White Paper on "Medical Planners Toolkit MPTK Model CREst"

White Paper 16 pages (4707 words) Sources: 2 December 13, 2021

[EXCERPT] . . . .

An Analysis of Medical Planner’s Toolkit MPTK Model (CREst-T)

Introduction and Background

The right equipment, personnel, and supplies are essential in providing lifesaving care in theatre and health maintenance. This is required primarily for the warfighters involved in a range of operations so that the proper care can be delivered to them wherever and whenever needed. Since logisticians and medical planners have not found a better way that has the basis of science with the proper standard methodology, predicting the likelihood of illnesses and injuries has continued to be done in hospital theatres. This existing gap has consistently undermined planning for operational medical support effectively. Therefore, the Medical Planner’s Toolkit was developed to fill this gap.

Purpose and Use/Capabilities and Limitations of the MPTk Model

The Medical Planner’s Toolkit (MPT) is a powerful suite of powerful tools developed to be used in the community of medical planning and whose features reveal the capability to conduct medicine missions that relate to end-to-end modeling of expeditionary. This planning tool has powerful features like creating patient condition occurrence frequencies (PCOFs) and casualty stream estimations. From the information obtained, estimates of the requirements of the theatre hospital are made to provide care to the patients within the casualty streams. [footnoteRef:1]The background about this toolkit is that it was designed to provide care involving lifesaving in the theatres and the readiness and health of fighters in various wars. These warfighters cut across multiple operations that require supplies, the right equipment, and personnel to offer delivery care when needed and at any given place. [1: Brown, John, Robert Hunt, Trevor Elkins, Vern Wing, and Andrew Olson. Afloat Medical Materiel Estimates Submarines: SSN Attack, SSBN Fleet Ballistic Missile, and SSGN Guided Missile Submarines. NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA SAN DIEGO United States, 2018.]

Furthermore, those in the military medical planning and the logisticians do not have a methodology that has the standards of a science-based method to determine the possibility of illnesses or injuries occurring. They also lacked streams of estimating patients and casualties and estimation of the requirements to care for the patients in the theatre hospitals. This gap that has been there consistently undermines operational medical support due to a lack of adequate planning. To fill up the gap, the Medical Planner’s Toolkit was developed together with the Joint Medical Planner’s Toolkit (JMPT). The team relating to this modeling and simulation created these tools as an additional value. The value was to provide providers, trainers, medical planners, logisticians, and trainers with the ability and power to examine various courses that happen before, during, and after the deployment.

Additionally, these tools like the MPTk can allocate the resources required, make assessments of the risks, estimate the number of casualties and determine how ready a mission is. This toolkit can enable the medical planners and the military leaders to be equipped with a validated tool to make plans about medical contingencies given a diverse range involving operational scenarios. The other goal that these medical planners and the military had in mind for this toolkit was to manage the resources in the theatre in an effective manner. The MPT consists of several constituents like the Patient Condition Occurrence Frequency (PCOF) tool, the Expeditor Medicine Requirements Estimator (EMRE), the Casualty Rate Estimation Tool (CREst T), and the Estimating Supplies Programme (ESP). These suites of tools support medical planning among the many military operations.

On the other hand, PCOF tables can provide the probability in which a contingency response of a specific disease and the different types of injuries. For the different operational scenarios, there lacked a consistent way of estimating the function of PCOFs accurately by the medical planners. PC as a tool provides the ability to access evidence-based baselines and generate tailored specific operations involving evidence-based baselines. [footnoteRef:2]MPKTk can also offer the capability of generating PCOF distribution for Humanitarian Assistance (HA). As well as in disaster relief missions and in the operations related to combat. The PCOF tool was accredited for DoD-wide use by the FHPIC. [2: Brown, John, Robert Hunt, Trevor Elkins, Vern Wing, and Andrew Olson. Afloat Medical Materiel Estimates Submarines: SSN Attack, SSBN Fleet Ballistic Missile, and SSGN Guided Missile Submarines. NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA SAN DIEGO United States, 2018.]

In addition, modeling those patent streams used is usually constructed after constructing and combining a casualty estimate with a PCOF distribution. There lacked a science-based process of estimating the casualties by the medical planners. Hence CREst-T was designed to fill this gap. A crest is a fast-running tool that calculates the casualties for shipboard, ground combat and fixed installations, DR and HA scenarios. The application of empirical data is used in Crest-T to fit the probability distributions to produce estimates of the casualties for non-battle injury, disease, and wounded in action. The other tool used is the EMRE tool which provides estimates that are time-based for the operating room tables, ward beds, intensive care unit beds, evacuee numbers, blood supplies which are helpful in the level three requirements. These estimates are the force laid down in the other tool kit model, JMPT.

They provide solutions on an end-to-end basis.

• The Medical Planner’s Toolkit was designed for humanitarian assistance (HA), disaster relief (DR), ground combat fixed base PCOF distribution tables and shipboard.
• The other purpose for its development is for the estimation of the roles f three expeditionary requirements in the medical field used in operating rooms (OR), ward-based intensive care units (ICU), critical care transport teams (CCATTs), evacuations, and products of the blood. All these are usually based on the anticipation of the patients’ loads.
• Estimation of those casualties in the HA and DR missions and those in the ground, those in the fixed base combat operations and shipboard, and those casualties inpatient stream as a result of operations.
• Estimation of usage of the supplies daily, including those estimates of volume and weight.
• This toolkit is a combination of other tools, which, when used together with this toolkit, provide information that may be utilized to enhance the efficiency of the medical planners.

Pros and Cons of the MPTk Model

This particular toolkit has some advantages and, at the same time, disadvantages. The good side of this toolkit is that it is used to relieve disasters. The disasters that we are talking about here are hurricanes and earthquakes. It does this using CREsT which consists of two modules capable of developing patient streams. As a result, these streams are then used to estimate the reasonable effort to respond. The user can input treatment capability and the day of arrival for the earthquake. Immediately after the arrival, based on the treatment, casualties are treated based on the capacity of treatment. This happens until the mission ends in the case of a hurricane; almost everything applied in the earthquake scenario is applicable in the hurricane scenario.

Another advantage is that it offers models used for modification and decision making so that they can help in the various analysis. Some models are used in military combat and non-combat operations. Compared to traditional methods, it is far beyond being better. It is reliable since it provides calculations and definite results to be content with the outcomes. A well-developed analytical tool helps to analyze various concepts and components more quickly. The MPTk tool is of a high advantage since it is one of the few modern ways of medical planning in the military system.

The other advantage is that it differs significantly from the different analytical and simulation tools. To begin with, it provides a global framework that considers the conventional approaches that deal with various patients or casualties. It is based on CREsT as a tool that contributes greatly to its efficiency. CREsT helps estimate casualties, which provides a better way of coming up with responses since efforts will be put after the casualties are determined.

Another advantage of this tool is that it can be used as a blood planning factor. This is usually historically founded. The respective medical planners can utilize the people who plan these systems; for example, CCMD helps generate initial blood product estimates.

Some shortcomings are associated with this model; this includes the threats seen in some tools, considering the health support planning, some endemic diseases, and illnesses act as psychological stressors.

Another shortcoming related to the Medical Planner Toolkit is that most of the information is dated back to the second world war. This is seen in the adjustment factor for the region. The development analysis is data collected during the world war. [footnoteRef:3]This data might have been outdated since it happened a long time ago. The data baseline may not produce the required results since information should continually be updated. Having this in mind, this seems to be a shortcoming, and therefore, this field of study should be explored since it appears to have been abandoned. [3: Brown, John, Robert Hunt, Trevor Elkins, Vern Wing, and Andrew Olson. Afloat Medical Materiel Estimates Submarines: SSN Attack, SSBN Fleet Ballistic Missile, and SSGN Guided Missile Submarines. NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA SAN DIEGO United States, 2018.]

Generally, this toolkit provides the most advantages since it is one of the most advanced planning tools that has been established lately. It uses various models, and the components in this tool complement the toolkit, which is why it is recommendable to use it.

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