Attachment 1_CMRP_Checklist_4N0X1_Apr2023.pdf
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- Medical Simulation Training
- Solicitation number
- 934CONF-24-0004
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This document is a Sources Sought notice for market research related to Medical Simulation Training services. The Air Force is seeking capabilities statements from potential sources, including small businesses, to provide these services in accordance with the attached Performance Work Statement (PWS) and career field requirements. The NAICS code for this acquisition is 611430 "Professional and Management Development Training" with a $15 million size standard. The government is assessing whether to set aside the competition for small businesses or solicit offers from all responsible sources. Interested vendors should submit a capabilities statement demonstrating their ability to provide the required services and past performance related to Medical Simulation Training. This is not a solicitation; any forthcoming solicitation will be posted separately on SAM.gov.
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COMPREHENSIVE MEDICAL READINESS PROGRAM
4N0X1 Checklist – Aerospace Medical Service
(Updated/April 2023) Consultant/CFM: CMSgt Wilkerson, Taliah M.
Category-1 Clinical Currency for Readiness – Fundamental training and skills of an Airman. Ref AFI 41-106, Medical Readiness Program Management, 4.5
Frequency: 3 Level and above Officers & 5 Level and above Enlisted will be current at all times. Ref AFI 41-106, 4.5.2
Knowledge/Skill: Comprehension gained through study, experience, or practice Clinical Performance: Initiating/Completing a task or function to achieve a desired result
Skill Set Knowledge/Skill
Clinical Performance
Frequency
Training Sources
Yes(Y) No(N)
Trainer Initials
Member Initials Date
A. Certification Meets all requirements for licensure and/or certification.
Basic Life Support (BLS) - 4 Hrs
Emergency Medical Technician (EMT) - 40 Hrs
Joint Knowledge, Skills, and Abilities (JKSA)
Knowledge/Skill
(44 Hrs)
Q24M Initial/Recert
• MTF-everyday work experience (or civilian practice for Guard/Reserve)
• Deployments/Real World Operations
• Formal Training Centers for Sustainment of Trauma & Readiness Skills (C-STARS), Sustained Medical & Readiness Training (SMART), Regional Currency Site (RCS), (if applicable AFSC specific programming exists)
• Partnerships Training Affiliation Agreement (TAA), Memo of Understanding (MOU), Memo of Agreement (MOA)
Category-2 Readiness Skills Training – AFSC specific skills that allow an Airman to perform the full scope of duties associated with their specialty in a deployed environment. Ref AFI 41-106, Medical Readiness Program Management, 4.6.1.
Frequency: AFI 41-106, Medical Readiness Program Management, 4.6.2 & 4.6.3.
B. Emergency/Critical Care Management Assist with the triage, evaluation, and management of trauma patients throughout continuum of care.
Clinical duty in an Emergency Department or Intensive Care Unit.
(JKSA)
Clinical
(40 Hrs)
Q12M • MTF-everyday work experience (or civilian practice for Guard/Reserve)
• Deployments/Real World Operations
• C-STARS, SMART
RCS (if applicable AFSC specific programming exists)
• TAA, MOU, MOA
• Everyday work experience validated by supervisor; in- services in conjunction with simulation training.
C. Simulation Training Training oversight performed by local Functional Managers.
Clinical
(12 Hrs)
Q12M • Training will be conducted using any of the CPGs identified in blocks E-L (below).
D. Initial Patient Assessment
(4 Hrs)
Q12M • C-STARS or
SMART/RCS
-JTTS Clinical Practice Guidelines:
-Battle and Non-Battle Injury Documentation: The Resuscitation Record
E. Damage Control Resuscitation Assist with prevention of coagulopathy by dilution of factors needed to provide hemostasis.
(1 hour)
Assist with hemorrhage control adjuncts: Resuscitative Endovascular Balloon Occlusion of Aorta (REBOA). (1 hour)
Assist with and have understanding of blood components throughout the resuscitation process. (1 hour)
Have understanding of adjuncts to resuscitation (tranexamic acid TXA), viscoelastic testing.
(1 hour)
(4 Hrs)
Q12M • C-STARS, SMART/RCS
OR
-JTTS Clinical Practice Guidelines:
-Damage Control Resuscitation
-Fresh Whole Blood Transfusion
-Frozen Blood
-REBOA for Hemorrhagic Shock
F. Thermal Injury Assist with estimating depth of burn and total body surface area (TBSA) burned using “Rule of Nines”.
(1 hour)
Assist with administration of initial IV fluids based on “Rule of Ten”.
(1 hour)
Assist with documentation of intake/output on JTS Burn Resuscitation flow sheet. (1 hour)
Assists with and performs burn wound management. (1 hour)
Assist with recognition of emerging burn complication syndromes.
(1 hour)
(5 Hrs)
-JTTS Clinical Practice Guidelines:
-Burn Care
-Simulation: 54% Burn
G. Blast/Blunt Injury Assist with and have understanding of potential injuries from specific mechanisms and patterns of injury.
(1 hour)
Assist with identifying patients at high risk of missed injury, compartment syndrome and
(2 Hrs Minimum)
-JTTS Clinical Practice Guidelines:
-Blunt Abdominal Trauma, Splenectomy and Post-https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/dd3019.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/dd3019.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/dd3019.pdf https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/assets/docs/cpgs/Damage_Control_Resuscitation_12_Jul_2019_ID18.pdf https://jts.health.mil/assets/docs/cpgs/Damage_Control_Resuscitation_12_Jul_2019_ID18.pdf https://jts.health.mil/assets/docs/cpgs/Whole_Blood_Transfusion_15_May_2018_ID21.pdf https://jts.health.mil/assets/docs/cpgs/Whole_Blood_Transfusion_15_May_2018_ID21.pdf https://jts.health.mil/assets/docs/cpgs/Frozen_and_Deglycerolized_Red-Blood_Cells_11_Jul_2016_ID26.pdf https://jts.health.mil/assets/docs/cpgs/Resuscitative_Endovascular_Balloon_Occlusion_of_the_Aorta_(REBOA)_for_Hemorrhagic_Shock_31_Mar_2020_ID38.pdf https://jts.health.mil/assets/docs/cpgs/Resuscitative_Endovascular_Balloon_Occlusion_of_the_Aorta_(REBOA)_for_Hemorrhagic_Shock_31_Mar_2020_ID38.pdf https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/assets/docs/cpgs/Burn_Care_11_May_2016_ID12.pdf https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/assets/docs/cpgs/Blunt_Abdominal_Trauma_Splenectomy_Post-splenectomy_Vaccination_13_May_2020_ID09.pdf https://jts.health.mil/assets/docs/cpgs/Blunt_Abdominal_Trauma_Splenectomy_Post-splenectomy_Vaccination_13_May_2020_ID09.pdf conducting serial abdominal exams.
(1 hour)
Splenectomy Vaccination
-Aural Blast Injury/Acoustic Trauma and Hearing Loss
-High Bilateral Amputations and Dismounted Complex Blast Injury.
H. Neurologic Injuries Assist with managing a patient with potential/actual intracranial, spinal cord, and cervical-thoracic-lumbar injury. (2 hours)
Assist with performing Military Acute Concussion Evaluation (MACE) Medic/Corpsman screening of service members involved in a potentially concussive/Mild Traumatic Brain Injury event.
(2 hours)
Documents Intracranial Pressure (ICP), Cerebral Perfusion Pressure (CPP) and Ventriculostomy output hourly IAW Neurosurgery and Severe Head Injury CPG Performance Measure in patient’s medical record. (1 hour)
Assist with evaluating the effectiveness of medical and nursing interventions for the neurologic trauma patient. (1 hour)
(6 Hrs)
-JTTS Clinical Practice Guidelines:
-Catastrophic Non- Survivable Brain Injury
-DoD Policy Guidance for Mild Traumatic Brian Injury (TBI)/Concussion in deployed setting
-Concussion management Algorithm Cards
-Neurosurgery and Severe Head Injury (CPG ID: 30), 02Mar 2017.
-Cervical and Thoracolumbar Spine Injury Evaluation, Transport, and Surgery in the Deployed Setting (CPG ID: 15), 05 Aug 2016.
I. Mechanical Ventilation Understand basic physiology of mechanical ventilation. (1 hour)
Assist with and understand basic ventilator management; to include modes of ventilation, and ventilator settings (TV, respiratory rates, PEEP & FiO2). (2 hours)
Assist with and troubleshoot ventilator alarms. (1 hour)
Assist with on-going management (airway suctioning, ER tube cuff pressure, oral care, monitoring and adjusting ventilator settings, management of desaturation, End Tidal CO2).
(1 hour)
Assist with and evaluate effectiveness of mechanical ventilation. (1 hour)
(6 Hrs)
-Impact 731 Setup C-
STARS CCATT (2:58)
-Impact 731 O2 Low Flow
C- STARS CCATT (2:34)
-Impact 731 Volume Control C-STARS CCATT (3:40)
-Impact 731 Pressure Control CSTARS CCATT (3:43) https://jts.health.mil/assets/docs/cpgs/Blunt_Abdominal_Trauma_Splenectomy_Post-splenectomy_Vaccination_13_May_2020_ID09.pdf https://jts.health.mil/assets/docs/cpgs/Aural_Blast_Injury_Acoustic_Trauma_and_Hearing_Loss_27_Jul_2018_ID05.pdf https://jts.health.mil/assets/docs/cpgs/Aural_Blast_Injury_Acoustic_Trauma_and_Hearing_Loss_27_Jul_2018_ID05.pdf https://jts.health.mil/assets/docs/cpgs/Aural_Blast_Injury_Acoustic_Trauma_and_Hearing_Loss_27_Jul_2018_ID05.pdf https://jts.health.mil/assets/docs/cpgs/High_Bilateral_Amputations_and_Dismounted_Complex_Blast_Injury_01_Aug_2016_ID22.pdf https://jts.health.mil/assets/docs/cpgs/High_Bilateral_Amputations_and_Dismounted_Complex_Blast_Injury_01_Aug_2016_ID22.pdf https://jts.health.mil/assets/docs/cpgs/High_Bilateral_Amputations_and_Dismounted_Complex_Blast_Injury_01_Aug_2016_ID22.pdf https://jts.health.mil/assets/docs/cpgs/High_Bilateral_Amputations_and_Dismounted_Complex_Blast_Injury_01_Aug_2016_ID22.pdf https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/assets/docs/cpgs/Catastrophic_Non-Survivable_Brain_Injury_27_Jan_2017_ID13.pdf https://jts.health.mil/assets/docs/cpgs/Catastrophic_Non-Survivable_Brain_Injury_27_Jan_2017_ID13.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/DoD%20Policy%20Guidance%20for%20Management%20of%20Mild%20traumatic%20Brain%20Injury_Concussion%20in%20the%20Deployed%20Setting.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/DoD%20Policy%20Guidance%20for%20Management%20of%20Mild%20traumatic%20Brain%20Injury_Concussion%20in%20the%20Deployed%20Setting.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/DoD%20Policy%20Guidance%20for%20Management%20of%20Mild%20traumatic%20Brain%20Injury_Concussion%20in%20the%20Deployed%20Setting.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/DoD%20Policy%20Guidance%20for%20Management%20of%20Mild%20traumatic%20Brain%20Injury_Concussion%20in%20the%20Deployed%20Setting.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/Progressive_Return_to_Activity_Following_Acute_Concussion_mTBI_Clinical_Recommendation_2021.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/Progressive_Return_to_Activity_Following_Acute_Concussion_mTBI_Clinical_Recommendation_2021.pdf https://jts.health.mil/assets/docs/cpgs/Neurosurgery_and_Severe_Head_Injury_02_Mar_2017_ID30.pdf https://jts.health.mil/assets/docs/cpgs/Neurosurgery_and_Severe_Head_Injury_02_Mar_2017_ID30.pdf https://jts.health.mil/assets/docs/cpgs/Neurosurgery_and_Severe_Head_Injury_02_Mar_2017_ID30.pdf https://jts.health.mil/assets/docs/cpgs/Cervical_Thoracolumbar_Spine_Injury_19_Jun_2020_ID15.pdf https://jts.health.mil/assets/docs/cpgs/Cervical_Thoracolumbar_Spine_Injury_19_Jun_2020_ID15.pdf https://jts.health.mil/assets/docs/cpgs/Cervical_Thoracolumbar_Spine_Injury_19_Jun_2020_ID15.pdf https://jts.health.mil/assets/docs/cpgs/Cervical_Thoracolumbar_Spine_Injury_19_Jun_2020_ID15.pdf https://jts.health.mil/assets/docs/cpgs/Cervical_Thoracolumbar_Spine_Injury_19_Jun_2020_ID15.pdf https://jts.health.mil/assets/docs/cpgs/Cervical_Thoracolumbar_Spine_Injury_19_Jun_2020_ID15.pdf https://www.youtube.com/watch?v=PHdnb43Sibo https://www.youtube.com/watch?v=PHdnb43Sibo https://www.youtube.com/watch?v=60c7ppjwRfI https://www.youtube.com/watch?v=60c7ppjwRfI https://www.youtube.com/watch?v=WGNq94KwbNc https://www.youtube.com/watch?v=WGNq94KwbNc https://www.youtube.com/watch?v=WGNq94KwbNc https://www.youtube.com/watch?v=I4Xhc8JdTUM https://www.youtube.com/watch?v=I4Xhc8JdTUM https://www.youtube.com/watch?v=I4Xhc8JdTUM
J. Pain, Anxiety and Delirium Comprehension and performance of use of DoD/VA pain rating scale.
(1 hour)
Understand effects of analgesics.
(1 hour)
Understand effects of sedatives.
(1 hour)
Assist/Set-up AMBIT Pain Pump.
(1 hour)
Assist in assessing for sedation level using Richmond Agitation Sedation Scale (RASS). (1 hour)
Comprehension and performance of Confusion Assessment Method (CAM). (1 hour)
Mission/use of Acute Pain Service (APS) at Role 3. (30 min)
Care of patient with peripheral nerve block. (1 hour)
Psychological First Aid (PFA) (1 hour)
(8.5 Hrs)
OR
-JTTS Clinical Practice Guidelines:
-Management pf Pain, Anxiety and Delirium
-Ambit PCA CCATT Advanced (3:22)
-AMBIT PCA – Clearing Hx (history) CCATT Advanced (1:06)
- NCTSN Learning Center
K. Expeditionary Equipment Triple channel IV pump (1 hour)
Patient Controlled Analgesic (PCP) pump (e.g., AMBIT Pain Pump) (1 hour)
Portable lab equipment (e.g., I-Stat machine) (1 hour)
Rapid Infuser (1 hours)
Wound vacuum (e.g., KCI wound VAC) (1 hour)
Chest tube drainage system- Adult/Pediatric (e.g., Atrium) (1 hour)
Bair Hugger (30 Mins)
Intracranial Pressure Monitoring Device (1.5 hours)
Intraventricular Drainage Device (1.5 hours) Propaq/Defibrillator (1 hour)
(10.5 Hrs)
Q12M -JTTS Clinical Practice Guidelines:
-Prime Triple Channel Pump C-STARS CCATT (2:14)
-Program Vasopressin in Triple Channel Pump C-
STARS CCATT (3:31)
-Program Secondary Line Triple Channel Pump C-
STARS CCATT (1:04)
-Change Device Mode Triple Channel Pump C-
STARS CCATT (1:15)
-Codman Express C-
STARS CCATT (7:14)
-EVD Stopcock Positions
C- STARS CCATT (4:04)
-EVD Level and Open Zero C- STARS CCATT (3:12) https://jts.health.mil/assets/docs/cpgs/Pain_Anxiety_Delirium_26_Apr_2021_ID29.pdf https://jts.health.mil/assets/docs/cpgs/Pain_Anxiety_Delirium_26_Apr_2021_ID29.pdf https://www.youtube.com/watch?v=cVNiOhcnFYE https://www.youtube.com/watch?v=cVNiOhcnFYE https://www.youtube.com/watch?v=SQ6HfwM4Iu0 https://www.youtube.com/watch?v=SQ6HfwM4Iu0 https://www.youtube.com/watch?v=SQ6HfwM4Iu0 https://learn.nctsn.org/login/index.php https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://youtu.be/EpO4UFxGAus https://youtu.be/EpO4UFxGAus https://youtu.be/EpO4UFxGAus https://www.youtube.com/watch?v=2vmsptvnPRI https://www.youtube.com/watch?v=2vmsptvnPRI https://www.youtube.com/watch?v=2vmsptvnPRI https://youtu.be/EcFRONwj7gc https://youtu.be/EcFRONwj7gc https://youtu.be/EcFRONwj7gc https://www.youtube.com/watch?v=Le_JbVmBWIA https://www.youtube.com/watch?v=Le_JbVmBWIA https://www.youtube.com/watch?v=Le_JbVmBWIA https://www.youtube.com/watch?v=FMxX97LXhbw https://www.youtube.com/watch?v=FMxX97LXhbw https://www.youtube.com/watch?v=YRv3oX1Urws https://www.youtube.com/watch?v=YRv3oX1Urws https://www.youtube.com/watch?v=_2quwzlmyqk https://www.youtube.com/watch?v=_2quwzlmyqk https://www.youtube.com/watch?v=_2quwzlmyqk
Category-3 UTC Training: Training specific to an expeditionary force package (UTC) to which an Airman is assigned. Ref AFI 41-106, 4.7. Training requirements are auto-populated in MRDSS upon assignment to a UTC.
Category-4 Installation All Hazards Medical Response (IAHMR) Team Training: Ensures members are able to support the installations all hazard response. Team assignments are determined by MTF Commander through the Medical Readiness office. Training is tailored to team assignment and unit capabilities. Ref AFI 41-106, 4.8.
Comprehensive Medical Readiness Program questions may be directed to AFMRA/SG3XR (RACE) team, send correspondence to usaf.pentagon.afmra.mbx.cmrp@health.mil. For comments or suggestions regarding the content of the Comprehensive Medical Readiness Skills checklist, please contact your Surgeon General Consultant or Career Field Manager (CFM). The SG Consultants/CFM Roster is available through the AFMRA Clinical Quality Kx site:
https://kx.health.mil/kj/kx4/SGConsultants/Lists/Consultants%20List/AllItems.aspx).
-EVD Draining C-STARS
CCATT (3:29)
L. Deployed Environment Considerations Intratheater Transfer and Transport (1 hour)
Infection Prevention in the Operational Environment (1 hour)
Litter Evacuation (1.5 hours)
Ambulance Familiarization (1 hour)
Clinical Management of Military Working Dog (1.5 hours)
Unexploded Ordinance (UXO) Management (1.5 hours)
(7.5 Hrs)
Q12M JTTS Clinical Practice Guidelines:
-Intratheater transfer and transport
-Infection prevention in Combat Related Injuries
-Management of War Wounds
-Invasive Fungal Infection in war wounds
-Litter Evacuation Guide
-Ambulance Familiarization Guide
-Clinical Management of military Working Dogs
-UXO Management
Category-2 Task Qualification Training (TQT) – AFSC specific skills that allow an Airman, in a CBRN environment, to perform duties associated with their specialty. Applies to Airmen postured against a DP or DW-coded UTC (standard deployable UTC). References: DAFI 10 – 2501, Emergency Management Program, A3.3.1.1 & A3.3.1.2; AFMAN 10-2503, para A3.3.3.1.2
Frequency: CONUS: Regular Air Force (Reg AF) and Space Force will accomplish every 18 months. Reference: DAFI 10 – 2501, para. 8.17.3.4 Air Reserve Component (ARC) personnel will complete every 24 months. (T-1). Reference: DAFI 10 – 2501, para.8.17.3.5.
OCONUS: All DAF military personnel every 18 months. Reference: DAFI 10 – 2501, para. 8.17.3.6.
mailto:usaf.pentagon.afmra.mbx.cmrp@health.mil https://kx.health.mil/kj/kx4/SGConsultants/Lists/Consultants%20List/AllItems.aspx) https://www.youtube.com/watch?v=IErGQjHad2I https://www.youtube.com/watch?v=IErGQjHad2I https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/index.cfm/PI_CPGs/cpgs https://jts.health.mil/assets/docs/cpgs/Interfacility_Transport_of_Patients_between_Theater_Medical_Treatment_Facilities_24_Apr_2018_ID27.pdf https://jts.health.mil/assets/docs/cpgs/Interfacility_Transport_of_Patients_between_Theater_Medical_Treatment_Facilities_24_Apr_2018_ID27.pdf https://jts.health.mil/assets/docs/cpgs/Infection_Prevention_in_Combat-related_Injuries_27_Jan_2021_ID24.pdf https://jts.health.mil/assets/docs/cpgs/Infection_Prevention_in_Combat-related_Injuries_27_Jan_2021_ID24.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/War_Wounds_Debridement_and_Irrigation_27_Sep_2021_ID31.pdf https://kx.health.mil/kj/kx3/AerospaceMedicalServiceCFM/Training%20and%20Development/4N%20CMRP%20Supporting%20Documents/War_Wounds_Debridement_and_Irrigation_27_Sep_2021_ID31.pdf https://jts.health.mil/assets/docs/cpgs/Invasive_Fungal_Infection_in_War_Wounds_04_Aug_2016_ID28.pdf https://jts.health.mil/assets/docs/cpgs/Invasive_Fungal_Infection_in_War_Wounds_04_Aug_2016_ID28.pdf https://kx.health.mil/kj/kx9/CMRP/Documents/Supporting%20Documents/Litter_Evacuation_Training_and_Familiarization_Guide_14_Sep_2018.pdf https://kx.health.mil/kj/kx9/CMRP/Documents/Supporting%20Documents/Ambulance_Training_Guide_14_Sep_2018.pdf https://kx.health.mil/kj/kx9/CMRP/Documents/Supporting%20Documents/Ambulance_Training_Guide_14_Sep_2018.pdf https://jts.health.mil/assets/docs/cpgs/Military_Working_Dog_CPG_12_Dec_2018_ID16.pdf https://jts.health.mil/assets/docs/cpgs/Military_Working_Dog_CPG_12_Dec_2018_ID16.pdf https://jts.health.mil/assets/docs/cpgs/Unexploded_Ordnance_(UXO)_Management_14_Mar_2017_ID41.pdf
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