Combat Medicine and Technical Rescue Specialist Training PWS_Redacted.pdf

Performance Work Statement for

Combat Medicine and Technical Rescue Specialist Training

1.0. Description of Services. The contractor shall provide all equipment, tools, parts, transportation, personnel, labor, supervision, and management to provide sustainment Combat Medical Training (CMT) and Technical Rescue Specialist (TRS) skills to Pararescuemen assigned to the

, Davis-Monthan Air Force Base, AZ.

1.1 Basic Services. The contractor shall provide one (1) ten (10) day course of instruction for a maximum of 18 Guardian Angel (GA) personnel. The course of instruction shall include the latest medical procedures, casualty treatment, and triage techniques currently utilized throughout today’s evolving battle-space.

Course of instruction shall combine classroom academics, along with procedure based training on fresh human tissue (FHT) simulation aids and Live Tissue Training (LTT) simulation aids provided by the contractor. The course of instruction shall incorporate the tactical employment of medical treatment rendered by Pararescuemen through full mission profile (FMP) training. The contractor shall provide realistic training scenarios in which personnel will have the ability to utilize all medical skills taught throughout the course. These medical skills should follow the 7th edition Pararescue Medical Operations Handbook (March 2019). The course shall also be utilized to provide tactical instruction on sound employment of Close Quarters Battle (CQB), threat recognition and elimination, precious cargo recognition, recovery, and treatment, and scene security. The course will instruct technical objectives to include rope rescue (high and low angle) scenarios, and confined space, collapsed structure, and extrication scenarios.

Participants will exercise their Technical Rescue Specialist (TRS) skills in full-mission-profile events. The contractor shall provide medical equipment and supplies to include all items listed in Appendix A.

1.2 Training Requirements

1.2.1 The objective of the training schedule is to provide realistic CMT and TRS training for up to 18 Pararescuemen (PJs), Combat Rescue Officers (CROs), and supporting medical personnel. The training, which incorporates academics and scenarios, shall be applicable to the current areas of operation and injury patterns as well as provide the ability to train to the specific skills of the Pararescueman as a technical rescue specialist. There shall be a total of 10 training days per student. To accomplish this training requirement, simulation technology shall be used in all training scenarios. Each day shall end with debrief/lessons learned. All training will take place at the contractor’s owned and operated facility.

1.2.2 Instructor to student ratio for this 10-day CMT shall not exceed 1:6.

1.2.3 Patient model to student ratio shall not exceed 1:3 during CMT scenarios.

1.2.4 The contractor must be accredited by United States Special Operations Command (USSOCOM) as an approved Live Tissue Training provider.

1.3 Minimum Contractor Requirements

1.3.1 The CMT/TRS course will take place during a 10-day block. The course of instruction will include (at a minimum) the following topics:

1. Current concepts in Tactical Combat Casualty Care

2. Human anatomy review

3. Patient assessments

4. Mechanism of injury

5. Blast and burn injuries

6. Ocular trauma

7. Neck trauma

8. Chest trauma

9. Abdominal trauma

10. Crush injuries

11. Pediatric emergencies

12. Orthopedic emergencies

13. Hemorrhage control

14. Advanced/difficult airway emergencies

15. Respiratory emergencies

16. Shock

17. Environmental emergency considerations

18. Patient packaging

19. Critical care transportation

20. Intravenous and intraosseous fluid therapy

21. Improvised and field expedient medicine

22. Sick call medicine

23. Patient handoff

24. Updates to the Pararescue Medical Operations Handbook (March 2019)

25. Live Tissue Training

26. FHT Training

27. K9 anatomy, physiology, and basic assessment and treatments

1.3.2. The TRS portion of the course will cover (at a minimum) the following topics:

1. Rope Rescue (High and Low Angle)

2. Solid Anchor selection and construction

3. Proper belay/rappel techniques

4. Safe mechanical advantage employment

5. Proper litter rigging (vertical and horizontal)

6. Heavy Lift and Extrication

7. Safe tool selection and employment

8. Confined space entry and operations

9. Threat recognition

10. Personal protective equipment considerations

11. Lightweight & minimalistic gear packing considerations

1.4 Instructor Minimum Qualification Requirements

1.4.1 Instructors must be experienced in medical and trauma skills as well as have extensive knowledge in the application of these skills in operational environments. Licensed and practicing MD's and PhD’s must have oversight of instructors.

1.4.2 Instructors must have intimate knowledge of Pararescue operations and skill sets.

1.4.3 All medical instructors must hold and maintain at least an NREMT-P certification or higher.

1.5 Specific Contractor Requirements for CMT

1.5.1 Contractor shall provide all medical supplies required for training as well as the shipment of any unused medical equipment to the

1.5.2 CMT simulation aids must be properly and legally procured.

1.5.3 CMT shall adhere to applicable testing for Hepatitis B, Hepatitis C and HIV and any other communicable diseases as required by state law and institutional policy, and the contractor shall provide relevant information about the results of testing for communicable diseases to the point of contact. All personnel who may come in contact shall be made aware of the positive test result and maintain necessary precautions to prevent disease transmission.

1.5.4 CMT simulation aids disposal must be in a manner consistent with donor intent and legal requirements.

1.5.5 Problems related to the conduct involving CMT use of human simulation aids must be promptly reported to the point of contact and the Contracting Officer and in accordance with Section

1.5.3 of this PWS. Examples of problems include, but are not limited to: loss of confidentiality, breach of security, significant deviation from the approved protocol, failure to comply with state laws and/or institutional policies and public relations issues.

1.5.6 Contractor will provide extensive confined space facilities to thoroughly exercise technical rescue skills to include at least 200 continuous feet of vertical confined space for advanced scenario training.

1.6 Deliverables

1.6.1 On the final day of instruction, a certificate of completion for each student passing the course shall be provided, along with documentation outlining the number of continuing medical education (CME) hours earned throughout the course.

1.6.2 A comprehensive after action report (AAR) of attending personnel’s performance and a summary report of all activities/training shall be submitted to the point of contact in electronic format no later than 30 days after the final training day. A brief description of the course activities and a brief description of the contractor’s involvement shall be included.

1.7. Applicable Documents and Reference. The contractor shall comply with the following:

1.7.1 Revised Uniform Anatomical Gift Act (UAGA), drafted by the National Conference of Commissioners of Uniform State Laws, 2006.

1.7.2 Laws or regulations applicable to the states and U.S. territories that govern the use of subject CMT activity and curriculum simulation aids.

1.7.3 Pre-Hospital Trauma Life Support/Tactical Combat Casualty Care (PHTLS/TCCC) protocols as established by the American College of Surgeons Committee on Trauma, the National Association of Emergency Medical Technicians

1.8 Licenses and Permits. The contractor shall, without additional expense to the Government, obtain any necessary licenses and permits, and comply with any Federal, State, and local laws, codes and regulations applicable to this PWS. The contractor shall provide proof of such applicable licenses and permits upon submittal of their proposal and at any time on request by the Government. The contractor shall submit any applicable certifications.

Appendix A. Medical Supply List. This list of medical supplies is to supply the training events. This training equipment is required due to medical inventory being unable to be restocked by the course dates due to continuing resolution funding timing paired with deployments. Clarification of items on this list can be given by the at the contact information listed in 2.3.1. This list is for 14 medics and lists the total quantity.

MASSIVE HEMMORAGE:

1. Gen 7 Combat Application Tourniquet: 40

2. Hemostatic Gauze: 40

3. Compressed Gauze: 80

4. Ace Wrap 3 inch: 30

5. Combat Pressure Dressing: 16

6. Coban: 32

7. Junctional Tourniquet: provided by contractor for reuse in course

8. Pelvic Binder: 8

AIRWAY:

1. Nasal Pharyngeal Airway: 40

2. 6.0 Endotracheal Tubes Cuffed: 32

3. Bougie: 25

4. Supraglottic Airway: 16

RESPIRATION:

1. 14 Gauge x 3.25 inch Needle Decompression: 80

2. Chest Seal Non-Ventilated: 100

3. Chest Tube: 16

4. Chest Tube 1 way valve: 16

5. Bag Valve Mask: 16

CIRCULATION:

1. 500 ml 0.9 % Normal Saline: 32

2. IV Pressure Infuser: 16

3. Normal Saline Flush Syringes (10cc): 50

4. 18 Gauge IV Catheter: 32

5. 20 Gauge IV Catheter: 32

6. 2x2 Gauze: 32

7. Alcohol Swabs: 160

8. IV drug port: 40

9. IV stabilizing dressing: 40

10. 10 Drop IV Tubing: 64

11. 20, 23 Gauge Drug Needles: 32 EA

12. Syringes 3cc, 5cc, 10cc: 32 EA

13. 2 and 3 inch Medical Tape: 16 EA

14. Y-Tubing: provided by contractor for reuse in course

15. Brown Manual Intraosseous needle 7 Site access: provided by contractor for reuse in course

16. Intraosseous Needle Blue: 32, with extras provided by contractor for reuse in course

17. Sharps Shuttle: 15

HYPOTHERMIA:

1. Space Blanket Hypothermia: 40

2. 9 cell heater: 40

WOUNDS:

1. Surgical/ Suturing Kit: provided by contractor for reuse in course

2. Medical Stapler: 16

3. Suture Needle and Thread 1-0,3-0 : 20 EA

SPLINTING:

1. Rigid/ Flexible Splint: 32

2. Triangle Bandage: 32

ADMIN:

1. Durable Black Nitrile Gloves M, L, XL: 10 boxes

2. Scalpel: 40

3. Pt Treatment Cards DD Form 1380: 160

4. Permanent Marker Fine / Ultra Fine: 32

5. Trauma Shears: 16

6. Bone Saw: 16