title: Preparedness for resuscitation at a geographically isolated army troop medical clinic: lessons from Camp Blanding, Florida.
abstract: BACKGROUND
  Many Servicemembers rely on nondeployed Role 1 facilities, such as troop medical clinics, as their primary source of healthcare. At geographically isolated military installations, these facilities are the "only game in town" for medical care. Servicemembers may present to these facilities with emergent conditions, regardless of designed intent of the facility or the wishes of staff. The U.S. Army Troop Medical Clinic, Camp Blanding is such a facility.
  
  
  METHODS
  The clinic was reorganized with a 5S approach, streamlining supply, equipment, and workflow processes. This was accomplished to allow the facility to not only improve its general delivery of care but also ensure capability to handle at least one medical or trauma resuscitation. Equipment, disposable supplies, documentation, and staff training were addressed. Results/Discussion/Conclusion: Despite facility intention, lack of supplies/equipment, or staff inexperience with emergency care, an acute ill or injured Servicemember must be stabilized at the nondeployed Role 1 facility while awaiting transport to a higher level of care. This expectation is the same as that of deployed Role 1 facilities. A cost-savings can also be realized when minor "emergencies" are handled in-house.
authors: Nicholas M
authors: NM
authors: Studer
authors: George W
authors: GW
authors: Horsley
authors: Dan C
authors: DC
authors: Godbee
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D004635:Emergency Medicine / Q000458:organization & administration*; D004638:Emergency Treatment / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005431:Florida; D018882:Heat Stress Disorders / Q000628:therapy*; D006801:Humans; D058749:Military Facilities; D008889:Military Personnel; D011320:Primary Health Care / Q000458:organization & administration*; D012151:Resuscitation / Q000379:methods*; D012424:Rural Population