Shaping the Flight Paramedic Program.

Over the past 14 years of conflict, the Department of Defense medical community has made significant strides in patient care. As the conflicts developed, many sources identified a critical gap in en route care, specifically the need for critical care trained personnel for point of injury and intrahospital transfers, as well as improved outcomes for patients who received care from critical care trained providers. As stopgap measures were implemented, the US Army instituted the Critical Care Flight Paramedic Program in order to meet this need of life saving critical care transport. Execution of both an institutional training model as well as a home station training option allows for increased numbers of personnel trained, as well as flexibility for National Guard and Army Reserve units to keep personnel in their area. The Critical Care Flight Paramedic Program's educational outcomes have been exceptional, with National Registry Paramedic pass rates well above the national average. As the program develops, recertification and sustainment of knowledge and skills will be challenges, and novel approaches and flexibility will become critical for continued success.