With the Army Guard in Mongolia (Part 2)

The Mongolian Presidential Honor Guard Band performs during the opening ceremony of Khaan Quest 2008 at Camp Five Hills, Mongolia. Alaska Air National Guard photo by MSgt. Jules Barklow.

The Mongolian Presidential Honor Guard Band performs during the opening ceremony of Khaan Quest 2008 at Camp Five Hills, Mongolia. Alaska Air National Guard photo by MSgt. Jules Barklow.

Mongolian children from Alton Bulaag enter the lower level of their school dormatory. Members of the 871st Engineering Battalion, Wailuku, Hawaii, are there performing renovations during Khaan Quest 2008 conducted on Camp Five Hills.
US Air Force Photo by Master Sergeant Jules Barklow

Mongolian children from Alton Bulaag enter the lower level of their school dormatory. Members of the 871st Engineering Battalion, Wailuku, Hawaii, are there performing renovations during Khaan Quest 2008 conducted on Camp Five Hills. US Air Force Photo by Master Sergeant Jules Barklow

Soldiers from Thailand army rehearse peace keeping exercises with Mongolian role players during the field training exercise Khaan Quest 2008, a United Nations multinational peace support exercise in Mongolia at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt Jules Barklow.

Soldiers from Thailand army rehearse peace keeping exercises with Mongolian role players during the field training exercise Khaan Quest 2008, a United Nations multinational peace support exercise in Mongolia at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt Jules Barklow.

Soldiers from Thailand rehearse peace-keeping exercises with Mongolian role players during the field-training exercise Khaan Quest 2008, a United Nations multinational peace support exercise in Mongolia at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt Jules Barklow

Soldiers from Thailand rehearse peace-keeping exercises with Mongolian role players during the field-training exercise Khaan Quest 2008, a United Nations multinational peace support exercise in Mongolia at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt Jules Barklow

Staff Sergeant Lawrence Pinheiro, carpenter, and Sergeant Joey Fernandez, carpenter, amidst a cloud of dust in the school dormitory in Alton Bulaag, Mongolia, where a renovation project by the 871st Engineering Battalion, Wailuku, Hawaii is underway. The local school dormitory had last been renovated in 1961. The Army Guard plumbers, electricians, masons and carpenters began overhauling windows, doors, paint and flooring on Sept. 4, 2008, with a deadline for completion of Sept. 21. They renovations were part of the field-training exercise Khaan Quest 2008, a United Nations multinational peace support exercise in Mongolia at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt. Jules Barklow.

Staff Sergeant Lawrence Pinheiro, carpenter, and Sergeant Joey Fernandez, carpenter, amidst a cloud of dust in the school dormitory in Alton Bulaag, Mongolia, where a renovation project by the 871st Engineering Battalion, Wailuku, Hawaii is underway. The local school dormitory had last been renovated in 1961. The Army Guard plumbers, electricians, masons and carpenters began overhauling windows, doors, paint and flooring on Sept. 4, 2008, with a deadline for completion of Sept. 21. They renovations were part of the field-training exercise Khaan Quest 2008, a United Nations multinational peace support exercise in Mongolia at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt. Jules Barklow.

Lieutenant Daniel Simmons, of the Hawaii Army National Guard's 871st Engineering Battalion (Wailuku, Hawaii), receives a check of his lungs from Major Corinne Olivera, a physician's assistant with the Alaska Air National Guard's 176th Medical Group at Alton Bulaag, Mongolia during the field training exercise Khaan Quest 2008, a United Nations multinational peace support exercise at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt Jules Barklow.

Lieutenant Daniel Simmons, of the Hawaii Army National Guard's 871st Engineering Battalion (Wailuku, Hawaii), receives a check of his lungs from Major Corinne Olivera, a physician's assistant with the Alaska Air National Guard's 176th Medical Group at Alton Bulaag, Mongolia during the field training exercise Khaan Quest 2008, a United Nations multinational peace support exercise at Camp Five Hills Training Center near Ulaan Baatar. Alaska Air National Guard photo by MSgt Jules Barklow.

Mongolian Army medical personnel react to a real-world scenario when one of their medics fainted prior to a mock casualty scenario with Alaska Army National Guard. The training utilized the Mongolians' new Expeditionary Medical System (EMEDS) at the field training exercise Khaan Quest 2008, a United Nations multinational peace support exercise at Camp Five Hills Training Center near Ulaan Baatar, Mongolia. Alaska Air National Guard Photo by MSgt Jules Barklow

Mongolian Army medical personnel react to a real-world scenario when one of their medics fainted prior to a mock casualty scenario with Alaska Army National Guard. The training utilized the Mongolians' new Expeditionary Medical System (EMEDS) at the field training exercise Khaan Quest 2008, a United Nations multinational peace support exercise at Camp Five Hills Training Center near Ulaan Baatar, Mongolia. Alaska Air National Guard Photo by MSgt Jules Barklow

Lt. Gen. Craig Campbell, the adjutant general of the Alaska National Guard, waits as his translator, Mrs. Tsedka, conveys his words to Mongolia Armed Forces (MAF) Chief of General Staff Lt.Gen. Togoo, with his translator and staff. Alaska Air National Guard photo by Master Sgt. Jules Barklow.

Lt. Gen. Craig Campbell, the adjutant general of the Alaska National Guard, waits as his translator, Mrs. Tsedka, conveys his words to Mongolia Armed Forces (MAF) Chief of General Staff Lt.Gen. Togoo, with his translator and staff. Alaska Air National Guard photo by Master Sgt. Jules Barklow.

An Alaska Army National Guard contingent and their Mongolian guide during the opening ceremony for Khaan Quest 2008 at Camp Five Hills, Mongolia, on Sept. 3, 2008. Alaska Air National Guard photo by MSgt. Julia Barklow.

An Alaska Army National Guard contingent and their Mongolian guide during the opening ceremony for Khaan Quest 2008 at Camp Five Hills, Mongolia, on Sept. 3, 2008. Alaska Air National Guard photo by MSgt. Julia Barklow.

CAMP FIVE HILLS, Mongolia -- Who do you call when you need a modular hospital system? The Expeditionary Medical System (EMEDS) team out of Brooks AFB, Texas might be your best bet.

Just ask the Mongolians. They took delivery of their new "basic" modular system -- which resembles several tan Quonset huts linked together -- during the Khaan Quest 2008 exercise here at Camp Five Hills. "Basic," in this case, means the system has a footprint of a command center, an emergency room and an operating room. Other options are called a '+10', meaning that additional specialty modules can be added to the basic configuration.

"EMEDS is predicated on getting the patient out of a hostile environment," said Colonel Elizabeth Clark, a member of the EMEDS team. The patient can then be transported to a standing medical facility providing long-term care. The facility is designed to stabilize the patient; the operating room is only for salvage and resuscitation surgeries, according to Clark.

"The beauty of EMEDS is that it breaks down in modules," Clark said. "Each module modifies the system to fit its application. If the EMEDS team knows what they are doing, they can break their system down and move it in up to five hours."

The challenge, she said, is finding personnel who are cross-functional; meaning a surgeon might find him- or herself setting a broken bone.

"A lot of people don't like being outside their comfort zone," Colonel Clark said. That faction sends people back to their early days in medical training, before they specialized, and they do just fine according to Colonel Clark.

In order to train customers who purchase the EMEDS, the team from Brooks AFB, travels to all corners of the world. When they delivered to the Mongolians at Khaan Quest 2008, they provided several training classes, ultimately winding down with a mock casualty scenario in which the newly trained personnel respond to several orchestrated medical emergencies in their new EMEDS.

However, just before the first scenario, one of the Mongolian medics fainted, and they were suddenly utilizing their hours-old training in a real-world situation.

"There's nothing like kicking off with a real-world situation to get the blood pumping," said Lt. Col. Caroline Samuolis, a 711th Flight Nurse who just crossed her 20th year on the training team for the EMEDS.
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