Class VIII Push Packs Resupply

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Authors
Wood, Brian
Subjects
push packs
medical resupply
JMPT
Joint Medical Planning Tool
TTX
tabletop exercise
Advisors
Date of Issue
2025-03-31
Date
Publisher
Monterey, CA; Naval Postgraduate School
Language
Abstract
With high expected casualty streams in contested environments, line-by-line resupply based on the low Periodic Automatic Replenishment (PAR) level may not be practical due to the tyranny of distance. Ship’s personnel order medical materials at the point when inventory needs replenishment. Thus, the supplies would not be available when needed due to multiple factors, including the ship's location within the battlespace. Using data from past Distributed Maritime Operations wargames and the Joint Medical Planning Tool, simulation via a tabletop exercise (TTX) was conducted to see how AI can be used to forecast optimal medical supply requirements, what the most useful push packs per clinical category are, and how push packs can best be deployed. Findings. 1. The incorporation of Monterey Phoenix (MP), a Navy-developed language approach tool, benefited the defined system/process taken during the tabletop exercise. 2. A wide variety of medical and medical support personnel included in the effort helped to flush out the pain points and areas of concern allowing for future scoping and addressing these areas. a. Groups tended toward developing a push pack list based on the lowest common denominator (guided-missile destroyer [DDG] with an independent duty corpsman [IDC] rather than the vessel at hand (nuclear aircraft carrier [CVN]/amphibious assault ship [LHA]). 3. The operating room on a CVN is not a large-scale trauma facility, even with an unlimited supply of medical supplies. If there is no plan for maintaining a patient after major surgery, the surgery will not be performed on the CVN. 4. There is a need to focus not only on the needs of wounded personnel, but also on providers, especially their throughput due to numbers and/or skillsets. It is a variable in the equation and may open ideas of how to manage a mass casualty event.
Type
Report
Description
NPS NRP Executive Summary
Department
Information Sciences (IS)
Organization
Naval Research Program (NRP)
Identifiers
NPS Report Number
Sponsors
N4 - Material Readiness & Logistics
Funder
This research is supported by funding from the Naval Postgraduate School, Naval Research Program (PE0605853N/2098). https://nps.edu/nrp
Chief of Naval Operations (CNO)
Format
3 p.
Citation
Distribution Statement
Approved for public release. Distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.