Vol. 30, No. 11
May 31, 2013
New USAG Commander Excited About New Challenges BY NICK MINECCI
USAG PUBLIC AFFAIRS
Growing up in Baltimore, Col. Steven P. Middlecamp, the new commander of the U.S. Army Garrison Fort Detrick, couldn’t wait to leave the area. There was a world to explore, and he wanted to get out and discover it. “I went to Mount Saint Mary’s College not far from here, and in 1988 I was commissioned as a second lieutenant in the Medical Service Corps, then it was off to Fort Sam Houston,” he said, starting the journey that would bring him home 25 years later. Middlecamp’s first duty assignment was as a platoon leader with the 142nd Medical Battalion on Fort Clayton, Panama. “This was an amazing assignment, I went to the Columbian Ranger school, and was also a young platoon leader during Operation Just Cause,” he said. Just Cause was the U.S. invasion of Pan- Col. Steven P. Middlecamp, Commander, ama on Dec. 20, 1989, in order to bring its U.S. Army Garrison Fort Detrick Courtesy USAG VI president, Manuel Noriega, to justice for drug trafficking. Middlecamp said that to this day he prefers “We treated [Panamanian Defense Force] the face-to-face approach rather than email. soldiers who were wounded and set up a “You get so much more out of the pertreatment area for treatment of [Enemy Pris- sonal one-on-one interaction,” he said. oners of War] during the operation, to proAfter an assignment as the Deputy and vide them a daily sick call,” Middlecamp said. then Chief, Patient Administration Division “That is one thing we do as U.S. soldiers, at Gorgas Army Community Hospital in even when we are fighting someone, we Panama, Middlecamp served in the 187th treat their wounded,” he added. Medical Battalion, Fort Sam Houston, and Following the battle, Middlecamp said then was assigned to the 67th Combat Suphe had an amazing experience working with port Hospital in Wurzburg, Germany. members of the Panamanian Ministry of During his time in Germany, MiddleHealth, travelling the country and treating camp deployed as the Task Force Patient the Panamanian people. Administration Officer during Operation “I spent the next six months taking my Joint Endeavor, the NATO peacekeeping platoon out 10 to 15 days a month, meeting mission to Bosnia. the people and helping them. It was during After several tours in William Beaumont this time I learned a lesson that has stuck and Tripler Army Medical Centers, Middlewith me through my career,” he said. camp deployed to Iraq in 2009 as the com“I learned that as a culture, we, as Amermander for Administration, 47th Combat icans, can learn a lot from other cultures Support Hospital in Tikrit. and how they do business. In Panama they His last assignment before arriving at do things in person. Now this was before Fort Detrick was as the Northern Regional email,” he said with a laugh, “but it is how Medical Command Patient Administration they do things there. That stuck with me,” he said. See CHALLENGES, continued on page 6
BY NICK MINECCI
USAG PUBLIC AFFAIRS
The U.S. Army Installation Management Command joined the National Interagency Confederation for Biological Research, known as the NICBR, a consortium of seven federal agencies working in concert at Fort Detrick, Md., to secure the health and wellbeing of the nation through cutting-edge research, information sharing and technological innovation. During a May 30 meeting, the NICBR’s board of directors formalized IMCOM’s membership. IMCOM, which is based in San Antonio, Texas, on Fort Sam Houston, supports the United States Army’s warfighting mission by working to provide standardized, effective and efficient services, facilities and infrastructure to Soldiers, civilians and families. Fort Detrick falls under the IMCOMAtlantic region. Established April 22, 2003, the NICBR is a consortium of agencies from four cabinetlevel departments: Defense, Homeland Security, Agriculture and Health and Human Services. Some of the agencies operate research facilities located at Fort Detrick. Each has distinct but complementary research missions and capabilities. The NICBR facilitates interagency cooperation in areas of mutual interest, encouraging collaboration across scientific disciplines and facilitating sharing of technical expertise, scientific services, best-management practices and certain infrastructure.
Lt. Gen. Patricia D. Horoho, U.S. Army Surgeon General and Commanding General, U.S. Army Medical Command signs a new amendment of the National Interagency Confederation for Biological Research with Dr. Daniel M. Gerstein, Deputy Under Secretary for Science & Technology, Department of Homeland Security, during a meeting at Fort Detrick, Md. May 30. Per this amendment, the U.S. Army Installation Management Command becomes a member of the NICBR. Witnessing the signing is Col. Steven P. Middlecamp, U.S. Army Garrison Fort Detrick commander. Photo by Jeffrey Soares, USAM-
RMC public affairs
Superhero: A Poem by Amanda Grebenok, 17 years old from Eagle Pass, Texas
Some people choose Batman While others pick Superman There are those who want super-strength And those who’ll take spider webs When someone says, “Green Lantern” Someone else will say, “Flash” But there is another superhero so rarely idolized They don’t have Clark Kent’s alterego strength Or Batman’s millionaire civilian life These superheroes are completely and honestly normal They don’t have super strength They don’t have flying powers And they don’t get a flashing icon in the night sky
But they face dangers that are more real than those in Marvel Comics For them, the fight is every day, wherever they are Whether it be taking on gunfire Or surviving a roadside bomber And they may not be supernatural But they exhibit great acts of courage and perseverance And they give the most to protect their “Gotham City” So, who are these silent heroes? They are the brave men and women that have fought, are fighting, and will fight to protect our country and all it stands for They are MY superheroes And to my superheroes, I say, “Thank you.”
What’s Inside
Social Media Find Garrison on Facebook, Twitter and Flickr! www.facebook.com/DetrickUSAG www.twitter.com/DetrickUSAG www.flickr.com/DetrickUSAG Find MRMC on Facebook, Twitter and Flickr too! www.facebook.com/USAMRMC www.twitter.com/USAMRMC www.flickr.com/people/usamrmc
IMCOM Joins Multiagency Partnership at Fort Detrick, Maryland
Armed Forces Week, p.2
SMRC-IND Team Conducts Annual Training, p. 4
Bike to Work Day at Fort Detrick, p.6
Commentary: What is Armed Forces Day?
Armed Forces Week Guidon and Drill Competitions
BY COMMAND SERGEANT MAJOR KEVIN B. STUART USAMRMC CSM
May 20, 1950, was a special day for the military. It was the ďŹ rst Armed Forces Day celebrated in the United States. Originally, Armed Forces Day began with parades, open houses, receptions, and air shows to honor the troops. While some of the activities may have changed, the purpose is still the same: to celebrate and honor the men and women who serve in the military. Today, Armed Forces Day is observed on the third Saturday of May. It is a time to celebrate and honor the achievements and contributions of military personnel for their outstanding service to our country. Here at Fort Detrick, we celebrated Armed Forces Day with a week of activities beginning with the Enlisted Dining-In, followed by a variety of recreational events. The service members who participated in the festivities had the opportunity to compete in a volleyball tournament, a 2-mile run and 2-mile walk, basketball games, golf, Texas Hold-em tournaments, dominoes, ping-pong, spades as well as drill and ceremonies. These events provided service members a chance to have fun, establish friendships, and build camaraderie. The Fort Detrick events culminated with a 2.5 mile run and an award ceremony to acknowledge the service members who participated and competed throughout the week. What a way to celebrate our military and
honor our service members for their support and contributions to our nation!!! Thank you to all who participated in the events, and to those who came out and supported our men and women in uniform. Photos by Sig Bruner, USAG VI
2013 Maryland Operation Military Kid Summer Get-Away Camp Join the Maryland Operation Military Kid, Aug. 4-9 at the Western Maryland Educational Center in the Appalachian Mountains of Garrett County, Md. for the 2013 Summer Get-Away Camp. The camp is for military youth ages 8-13 (youth ages 14-18 are invited to attend in leadership roles). The camp is free. There is a $100 registration fee required per application which will be returned upon arrival, or applied as a donation to the Maryland Operation Military Kids Program if cancelled after July 10 or a no show. For more information, contact the Md. OMK Project Director at 301405-2833.
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Fort Detrick Standard May 31, 2013
Command Staff
ment of DoD. Everything advertised in this publication shall be made available for purchase, use or patronage without Brig. Gen. (P) Joseph Caravalho Jr. regard to race, color, religion, sex, national origin, age, Commanding general, U.S. Army Medical Remarital status, physical handicap, political affiliation, or any search and Materiel Command other nonmerit characteristic of the purchaser, user or patron. and Fort Detrick Editorial content is prepared and edited by the Fort Detrick Public Affairs Office, 810 Schreider Street, Fort Detrick, Md. Col. Steven P. Middlecamp 21702-5000. Editorial Offices are in Bldg. 810, Suite 004, U.S. Army Garrison commander telephone 301-619-2018; e-mail: usarmy.detrick.usag.mbx. pao@mail.mil.
Sustaining a community of excellence through restoration, environmental stewardship and workforce development
Editorial Staff USAG PAO Staff
USAISR Burn Center Receives FDA Clearance for Burn Resuscitation Technology BY STEVEN GALVAN
USAISR PUBLIC AFFAIRS OFFICER
For the first time in its 70-year history, the U.S. Army Institute of Surgical Research at Joint Base San Antonio-Fort Sam Houston received 510(k) clearance from the U.S. Food and Drug Administration for a medical device developed at the USAISR. The clearance for the Burn Navigator, or Burn Resuscitation Decision Support System-Mobile, was announced by the FDA Director of Preparedness/Operations and Medical Countermeasures at the Center for Devices and Radiological Health Dr. Suzanne Schwartz during the 2013 American Burn Association 45th Annual Meeting at Palm Springs, Calif., April 23-26. “This technology is the first of its kind algorithm-based decision assist system for use in managing fluid resuscitation of the severely burned patient,” said Schwartz. “We consider this a milestone, but even more than that, a peek into what the future has in store for burn trauma management.” USAISR Research Task Area Program Manager for Comprehensive Intensive Care Research Jose Salinas, Ph.D, helped develop the BRDSS algorithm which generates recommendations of fluid intake for burn patients. It was designed to assist in avoid-
ing problems related to over- or under-resuscitating by medical care providers who do not routinely care for burn patients. The original BRDSS technology was developed for use at the USAISR Burn Center Intensive Care Unit about seven years ago. According to Salina, it has been invaluable with assisting medical providers with resuscitation management and has been shown to improve patient outcomes. “If you give a patient too much or too little fluid, the results can be fatal,” explained Salinas, describing the complex care necessary for burn patients who are often dehydrated and require precise rehydration. Maria Serio-Melvin, MSN, USAISR clinical program coordinator for computer decision support systems and co-chair of the integrated product team that is fielding the system, added that there are a lot of competing priorities when caring for burn patients. “Our goal is that this device will help keep medical providers on track with one of the most important things that they need to do-hourly fluid titration based on urine output,” said Serio-Melvin. The Burn Navigator is designed to be used in a deployed setting by non-burn experienced nurses and doctors. The software
See USAISR, continued on page 9
USAISR Research Task Area Program Manager for Comprehensive Intensive Care Research Jose Salinas, Ph.D., and Maria Serio-Melvin, MSN, USAISR clinical program coordinator for computer decision support systems and co-chair of the integrated product team that is fielding the Burn Navigator which recently received 510(k)FDA clearance. Photo by Steven Galvan, USAISR Public Affairs
HQ Co. Change of Command
The U.S. Army Medical Research and Materiel Command Headquarters Company held a Change of Command ceremony at Fort Detrick, Md., May 22. Capt. Sumesh Sagar relinquished command to Capt. Kathryn Repucci (pictured above). Photo by Sig Bruner, USAG VI
Sustaining a community of excellence through restoration, environmental stewardship and workforce development
Fort Detrick Standard May 31, 2013
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SMRC-IND Team Conducts Annual Training CAREY PHILLIPS
USAMMDA PUBLIC AFFAIRS SPECIALIST
The U.S. Army Medical Materiel Development Activity’s Division’s Specialized MEDCOM [U.S. Army Medical Command] Response Capabilities - Investigational New Drug, or SMRC-IND team is a deployable asset for the Medical Command called in for on-site support of Chemical, Biological, Radiological and Nuclear incidents or public health emergencies when IND products are indicated for U.S. Forces. The Telemedicine & Advanced Technology Research Center’s Specialized SMRC - Medical Command, Control and Communications-Telemedicine team is a deployable asset for the Medical Command, who on order provides communication capabilities for other SMRC teams worldwide. The USAMMDA Division of Investigational New Drugs for Force Health Protection partnered with TATRC to conduct the SMRC-IND team’s annual training exercise at Fort Detrick, Md., on April 25 to prepare for potential deployment of IND protocols and subject matter expertise. “The purpose of this training was to develop the core skills required for the SMRCIND team to execute the MEDCOM mission of providing IND treatment to DOD Forces in response to CBRN incidents and emerging disease threats,” said Lt. Col. Jennifer Kishimori, deputy director for the Division of INDFHP and officer-in-charge of the exercise. During the training, SMRC-IND team members became more familiar with the current IND protocols, cold chain management procedures, communications equipment training and personal protective equipment. “Core skill training should be regularly conducted and is the basis for our capability once we are on the ground during an incident,” said Kishimori. “The goal is to gain proficiency on the IND protocols, then work up to deployment with the team facilitating IND protocol execution and finally, integrate that into a full-scale exercise with our DOD partners.” This year was the first time the IND team had all the providers available - and the MC3T team participated with their equipment set. The MC3T communication capabilities consisted of air-transportable BGAN-based communications set, which is capable of voice, video and data communications worldwide.
As the number of soccer players in the U.S. nears 20 million, the number one soccer company in the United States and Canada, Challenger Sports, has been invited to hold their nationwide program of British Soccer camps right here in the area. This summer, Fort Detrick Youth Sports has teamed up with Challenger Sports, and the British Soccer camp will be held the week of July 15-19. The camp will run Monday through Friday, and each child will be coached by a member of Challenger’s british coaching staff, flown to the U.S. exclusively to work on these programs. Challenger will hold
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Sgt. 1st Class Warren, Staff Sgt. Wayman, and Maj. Ahluwalia (all SMRC-IND members and clinicians from USAMRIID) donning their Breathe Easy PAPR systems. Photo courtesy of Cynthia Hammer logistics management specialist for the IND-FHP According to Kishimori, this year’s protocol training was conducted in a modified field environment at TATRC’s Operational TeleMedicine Lab, where case-based scenarios were exercised, emphasizing key diagnostic indicators and overarching protocol parameters. The next event is expected to focus on running threat-based scenarios where team members will facilitate a principle investigator establishing a site, enrolling patients and completing and storing associated required documentation. The day’s training included hands-on cold chain management, an introduction to the MC4 computers, familiarization with internal communications equipment and familiarization with personal protective equipment, which are essential to building a robust deployment capability. “Partnering with TATRC and the MC3T assets was key to establishing solid working relationships and ensuring team members understood the MC3T capabilities,” said Kishimori.
Phillip Marshall, U.S. Army Medical Materiel Agency DOC, conducting cold chain management training for IND-FHP product managers Henri Zepp and Dr. Jim Karaszkiewicz and SMRC-IND Team Members Sgt. 1st Class Warren and Lt. Col. Jennifer Kishimori. Photo courtesy of Cynthia Hammer, logistics management specialist for the IND-FHP
The British Are Coming!
over 2,500 British Soccer camps this summer and will coach over 120,000 players between the ages of 3 and 18, and work with over 25,000 parents and coaches. Challenger’s British Soccer camps are more than a week of drills and skills. In addition to taking part in a daily regimen of foot skill development, technical and tactical practices and daily tournament-style plays, each child will also be treated to a rich cultural experience and lessons on respect, responsibility, integrity, leadership and sportsmanship. The most popular part of each camp
is the Camp World Cup. The coaches use this daily tournament to teach the players about life, customs and traditions of other countries. The campers are asked to make up cheers, bring flags, dress up and learn as much as they can about the country they represent. Teams are also welcome to attend and receive a week of focused instruction to prepare them for the fall season. Each camper will receive a free camp Tshirt, soccer ball, giant soccer poster and an individual skills performance evaluation.Space is limited, and parents are en-
Sustaining a community of excellence through restoration, environmental stewardship and workforce development
couraged to sign up online in advance to avoid disappointment. TO REGISTER, visit www.challengersports.com or stop by the CYSS Central Enrollment office in Building 924, or call 301619-7100 for more information. Challenger has been conducting soccer camps in the U.S. for 20 years, and in addition to coaching youth players throughout the country, Challenger also runs European and South American soccer tours, holds soccer tournaments, and manufactures and sells their own brand of soccer apparel. To find out more about Challenger Sports, visit their web site www.challengersports.com.
NMHM Participating in “Blue Star Museums” Program this Summer BY MELISSA BRACHFELD
NATIONAL MUSEUM OF HEALTH AND MEDICINE
For a third year, the National Museum of Health and Medicine is proud to announce that it is participating in the Blue Star Museums initiative over the summer. The program offers free admission to museums for all active-duty military service members, including Army, Navy, Air Force, Coast Guard, Marines, National Guard and Reserve members, and up to five family members from Memorial Day, May 27, through Labor Day, Sept. 2, 2013. Launched during the summer of 2010 to show appreciation to those who serve and their families, Blue Star Museums is a collaboration among the National Endowment for the Arts, Blue Star Families, the Department of Defense and museums across the country. This summer, more than 1,800 museums (and counting) are participating in Blue Star Museums. Blue Star Families is a nonprofit organization that supports, connects and empowers military families. “Blue Star Museums is a collaboration
between the arts and military communities,” said NEA acting chairman Joan Shigekawa. “Our work with Blue Star Families and with more than 1,800 museums ensures that we can reach out to military families and thank them for their service and sacrifice.” NMHM is celebrating its 151st anniversary at its home in Silver Spring, Md., with exhibits that focus on advances in military medicine, the Civil War, the brain, anatomy and pathology, forensic identification and much more. This summer, NMHM will have a number of programs that will focus on topics such as the Civil War, sports and anatomy, reconstructive plastic surgery in World War I, “quack medicine,” and more. For more information about Blue Star Museums and a full list of participating museums, visit http://www.nea.gov/ national/bluestarmuseums/index2013. php. The National Museum of Health and Medicine, located at 2500 Linden Lane in Silver Spring, is open every day from 10 a.m. to 5:30 p.m. (except Dec. 25). For more information, call 301-319-3300 or visit http://www.medicalmuseum.mil.
National Museum of Health and Medicine volunteer Lisa Weed shows a Museum visitor an anesthesia inhalation device pioneered during the Civil War. Visitors will see artifacts like this and more during the Civil War Discovery Cart program, which will take place 1-2 p.m on June 14, June 28, July 12, July 26, August 9 and August 23. This is just one of the many programs the Museum will hold while participating in Blue Star Museums this summer. Photo courtesy of NMHM
DoD Mental Health, Traumatic Brain Injury Center Receives New Director DCOE PUBLIC AFFAIRS The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury hosted a ceremony today to welcome Navy Capt. Richard Stoltz as its new director. DCoE oversees three centers, including the Defense and Veterans Brain Injury Center, the Deployment Health Clinical Center, and the National Center for Telehealth and Technology, with a combined mission to improve the lives of our nation’s service members, families and veterans by advancing excellence in psychological health and traumatic brain injury prevention and care. “Providing world-class health care and rehabilitation for our warfighters is more than a priority; it is a promise that we make when we send them into harm’s way,” said Brig. Gen. (promotable) Joseph Caravalho Jr., commanding general of the U.S. Army Medical Research and Materiel Command , who presided over the ceremony. “This care would not be possible without medical research and development, and our investment in tomorrow’s technologies.” Stoltz, a clinical psychologist, assumes leadership following assignments as commanding officer of Naval Hospital Guantanamo Bay, and commander of the Joint Medical Group, Joint Task Force Guantanamo Bay. In these roles, he commanded all medical care provided at Guantanamo Bay which included the Naval Hospital, Detention Hospital, Inpatient Behavioral Health Unit, and multiple medical clinics.
His earlier positions included executive officer of the Addictions Rehabilitation Center at Norfolk Naval Station; deputy director of clinical operations at the Navy Bureau of Medicine and Surgery; director of Behavioral Health Services at the National Naval Medical Center; director of women’s, children’s, emergency room, behavioral health and primary care services at NNMC; assistant chief of staff at BUMED; officer-incharge of the Naval Branch Health Clinic - Bahrain; and executive officer of Naval Health Clinic - New England. “Improving the psychological health and traumatic brain injury care our service members receive is of the utmost importance,” Stoltz said. “I am looking forward to the opportunity to continue to create meaningful and positive change as I take the helm of DCoE.” Stoltz succeeds Navy Capt. Paul S. Hammer, who has served as DCoE director since January 2011. During his tenure, Hammer worked diligently to restructure DCoE into a strategically focused, results-oriented organization focused on providing timely, high-quality clinical guidance, clinical tools, information and resources to improve the lives of service members, veterans and their families living with traumatic brain injury and psychological health concerns. As a direct result of Hammer’s leadership, DCoE was awarded a Joint Meritorious Unit Award by the Defense DepartSee DIRECTOR, continued on page 9
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Sustaining a community of excellence through restoration, environmental stewardship and workforce development
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Another Successful Bike to Work Day for Fort Detrick LANESSA HILL
USAG PUBLIC AFFAIRS
The day began at 6:20 a.m. in front of the PX parking lot at Fort Detrick, Md. One by one, riders in personal protective gear began appearing. Some drove to Fort Detrick with bikes loaded on their cars while others peddled directly from their homes. All were there to ride as Team Fort Detrick in Bike to Work Day 2013, an event in which Fort Detrick partnered with Frederick City and other employers in Frederick County to take part in the nationally recognized day. A total of 316 riders registered for the 4.5 mile event, which began at Hood College in downtown Frederick. Riders were of all ages, including toddlers being towed by parents playing Bob Marley music on portable radios. Regardless of age, all were up early and excited
to get a start on their morning, including one gentleman who had the longest commute to work, riding two hours to Frederick. Team Fort Detrick had 53 riders, and for the second year in a row, this was the largest team to ride. Representing Fort Detrick was Col. Steven P. Middlecamp, Garrison commander, and riders from Frederick National Labs, SAIC, U.S. Army, and staff members from various agencies within the Department of Health and Human Resources. Jenni Benson from USAG public affairs opened the day by singing the National Anthem. Team Fort Detrick wrapped up the morning by visiting the Frederick County Visitors Center for a presentation on Frederick County and its various sites of interest, as well as tour exhibits, and all learned of the contributions indi- The 2013 Fort Detrick Bike to Work Day Team gathers for a photo at Hood College before beginning viduals from Frederick have made their trek throughout Frederick. The route for the event took the team to several stops throughout to American history over the years. Frederick. Photo by Lanessa Hill
New Clinical Trial Data System Fort Detrick Commissary Hours Reduced Due to Furlough Supports Collaboration, Cost-Savings
Members of the working group that helped USAMRMC achieve the EDC-CRDMS. (Top row) LTC Lee Lefkowitz, PHC; Philip VanWerkhoven, USAMRIID; Lynn Stevens, USAMRIID; Capt. Bruce Barnes, USAMRMC; Maj. Jose Pizarro, PHC; Darrin Power, USAMRMC; (Bottom row) Paileen Mongelli, USAMMDA; Zainab Nanji, WRAIR; Jeanne Barkman, USAMRIID; Anna Marie Seale, USAMMDA; Nan Guo, USAMMDA; Heather Hedrick, USAMMDA; Carlos Vasquez, NRMC; Maj. Kirsten Smith, USAMMDA. Photo by Ellen Crown, USAMRMC Deputy PAO CAPT. BRUCE W. BARNES DEPUTY PROJECT MANAGER, ENTERPRISE INFORMATION TECHNOLOGY PROJECT MANAGEMENT OFFICE
USAMRMC has updated its clinical trial records keeping with a new Electronic Data CaptureClinical Research Data Management System (EDC-CRDMS). EDC-CRDMS utilizes several Oracle commercial off-the-shelf products. Inform(r) allows USAMRMC to more efficiently develop, conduct, and manage electronic data capture-based clinical trials. Utilizing Oracle’s Central Designer(r) software, USAMRMC is able to accelerate trial development, increase trial efficiency, and more readily share clinical data with external partners, collaborators, and the Food and Drug Administration (FDA). “This is a huge accomplishment,” said Deputy Project Manager and EDC Working Group cochair Capt. Bruce Barnes. “EDC will allow clinical trials at USAM-
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RMC to be stored electronically, which allows for easier reporting, input and data management.” USAMRMC’s Enterprise IT Project Management Office and others worked on the project for more than two years. The system became fully operational April 22, approved by Dr. Kenneth Bertram, Principal Assistant for Acquisition. In addition to providing electronic data capture, USAMRMC has a requirement to conduct paper-based clinical trials in partner countries such as Kenya and Thailand, or where consistent web-based access is not feasible. Utilizing Oracle’s Clintrial(r), USAMRMC will be able to input the trial data captured on paper into electronic format, utilizing features to assure accurate data entry, and facilitating electronic storage and sharing of clinical trial data with partners and the FDA. “I am proud to be a part of this productive and successful collaborative effort between so many USAMRMC organizations and the Naval Medical Research Center,”
said Maj. Kirsten Smith, director of the Clinical Support Services Division and co-chair of the EDC Working Group. “Obtaining, configuring, and fielding this capability will provide a valuable resource to our product development teams, external partners, and the DoD for years to come.” USAMRMC has established training and processes for use of the system, which are available for teams planning to use EDC-CRDMS for clinical trials. Barnes added that there has been no official mandate for all clinical trials to utilize this system for its data management; however, with use of this system, organizations can expect significant savings over contracting out the service, which could mean more “research for less.” For more information, contact the eIT PMO at usarmy.detrick. medcom-usamrmc.other.eitpmo@mail.mil or USAMMDA’s Clinical Support Services Division at (301) 619-1106.
When furloughs are implemented July 8, 2013, the commissary at Fort Detrick will be closed Mondays and Tuesdays. There are 148 stores worldwide that are normally closed on Mondays and will now close the next normal day of operation. Other than the furlough day, there are no other changes planned for store operation hours. The announcement comes as the Defense Commissary Agency follows Department of Defense protocols related to the automatic federal government budget reductions. Like most DOD activities, DeCA is mandated by the Department to furlough its civil service employees. This change will affect most of the 247 military commissaries operating in 13 countries and two U.S. territories. In a press release issued by DeCa on May 24, Joseph H. Jeu, DeCA’s director and CEO, stated, “We know that any disruption in commissary operations will impact our patrons. Also, we understand the tremendous burden this places on our employees, who, when furloughed, will lose 20 percent of their pay.” Beginning July 8 through September 30, 2013 operating hours will be: Wednesday: 10:00 a.m. - 6:00 p.m. Thursday: 10:00 a.m. - 7:00 p.m. Friday: 10:00 a.m. - 6:00 p.m. Saturday: 9:00 a.m. - 6:00 p.m. Sunday: 10:00 a.m. - 5:00 p.m. As sequestration continues, commissary customers can quickly find out about any changes to their local store’s operating schedule by going to www.commissaries.com. Simply click on the “Locations” tab, then “Alphabetical Listing” to find store location, and then click on “local store information.”
CHALLENGES, continued from page 1
Consultant, Fort Belvoir, Va. “When I got the word I was going to become the Garrison commander at Fort Detrick, I thought, ‘Wow, someone at assignments is bringing me home after 25 years,’” he said. Being so close to where he grew up, “spending 18 years wanting to get away,” he said laughing, is something he now cherishes. “I am getting to reconnect with family, and explore the area, and there are so many changes from when I was here a quarter century ago,” he said. Being near family had a pleasant side-effect as well, as he added, “My family got to attend my change of command, so it was a chance for them to see what I actually do in the Army, and not hear about it.”
Sustaining a community of excellence through restoration, environmental stewardship and workforce development
As the 40th USAG Fort Detrick commander, Middlecamp said he feels the weight of “the huge responsibility.” “This is a sacred position the Army has placed me in,” he said. “I want the staff here to know that before I came here I was told how they have some of the highest accolades in the Army, and I see my role is to make sure that tradition continues. Our role as Garrison is to understand what our mission partners do and how to best support them. The people here set the examples for other installations if you look at the awards and recognitions they have received. We will continue on that path,” said Middlecamp.
Navy Evaluates Collective Protection in Expeditionary Medical Facility JULIUS EVANS
NAVAL MEDICAL LOGISTICS COMMAND
During May 2013, U.S. Navy Reservists and active duty forces constructed a Chemically Hardened Expeditionary Medical Facility at Naval Weapons Station Cheatham Annex, Williamsburg, Va., to test the integration of a collective protection system. With a collective protection system, an Expeditionary Medical Facility is protected against chemical, biological and radiological exposure. Simply stated, a CH-EMF is an EMF with a collective protection system integrated. CH EMFs provide medical personnel the capability to operate without having to be fully outfitted in individual protective or mission oriented protective posture gear. Expeditionary medical facilities are globally positioned to support combat operations worldwide. Self-supportive EMFs assure the ability of medical personnel to provide world-class medical care to wounded warriors in their most vital time of need. Evaluation participants included the Expeditionary Medical Logistics Program Office, the Collectively Protected Field Hospital Program of the Joint Program Executive Office for Chemical and Biological Defense Joint Project Manager for Protection, the U.S. Army Medical Department Board, the Construction Battalion Maintenance Units 202 and 303, the Navy Expeditionary Medical Support Command, the Navy Medicine Education and Training Command, the Naval Expeditionary Medical Training Institute and the Navy Reserves Expeditionary
Medical Facility, Great Lakes One. “This evolution was significant on a number of levels,” said William Hartmann, U.S. Navy Bureau of Medicine and Surgery Expeditionary Medical Logistics Program manager. “The Navy is considering all aspects of collective protection for field hospitals. This month, we are evaluating the system under conditions similar to what may be expected in an operational environment.” The CPFH Program is responsible for providing collective protection equipment used throughout the entire medical facility. Although this is the Navy’s first experience with collective protection for EMFs, others have incorporated this unique method of protection in their facilities. “Collectively protected field hospitals were deployed by both the U.S. Army and the U.S. Air Force during Operation Iraqi Freedom in the event of a possible chemical or biological attack,” said Brian Rainer, the product manager for the CPFH Program. “The protective aspect,” he continued, “is accomplished by using filtration units. All outside air introduced into the hospital is first filtered with military grade filters and then environmentally conditioned. The filtered air is provided at an overpressure which prevents contaminants from entering the hospital. The overpressure is maintained by sealing the hospital with chemical and biological resistant liners. Personnel and patients enter and exit the hospital through special airlocks.” During the evaluation phase, medical personnel were enclosed within the facility for 72 hours.
The collective protective liner is added to the Expeditionary Medical Facility in Williamsburg, Va., during the joint collaboration among various units and program offices from around the nation in constructing the EMF. Photo courtesy of NMLC Simulated patient scenarios were conducted to provide a realistic feeling to the event. “Being locked in a field hospital for 72 hours provided the opportunity to prepare for a possible deployment and to train for a mass casualty event within an air-locked facility,” said Hospital Corpsman 3rd Class Caitlyn Strader of Hindsboro, Ill. “I was excited to work with a diverse number of people from across the nation to learn new ways of approaching trauma injuries.” The U.S. Army Medical Department Board, located at Fort Sam Houston, Texas, provides independent operational test and evaluation of medical and medicalrelated materiel and information
technology products in support of the Army and Department of Defense acquisition process. It provides assessments of emerging concepts, doctrine, and advanced technology applications applied to the delivery of healthcare, both on the battlefield and in fixed facilities. It conducted the CH EMF operational test. “Collaboration of the elements to make this a successful collective protection system evaluation was a tremendous undertaking,” said Capt. Martin D. McCue, commanding officer, Navy Expeditionary Medical Support Command, Cheatham Annex, Williamsburg. “Expeditionary Medical Facilities from prepositioned storage sites
were brought here during Operation TRIDENT ARCH, an evolution in which EMFs are rotated from ashore and afloat locations to upgrade and retrofit as a part of their life cycle management.” Now situated on a four acre training site, the EMF constructed at Cheatham Annex is playing host to practically every medical casualty situation that could be encountered by operational facilities in real-world situations. And as expected, the collective protection system evaluation for the EMF has a good deal of attention. Results from the evaluation will be used to support a formal fielding decision by the JPEO-CBD for the CH EMF.
Pedestrian Safety: Know the Facts BY ANDREW LASCOLA USAG SAFETY OFFICE
The safety of pedestrians on the roadway is a responsibility of both drivers and pedestrians. Both must know and follow all applicable laws to ensure the safety of everyone in their travels. In 2010, 4,280 pedestrians were killed and an estimated 70,000 were injured in traffic crashes in the United States. On average, a pedestrian is killed every two hours and injured every eight minutes in traffic crashes (www.cdc.gov). Fort Detrick has many construction projects, community events, and worksites that may change or alter the flow of foot traffic on the installation. It is important for pe-
destrians and drivers alike to obey all traffic signals, signage, and other instructions to safely navigate the installation. Too often people are in such a hurry or distracted that they will ignore a sign that a crosswalk is closed just to take the shortest possible route to their destination without any thought to their own personal safety. When a pedestrian does this, they are crossing at their own risk and putting all their faith in the person operating the vehicle to notice them and abide by applicable laws and regulations. The state of Maryland has several laws in place to protect motorists and pedestrians alike from the hazards of crossing the street. Maryland law states that at cross-
walks and intersections without signals, the driver of a vehicle must stop for a pedestrian in a marked or unmarked crosswalk: a) When the pedestrian is on the half of the roadway on which the vehicle is traveling. b) When the pedestrian is approaching within one lane of the half of the roadway on which the vehicle is traveling. This means that to assert the pedestrian’s right of way in Maryland, the pedestrian has to be either crossing or waiting in the street, not standing on the sidewalk. For drivers failing to comply with this law, they can be fined $65 and have one point added to their driving record. If the
violation contributes to a crash, a fine of up to $500 and three points, and/or two months in jail is the penalty. The following is Maryland law for intersections with signals: a) When proceeding on a green signal, drivers turning right or left shall yield the right-of-way to pedestrians lawfully within the crosswalk. b) When turning right on red after stopping, drivers shall yield the right of way to pedestrians lawfully within the crosswalk. For drivers failing to comply with this law, they can be fined $75 and have one point added to their driving record. If the violation contributes to a crash, a fine
Sustaining a community of excellence through restoration, environmental stewardship and workforce development
of up to $500 and three points can be issued. The safety of pedestrians is the responsibility of pedestrians and motorists alike. Even when pedestrians have the right of way, they may not suddenly leave a curb or other place of safety, and walk or run into the path of a vehicle which is so close or coming so fast that it is impossible for the driver to yield. Pedestrians who have the right of way must still observe due care and caution to avoid injury, and “cannot cross blindly without looking for approaching traffic.” Both parties must pay attention to each other, and each must make abiding by traffic laws a priority to ensure that everyone gets where they are going as safely as possible. Fort Detrick Standard May 31, 2013
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Mark Vallaro, a volunteer with the Maryland Chapter of The American Chestnut Foundation, plants a seedling of the blight-resistant American Chestnut tree “B3F3.” Photo courtesy of the Fort Detrick Environmental Management Office
American Chestnut Trees Bred on Fort Detrick BY LYNN HOCH
ENVIRONMENTAL MANAGEMENT OFFICE
The American chestnut was once one of the dominant tree species in the eastern forests of the United States, towering over all other tree species in the forest. Due to its dominance of presence in the forest, reaching over 100 feet tall and 5-10 feet in diameter, it was commonly referred to as the “Eastern redwood.” Longevity was one of its hallmark features; some American chestnut trees were known to live as long as 600 years. Once there were an estimated 4 billion American chestnut trees in eastern forest, representing approximately 25 percent of the total forest hardwood tree makeup. In the late 1890s, the Asian chestnut blight, a virulent fungal disease, arrived in the U.S. and spread quickly, leading to the destruction of most of the American chestnut stands by the 1950s. Efforts have been made to bring this giant tree back, using innovative developments in genetics and plant pathology. Founded in 1983, the American Chestnut Foundation, or TACF, is a program created to coordinate breeding efforts to create blight-resistant American chestnut trees using a genetic backcross breeding strategy, with the eventual goal of developing a more disease-resistant form of the tree and beginning its reintroduction to its native range. In 2010, the U.S. Army Garrison, Fort Detrick entered into a Memorandum of Understanding with TACF to establish a framework for cooperative research and management activities to maintain and enhance forest ecosystems by reintroduction of blight resistant seedlings of American chestnut trees on Army land. This partnership aligns with a long-standing tradition of Fort Detrick’s commitment to the environment by caring for its trees, including being recognized as Tree City USA for eleven years and a recipient of the Maryland Plant Award for fifteen years running. The Fort Detrick orchard originally started
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as a one-acre demonstration orchard, containing both American and Chinese chestnut species, as well as backcrossed genetic lines of these species. Over the years, the Fort Detrick orchard has expanded and now consists of 1.5-acres and is considered a chestnut breeding orchard. Across the eastern region of the U.S., there are some 300 volunteeroperated breeding orchards including the one located on Fort Detrick in Area B. The strategy of establishing breeding orchards over a wide geographical range helps ensure that the tree lines derived from the different breeding orchards are adaptable to a range of environmental conditions (i.e., soil types, temperatures, and rainfall amounts). Nuts planted in breeding orchards have been derived from trees pollinated using pollen from a backcrossed tree selected for resistance to the blight fungus. To genetically transfer blight resistance, the crosses should include the first cross called “F1” that is 50 percent American and 50 percent Chinese; the 1st backcross, a “B1” that is 75 percent American; the 2nd backcross, “B2,” that is 87 percent American; and the 3rd backcross, “B3,” that is 94 percent American. The percentages represent the approximate genetic makeup that the population of American chestnut trees may have. In the spring of 2012, Fort Detrick was selected as the only breeding orchard within the state of Maryland to receive what are considered blight-resistant seed stocks derived from genetically controlled backcrosses. Approximately 40 nuts (B3F3 seeds) were planted. Of these, over 90 percent of the seeds developed into what are commonly referred to as B3F3 seedlings, or “Restoration chestnuts.” Following one season of growth, the B3F3 seedlings are approximately 18 to 24 inches tall. This American chestnut genetic line is considered to be the most blight resistant form of the tree that is currently available. Within 5-7 years, these trees will be mature enough for seed/nut production.
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Courtesy photo.
101 Days of Summer Kicks off at Fort Detrick BY SHANNON BISHOP USAG PUBLIC AFFAIRS
Do you know which holiday is the most deadly for alcohol-related automobile accidents? Independence Day. Right in the heart of summer, July 4th is the most deadly holiday due to alcohol-related car crashes. This summer, each and every person should take the necessary precautions to ensure they remain safe during those summer activities in which they choose to participate. On Wednesday, May 24, Julie Brown, Natural Resources Police Boating Safety Education Coordinator from the Maryland NRP Safety Education Division addressed a group in Fort Detrick’s Strough Auditorium about the importance of boat safety. “You are in charge of yourself; make sure if you go out on someone’s boat that
ment in 2012 for making, “a profound impact on the medical treatment, care and advocacy of our wounded warriors and their families from innovative educational programs to vast improvements in communications programs to promoting the awareness and availability of programs across the Department of Defense,” according to the citation. Most recently, DCoE transitioned to an executive agent under USAMRMC which provides oversight and operational support functions including logistics, information management and information
technology, public affairs and legal support. “It has been an honor to lead DCoE, guide the creation of numerous clinical recommendations and tools, and oversee the development and implementation of multiple programs that are profoundly improving the system of care for our service members, veterans and their families,” Hammer said. Hammer departs DCoE to serve as commanding officer of the Navy Medicine Information Systems Support Activity in San Antonio, Texas.
you have a life jacket, that it fits, and that you know how to put it on in case there is an emergency,” Brown said. Many people do not realize this, but the legal blood alcohol content limit for operating a boat is the same limit for driving a car. This BAC limit is .08. Anything over .08 can lead to a ticket for Boating Under the Influence, or BUI. Other important safety tips to remember while boating include: * Always designate two people who are not drinking at all when going out with a group on a boat. * A life vest should fit properly; both sides should meet in the middle of your chest with no gap. For children, make sure if you tug on the top it does not go over their ears or overlap in the front. Abiding by these simple safety rules should help to make your summer more enjoyable, and much safer!
USAISR, continued from page 3
is in a mobile tablet that meets military specifications. “An additional benefit of the system is that it’s not only a decision support system; it’s also a graphical interface of the trends of how the patient is doing,” said Salinas. “So even without the decision support part of it, medical providers can look at the display and see how the patient is progressing and use that to help better manage the burn patients.” The Burn Navigator is expected to be used soon by the Army at deployed Combat Support Hospitals, which support overseas contingency operations in Iraq and Afghanistan. The Burn Navigator technology was licensed to Arcos Medical, Inc. of Houston, which worked with the
USAISR to submit the FDA 510(k) application with funding from the U.S. Army Medical Research and Materiel Command at Fort Detrick, Md. The USAISR is a subordinate research command of USAMRMC, which is a major command in the Army that leads efforts in support of the full life cycle of medical supplies and equipment, to include research, development, acquisition and sustainment. The research part of the mission is executed through its laboratory commands like the USAISR and extramurally. Companies such as Arcos, Inc. produce commercial devices, including the Burn Navigator, for use by the Army and at civilian burn centers throughout the world.
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Rusty Kreitz Retires After Nearly Four Decades of Service JEFFREY SOARES
USAMRMC PUBLIC AFFAIRS
Growing up just a few blocks away from Fort Detrick in Frederick, Md., John C. Kreitz III - or “Rusty” to practically everyone - had boyhood dreams of serving his country one day, and his ambition to accomplish this led him down a path that has taken nearly four decades to travel. Unfortunately, for the staff of the U.S. Army Medical Research and Materiel Command headquartered at Fort Detrick, Kreitz’s new chapter of retirement creates the difficult situation of trying to replace not only a dedicated quality assurance specialist, but a very personable friend and colleague as well. “Rusty is dedicated to the command, the Army, and the Nation,” said Kelly Garrett, director of Quality Management, USAMRMC, and supervisor to Kreitz. “He always focuses on doing the best possible job regardless of the circumstances, and he embodies selfless service. As a friend, Rusty is always dependable and available to be a sounding board. He is a top-notch person who is a joy to be around.” Krietz’s technical training started early in his educational career when he began attending the Franklin County (Pa.) Vocational-Technical School, learning electronics, as part of his program of study at Waynesboro (Pa.) Area Senior High School. “It was through the Vo-Tech school that I started with the Government on a Coopera-
tive Education Program that allowed me to work at Letterkenny Army Depot in Chambersburg (Pa.) while I was still in school,” said Kreitz. “I started out as a Wage Grade 1, Student Learner, working mostly on electric forklifts. I went full-time the day after graduation, and I eventually became a WG 10 journeyman electromotive equipment mechanic. After a series of lateral job assignments to other mechanic, inspector, and administrative positions, 10 years after I was hired, I was selected as the branch chief of the shop where I started, the Mobile Equipment Maintenance Branch.” Although he wanted to serve in the military as well, Kreitz was denied this opportunity due to medical reasons. He enlisted in the Air Force in 1976 and was sworn in as an Airman Basic under the Delayed Enlistment Program. However, when he reported to his processing center to leave for basic training, an evaluation from an Air Force doctor discovered that Kreitz had a bad knee, even though he had passed the initial physical exam. “I was crushed,” he said, “but I called Letterkenny the next day and went right back to work.” And “work” he did. In fact, since 1984 Kreitz has been a member of the professional workforce, handling a multitude of positions with practically no downtime in between. He has served as a supervisor and the president of a local labor union. He has worked in four different Headquarters-level organizations, attended the Army Manage-
ment Staff College, deployed overseas, and was selected for a long-term training opportunity in 1993 that allowed him to complete an Associate’s degree in Management with a 4.0 GPA. While many would consider these to be important career accomplishments, Kreitz instead views his accomplishments as “opportunities.” “I’ve had a great many opportunities in my career to serve in a broad spectrum of roles,” he said. “For one, I served as the Depot System Command’s lead project manager for installing Roll-over protection Systems on Army jeeps, and we were able to complete the project under budget and ahead of schedule after installing more than 13,000 ROPS throughout the U.S. and abroad using teams of Army Depot mechanics.” But while his career as a civilian employee has afforded Kreitz many “opportunities” for advancement, when asked about his most significant career memory, he warmly recounts a special event that occurred during an overseas deployment. “The greatest memory I have of my career has to be how I met my wife, while I was deployed to Saudi Arabia during Operation Desert Storm,” said Kreitz. “As a contracting officer’s representative for Tactical Wheeled Vehicle support, I was issued a vehicle with a mobile phone to reach the contracting officer. When I would call the Contracting Office, I would hear, ‘Contracting, this is Jackie.’ To which I would reply, ‘This is Rusty, is Fifi in?’ After many of these exchanges, the woman on the other end finally said to me, ‘You know, you don’t always have to talk just to Fifi.’ That exchange started a relationship with the woman who would become my wife, and we’re going on 22 years now.” Kreitz recounted another important event in his career, which took him back to 1989, when he was accepted to attend the Army Management Staff College. He remembered how truly humbled he was to be acknowledged for his outstanding writing skills among a class of nearly 80 students, which led to his nomination as 1 of only 5 students for the U.S. Army’s Outstanding Student Award. “Having the opportunity to attend AMSC and then deploy in support of our forces, remain two of the most memorable aspects of my career,” said Kreitz. When asked about influential people throughout his life and career, Kreitz said that there were many who helped guide and mentor him over the years. However, he was able to narrow down the field to two: Brian Newman and his current supervisor, Garrett. “Brian selected me in a lateral transfer to work for him as a quality assurance specialist in 1988 at the U.S. Army Depot System Command, and he became my first mentor. Brian pushed me well outside of my comfort zone and guided me quite a bit,” said Kreitz. “Kelly has been a friend and mentor much like Brian before him. He not only pushes me outside of my comfort zone, he steps outside of his, right beside me. Kelly is a true Battle Buddy and coach, and I am so thankful to have had the opportunity to serve with him as my career is ending.”
After nearly four decades of government service, John C. “Rusty” Kreitz III is retiring from his position as a quality assurance specialist with the U.S. Army Medical Research and Materiel Command, Fort Detrick, Md.
Photo by Jeffrey Soares, USAMRMC public affairs
But similar to his work relationships, Kreitz’s family bonds are very strong as well. He said that his parents have been extremely influential throughout his life, and he credits his father for his “can-do” attitude and his mother for her “zest for adventure.” But, of course, there is always that woman from the other end of the phone line while he was deployed. “My wife and my daughter are certainly the two most important people in my life,” said Kreitz. “They have endured seemingly endless travel, missed events, and me returning home a basket case from stress. I think they are looking forward to my retirement more than I am.” Kreitz said that he plans on dividing his “free” time between work and relaxation, and he hopes to continue with his hobby of hunting for antiques and collectibles, although his new interest will be in “unaccumulating” the large amount of items he has amassed over the years. While he enjoys working with his hands, doing home repairs, and working on vehicles and equipment, above all this, he is an avid reader. “What I do most with my free time is read,” he said. “I enjoy many authors and genres, and sometimes I judge vacations by the number of books I was able to read.” Reminiscing once again over his 12 years at Fort Detrick, Kreitz said that he has had many opportunities to serve with some of the best people in the Army. “Between the Garrison, MEDCOM [U.S. Army Medical Command], USAMRMC headquarters, and our subordinate commands, I feel I have an extended family of friends, all dedicated to serving our Nation’s guardians. We’ve worked hard, we’ve had fun, but most importantly, I believe we’ve all made a difference.”
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