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HIGHLY DETAILED 4 COMBAT MEDIC EMBROIDERED PATCH 1″ X 3 1/2″ « CVMA STYLE » MERROWED EDGE – WAX BACKING The Combat Veterans Motorcycle Association (CVMA) is an association of Veterans from all branches of the United States Armed Forces who ride motorcycles as a hobby. Its current mission is to support and defend those who have defended their country and their freedoms. Its focus is to help Veteran care facilities provide a warm meal, clothing, shelter, and guidance, or simply to say « thank you » and « welcome home. » The association’s members include Full Members with combat service and Supporter Members with non-combat military service. Many members continue to serve in the armed forces. CVMA sponsors and participates in many motorcycle-related charity events each year, and as a non-profit organization, donate to various Veteran care facilities and Veteran charities. COMBAT VETERAN – COMBAT MEDIC Combat medics (also known as medics) are military personnel who have been trained to at least an EMT-Basic level (16 week course in the U.S. Army), and who are responsible for providing first aid and frontline trauma care on the battlefield. They are also responsible for providing continuing medical care in the absence of a readily available physician, including care for disease and battle injury. Combat medics are normally co-located with the combat troops they serve in order to easily move with the troops and monitor ongoing health. Geneva convention protection In 1864, sixteen European states adopted the first-ever Geneva Convention to save lives to alleviate the suffering of wounded and sick combatants, and to protect trained medical personnel as non-combatants, in the act of rendering aid. Chapter IV, Article 25 of the Geneva Convention states that: « Members of the armed forces specially trained for employment, should the need arise, as hospital orderlies, nurses or auxiliary stretcher-bearers, in the search for or the collection, transport or treatment of the wounded and sick shall likewise be respected and protected if they are carrying out these duties at the time when they come into contact with the enemy or fall into his hands. » Article 29 reads: « Members of the personnel designated in Article 25 who have fallen into the hands of the enemy, shall be prisoners of war, but shall be employed on their medical duties insofar as the need arises. » According to the Geneva Convention, knowingly firing at a medic wearing clear insignia is a war crime. In modern times, most combat medics carry a personal weapon, to be used to protect themselves and the wounded or sick in their care. When and if they use their arms offensively, they then sacrifice their protection under the Geneva Conventions. These medics are specifically trained. History Surgeon Dominique Jean Larrey directed the Grande Armée of Napoleon to develop mobile field hospitals, or « ambulances volantes » (flying ambulances), in addition to a corps of trained and equipped soldiers to aid those on the battlefield. Before Larrey’s initiative in the 1790s, wounded soldiers were either left amid the fighting until the combat ended or their comrades would carry them to the rear line. It was during the American Civil War that Surgeon (Major) Jonathan Letterman, Medical Director of the Army of the Potomac, realized a need for an integrated medical treatment and evacuation system. He saw the need to equip this system with its own dedicated vehicles, organizations, facilities, and personnel. The Letterman plan was first implemented in September 1862 at the Battle of Antietam, Maryland. The United States Army’s need for medical and scientific specialty officers to support combat operations resulted in the creation of two temporary components: the U.S. Army Ambulance Service, established on June 23, 1917 and the Sanitary Corps, established on June 30, 1917. Officers of the Sanitary Corps served in medical logistics, hospital administration, patient administration, resource management, x-ray, laboratory engineering, physical reconstruction, gas defense, and venereal disease control. They were dedicated members of the medical team that enabled American generals to concentrate on enemy threats rather than epidemic threats. On August 4, 1947, Congress created the Navy Medical Service Corps. In the United States, a report entitled « Accidental Death and Disability: The Neglected Disease of Modern Society (1966) », was published by National Academy of Sciences and the National Research Council. Better known as « The White Paper » to emergency providers, it revealed that soldiers who were seriously wounded on the battlefields of Vietnam had a better survival rate than those individuals who were seriously injured in motor vehicle accidents on California freeways. Early research attributed these differences in outcome to a number of factors, including comprehensive trauma care, rapid transport to designated trauma facilities, and a new type of medical corpsman, one who was trained to perform certain critical advanced medical procedures such as fluid replacement and airway management, which allowed the victim to survive the journey to definitive care. Red Cross, Red Crescent, and MDA The International Committee of the Red Cross, a private humanitarian institution based in Switzerland, provided the first official symbol for medical personnel. The first Geneva convention, originally called for « Amelioration of the Condition of the Wounded and Sick in Armed Forces in the Field, » officially adopted the red cross on a field of white as the identifying emblem. This symbol was meant to signify to enemy combatants that the medic qualifies as a non-combatant, at least while providing medical care. Islamic countries use a Red Crescent instead. During the 1876-1878 war between Russia and Turkey, the Ottoman Empire declared that it would use a red crescent instead of a red cross as its emblem, although it agreed to respect the red cross used by the other side. Although these symbols were officially sponsored by the International Federation of Red Cross and Red Crescent Societies, the Magen David Adom (« MDA »), Israel’s emergency relief service, used the Magen David (a red star of David on a white background). Israeli medics still wear the Magen David. To enable MDA to become a fully recognized and participating member of the International Red Cross and Red Crescent Movement, Protocol III was adopted. It is an amendment to the Geneva Conventions relating to the Adoption of an Additional Distinctive Emblem and authorizes the use of a new emblem, known as the third protocol emblem or the Red Crystal. For indicative use on foreign territory, any national society can incorporate its unique symbol into the Red Crystal. Under Protocol III, the MDA will continue to employ the red Magen David for domestic use, and will employ the red crystal on international relief missions. Modern day Traditionally, medical personnel did not carry weapons and wore a distinguishing red cross, to denote their protection as non-combatants under the Geneva Convention. This practice continued into World War II. However, the enemies faced by professional armies in more recent conflicts are often insurgents who either do not recognize the Geneva Convention, or do not care, and readily engage all personnel, irrespective of non-combatant status. For this reason, most modern combat medics are armed combatants who do not wear distinguishing markings. Combat Medics in the United States Army and United States Navy Hospital Corpsmen are virtually indistinguishable from regular combat troops, except for the extra medical equipment they carry. In the U.S. Navy, enlisted medical personnel are known as Corpsmen, not medics. The colloquial form of address for a Hospital Corpsman is « Doc. » In the U.S. Marine Corps, this term is generally used as a sign of respect. The U.S. Navy deploys FMF Hospital Corpsman attached to U.S. Marine Corps units as part of the Fleet Marine Force. Since the U.S. Marine Corps is part of the Department of the Navy, it relies on Navy Corpsmen and other Naval medical personnel for medical care. USAF medics have frequently served attached to U.S. Army units in recent conflicts. Though all combat medical personnel are universally referred to as « medic », within different branches of the U.S. military, the skill level, quality of training and scope of work performed by medics varies from branch to branch. The U.S Army commonly addresses Line Medics as « Doc » provided that they have earned the title, as it does not come easily. As a result of the 2005 BRAC, the U.S. Department of Defense has moved most medical training for all branches of the armed forces to Fort Sam Houston of Joint Base San Antonio. A new Medical Education and Training Campus was constructed and the Air Force’s 937th Training Group and Naval Hospital Corps School were relocated to Fort Sam Houston, joining the Army’s existing Army Medical Department Center & School. Although each service has some training particular to its branch, the bulk of the course material and instruction is shared between medical personnel of the different services. Special Operations Combat Medic Course COURSE DATA PAGE COURSE: The goal of the Special Operations Combat Medic (SOCM) course is to train and qualify selected enlisted members to manage trauma patients, manage patients prior to medical evacuation, and provide basic medical care to team members. The course provide training in Basic Life Support/Automatic External Defibrillation (AED); pharmaceutical calculations; anatomy; physiology; pathophysiology; medical terminology; basic physical exam techniques; medical documentation; pharmacology; basic airway management; medical patient assessment; advanced airway management; patient management skills; pre-hospital trauma emergencies and care; tactical combat casualty care skills; operating room procedures; minor surgical skills; NREMT-Basic examination; obstetrics/gynecology and pediatric emergencies; cardiac pharmacology; Advanced Cardiac Life Support (ACLS); EMT Paramedic clinical rotation and field internship consists of a 2-week hospital rotation in the emergency department, labor and delivery, surgical intensive care, pediatric emergency department, operating room, and a 2-week ambulance rotation with an assignment to an Advanced Life Support EMS unit responsible for responding to a variety of 911 emergency calls; USSOCOM EMT-Paramedic exam; care of the trauma patient in a field environment; preventive medicine; Nuclear, Biological and Chemical (NBC) casualty care, and nursing care; 30 hours of clinical rotations in clinics located on Fort Bragg, NC, conducting sick call under the supervision of a physician or physician’s assistant. COURSE LENGTH: 26 weeks LOCATION TAUGHT:FORT BRAGG, NORTH CAROLINA 28307-5000 / SPECIAL OPERATIONS COMBAT MEDIC UNIT SYNOPSIS Special Operations Combat Medic Course (SOCM), takes a student with little to no knowledge of medicine and begins teaching him medical fundamentals. This provides a base on which to build upon as the ensuing modules become increasingly more difficult, with the end product to the combatant commander being a trauma specialist trained in warfare related injuries. The Force Reconnaissance Corpsman receives NEC-8427. Upon completion of SOCM, E-4 and below Corpsmen and medics move on to an operational unit as a Special Operations Combat Medic, while E-5 and above Corpsmen and Medics will go to an operational unit or have the opportunity to attend the Special Operations Independent Duty Corpsman course (SOIDC). Med Fundamentals (7 Weeks) This is the first section of training. It covers pharmacology, pharmaceutical calculations, anatomy, physiology, pathophysiology, medical terminology, basic physical exam techniques, and medical documentation. During the anatomy and physiology section, our students are privileged to use the cadaver lab located in the schoolhouse facility. SOCM Trauma Modules (7 Weeks) This training covers AHA Basic Life Support, advance airway management, patient management skills, pre-hospital trauma emergencies and care, advance trauma tasks/skills, pre-hospital trauma emergencies and care, advanced trauma skills, operating room procedures, and minor surgical skills. Students take the NREMT-Basic examination after completing these subjects. Included in the Trauma Modules is the Advanced Tactical Practitioner phase. This covers obstetrics and pediatric emergencies, cardiac pharmacology, training in combat trauma management, PEPP, and Advanced Cardiac Life Support (ACLS). Clinical Internship: (4 Weeks) The students then go on the -Paramedic clinical rotation and field internship at one of several Level I Trauma Centers on the east coast. This consists of 2 weeks of ambulance, 2 weeks of hospital. The hospital training consists of rotations in the emergency department, labor and delivery, surgical intensive care, pediatric emergency department, and operating room. Ambulance training consists of assignment to an Advanced Life Support EMS unit responsible for responding to a variety of 911 emergency calls. Military Medicine: (3 Weeks) The last phase of training is conducting Sick Call procedures. This covers the care of routine walk-in patients under the supervision of a physician or physician’s assistant at one of the many clinics at FT. Bragg. Combat Medical Badge Information I. DESCRIPTION An oxidized silver badge 1 inch in height and 1 ½ inches in width, consisting of a stretcher crossed by a caduceus surmounted at top by a Greek cross, all on and over an elliptical oak wreath. Stars are added to indicate subsequent awards; one star at top for the second award, one star at top and one at bottom for the third award, one star at top and one at each side for the fourth award. II. SYMBOLISM The Medical Corps insignia of branch, modified by the addition of a Greek cross suggesting the Geneva Convention between the wings and the entwined serpents, signifies the recipient’s skills and expertise. It is superimposed upon a stretcher alluding to medical field service. The oak symbolizes steadfastness, strength and loyalty. III. AWARD ELIGIBILITY The following medical personnel, assigned or attached by appropriate orders to an infantry unit of brigade, regimental, or smaller size, or to a medical unit of company or smaller size, organic to an infantry unit of brigade or smaller size, during any period the infantry unit is engaged in actual ground combat are eligible for award of the badge, provided they are personally present and under fire during such ground combat: Subsequent to 6 December 1941 – Army Medical Department (Colonels and below), the Navy Medical Department (Captains and below), the Air Force Medical Service (Colonels and below), assigned or attached to the Army, who have satisfactorily performed medical duties. Subsequent to 19 December 1989 – Special Forces personnel possessing military occupational specialty 18D (Special Operations Medical Sergeant) who satisfactorily performed medical duties while assigned or attached to a Special Forces unit during any period the unit is engaged in actual ground combat, provided they are personally present and under fire. Retroactive awards are not authorized. Subsequent to 16 January 1991 – Personnel outlined in (1) above, assigned or attached to Armor or ground Cavalry units of brigade or smaller size, who satisfactorily performed medical duties while the unit is engaged in actual ground combat, provided they are personally present and under fire. Retroactive awards are not authorized. Subsequent to 11 September 2001 – Personnel outlined in (1) and (3) above, assigned or attached to or under operational control of any ground Combat Arms units (not to include members assigned or attached to Aviation units) of brigade or smaller size, who satisfactorily performed medical duties while the unit is engaged in actual ground combat provided they are personally present and under fire. Retroactive awards are not authorized. Awards will not be made to general or flag officers. Specific eligibility requirements by geographic area are listed in Army Regulation 600-8-22. IV. DATE APPROVED The Combat Medical Badge was approved on 29 January 1945. In February 1951, the proposal to designate the badge as a one-time award was rescinded and it was approved for subsequent award during specified periods. The addition of stars to indicate subsequent awards was also approved. Policy changes were approved on 12 May 2004, by the Deputy Chief of Staff, G-1. V. SUBDUED BADGES: Subdued badges are authorized in metal and cloth. The metal badge is black. The cloth badge has an olive green base cloth with the stretcher, caduceus, cross, wreath and stars embroidered in black. VI. MINIATURE BADGES A dress miniature badge, 19/32 inch in height is authorized.
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