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With COVID-19 cases on the acceleration beyond the nation, Brooke Army Medical Centermost is animating for the appulse of the advancing winter months as colder acclimate drives bodies central breadth the virus is added acceptable to spread.

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Equipped with acquaint learned, BAMC is advancing to about-face assets and cadre to ensure hospital address in the accident of a accommodating increase. On the antitoxin front, leaders abide to accentuate the accent of assurance measures such as duke washing, face coverings, claimed careful accessories and concrete distancing.

“The adeptness to abide adjustable and agile, while ensuring the commitment of safe, aerial affection care, has been basic aback the alpha of the pandemic,” Army Brig. Gen. Shan K. Bagby, BAMC advantageous general, noted. “Nearly a year ago, the San Antonio Aggressive Bloom Arrangement confused out bound to ensure the assurance of our patients and staff, and we continue, as a system, to do aggregate accessible to bottle their bloom and wellbeing.”

Key leaders at BAMC always appraise accepted conditions, both aural the San Antonio Aggressive Bloom System, Joint Base San Antonio and beyond the association to ensure “we are all in footfall with anniversary added and alive finer as a team,” Air Force Col. Heather Yun, agent administrator for medical services, explained. Leaders beyond the alignment additionally appraise cadre and resources, to accommodate claimed careful equipment, on a daily, sometimes hourly, base to ensure they are tracking activate credibility for every contingency.

“These assessments advice appearance our aspect and ensure we are accessible to acknowledge bound and appropriately, whether it’s ascent aback constituent surgeries to access bed accommodation or aptitude added heavily on basic affliction to assure patients and bottle PPE,” Bagby said. 

Health affliction cadre are a trickier ability to administer for a aggressive hospital. Unlike their noncombatant counterparts, aggressive cadre are alleged on to arrange in abutment of beyond operations, as able-bodied as altruistic missions and stateside efforts. In contempo days, abundant BAMC bloom affliction professionals acquire been acceptable in the hard-hit areas of North Dakota as able-bodied as in El Paso, Texas, about eight hours west of San Antonio. 

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BAMC has additionally offered to acquire non-COVID-19 beneficiaries from William Beaumont Army Medical Centermost in El Paso, absolution up their accommodation to accept added TRICARE patients with COVID-19 as needed.

“BAMC is appreciative to abutment our El Paso neighbors and colleagues,” Bagby said. “We will abide to assignment alongside our Aggressive Bloom Arrangement accomplice to advice abate the accent on their bounded bloom affliction arrangement as needed.”

In the accident of a accommodating access and to abstain shortages to analytical affliction areas, BAMC is able to draw nurses and technicians from outpatient clinics as able-bodied as angular on its partner, the Institute of Surgical Research Bake Center, which is housed in the hospital.

These accumulated efforts acquire helped to ensure BAMC stands accessible to abutment both aggressive and community-based missions. 

“The keys to our success so far acquire been in communication, acquiescence to expertise, and collaboration, and we are relying on those in our accepted acknowledgment as able-bodied to accumulate us alive and on the appropriate track,” Yun said. “We are in connected advice with our agents from all beyond the alignment to ensure that apropos are addressed as aboriginal and finer as possible, afore they become assurance issues. And we are relying on our accountable amount experts who are befitting up with the science and advances in their acreage to accommodate admonition and clarify our responses.”

As with all aggressive hospitals, BAMC primarily provides affliction to alive duty, aggressive retirees and ancestors members. However, as the alone Level I agony centermost in the Defense Department, BAMC has a different association role aural the bounded agony network. Alongside its Level I partner, University Bloom System, BAMC administers lifesaving affliction to added than 4,500 agony patients anniversary year, including 750 bake patients, from an breadth that stretches beyond 22 counties in Southwest Texas and encompasses 2.2 actor people. 

Of the over 4,500 agony patients accepted anniversary year, about 85% are association associates after aggressive affiliation. The Secretary of the Army Designee, or SECDES, affairs enables BAMC to accept noncombatant agony patients in a aggressive analysis facility. Traumas ambit from gunshot wounds and stabbings to agent accidents and astringent burns, abounding of which buck arresting similarities to action wounds. As a agony center, account associates from a all-inclusive arrangement of specialties are able to hone admired medical abilities while acceptable the association they alarm home.

“Our abutting affiliation with Southwest Texas Regional Advisory Council, University Bloom Arrangement and the added bounded bloom affliction systems allows BAMC to seamlessly accommodate into association crisis responses, Air Force Col. Patrick Osborn, agent administrator for surgical services, said. 

Working alongside STRAC, which coordinates the region’s agony and adversity abatement response, and UHS, BAMC is absolutely chip aural the bounded agony network, Osborn said.

This has been axiomatic in contempo months. This accomplished summer, BAMC took on added agony patients to affluence accommodation at bounded hospitals. Additionally, BAMC continues to affliction for the area’s best alarmingly ill COVID-19 patients, to accommodate beneficiaries, veterans and noncombatant patients, through the use of extracorporeal film oxygenation, or ECMO, treatment, Osborn noted.

ECMO is a heart-lung bypass arrangement that circulates claret through an alien bogus lung, oxygenates it, and delivers it aback into the bloodstream. Rather than amusement the condition, ECMO performs the job of the patient’s affection and lungs, affairs the accommodating adored time to acknowledge to treatments and heal. Requiring a awful specialized aggregation and equipment, BAMC is one of a few hospitals aural the burghal with this capability, and as with trauma, accepts noncombatant patients through the SECDES program.

“As abundant as able, BAMC is abatement the accountability on bounded bloom affliction assets by acceptance noncombatant ECMO patients and gluttonous out aggressive beneficiaries that can be transferred from association hospitals,” Osborn said. 

The alternate abutment of BAMC’s aggressive and association ally is key to mission success, the administrator noted.

“Due to their abutment and the ability of this team, the San Antonio Aggressive Bloom is able to abide to ensure safe, affection affliction for our 250,000 alive assignment and aggressive beneficiaries while attention its address role as a common acknowledgment belvedere and comestible the Level I agony abutment of our region,” Bagby said.

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