STATEMENT OF OBJECTIVES.pdf

57th RESCUE SQUADRON

STATEMENT OF OBJECTIVES FOR:

COMBAT MEDICINE AND TECHNICAL RESCUE

SPECIALIST TRAINING

Date: 30 April 2025

Statement of Objectives for

Combat Medicine and Technical Rescue Specialist Training

1.0. Description of Services. The contractor shall provide all equipment, tools, parts, personnel, labor, supervision, and management to provide NREMT-P Refresher, sustainment Combat Medical Training (CMT) and Technical Rescue Specialist (TRS) skills to Pararescuemen under control of the 57th Rescue Squadron, Aviano AB, Italy

1.1 Basic Services. The contractor shall provide one (1) ten (10)- day course of instruction broken into two blocks of instruction, a 5 day/40x hour dedicated National Registry Emergency Medical Technician- Paramedic refresher for a maximum of 10 United States Air Force Pararescuemen, and 5 day/40x hour dedicated Full Mission Profile Combat Medical Training for 18 Air Force Special Operators. The course of instruction shall include the latest medical procedures, casualty treatment, and triage techniques currently utilized throughout today’s evolving battlespace. 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 and K-9 training 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 in order to meet combat mission readiness requirements. 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 8th edition Pararescue Medical Operations Handbook (January 2021). The course shall also be utilized to provide tactical instruction and application on sound employment of Close Quarters Battle (CQB), threat recognition and elimination, sensitive item recovery, personnel recovery, casualty evacuation, mass casualty, and scene security, and air/supporting asset fire (CAS/ECAS) and recovery integration. 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 availability to the medical equipment and supplies to include all items listed in Appendix A at no additional cost.

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 and re-certify 10 NREMT Paramedics. 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. 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 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 and be focused primarily on hands-n practical scenarios and exercises. The scenarios and instruction will include (at a minimum) the following topics:

1. Current concepts in Tactical Combat Casualty Care

2. Patient assessments

3. Mechanism of injury

4. Blast and burn injuries

5. Ocular trauma

6. Neck trauma

7. Chest trauma

8. Abdominal trauma

9. Crush injuries

10. Orthopedic emergencies

11. Hemorrhage control

12. Advanced/difficult airway emergencies

13. Respiratory emergencies

14. Shock

15. Environmental emergency considerations

16. Patient packaging

17. Critical care transportation

18. Intravenous and intraosseous fluid therapy

19. Improvised and field expedient medicine

20. Patient handoff

21. Updates to the Pararescue Medical Operations Handbook (January 2021)

22. Live Tissue Training

23. FHT Training

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

12. Simulated aircraft role players to simulate CAS/ECAS, and evacuation coordination

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.

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.

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 57 RQS 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 57 RQS 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 a minimum of 200 continuous feet of vertical confined space for advanced scenario training.

1.5.7. Must provide a secure storage facility to store students M4s.

1.5.8. Must provide M4 with UTM simunition bolts and ammo for training scenarios

1.5.9. Must provide Glock simunition pistols and ammo to students for training scenarios.

1.5.10. Private facility or location to conduct training.

1.5.10.1. Private, climate-controlled, secure area for all members’ personal gear storage, training planning and debriefing.

1.5.10.2. Private, climate-controlled gym for all members to conduct physical training.

1.5.11 Availability: Monday – Friday. No weekends

1.5.12. Able to support up to 18 students.

1.5.13. Instructors will have Guardian Angel (GA) and JSOC operational experience. Non-GA instructors must have experience with Pararescue TTPs and updated combat clearance TTPs in order to provide instruction and feedback.

1.5.14. Provide all logistic support required for training, to include but not limited to:

1.5.14.1. White Cell

1.5.14.2. Opposing Force

1.5.14.3. Casualties

1.5.14.4. Vehicles for extrication

1.5.14.5. Live and fresh tissue

1.5.14.6. K-9 trauma, injury, and disease

1.5.14.7. Simulated aircraft integration over inter-team radios

1.5.15. Provide an emergency room doctor, and or general surgeon to teach updated protocols and procedures and to give feedback during medical training.

1.5.16. Must have ability and facilities to support live tissue training.

1.5.17. Must have cadavers in order to receive training on anatomy, physiology and surgical procedures, to include use in FMPs.

1.5.18. Must have Fresh Human Tissue for training scenarios and FMPs.

1.5.18. Contractor must offer a full spectrum utilization of patient model resources and associated training, to include live tissue and cadaver models, in the quantity and frequency as required by the customer. This includes dynamic, regular, multi-day exercises in complex and confined spaces without requirement for additional subcontracting and oversight, or additional litigation.

1.5.19 Training must provide 60 hours of NREMT-Paramedic Continuing Education credits throughout 10 days of instruction/training.

1.5.20 Facility must have a rotary wing mockup of one of the following aircraft able to provide alternate insertion/extraction methods of fast rope and hoist with a minimum of 15 feet elevation: H-60/V-22/H- 47 varients.

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 and applicable BLS, ACLS, PALS certificates.

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 57 RQS 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.

1.9 Place of Performance. Contractor will provide all facilities. The Government will provide transportation and lodging for all attendees.

2.0. GENERAL INFORMATION

2.1. Privacy and Security.

2.1.1. Reporting Requirements. Contractor personnel shall immediately report to an appropriate Government authority any information or circumstances of which they are aware may pose a threat to the security of Department of Defense personnel, contractor personnel, resources, and classified or unclassified defense information.

2.1.2. Privacy Act. Work on this project requires that personnel have access to Privacy Act Information. Personnel shall adhere to the Privacy Act, Title 5 of the U.S. Code, Section 552a and applicable agency rules and regulations.

2.1.3. Security. Work on this project requires all personnel having access; knowledge and/or involvement complete Non-disclosure Agreements (NDAs). Personnel shall adhere to the provisions against sensitive information and/or information that effects national security under 18 U.S.C., Sec 1905 ("Trade Secrets Act") and 5 U.S.C. Secs 552(b)(1) and (b)(4), which prohibit the release of sensitive information trade and national security information, in addition to the provisions under Executive Orders 13526 and 12356 ("National Security Information)

2.2. Contractor Personnel

2.2.1. Contract Manager. The contractor shall designate a point of contact that’s responsible for the performance of the work. The name of this person, and an alternate, who shall act for the contractor when the manager is absent, shall be designated in writing to the contracting officer prior to the contract start date. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract and have contract authority to provide the services and obligate the contractor.

2.2.2. The contractor shall not employ persons for work on this contract if such employee is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the installation and its population.

2.2.3. The contractor shall not employ any person who is an employee of the US Government if employing that person would create a conflict of interest. Additionally, the contractor shall not employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval according to Department of Defense (DoD) Regulation 5500.7- R, Joint Ethics Regulations (JER). The contractor shall not employ any person who is an employee of the Department of the Air Force if such employment would be contrary to the policies in AFI 64-106, Air Force Industrial Labor Relations Activities.

Appendix A. Medical Supply List. This list of medical supplies is to be used during and resupplied after the training events. Clarification of items on this list can be given by the 57 RQS at the contact information listed in

2.3.1. This list is for 18 medics and lists the total quantity.

MASSIVE HEMMORAGE:

1. Gen 7 Combat Application Tourniquet: 40

2. Hemostatic Gauze: 40

3. Compressed Gauze: 60

4. Ace Wrap 3 inch: 40

5. Combat Pressure Dressing: 20

6. Coban: 25

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: 20

3. Bougie: 20

4. Supraglottic Airway: 20

RESPIRATION:

1. 14 Gauge x 3.25-inch Needle Decompression: 30

2. Chest Seal Non-Ventilated: 50

3. Chest Tube kit: 10

4. Bag Valve Mask: 10

CIRCULATION:

1. 500 ml 0.9 % Normal Saline: 30

2. IV Pressure Infuser: 10

3. Normal Saline Flush Syringes (10cc): 100

4. 18 Gauge IV Catheter: 50

5. 20 Gauge IV Catheter: 32

6. 2x2 Gauze: 40

7. Alcohol Swabs: 160

8. IV drug port: 50

9. IV stabilizing dressing: 50

10. 10-drop IV Tubing: 64

11. 20,23 Gauge Drug Needles: 64 EA

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

13. 2 and 3 inch Medical Tape: 20 EA

14. Blood transfusion kits: 20

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

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

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

18. Sharps Shuttle: 32

HYPOTHERMIA:

1. Space Blanket Hypothermia: 64

WOUNDS:

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

2. Medical Stapler: 30

3. Suture Needle and Thread 1-0,3-0: 32 EA

SPLINTING:

1. Rigid/ Flexible Splint: 32

2. Triangle Bandage: 32

ADMIN:

1. Durable Black Nitrile Gloves M, L, XL: 20 Total

2. Scalpel: 80

3. Pt Treatment Cards DD Form 1380: 160

4. Permanent Marker Fine / Ultra Fine: 32

5. Trauma Shears: 20

6. Bone Saw: 20

COMBAT MEDICINE AND TECHNICAL RESCUE SPECIALIST TRAINING