An official website of the United States government
Here's how you know
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

Home : Media : News : News Article View
NEWS | May 25, 2023

Austere medicine redefined: testing the ATC-EST's capabilities at Northern Edge 23-1

By Airman 1st Class Shelimar Rivera-Rosado

Northern Edge 23-1, a U.S. Indo-Pacific Command sponsored, Headquarters Pacific Air Forces (PACAF) led, multilateral, joint field training exercise, kicked off at Joint Base Elmendorf-Richardson on May 4, 2023. This exercise provided the opportunity to test the capabilities of the Air Transportable Clinic-Establish (ATC-EST), a health service support device designed by the Pacific Air Forces’ Office of the Command Surgeon and a medical modernization team to support agile combat employment operations at forward operating bases.

The new clinic, transportable by aircraft, is equipped with specialized personnel and equipment that may be modified to support a range of scenarios at early stages of military operations.

“This capability will make us more agile and flexible in austere environments. We can pre-position equipment and people - so if we don't have the ability to evacuate patients by air, we can care for them longer in the field, and move them by ship or ground transportation," said U.S. Air Force Maj. Erica Simon, emergency medical services physician, and EMS consultant to the surgeon general.

The ATC-EST can stabilize and hold three critical patients for up to 24 hours and six non-critical patients for up to 48 hours. It can be deployed within 24 hours of notification, establish emergency room capabilities within two hours and critical care capability within four hours. It can reach full operational capabilities within eight hours of arrival.

“It is designed to treat anything from scrapes and bruises to trauma patients for combat scenarios,” said James Sandvig, program manager for PACAF’s Medical Modernization Division. “The capabilities have been designed to do the entire spectrum of care from minor injuries through trauma support.”

Northern Edge 23-1 provides a venue to test and evaluate the capabilities of the ATC-EST. It will also help identify equipment which should be added and what training is needed to ensure personnel working with it are effective.

“We are here [participating in Northern Edge] to get reps and sets; to perfect our trade. We know tomorrow's fight will not resemble our experiences of the Global War on Terrorism,” said U.S. Air Force Maj. Laura Delgado, 176th Medical Group Chief Nurse.

During the exercise, the team was also able to test the capabilities of autonomous solar capabilities on the ATC-EST that reduces the need for fuel.

“PACAF is leading the way with this ACE initiative,” said Simons. “As a consultant, to have the opportunity to come out here and advise it’s incredibly appreciated. When we look at changing the perspective on what austere medicine should be, this ATC retrofit is that.”


Like Us
Follow Us



PACAF RQ-4 Global Hawks arrive at Yokota Air Base
An RQ-4 Global Hawk, assigned to the 4th Reconnaissance Squadron, 319th Operation Group, Andersen Air Force Base, Guam, sits on the flightline at Yokota Air Base, Japan, May 2, 2023. U.S. Pacific Air Forces began positioning RQ-4 Global Hawks at Yokota Air Base, Japan, from Andersen Air Force Base, Guam, on May 15 to provide theater-wide enduring operations in support of maintaining a free and open Indo-Pacific. (U.S, Air Force photo by Yasuo Osakabe)
May 25, 2023 - YOKOTA AIR BASE, Japan -- U.S. Pacific Air Forces began positioning RQ-4 Global Hawks at Yokota Air Base, Japan, from Andersen Air Force Base, Guam, on May 15 to provide theater-wide enduring operations in support of...

U.S. Partnership with U.K., Australia Enhances Security
U.S. Marines with 3d Battalion, 7th Marine Regiment, Ground Combat Element, Marine Rotational Force-Darwin 22, establish defensive positions as MV-22 Ospreys approach for landing during an airfield seizure event as part of exercise Koolendong 22 at Royal Australian Air Force Base Curtin, WA, Australia, July 18, 2022. Exercise Koolendong 22 is a combined and joint force exercise focused on expeditionary advanced base operations conducted by U.S. Marines, U.S. Soldiers, U.S. Airmen, and Australian Defence Force personnel. (U.S. Marine Corps photo by Cpl. Cedar Barnes)
May 25, 2023 - WASHINGTON -- In September 2021, the U.S., Australia and the U.K. announced a new partnership, AUKUS, meant to strengthen alliances and security, especially in the Indo-Pacific. In March, plans for moving forward on the first...

Enduring PACE Exercise Bolsters Communications Readiness throughout South Korea
U.S. Air Force Senior Airman James Angeley, left, 607th Air Communications Squadron, radio maintenance technician, and U.S. Air Force Senior Airman Carlos Perez Ortiz, right, 607 ACOMS, radio frequency transmission system technician sets up a ground multiband terminal during exercise Enduring PACE, May 18, 2023, at Osan Air Base, South Korea. Exercise Enduring PACE put communication equipment to the test and involved communications Airmen from the 8th Fighter Wing at Kunsan AB, the 51st Fighter Wing, the 607th Air Operations Center at Osan AB and other communications units dispersed throughout South Korea. (U.S. Air Force photo by Master Sgt. Kenneth W. Norman)
May 25, 2023 - OSAN AIR BASE, South Korea -- In modern warfare, the ability to communicate rapidly and effectively can be the difference between victory and defeat. To effectively maintain Fight Tonight readiness and provide the best...

USS SHOUP Completes First Forward-Deployed Naval Patrol March 2023
May 25, 2023 - The Arleigh Burke-class guided-missile destroyer USS SHOUP (DDG 86) returned to Combined Fleet Activity Yokosuka, Japan, following the completion of its first Forward-Deployed Naval Forces (FDNF) patrol in the U.S. 7th Fleet...

U.S. Coast Guard Post-Typhoon Mawar Update 1
Station Apra Harbor 45-foot Response Boats weather the residual storm as U.S. Coast Guard crews in Guam begin assessments and reconstitution efforts on May 25, 2023, after Typhoon Mawar devastated the island. Crews are working to resume operations and reopen the ports. (U.S. Coast Guard photo Lt. j.g. Drew Lovullo)
May 25, 2023 - SANTA RITA, Guam -- Following the devastating impact of Typhoon Mawar, U.S. Coast Guard Forces Micronesia Sector Guam, MAT/WAT Guam, and USCGC Sequoia (WLB 215) crews are actively assessing the situation and coordinating...