Navy Medicine Conducts First Integrated ERCS and ERSS Training

11 April 2024

From Petty Officer 1st Class Russell Lindsey

SAN CLEMENTE, Calif. – You’re a Sailor or Marine protecting American interests and the freedoms of our partners and ally nations and you’re out conducting distributed maritime operations (DMO), and you’re miles from the nearest base or operations hub. Suddenly you find yourself wounded along with several of your fellow servicemembers with the sinking feeling of “now what? Thankfully, Navy Medicine has been preparing for this eventuality and is implementing the Navy’s expeditionary medicine system (EXMED) components and integrating them to work together in unison and bring you home safely.

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Members of En-route Care System (ERCS) Bravo and Emergency Resuscitative Surgical System (ERSS) Bravo return from a nighttime training combat patrol, March 14. During the patrol members were presented with a host of logistic and combat related problems to patient care and were tasked with extracting and caring for multiple simulated casualties from the patrol. ERCS and ERSS are components of the Navy’s expeditionary medicine (EXMED) system which provide a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides uninterrupted care during patient movement from the point of injury (POI), implementation of life-saving interventions, and through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

Students of Navy Medicine's first integrated implementation of En-route Care System (ERCS) and Emergency Resuscitative Surgical System (ERSS) courses don their protective armor kits before undergoing patrol training, March 13. ERCS and ERSS are components of the Navy’s expeditionary medicine (EXMED) system which provide a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides uninterrupted care during patient movement from the point of injury (POI), implementation of life-saving interventions, and through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

Members of ERSS and ERCS Bravo physically transport a simulated patient through an obstacle course as part of team building during the initial course implementation of En-route Care System (ERCS) and the integrated Emergency Resuscitative Surgery System (ERSS) course, March 14. ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

Hospital Corpsman 3rd Class Elisha Rogers lifts a simulated patient over his head through an obstacle course as part of the initial course implementation of En-route Care System (ERCS), March 14. ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

LCDR Conor Hynes, trauma surgeon assigned to Emergency Resuscitative Surgery System (ERSS) Bravo lifts a simulated patient over his head through an obstacle course as part of the initial course implementation of En-route Care System (ERCS), March 14. ERSS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

LCDR Michelle Caskey, assigned to Emergency Resuscitative Surgical System (ERSS) Bravo crawls through an obstacle course carrying simulated fuel and other gear as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 14. NEMTI staff teach the importance of a walking blood bank in the curriculum of all of Navy EXMED systems which allows anyone to be called upon to donate blood to those wounded in an austere and contested environment and allows for maximum survivability of the warfighter. ERSS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

CDR Martin Boese (left) and LCDR Michelle Caskey (center), assigned to Emergency Resuscitative Surgical System (ERSS) Bravo watch as instructors demonstrate point-of-injury care and implement trauma combat casualty care (TCCC) on a simulated patient as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 14. ERSS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

LCDR Michelle Caskey (left), and LT Carrigan Horton (right) assigned to Emergency Resuscitative Surgical System (ERSS) Bravo practice intravenous puncture and blood product collection from each other as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 13. NEMTI staff teach the importance of a walking blood bank in the curriculum of all of Navy EXMED systems which allows anyone to be called upon to donate blood to those wounded in an austere and contested environment and allows for maximum survivability of the warfighter. ERSS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

LCDR Claire Smith, assistant officer-in-charge of Naval Expeditionary Medical Training Insitute (NEMTI) demonstrates skills and techniques of the in-field patient care based on the learned experiences with the students of En-route Care System (ERCS) and Emergency Resuscitative Surgical System (ERSS) courses. ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patient's condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

ECRS team Bravo onload a simulated patient at night as part of the initial course implementation of En-route Care System (ECRS) as part of the an Operational Readiness Evaluation (ORE) of Navy Medicine EXMED systems, March 15., ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

Hospital Corpsman 1st Class Kelvin Cabacungan and LCDR Conor Hymes, assigned to Emergency Resuscitative Surgical System (ERSS) Bravo perform surgery on on a simulated a high fidelity manikin trainer as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 17. The trainer is a lifelike medical training tool that can breathe, bleed, and react physiologically like a real patient. ERSS, and ERCS are components of Navy’s expeditionary medicine capabilities that provide a ready, rapidly deployable and combat effective medical force to improve survivability across the full spectrum of care, regardless of environment. and provides targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

An emergency physician treats a patient during a simulated mass casualty event for Navy Medicine's first integrated implementation of En-route Care System (ERCS) and Emergency Resuscitative Surgical System (ERSS) courses. ERCS and ERSS are components of the Navy’s expeditionary medicine (EXMED) system which provide a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides uninterrupted care during patient movement from the point of injury (POI), implementation of life-saving interventions, and through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

A special operations independent duty corpsman (SOIDC) secures a parameter, renders aid, and radios for evacuation for a simulated patient during a night exercise as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 17. SOIDC are trained and qualified Petty Officers who possess the advanced skills and knowledge required to perform duties as a SEAL medic or a Force Reconnaissance Hospital Corpsman. SOIDCs and all POI care and training are one part of the Navy’s expeditionary medicine capabilities that provide a ready, rapidly deployable and combat effective medical force to improve survivability across the full spectrum of care, regardless of environment. and provide targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

A special operations independent duty corpsman (SOIDC) checks vitals and renders aid to a simulated patient during a night exercise as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 18. SOIDC are trained and qualified Petty Officers who possess the advanced skills and knowledge required to perform duties as a SEAL medic or a Force Reconnaissance Hospital Corpsman. SOIDCs and all POI care and training are one part of the Navy’s expeditionary medicine capabilities that provide a ready, rapidly deployable and combat effective medical force to improve survivability across the full spectrum of care, regardless of environment. and provide targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

A special operations independent duty corpsman (SOIDC) rushes to render aid to a simulated patient after a simulated attack during a night exercise as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 19. SOIDC are trained and qualified Petty Officers who possess the advanced skills and knowledge required to perform duties as a SEAL medic or a Force Reconnaissance Hospital Corpsman. SOIDCs and all POI care and training are one part of the Navy’s expeditionary medicine capabilities that provide a ready, rapidly deployable and combat effective medical force to improve survivability across the full spectrum of care, regardless of environment. and provide targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

ECRS team Bravo onload a simulated patient at night under combat blackout conditions as part of the initial course implementation of En-route Care System (ECRS) as part of the an Operational Readiness Evaluation (ORE) of Navy Medicine EXMED systems, March 15., ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

LCDR Michelle Caskey (center left), assigned to Emergency Resuscitative Surgical System (ERSS) Bravo checks vitals on a simulated patient as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 17. ERSS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

LT Rebecca Smith, assigned to En-route Care System (ERCS) Bravo (left) and LCDR Michelle Caskey (right), assigned to Emergency Resuscitative Surgical System (ERSS) Bravo checks vitals on a simulated a TraumaFX Canine Medical Trainer as part of an Operational Readiness Evaluation (ORE) of Navy EXMED capabilities at Naval Expeditionary Medical Training Institute (NEMTI), March 17. The trainer is a lifelike medical training tool that can breathe, bleed, and bark like a real dog. Military working dogs are integral to both conventional and special operations forces throughout the military and emergency life-saving interventions are practiced to ensure they receive the same combat ready response as their two-legged servicemembers. ERSS, and ERCS components of Navy’s expeditionary medicine capabilities that provide a ready, rapidly deployable and combat effective medical force to improve survivability across the full spectrum of care, regardless of environment. and provides targeted lifesaving interventions to patients onboard platforms and in austere environments without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

Lt. Rebecca Smith, assigned to ERCS Bravo, gets report on a simulated patient from a point of injury (POI) team consisting of special operations independent duty corpsman (SOIDC) and NEMTI staff as part of the initial course implementation of En-route Care System (ECRS) as part of the Navy's Expeditionary Medicine System (EXMED), March 16. ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

Lt. Rebecca Smith, assigned to ERCS Bravo, gives report on a simulated patient to providers as part of the initial course implementation of En-route Care System (ECRS) as part of the Navy's Expeditionary Medicine System (EXMED), March 16. ERCS is one of the Navy’s expeditionary medicine capabilities that provides a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and revised provides uninterrupted care during patient movement from the point of injury (POI) through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

Students of Navy Medicine's first integrated implementation of En-route Care System (ERCS) and Emergency Resuscitative Surgical System (ERSS) undergo combat patrol training, March 13. ERCS and ERSS are components of the Navy’s expeditionary medicine (EXMED) system which provide a ready, rapidly deployable and combat effective medical forces to improve survivability across the full spectrum of care, regardless of environment. and provides uninterrupted care during patient movement from the point of injury (POI), implementation of life-saving interventions, and through Role 4 care without clinically compromising the patients’ condition. The Navy Medicine Operational Training Command (NMOTC) is the Navy’s leader in operational medicine and trains specialty providers for aviation, surface, submarine, expeditionary, and special operations communities. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)

On March 12, over the course of eight days at Naval Expeditionary Medical Training Institute (NEMTI) located on Camp Pendleton, Navy Medicine did just that and completed the first En-route Care System (ERCS) course. This marks the first iteration of the ERCS course and incorporated full integration with Expeditionary Resuscitative Surgical System (ERSS) and Role 1 point of injury (POI) care providers as part of an Operational Readiness Evaluation (ORE) of the EXMED system capabilities.

“In past conflicts the Navy has relied more heavily on the Army and the Air Force for en-route care and austere medical support because they were land-based conflicts and already had the infrastructure in place, the next conflict most likely won't be,” said Captain Kimberly Toone, commanding officer Navy Medicine Operational Training Command (NMOTC). “Although they will likely have land components the Navy has to strengthen and shore up our EXMED platforms and systems by focusing on the care in-between.”

The ORE is the first validation of integrated ERSS and ERCS teams and is part of a brand-new curriculum and training objectives offered by NEMTI whose main goal is to provide an opportunity to exercise a complete integration of Navy medical personnel simulating real-world operations and the roles of care. This integrated training also marks the first time that the two teams will be utilizing the top-of-the-line Authorized Medical Allowance List (AMAL) for training, exercise, and operational employments. This equipment is key to the success of the units and is an important addition to the training curriculum as teams will now have the opportunity to fine tune and practice the implementation of the equipment and gear prior to being deployed.

“It’s becoming more and more apparent that this is where the fight is leading us to, and its process that will have a lot of questions asked and processes streamlined,” said Hospital Corpsman 3rd Class Elisha Rogers, assigned to ERCS Bravo. “There is going to be a lot more distance between point of injury where our guys are operating out into and the medical support they need and I’m excited to be a part of that solution”.

Piloted back in November of 2023, ERCS, the newest component in the EXMED system, is made up of one Critical Care Nurse and one Search and Rescue Medical Technician. The mission of the team is to provide highly mobile casualty care with an ability to function on a variety of dedicated or atypical transportation assets to support operations afloat or ashore in DMO. While it’s composition is among the smallest of the EXMED systems it is ideal and perfectly suited to the types of platforms it is intended to employ i.e.; helo, aircraft, ATV, and other ground transports. Additionally, they are designed to support other medical capabilities such as the ERSS or Casualty Receiving and Treatment Ships to facilitate patient movement without degrading the medical capabilities of the supported unit. It is for this reason different teams from the Joint Patient Movement System and interoperability with joint ERC processes were brought into this initial course implementation to allow all aspects of the other EXMED systems and Role providers to train and focus on integration.

“MTF’s don’t normally give us the acuity that we need and the chance to integrate on the larger scale that a team like this needs, and this course seems to offer both of those aspects,” said Lt. Rebecca Smith, assigned to ERCS Bravo.

Over the course of the training at NEMTI’s facilities the two teams focused on team building, practical skills and familiarization of the actual gear, much of which they had not been issued prior. The training varied different scenarios, patient presentations, and problems that the teams would be likely to encounter in DMO and allowed them the chance to practice fundamentals that would allow them to operate in austere environments.

“It’s a crucial piece to the system, team building and skills preparation are huge and the more times they do this training they will be able perfect its lead up and also incorporate all the other skills we may not even know we need yet,” said Smith.

While ERCS is new to the EXMED system the ERSS component has been established for far longer and has been successfully implemented throughout the Fleet and various platforms. A typical ERSS team is composed of more personnel than en-route teams and uses specialties such as surgeons, ER doctors, physicians’ assistants, nurse anesthetists, trauma nurses, and corpsman to either operate onboard units in the maritime domain while still being mobile enough to support conventional and special operations forces in the field.

The DMO environment will present challenges that will force ERCS teams to prepare, and function in a resource constrained environment while having to meet the capability of providing care for at least two critically injured patients for eight hours of movement. NEMTI addresses this challenge by providing the teams didactic lectures on operational planning, transportation assets, communications, logistic management, prolonged casualty care and operations in low visibility and austere conditions.

“We ran them through their paces,” said LCDR Benjamin Mattox, NEMTI’s Academics Department Head. “Both teams did really well and we wanted to give them logistical problem-solving opportunities as well as complex medical challenges because in an operational environment that’s what you’re going to face and you have to be prepared for your power is going to go out or how are you going to work together to move patients when the situation becomes too dangerous”.

Additionally, the team immersion with Special Operations Independent Duty Corpsman (SOIDC) or Role 1 providers, ERSS, and even Fleet Surgical Teams (FST) to create an enhanced real-world integrated training environment allows teams to understand the resources at their disposal and that they are part of a larger system to facilitate movement away from the POI. This portion of the training performed over four days and nights of various training missions to test their ability to operate effectively in support of multiple casualty and combat scenarios and build in near “real-time” logistics challenges such as re-supply, travel times, and unit movement.

The EXMED expertise found at NEMTI is unlike anywhere else in Navy Medicine and is pivotal to the success of these teams and the larger system. The uniquely integrated training environment at NEMTI and subject matter experts found across the NMOTC enterprise allowed the creation and near seamless integration of the curriculum to occur. The training at NEMTI will prepare each of them for complex patient care challenges in the future DMO environment. The design, equipment, and mission of the EXMED will continue to evolve as the environments that they are required to operate in evolve as well. As those changes occur, NMOTC and NEMTI will continue to focus on integrated training and adapting to meet those dynamic mission requirements. Each component added…and perfected, in the EXMED system ensures Navy Medicine personnel are trained, equipped, and prepared for current and future fights.

NEMTI, a detachment of the Navy Medical Operational Training Command (NMOTC), is located onboard Camp Pendleton in California and is the Navy’s go-to for expeditionary medical training. NMOTC is the Navy’s leader in operational medicine and trains medical providers and specialists for the fields of Aviation, Surface and Undersea Warfare, Expeditionary, and Special Operations Medicine.

Navy Medicine – represented by more than 44,000 highly-trained military and civilian health care professionals – provides enduring expeditionary medical support to the warfighter on, below, and above the sea, and ashore.

NOTE: CDR Damian Storz, LCDR Claire Smith, HM2 James Comick; NEMTI & CDR Colleen Abuzeid, NMOTC, contributed to this article.
For more news from NMOTC, visit http://www.dvidshub.net/unit/NMOTC

Story originally posted on DVIDS: Navy Medicine Conducts First Integrated ERCS and ERSS Training

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