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A Legacy of Lessons Learned: LANDSTUHL REGIONAL MEDICAL CENTER DURING WARTIME 2001–2014 A Legacy of Lessons Learned: LANDSTUHL REGIONAL MEDICAL CENTER DURING WARTIME 2001–2014 . , KAREN HENNESSY, RN, MS, CPNP BORDEN INSTITUTE US ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL HEALTH READINESS CENTER OF EXCELLENCE FORT SAM HOUSTON, TEXAS JOHN H. GARR, MD, MSE, FACEP | COLONEL, MC, US ARMY Director and Editor in Chief, Borden Institute JOAN REDDING Senior Production Editor CHRISTINE GAMBOA, MS, MBA Creative Director & Production Manager, Fineline Graphics, LLC The opinions or assertions contained herein are the personal views of the author and are not to be construed as doctrine of the Department of the Army or the Department of Defense. Use of trade or brand names in this publication does not imply endorsement by the Department of Defense. CERTAIN PARTS OF THIS PUBLICATION PERTAIN TO COPYRIGHT RESTRICTIONS. ALL RIGHTS RESERVED. NO COPYRIGHTED PARTS OF THIS PUBLICATION MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM OR BY ANY MEANS, ELECTRONIC OR MECHANICAL (INCLUDING PHOTOCOPY, RECORDING, OR ANY INFORMATION STORAGE AND RETRIEVAL SYSTEM), WITHOUT PERMISSION IN WRITING FROM THE PUBLISHER OR COPYRIGHT OWNER. Published by the OFFICE OF THE SURGEON GENERAL BORDEN INSTITUTE US ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL HEALTH READINESS CENTER OF EXCELLENCE Fort Sam Houston, Texas 2016 Library of Congress Cataloging-in-Publication Data Names: Hennessy, Karen, 1962- author. | Borden Institute (U.S.), issuing body. Title: Legacy of lessons learned : Landstuhl Regional Medical Center during wartime, 2001-2014 / Karen Hennessy. Description: Fort Sam Houston, Texas : Borden Institute, US Army Medical Department Center and School Health Readiness Center of Excellence, 2016. | Includes bibliographical references and index. Identifiers: LCCN 2016039282 Subjects: | MESH: Landstuhl Regional Medical Center. | Hospitals, Military--history | Trauma Centers--history | Military Medicine--history | Afghan Campaign 2001- | Iraq War, 2003-2011 | Germany | United States Classification: LCC RA989.G3 | NLM WX 28 GG4 | DDC 362.110943/43--dc23 LC record available at https://lccn.loc.gov/2016039282 PRINTED IN THE UNITED STATES OF AMERICA 23, 22, 21, 20, 19, 18, 17, 16 5 4 3 2 1 Dedication We dedicate this book to the remarkable individuals who worked at Landstuhl Regional Medical Center and epitomized the hospital’s motto of “Selfless Service” during this challenging wartime period; and to the thousands of Wounded Warriors who were treated at Landstuhl Regional Medical Center. Your strength, courage, resiliency, and service to your country have been an inspiration to a generation of Americans. Contents Contributors ix Foreword by The Surgeon General xi Acknowledgments xiii Introduction xv CHAPTER ONE A Soldier’s Story 1 CHAPTER TWO Patient Administration Division and Deployed Warrior Medical Management Center 9 CHAPTER THREE Liaisons 25 CHAPTER FOUR Medical Transient Detachment 41 CHAPTER FIVE Traumatic Brain Injury 55 CHAPTER SIX Wounded Warrior Finance Office 75 CHAPTER SEVEN Trauma 95 CHAPTER EIGHT Nursing 123 CHAPTER NINE Chaplain Services 145 CHAPTER TEN General Laboratory Services 163 CHAPTER ELEVEN Critical Care Air Transport Team 173 Acronyms and Abbreviations 187 Index 191 Contributors Executive Editors Daniel E. Banks, MD, MS, MACP, LTC (Retired), MC, US Army Timothy K. Jones, DDS, COL (Retired), DC, US Army Greg Beilman, MD, COL, US Army Reserve, Trauma/Critical Care Surgeon William Branch, Lt Col, US Marine Corps, Detachment Officer in Charge, Wounded Warrior Battalion East Weyman Cannington, LTC, US Army, Chief, Patient Administration Division Brenda Corrunker, Lt Col, US Air Force, Liaison Officer Jane Darigo, RN, Outpatient Nurse Case Manager Warren Dorlac, MD, COL, US Air Force, Medical Director, Trauma/ Critical Care Unit; Director, C-STARS Ray Fang, MD, Lt Col, US Air Force, Trauma/Critical Care Surgeon; Director, C-STARS Joshua Forbess, SSG, US Army, Wounded Warrior Resiliency Program Jeffrey B. Frazier, Deputy Chief, Patient Administration Division Charles Frizzell, CMSgt, US Air Force, Liaison Officer Philip Gilbert, MSgt, US Air Force, Liaison Officer Kathryn Gillespie, RN, Chief Inpatient Nurse Case Manager Robert Hinkel, Director, Laboratory Services Darren Kasai, LT, US Army, Senior Noncommissioned Officer in Charge, DWMMC Kevin Kirkpatrick, SSG, US Army, HMF (FMF) Liaison Officer Kevin Kumlien, CDR, US Navy Reserve, Intensive Care Unit Nurse Jeffrey Lawrence, SFC, US Army, Medical Transient Detachment Martha K. Lenhart, MD, PhD, FAAOS, COL, MC, US Army Lisa Lewis, CDR, US Navy Reserve, Outpatient Nurse Case Manager David Livesay, HMF (FMF) Officer in Charge, Navy/Marine Corps Fleet Liaison Detachment Phillip Madrigal, 1SG, US Army, Medical Transient Detachment Kathleen Martin, RN, MSN, Nurse Director, Trauma Program Marcus McGee, CPT, US Army, Commander, Medical Transient Detachment Larry McGowan, SGM, US Army, Medical Transient Detachment M. Josef Mikeska, MAJ, US Army, Director, CCATT Mary Norgaard, CAPT, US Navy Reserve, Medical-Surgical Nurse John Oh, MD, LTC, US Army, Surgeon, Director, Trauma Program Shelley Ohlendorf, Supervisor, Wounded Warrior Finance Office Pamela Patnode, CDR, US Navy Reserve, Medical-Surgical Nurse Ronald Pettigrew, LCDR, US Navy Reserve, Chaplain Gloria Portillo-Leanos, SMSgt, US Air Force, Liaison Officer Dee Dee Price, RN, Intensive Care Unit Paul W. Pruden, CDR, US Navy, Assistant Officer in Charge, DWMMC Charles D. Roberts, Deputy Public Affairs Officer Luis Sanchez, MSgt, US Army, Senior Liaison Officer Marie L. Shaw, Chief, Public Affairs Office Donald D. Trunkey, MD, FACS, Trauma Surgeon Megumi Vogt, Lt Col, US Air Force, Traumatic Brain Injury Program Rachel Watson, HMCS (SW), Senior Noncommissioned Officer in Charge, DWMMC Carol “Toussie” Weingarten, RN, PhD, ANEF, Civilian Volunteer Michael S. Weingarten, MD, MBA, FACS, Vascular Surgeon, Civilian Volunteer Laurie Wesely, CAPT, US Navy David Williams, Manager, Traumatic Brain Injury Program Tracey Wilson, LTC, US Army, Laboratory Services Daniel Yourk, CPT, US Army, Medical Transient Detachment David Zonies, MD, Lt Col, US Air Force, Surgeon, Director, Trauma Program

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