Yeah here at I . S . Our
our mission is optimizing combat
casualty care . So everything we do
here focuses on taking care of the
wounded soldier . So the U . S . Army
Institute of surgical research or the S .
R . As we like to call . It is one of
six medical research institutes within
the U . S . Army Medical Research and
Development Command . The I . S . R .
Is also subordinate unit of the army's
lead modernization agency armies
Futures command . As the army has
pivoted its focus to shift to prepare
for large scale combat operations . In
the multi domain operating environment .
There's a recognition by the bizarre
and other medical leaders that the
rapid evacuation times and then low
casualty rates of those recent wars
will no longer be able to be replicated
in the future combat environment . So
multi domain operations is really a
concept that makes us aware of the
challenges of uh combat
against a highly advanced adversary .
And what that means for medicine is
that our ability to quickly render aid
and get the patient back to surgery
where they need to be is gonna be a lot
harder . So we have to develop
solutions to keep people alive . Over
the course of its illustrious history .
The I . S . R . Has been at the
forefront of many advanced medical
discoveries , including the use of the
combat application tourniquet . He must
addict dressings and revolutionary
changes in how we use blood far forward
in order to help achieve the lowest
casualty rates that we've achieved in
modern warfare mm hmm hemorrhage is a
leading cause of preventable death on
the battlefield and administration of
blood products as close to the point of
injury is possible , is truly necessary
for dictating survivability . So we
need effective blood products that can
treat bleeding . And so we really need
to try to focus on developing protocols
and material products that can extend
trauma care out in the field until
we're available to move our soldiers to
a military treatment facility where
they can get extensive hemorrhagic care
and sepsis care . I think the devices
that we develop here at I . S . Are are
absolutely critical to helping save
lives on the battlefield . The
compensatory reserve Monitor was
developed here using a human model
of simulated hemorrhage . Using this
lower body negative pressure maneuver ,
we were able to capture the
responses to hemorrhage and
we were able to develop an algorithm
that tracked these changes and can
also predict the onset of
cardiovascular collapse as a result of
hemorrhage . So monitor provides very
important information to the medic who
is taking care of multiple wounded
soldiers and allows him to provide life
saving interventions to those who need
it . So the synergy between our s
our laboratory scientists and
clinicians is really what makes the
institute so unique . So our laboratory
scientists take real world problems
that are combat casualties face on the
battlefield . So related to trauma and
burns and we make advancements in the
lab that then get translated back to
the bedside in the clinic in the
operating room and on the battlefield .
The institute of surgical Research came
here to Fort Sam Houston texas in
1947 and two years after that , the
mission of the institute of surgical
Research was augmented to include
the study and treatment of burns As
such . It became the second burn center
established in the United States of
America . And since then this institute
has provided burn care and has done
burn research continuously since
1949 are part of the I . S .
R . Constitutes about one third of the
total institute and it's the only part
of the institute that has direct
clinical care as part of its mission ,
the ice are Burn center serves as a
regional burn center for south texas
and we treat military and civilian
populations , which also helps us
maintain our clinical skills and keep
them current . It also provides us a uh
platform for training opportunities as
well . And we have been managing burns
throughout World war two through the
current conflicts , which is Iraq and
Afghanistan . So the burn flight team
uh is a small medical element
comprised of critical care nurses ,
respiratory therapists in physicians
who are experienced in burn care and
critical care air transport . The Bern
flight team is capable of deploying
worldwide within 12 hours of
notification of either a military or a
civilian burn or trauma casualty . This
is what is unique to the burn flight
team is that we can provide that very
specialized burn care far forward to
patients very early and bring them back
to the burn center . Over the last 20
years , the answer has been
instrumental in developing
What goes into the medics aid bag and
how medics are trained to better save
lives on the battlefield . What we are
going to do over the next 10 to 15
years is harness modern biology to
solve fundamental problems and
completely transformed trauma medicine
in a way that hasn't occurred really
ever .