Brown said. ”The acceptable account is there was no arrangement that bound us in.”
As for the hallmarks of the mission, both Brown and Roe agenda the animation and ability of EMF-M personnel.
”We were activity into a bearings that was absolutely uncertain; and already we had an compassionate of what the bounded association needed, we would accept to somehow amount it out and get it done,” Brown said. ”And the association on the deployments were accommodating to participate in that anarchy and do it with a smile and do it with a aerial akin of professionalism and integrity.”
EMF-M’s aftermost operating disengagement captivated up its mission in Baton Rouge on May 31. Over two months, some 340 associates of EMF-M deployed in abutment of the communicable response.
(André Sobocinski is assigned to the U.S. Navy Bureau of Medicine and Surgery.)
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