Marines Medical Service
The marine medical service provides medical , nursing , logistical and rescue services for the mobile and flying units of the German Navy . The restructuring of the Bundeswehr brought the navy the loss of the land-based medical service. The troops medical care for the rural units is up to the Central Medical Service of the Armed Forces . The Sea Battalion has in the rod about its own medical use group (SanEinsGrp) connected Moving doctor squads and rescue squads (from emergency paramedics / paramedics ) the emergency first aid ( Role 1 assures).
Admiralty in the Navy
Since October 1, 2012, the head of the Marines Medical Service has been the Head of the Marines Medical Department and Admiralty of the Navy in the Naval Command in Rostock . From there he leads the medical services of the fleet and the Naval Medical Institute of the Navy . He is the technical advisor to the inspector of the navy and the commander of the fleet as well as the service and technical superior of the Maritime Medical Institute. He's top divers doctor of the Bundeswehr and advises the Chief of Medical Services of the Bundeswehr in all matters of maritime medicine , diving medicine and hyperbaric medicine .
Subordinate to him are the troop medical training instructors at the schools of the Navy ( naval technology school , naval non-commissioned officer school , naval operations school , marine damage defense training center ).
The marine medical department in the naval command consists of the following departments:
- Maritime medicine / medical care / principle
- Resource planning / evaluation
- Operational leadership
- Defense pharmacy and
- Training principle
Stephan Apel has been Admiral Doctor in the Navy since April 2016 .
Head of the medical services
Heads of the medical services (LSD) continue to lead their subordinate areas in the flotilla staffs of the Einsatzflotille 1 and Einsatzflotilla 2 . The LSD of the Flotilla 2 leads the ship's doctors and is responsible for the personnel and material readiness of the two naval rescue centers (MERZ), which are available to the Navy on the task force supplies.
The reorganization of the medical services of the Bundeswehr and the special features of the on-board service with a total of 23,000 days at sea require constant adaptation and intensification of the training of the medical personnel. The ship's doctor or squadron doctor performs general , emergency , preventive and occupational medical tasks. Squadron doctors are only available from the submarines , speedboats and minesweepers . As a ship's doctor , diving doctor or aviation doctor , the medical officer is at the side of the commandant or commodore .
On-board training
Ship's doctor
Against the background of these requirements, the ship's doctor training was modified. Every medical officer deployed on board should be trained as a ship's doctor. That means three years of clinical training in surgery , internal medicine , anesthesiology and radiology . This section at the German Armed Forces Hospital in Koblenz and / or at the German Armed Forces Hospital in Ulm is followed by a one-year maritime training under the leadership of the Naval Medical Institute of the Navy.
The ship doctor, diving doctor and aviation doctor courses are supplemented by training sections in rescue medicine , occupational medicine , tropical medicine , sonography , gynecology , stress management , survival at sea, dentistry and telemedicine . The overall training leads to the certificate for maritime medicine , which is recognized by the Schleswig-Holstein Medical Association.
NCOs
Because of (possible) problems with the next generation, the training of the medical master was adapted to the requirements of the Soldier's Career Ordinance, the requirements of the post and the extended contract as well as the civil ordinances and laws. The “San Master” has recently been called “Medical Assistant”.
The portepée non-commissioned officer who is intended to be used on board has or is going through a year and a half of professional preparation for his use on board after training as a paramedic or paramedic . He is not only completing courses in ship safety , diving medicine , medical care and medical supplies logistics, but also, in some cases, civilly recognized training courses in laboratory medicine , anesthesia , sterilization , x-rays , instrumentation , telemedicine and medical device operator regulations .
commitment
Maxims of medical service order fulfillment are in use
- the care of seriously wounded and poly-traumatized soldiers at all times
- compliance with civil standards
- possibly the fastest possible transport for further supply
These principles can only be complied with if the medical care of emergencies is directly related to the emergency in terms of time and location. This requires a “staggered” supply chain (echelons) from service areas and treatment levels. The Navy is responsible for the medical care of its soldiers in service area A, which is divided into two treatment levels:
Echelon 1
The Echelon 1 comprises emergency medical first aid and stabilization of the wounded by medical specialists. He is covered by the ship's doctor group, which on the frigates includes a medical officer, a medical master (medical assistant) and up to four NCOs and men.
The ship's hospitals are equipped with modern equipment and instruments so that the respective ship's doctor groups can provide preclinical care and initial emergency medical measures. On longer voyages without a task force supply, the ship's doctor group for a frigate or a tender is supplemented by a surgeon and an anesthetist ( Echelon 1 plus ).
Echelon 2
The Echelon 2 takes care of the surgical and clinical first aid and is guaranteed by the marine rescue centers (MERZ) 1, 2 and 3 on the three task force suppliers Berlin (A 1411) , Frankfurt am Main (A 1412) and Bonn (A 1413) . Since the MERZ's specialist staff comes primarily from the area of the Central Medical Service, many Army and Air Force soldiers go to sea today. The efficiency of the MERZ and the medical service supply chain was particularly evident in Operation Enduring Freedom .
In addition to initial medical care for sick, injured and injured persons, patients in MERZ can receive bridging intensive care, nursing care and, if necessary, follow-up interventions that cannot be postponed. In principle, the MERZ infrastructure can be used by embarked specialist groups from the fields of surgery, anesthesia, dentistry, laboratory medicine, internal medicine, gynecology, urology, etc. for routine care. The treatment is carried out up to the transport to the home country, up to the transfer to a sanitary facility of a higher performance standard (service area B, Echelon 3) or up to the restoration of health in case of illnesses of short duration.
See also
literature
- Dieter Stockfisch: The Reibert - the manual for the German soldier. Army, air force, navy, armed forces base, central medical service . Berlin / Bonn / Hamburg 2009.
History of the Marines Medical Service:
- Werner Bauer: History of the marine health system until 1945. Berlin and Frankfurt am Main 1958 (= Marine-Rundschau , supplement 4).
- Volker Hartmann: Marines medical service in the First World War. In: Military Medical Monthly , Volume 60, No. 2, 2016, pp. 55–62 ( digitized version ).
- Ludger Tewes , Red Cross Sisters. Your use in the mobile medical service of the Wehrmacht 1939-1945 , Verlag Schöningh Paderborn 2016. ISBN 978-3-506-78257-1 .
- Ralf Vollmuth : Notes on ship hygiene, nutrition, health care and health care in the military seafaring of the Reich at the time of the mercenary system. In: Würzburger medical history reports , Volume 11, 1993, pp. 289-310.
- German naval regulation: M.Dv.Nr. 271/4 Target of the medical equipment - Part 4: Medical equipment and medical devices of the marine parts on land - 1940 . ISBN 978-3-750-41022-0 .
Web links
- Marines Medical Service (Wolfgang Sartorius) ( Memento from May 5, 2014 in the Internet Archive )
Individual evidence
- ↑ Axel Schimpf. The naval command in Rostock - the navy on course for the future . In: Marineforum 1 / 2-2013, p. 22ff.