Medical Simulation and Training Technologies: Research, apply and/or develop improved pre-hospital combat casualty training with an emphasis on the SOF pre-hospital providers. Research involves technology based approaches, advanced generation trauma task trainers, and robotic training systems to include validation of system and training metrics/evaluation outcomes compared to currently used models. The effort includes research into best practices and new technologies for improved critical lifesaving skills and a cognitive behavioral approach to maximize training effectiveness. Priority will be given to submissions that result in a working prototype that can be field tested in cooperation with SOF training sites.
Prolonged Field Care: SOF medical personnel require capabilities for far-forward medical care to reduce the mortality and morbidity associated with major battlefield wounds, injuries, diseases, and associated sepsis. Prolonged Field Care should focus on novel treatments that support the ability to manage 3-5 patients across the spectrum of illness to multi system injury for a minimum of 5-7 days. The primary emphasis is to research, apply and/or develop medical techniques, pharmaceuticals, biologics and field sustainable, rapidly deployable medical devices for extended care beyond initial trauma resuscitation, to include austere/forward surgery while operating in disease endemic areas where casualty evacuation is delayed or unavailable.
Damage Control Resuscitation - Global Treatment Strategies and Next Generation Wound Management: Research, apply and/or develop effective treatment strategies that address the following elements: hypotensive resuscitation, optimal fluid(s), uncomplicated shock, non-compressible hemorrhaging, traumatic brain injuries, and austere damage control surgery. These strategies must be optimized for medics in austere, far-forward areas, with minimal logistical or specialty support, who must stabilize and treat patients for extended periods (days, not hours).
Damage Control Resuscitation - Analgesia: The proposed project must research, apply and/or develop effective treatment strategies that address the following elements: hypotensive resuscitation, optimal fluid(s), uncomplicated shock, non-compressible hemorrhaging, traumatic brain injuries, and austere damage control surgery. These strategies must be optimized for medics in austere, far-forward areas, with minimal logistical or specialty support, who must stabilize and treat patients for extended periods (days, not hours).
Damage Control Resuscitation - Far Forward Blood Components, Blood Substitute & Injectable Hemostatics: The proposed project should research novel strategies to increase the ease, efficacy, and safety of blood transfusion (i.e. person to person, pre-hospital blood banking, blood substitutes) forward of normal logistics support; (e.g., evaluating blood for type/cross matching and for the presence of pathogens to include point of injury AB antibody titer). Projects that will be considered also include other blood components such as freeze dried plasma and platelets, cryoprecipitate, fibrinogen, prothrombin complex concentrate and injectable medications to address the coagulopathy of trauma such as Tranexamic acid. A long term objective is a blood substitute that is comparable in size, weight of traditional blood products, and effectively functions like fresh whole blood without requiring refrigeration. Strategies to find the delivery of these prototypes individually or in concert will also be considered. Priority will be given towards projects that are oriented towards final solutions or prototypes that are shelf stable requiring minimal to no refrigeration as well as those that are capable of carrying oxygen.
Damage Control Resuscitation - Austere Surgical Stabilization: Future theatres where SOF personnel will operate will likely be much less medically robust than our past decade of fighting in our current theatres. Rather than sitting at hardened structures waiting on patients, surgical personnel may be increasingly asked to go to the patient. Research should focus on mobility/portability of medical and surgical equipment, with emphasis on equipment with greater capabilities than currently fielded devices, smaller size and weight, low power demands and flexibility in power supplies. Research may also include a human systems approach to define limitations and mitigation strategies of surgical capability in austere environments (i.e. low light, temperature variability, surgery in-flight).
Portable Lab Diagnostics -Occupational and Environmental Health (OEH) Hazards: Develop novel methods and devices for rapid identification and analysis of exposures to OEH hazards. Research must support the development and analysis of hand held field hardened and environmentally stable analytical devices, monitoring devices, dosimetry, assays for rapid on-site identification, and real-time analysis of OEH hazards in air, water, and soil that could pose an acute or chronic health hazard to SOF personnel. Such OEH hazards include toxic industrial chemicals/toxic industrial materials (TICs/TIMs), lead exposures, food borne pathogens, toxins, biological agents, and radiological material exposures.
Force Health Protection and Environmental Medicine - Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Rapid Diagnostics, Treatment, and Prophylaxis: The proposed project must research and apply and/or develop novel approaches that will diagnose, treat, and protect human exposure (prophylaxis and/or post contact) to chemical, biological, radiological, nuclear, and high yield explosives in near real time.
Force Health Protection and Environmental Medicine - Chelation Solution: The capability submission must research and provide viable protective preventive solutions, such as, but not limited to engineering controls, to prevent acute lead exposure in training environments (Live Fire CQB/Breaching Training Environments and Shoothouses).
1. Environmental Extremes: Submissions must research and apply and/or develop novel strategies that address acclimatization to acute extremes in temperature, altitude, and/or time zone change (circadian acclimatization), and/or prolonged marine environmental exposure in SOF canines.
2. Sensory Optimization and Protection: Research must be oriented toward innovative methods that enhance or conserve SOF canine olfactory, visual, and/or auditory performance during combat operations.
3. Trauma Resuscitation: Research must support development of innovative techniques/strategies for canine trauma resuscitation (e.g. hypotensive resuscitation, whole blood/blood component replacement, non-compressible hemorrhaging), particularly to address ballistic projectile injuries, in diverse/austere environments that lack immediately available medical evacuation or restorative surgical capacity. Note: Research should minimize or refrain from utilizing canine specific equipment or devices; this will allow treatment from existing trauma kits fielded by SOF medics.
4. Non-Traditional Anesthesia Protocols: Capability submissions must seek to develop novel approaches for routine and emergency/post-traumatic canine field sedation and/or anesthesia in diverse environments and utilizing pharmaceuticals available to SOF Medics.
5. Optimizing Canine Performance and Nutrition: Capability submissions must research and apply and/or develop novel strategies that address optimization of canine performance through improved physical conditioning programs, enhanced nutrition, and genetics research.
6. Pre and Post Trauma Training / Behavioral Issues: Research should address unique approaches to diagnosing and treating SOF-peculiar training and post-traumatic canine behavioral issues, in order to optimize pre-purchase selection and post-purchase training strategies across the enterprise and restore performance in canines with behavioral and/or post-trauma issues.