Supersonic inspiration at Goodwood Festival of Speed

REME Reservist Craftsman Liz Brown getting kids to calculate the speed of rocket cars on their mobiles

REME Reservist Craftsman Liz Brown getting kids to calculate the speed of rocket cars on their mobile phones.

Not taking any prisoners

“I get it – I finally get the equation”. The words of one of the 300 children invited to take part in the Bloodhound Rocket Challenge at Goodwood Festival of Speed.

What did she get? The penny had dropped for this 12-year old, who is starting to make choices that will shape her academic pathways, that the crafting of a foam rocket car hurtling along a wire at 120 mph had a direct impact on the speed.  There’s an argument to say that family, friends and the subjects she is confident in have already set her on a path that may take her away from STEM* careers – so today has never been more important.

The team of three girls from Twynham School, in Dorset, turned up to Goodwood prepared – tool boxes, plans – they were not taking any prisoners. They wanted to win. The foam rocket car they had so carefully crafted shot up the track – surprising the adults and momentarily silencing the young students. Smoke from the rocket motor and then the impact of the car – the same weight of an apple – into a soft barrier to keep the cars intact.

The car stopped and the girls were off, sprinting up the 50-metre track to see what the heat from the rocket motor had done to the foam car. Had they removed too much material? Had it melted through?

Public watches rocket cars made by chidren travelling at 100 mph_2

Public watch rocket cars made by children travelling at 100 mph

 

The car had gone down the track so quickly that the rocket motor was still burning and had set light to the soft barrier – this was “epic” according to the girls and was certainly not what normally happened at school. The flame was stamped out and all eyes focussed on the rocket car. The front wheel of the car was gone.

“What happened?” “Where has it gone?” The girls started discussing what went wrong, how it had happened and if had slowed the car down?

“Miss, what speed did it go?” the question was fired at Army Reservist Craftsman Liz Brown marking run times on successful cars. “I’m not telling you” she said with a grin. “You work it out!”

What followed was an impromptu lesson on speed=distance/time. Teacher Amanda Britton who was accompanying the girls watched on as Liz drew out the S-D-T triangle and mobiles were pulled out to work out the speed.

Craftsman Liz Brown recently joined the Army Reserves and is “cool” in the eyes of the three girls because she is training to repair weapons systems in the Royal Electrical and Mechanical Engineers. “Once I’ve qualified, the guys will bring in their rifles to me and I will be responsible for fixing them” says Brown when quizzed what she does.

The girls get the significance of Brown’s role and eyes are fixed on her as she tests their calculations. “If you are dividing metres by seconds, what do you get?” Next is an explanation of m/s and mph and some homework via Google on the journey back to Dorset.

 

As they walk away we overhear, “I get it – I finally get the equation”.

Educational Ambassadors

Rocket powered inspiration - Students from Twynham School Dorset display their rocket car

Rocket powered inspiration – Students from Twynham School Dorset display their rocket car

Mission accomplished. In the space of 2 hrs, Bloodhound’s rocket challenge has linked the shaping of a blue Styrofoam block to aerodynamics, rocket science (chuck in chemistry and a dash of Newton’s laws) and a lesson on speed calculations that will adhere to a mind filled with much more than school work.

Bloodhound’s rocket challenge is simple but powerful. Outreach projects like this, and others that the Bloodhound team have up their sleeves, are challenging kids’ perceptions of what is achievable and how they access Science and Engineering.

Bloodhound has the ability to inspire – and kids get it.

The rocket challenge coincided with an announcement from the Army at Goodwood’s Festival of Speed to support Bloodhound’s education program. The Army has trained 100 soldiers as part of a volunteer force of Educational Ambassadors to take the 1,000 mph car’s cutting edge technology into schools. Soldiers from the REME have been visiting schools across the country in support of Bloodhound’s professional educators – all in an effort to offer every child a lesson on Bloodhound by 2018. So far 40,000 children have received a lesson on the supersonic car.

The announcement reaffirms the Army’s support to the Bloodhound project, which already has a small team of military technicians seconded to the engineering team under a commercial arrangement to help build the 1,000 mph car.

Ask your kids if they have heard of the Bloodhound project – you will be surprised at how much they know!

By Major Oli Morgan

Read more of Maj Morgan’s blogs here

*Science Technology Engineering and Maths.

Training Afghan Medics: The Language of Healing Pt7

Lisa’s Diary 2014

Captain Lisa Irwin

Captain Lisa Irwin

Captain Lisa Irwin is a REME Reserve Officer currently on a three-year Full Time Reserve Service commitment with the Defence Cultural Specialist Unit.  She has spent 15 months learning Pashto and Dari before deploying to Camp Bastion to be the 2 IC of a team of medical personnel set up to mentor Afghan medical personnel. This is her third tour of Afghanistan and her second blog, as she blogged during her last tour in 2010/2011, when she was deployed as a Female Engagement Team Commander.

 

29 Apr

left behind

As I sit in my tent typing this it feels very odd as everyone else in the tent is packed up and ready to go back home. The Med Group personnel are changing over so it is out with the old and in with the new, apart from a small number of people that will endure like me. Many of the people going have become my friends and I shall miss them, and most of the Med Dev team have changed over so there will be a period of adjustment for all of us. My new OC (Officer Commanding) is a good bloke so I think we will work together well and the new CO (Commanding Officer) of the hospital seems to be good too, and he understands the importance of what the ANSF Med Dev Team does and will support us in our endeavours.

The new team are bedding in to their roles at the moment so the atmosphere at Shorabak is very different when we go over; the guys are finding their feet and our Afghan colleagues are assessing them and seeing how they work. It takes a bit of time to develop a good relationship- and the previous team had an excellent relationship with the Afghan medics and doctors- so I am sure in time the atmosphere will be as it used to be. There is some continuity with me still being here as 2 IC (Second-in-command) and our 3 British clinicians will not change over for a few more weeks. It does feel as though I am being ‘left behind’! I will go through this again in July too as most medical personnel only do 3 months at a time out here so later in the year I shall witness another changeover.

Hi, I’m Lisa

 

I got to meet Al Murray, who was performing a show.

I got to meet Al Murray, who was performing a show.

I was lucky enough to see Al Murray perform when he came out here recently. More than that I also got to meet him in his dressing room before the show. I stumbled somewhat over introducing myself as I thought ‘Hi I’m Lisa’ was perhaps a little too informal, but ‘Hi I’m Captain Irwin’ was too formal. So, instead I looked a bit of an idiot when shaking his hand as I said ‘Hi, …….I’m………Lisa’! The show was excellent though, including the 2 support acts. I haven’t seen many shows whilst deployed, as I haven’t been in the right place at the right time, but they are always excellent for morale so well done to the artists that volunteer to come out.

7 May

There has still been little kinetic activity (fighting) out here, as the Afghans and insurgents have been focussed on harvesting the poppy, so that has meant few casualties. The harvest finished recently and there still hasn’t been much of an increase. It is a difficult one as we are glad that less people are being hurt but it also means less opportunity for the team to mentor the Afghans in difficult medical situations. There have been instances of casualties arriving at Shorabak whilst we are there and that happened again recently with one of the medics telling me ‘casualties are coming’ as the ambulance pulled up at the Emergency Department door. The casualties were 2 ANA that had been burned when a cooking pot exploded. We watched how they dealt with the casualties, who mainly had burns to the arms and face, and interjected with advice on occasion, and the casualties were dealt with promptly and efficiently. It perhaps was not how we would do things but their way worked for them and the casualties received appropriate treatment and are now recovering well.

With our time left out here rapidly reducing we need to make the most of every opportunity that we have to mentor so that we can leave the ANSF trauma care in as good a state as possible. To enable that we sought permission to mentor at night too and that permission was recently granted and was enacted tonight. An ANSF casualty came in to Bastion via helicopter and his injuries were such that the ANA doctors in Shorabak would not quite be able to manage him on their own but would be able to with some of our team mentoring them. After several phone calls made by my OC and I the casualty was transferred over to Shorabak, a small team of mentors was sent over ( with Force Protection) and I am happy to say that the case went well and the casualty is now recovering. It was the first reactive mentoring case carried out at night and the team, plus everyone else involved with ANSF Med Dev, felt it was a step forward in the mentoring process.

14 May

The past week has been a bit of a blur as I have been very busy. Not only have I been busy with the usual tasks of my job but I also volunteered to teach basic Dari to anyone interested in the Medical Group (though primarily the ANSF Med Dev team). Dari is not my best language (Pashto is much easier for me) and I am not a qualified language teacher, but the classes seem to be well received and the small things that I teach enable the team members to communicate better with their Afghan colleagues and thus help to develop their relationship.

An Afghan Warrior is treated by Afghan medics.

An Afghan Warrior is treated by Afghan medics.

We had a day last week when there was an influx of ANSF casualties presenting both to Bastion Hospital (having been evacuated by ISAF helicopter) and to Shorabak Hospital. The first I was aware of the casualties coming in was via a phone call at approximately one in the morning which necessitated me dressing quickly and heading in to work. There I met the OC and our clinicians waiting for the casualties to arrive. The next few hours passed in a blur of phone calls, discussions about treatment and where the casualties needed to be treated (ie did they need to stay in Bastion or did Shorabak have the capability to manage them) and a host of other things. Suffice to say I had 2 hours sleep that night (my OC had less!) and still worked a full day the next day. I think I was running on adrenaline!

This week my OC and I were introduced to an Afghan Major General who commands the ANA 215 Corps (the ANA we work with belong to his Corps). As usual I was wearing my headscarf, which he commented on as good because it showed my respect for their culture, and I had a conversation with him and then gave him a brief on the Shorabak hospital and its capabilities- all in Pashto. At times I was uncertain if I had the correct word but I looked to the interpreter who nodded at me to carry on and the General listened intently and thanked me for my brief. The interpreter reassured me it was good Pashto and I felt really pleased. My language ability has definitely improved during my tour- although I am far from fluent I can definitely get by.

I shall be moving to a new job next week to cover someone’s R&R and I think it will be another varied and interesting job- even if I am only doing it for 2 weeks. It involves working as an advisor with some of the Afghan Doctors who are responsible for training frontline medics, to ensure ANA casualties receive the correct care when they are first injured. It will enable me to develop a deeper understanding of the whole casualty care piece, from point of wounding to receiving treatment at Shorabak (or in some cases at the moment in Bastion) and so I am looking forward to it very much. Particularly as the doctors appear to know of me and are looking forward to working with ‘Touran Leila’, as I am known in Shorabak (Touran is Dari for Captain, Leila is my ‘Afghan’ name).

 

Pt1: Lisa’s Diary 2014

Pt2: Lisa’s Diary 2014

Pt3: Lisa’s Diary 2014

Pt4: Lisa’s Diary 2014

Pt5: Lisa’s Diary 2014

Pt6: Lisa’s Diary 2014

Read Lisa’s previous blogs from 2010/2011:

Lisa’s Diary 1: October-December 2010

Lisa’s Diary 2: January-March 2011

Training Afghan Medics: The Language of Healing Pt6

Lisa’s Diary 2014

Captain Lisa Irwin

Captain Lisa Irwin

Captain Lisa Irwin is a REME Reserve Officer currently on a three-year Full Time Reserve Service commitment with the Defence Cultural Specialist Unit.  She has spent 15 months learning Pashto and Dari before deploying to Camp Bastion to be the 2 IC of a team of medical personnel set up to mentor Afghan medical personnel. This is her third tour of Afghanistan and her second blog, as she blogged during her last tour in 2010/2011, when she was deployed as a Female Engagement Team Commander.

 

13 Apr

Hard to say goodbye

Today was a momentous day for me, my eldest son turned 21! Being in the military can be really hard at times as you want to be able to share special occasions with family and friends and the separation can be tough. However, the wider military family are very supportive of each other and we all know how difficult it can be so there is a lot of understanding and support. We are actually quite lucky now as the military has become pretty good at welfare provision. We have internet and telephone access, and even when I was working at small remote check points on my last tour I was able to make calls via a satellite phone and not feel completely cut off from home.

There has been a definite reduction in insurgent activity over the last few weeks, despite the Afghans holding their elections. The Afghan Government increased operations conducted by their security forces and it seemed to work, with relatively few casualties coming in. However a few days ago one of our interpreters phoned to say they were expecting a number of casualties injured by an IED.

Initially it was difficult to get a clear picture of what had happened and when the casualties were expected but after a couple of minutes of speaking to my interpreter he handed the phone over so I could speak to the ANA Colonel in charge of the incident myself. Well, my Pashto isn’t bad but trying to conduct a conversation over the phone, without the cues of body language and gestures, is quite difficult! However, to my relief (and, I think, the Colonel’s) I understood what he was telling me and realised that the casualties were several miles away, coming by road. I relayed the message to the Bastion hospital command team and asked the interpreter to call me when the casualties arrived.

Several hours later in the early hours of the morning, he rang back to tell me the casualties had made it to Shorabak and there were two that the ANA doctors were concerned about. I quickly got dressed and hot-footed it to the hospital (thankfully only a few minutes from my accommodation) and informed the night staff that the ANA were requesting to transfer two casualties to us for examination. A couple of phone calls later we had the go-ahead to receive them. One was not too sick and was returned to Shorabak after being examined but the other had multiple injuries and needed an urgent operation. Thanks to the expertise of our medical staff, and to all those involved in moving the casualty to Bastion, he is now recovering.

17 Apr

The lull in kinetic activity has continued so we have seen few casualties either at Bastion hospital or at Shorabak. Those that have presented to Shorabak have been managed competently by the Afghan clinicians and medics and moved as soon as possible to Kabul to receive further treatment if required, or to recuperate. In terms of mentoring, the best teaching opportunity is when a case comes in that is suitable for reactive mentoring but that also enables us to conduct other teaching sessions with the clinicians and medics simultaneously, though it can sometimes be difficult to hold their interest!

We are now coming up to the handover/changeover of the Bastion hospital personnel, which also means most of the personnel in the mentoring team. It will be hard to say goodbye to people that have become my friends but I know they are all hugely looking forward to going home. I shall be the continuity (although the new doctors have been here for almost a month already) so it will be very important for me to keep communication flowing in the team and for me to look out for them. They will be working in a strange environment and most of them will never have worked with ANA before, so they are facing quite a challenge. However, I am sure that they are looking forward to it as much as I was, and I will be able to reassure them that it is an interesting and challenging, if at times a little frustrating, role.

Pt1: Lisa’s Diary 2014

Pt2: Lisa’s Diary 2014

Pt3: Lisa’s Diary 2014

Pt4: Lisa’s Diary 2014

Pt5: Lisa’s Diary 2014

Read Lisa’s previous blogs from 2010/2011:

Lisa’s Diary 1: October-December 2010

Lisa’s Diary 2: January-March 2011

Training Afghan Medics: The Language of Healing Pt5

Training Afghan Medics: The Language of Healing Pt5

Lisa’s Diary 2014

Captain Lisa Irwin

Captain Lisa Irwin

Captain Lisa Irwin is a REME Reserve Officer currently on a three-year Full Time Reserve Service commitment with the Defence Cultural Specialist Unit.  She has spent 15 months learning Pashto and Dari before deploying to Camp Bastion to be the 2 IC of a team of medical personnel set up to mentor Afghan medical personnel. This is her third tour of Afghanistan and her second blog, as she blogged during her last tour in 2010/2011, when she was deployed as a Female Engagement Team Commander.

 

31 Mar

Rest and recuperation

I have been lucky enough to have been able to go home for almost two weeks’ rest and recuperation this month so I haven’t been over to Shorabak as much as usual over the last few weeks. It was lovely to go home though and see my fiancé and children. I also managed to go up to Scotland to see my parents and siblings, but driving to visit everyone did mean that I was almost glad to come back to Afghanistan for a rest!

My fiancé and I managed to go and see our wedding venue in Scotland and it is lovely so we are both really happy and looking forward to the big day. I also managed to fit in a shopping day with my daughter and bought her bridesmaid’s dress. She looks absolutely beautiful in it and without doubt will overshadow the bride, but as the bride is me, and I am a very proud mum, I do not mind at all!

Happy New Year!

Whilst I was away there weren’t many casualties so things quietened down a lot for the team, and in particular for my Commanding Officer and the Sergeant Major who was covering for me. The team continued to go over to Shorabak on routine visits to carry on with mentoring tasks but there were fewer reactive mentoring cases. My R&R also coincided with a few changes on the team and we now have a completely different set of clinicians. The General Surgeon, Orthopaedic Surgeon and Anaesthetist changed over as doctors do shorter deployments than the other team members, so there were some new faces when I returned. They weren’t completely new to me though as I had met them when training prior to coming on tour.

Customary Afghan food to celebrate the New Year.

Customary Afghan food to celebrate the New Year.

When I was on R&R Afghanistan celebrated its New Year (their New Year is usually around 21 March) so before I went on leave I made sure that the team were aware of the relevant cultural practices and had plans to take some food to Shorabak to share the New Year celebrations with our Afghan colleagues – and importantly that they also knew how to say ‘Happy New Year!’ in Pashto. The Afghans had a two-day holiday to celebrate the occasion so the team didn’t go over on the actual day but celebrated with them when they returned to work afterwards.

A cake decorated with the Afghan flag and the words 'Happy New Year'.

A cake decorated with the Afghan flag and the words ‘Happy New Year’.

When the team arrived at the medical centre they were taken to the ANA Colonel’s office and as is customary the food was set out on a cloth on the floor. The team sat cross-legged on the floor (not always easy for Westerners!) and ate the food with their hands, which is traditional Afghan custom. I was told by the team that the food was delicious, which I was not surprised about as I shared meals with Afghan families several times during my last tour.

The ANA hospital personnel were also very appreciative of the cake that the team had commissioned for them (pictured). It is always good to share these experiences with our Afghan colleagues as it shows an understanding and appreciation of their culture which is something we must always remember.

Observation sangar collapsed

Although casualties have been fewer of late I have still been called in on occasion when an ANSF casualty is en route to Bastion to arrange for transfer of the casualty to Shorabak where possible. Dependent on the extent of the casualty’s injuries the mentoring team will often go across to assist the ANA clinicians. Sometimes we get calls from the hospital in Shorabak asking us to review patients that they are concerned about, which involves bringing them over by an escorted ANA ambulance. One such casualty came in to the hospital a couple of days ago; he and several of his colleagues had been injured when an observation sangar collapsed. The ANA medics had noticed that this patient’s condition in particular seemed to be deteriorating and asked for the help from the Role 3 hospital at Bastion. On arrival he was assessed as having suffered a crush injury to his chest which had probably caused air and/or blood to escape in to the chest cavity, which was making breathing difficult. Further tests revealed the initial diagnosis to be correct so the team in ED prepared to insert a chest drain to rectify the problem.

The ANA medic who had brought him over asked if he could watch the procedure as it would be a good learning experience for him – with the added bonus that he spoke some English and could act as an interpreter. I stayed too and translated from English to Pashto to the medic, who was then able to translate my Pashto into Dari for the patient (my Dari is pretty basic). It was a slightly unusual set up but it worked! It certainly tested my language capability as I had to explain every step of the procedure; not only so the patient knew what was happening but also so the medic understood what was happening. I think my brain was fried afterwards!

Pt1: Lisa’s Diary 2014

Pt2: Lisa’s Diary 2014

Pt3: Lisa’s Diary 2014

Pt4: Lisa’s Diary 2014 

Read Lisa’s previous blogs from 2010/2011:

Lisa’s Diary 1: October-December 2010

Lisa’s Diary 2: January-March 2011

Training Afghan Medics: The Language of Healing Pt4

Lisa’s Diary 2014

Captain Lisa Irwin

Captain Lisa Irwin

Captain Lisa Irwin is a REME Reserve Officer currently on a three-year Full Time Reserve Service commitment with the Defence Cultural Specialist Unit.  She has spent 15 months learning Pashto and Dhari before deploying to Camp Bastion to be the 2 IC of a team of medical personnel set up to mentor Afghan medical personnel. This is her third tour of Afghanistan and her second blog, as she blogged during her last tour in 2010/2011, when she was deployed as a Female Engagement Team Commander.

 

7 Mar

The past week has been a challenging one for the ANSF Med Dev Team and a tiring one for me.  We have been busy with routine visits to Shorabak when possible but also busy doing some reactive mentoring.  The Shorabak hospital has been relatively quiet so the guys in the team carried out teaching on things such as airway management rather than direct patient care and encouraged the Afghan medics to carry out necessary reorganisation of equipment.

Whilst the guys were teaching my role was a little interpreting, chatting to everyone to maintain relationships and assisting in teaching.  I had a book of Afghan poetry which was written in Pashto, and I showed it to some of the patients as I know that poetry is an important part of Afghan culture.  They were surprised that I had such a book and even more surprised that I could to read it. I read some poems to patients who were unable to read (in the past many Afghans were unable to attend school) and they really appreciated it. It was such a simple thing but elicited a warm response from everyone in the hospital, patients and staff alike.

VIP visit

Ed Milliband visited the hospital at Camp Bastion.

Ed Milliband (left) visited the hospital at Camp Bastion.

We had a VIP visitor to our team in March.  Ed Milliband was visiting Bastion and as he was coming to the hospital he visited our team due to our mission being considered important.   He seemed a personable man and listened intently as my OC, Fletch, explained exactly what we do and introduced the rest of the team.  He seemed interested in our role but I am sure that is a skill that all politicians quickly develop!

Preparing for surgery

As the week progressed the ANA were due to start a large military operation and therefore we started to prepare for a potential increase in casualties.  As the casualties started to come in I was frequently called in to the hospital to be there as the casualties were brought in by helicopter.  Once the casualties arrived I waited for the doctors to decide if the casualties could be treated at Shorabak, or remain in Bastion, for those who could be transferred I co-ordinated the transfer of the casualties to Shorabak.  Some of them were suitable to be transferred without the team going over to mentor and others required mentoring.  Our aim is to take over cases that are slightly complex and useful for us to mentor in order to increase the Afghan doctors’ knowledge and confidence, but not so complicated that they may be overwhelmed or not yet have the capabilities needed.

The current set-up is a bit like a field hospital, and the new hospital being built will not be ready before July, so it would not be fair to the doctors or the patients to send over cases that are currently too complex.   One of the first suitable casualties required abdominal surgery, and the operation was more complex than had been done at Shorabak before.  However, the patient was assessed to be stable and suitable for transfer.  We decided to take over only the team members that were needed, rather than the whole team, and gained permission to stay over slightly later than normal (our working hours in Shorabak can be restricted depending on the security situation).  So the smaller team, with our Force Protection, headed over.

When we arrived at the hospital the casualty was already in the operating theatre being prepared for surgery so the surgical team scrubbed up and went in to mentor the ANA doctors carrying out the operation.  Meanwhile one of our nurses and I went in to the ward to see how many patients there were and make sure everything was up to date. I chatted to the medics and patients that were there, including two patients who remembered me talking to them in the Emergency Department in Bastion hospital – I suppose a blonde, white woman speaking to them in Pashto probably makes me quite easy to remember!

As the operation progressed I was frequently checking on progress to see if we were going to be OK for time.  I also reminded the Afghan medics that they needed to prepare a bed space for the patient to return to when he came out of theatre, with oxygen, monitoring equipment and other such things that a complicated post-op patient would need.  Once the surgery was complete, the patient was taken to his post operative bed for overnight monitoring and care, and we were able to return to Bastion – the team satisfied with a job well done.  The drive back to Bastion was slightly surreal as I had never driven through Camp Shorabak in the dark before but other than feeling slightly more vulnerable we didn’t encounter any problems.

8 Mar 2014

Talking to the patients on one of the ANA hospital wards at Camp Shorabak.

Talking to a patient on one of the ANA hospital wards at Camp Shorabak.

The next day was almost a repeat of the previous day, with several more casualties coming through, some of whom remained in Bastion hospital and some of whom were transferred to Shorabak.  Of the ones transferred to Shorabak another required abdominal surgery so again the team was stood up to go over and mentor the case.  This time the as the surgery was ongoing there was another casualty with a gunshot wound to deal with, so three of us cleaned, irrigated and dressed his wound.  We then moved him to the ward but no sooner had we done that than word came through on the radio that the Afghans were bringing in 3 seriously ill casualties evacuated by their own helicopter.

Immediately I started chivvying the Afghan medics to make sure the Emergency Department was set up to receive them as the medics haven’t yet fully grasped the concept of preparation and tend to be more reactionary.  At the same time I had to keep an eye on how the surgery was progressing as I was aware that we had a limited time in Shorabak.  Eventually it became clear that the operation wasn’t progressing as planned and that we needed to take the casualty back to the hospital in Bastion, and at this stage there was no sign of the Afghan casualties.  So after numerous phone calls and radio messages we loaded the casualty into an ambulance and we all returned to Bastion.

Casevac’d for needing to pee!

The next morning as I sat at breakfast reflecting on the past 2 long days my phone rang again as more ANSF casualties were en route.  No relaxing breakfast for me then as I headed in to work.  There had been an IED incident that resulted in a number of casualties and some were on their way to Bastion.  On arrival the most seriously injured were immediately taken in to the Role 3 Hospital Emergency Department for assessment and treatment but one casualty appeared to have only minor injuries so he remained in the ambulance while he was assessed, as it appeared likely that he could be transferred straight to Shorabak.  However, although the assessing doctor couldn’t find any obvious injuries the casualty was still grimacing in pain.  Unfortunately due to the number of casualties all the interpreters were busy with other injured Afghans and so I climbed into the ambulance to speak to him to see if I could find out where he was in pain.  Quite quickly I discovered the source of his extreme discomfort….he had an extremely full bladder and was desperate for the toilet! Once he had been able to pass urine he was absolutely fine (apart from a slightly sore back).  Possibly the first time someone has been casevac’d for needing to pee!

After yet another full and busy day I eventually crawled in to bed, exhausted.   I suppose this is how my life is going to be for the next few months, with me taking advantage of any breaks I can get but acutely aware that I can be called in at any time.  I wouldn’t have it any other way though as I enjoy the challenge and variety that the role can bring and I really enjoy being able to interact with the Afghan personnel and hopefully positively influence them.  It may be small steps but I really do feel that my job, and more importantly the work of all of the ANSF Med Dev Team, is making a positive difference.

Pt1: Lisa’s Diary 2014

Pt2: Lisa’s Diary 2014

Pt3: Lisa’s Diary 2014

 

Read Lisa’s previous blogs from 2010/2011:

Lisa’s Diary 1: October-December 2010

Lisa’s Diary 2: January-March 2011

Teaching old dogs new tricks: Journey of a Reservist recruit

Date:  February 2014
Army Reserve Recruit: Craftsman Garry Freire
Initial Training (six weekends): Trained Soldier Course (Alpha) (TSC(AO)) course
Location: Pirbright
Craftsman Garry Friere

Craftsman Garry Friere

Weekend 6

Craftsman Garry Freire is an Army Reserve soldier from 103 Bn REME embarking on his Trained Soldier Course (Alpha) (TSC(AO)) at Army Training Unit (South), Pirbright. He has six weekends to complete this part of initial training. Cfn Freire is a Policeman in his civilian life.

Rise and shine

Weekend 6 began in the same vein as the previous 5, with a very early start on Saturday morning. Once the shock of waking up had passed, it was time for the day’s lessons. We were all quite apprehensive throughout the weekend as we knew that it was the final TAB on Sunday. The TAB is the course output standard and if failed to finish in the given time we would have to go back to weekend 4 and try all over again! That was not a prospect any of us particularly relished. Saturday’s lessons were a mixture including values and standards, health and hygiene and an introduction to CBRN (Chemical, Biological, Radioactive, Nuclear). Saturday evening ended at about 19:00 with a session of circuits in the gymnasium. I made the mistake of eating too much at dinner and spent the whole session tasting blackcurrant cheesecake mixed with savoury rice! Another mistake I will never make again.

Warming up nicely in my CBRN kit.

Warming up nicely in my CBRN kit.

Sunday was a similar day to Saturday and there was a fair bit of hanging around waiting for lessons. We were in the classroom for a few early lectures and then we were off for our first shoot. The indoor range consisted of laser equipped SA80 rifles. They are tethered to a sophisticated machine that records exactly where your shots fall on the screen to your front. They are also CO2 operated so you get a good sense of the recoil that would be experienced when you get to fire the actual rifles.

This was the first time that most of our course had ever shot a rifle and I was impressed to see how quickly everyone mastered the marksmanship principles that we had been taught. The idea is to create as small a spread of shots as possible on the target. Clearly, being able to shoot proficiently is an important skill for any soldier. I don’t think anyone on our course will have too many problems in this area!

Good luck

The finale of our six weekends was quickly upon us and we were all lined up ready for our three-mile TAB which had to be completed in 45 minutes to pass the test. We set off at the required pace and soon we were getting into the 15-minute-mile rhythm. Things began to get a little unpleasant when we turned off the nice tarmac road and headed for a muddy track around the perimeter of the base. The track is very hilly and had now had large puddles full of foul-smelling stagnant water! However, we all pressed onwards and soon we were heading for the finish line outside the gym. Then it was done. We all passed the TAB and with a little bit of course administration to complete, our six weekends came to an end. It felt nice to stand on parade knowing that we had completed the first phase of our Army Reserve careers.

Fall out!

Fall out!

So now we can all look forward to TSC Bravo. I know it will be much harder and more demanding than TSC Alpha. However, we have had a tremendous grounding and we have had first class training. You hear many people say that the British Army is the finest Army in the world. Well, I can honestly say that if we continue to receive the standard of instruction that we have had so far, then I won’t disagree with that statement. I feel proud to have come through this phase of training and I feel fortunate to have had such capable and helpful instructors. My thanks to you all for helping a middle-aged man through some demanding days!

As I look back I have to be honest and say that some of it was physically demanding. Some of it was mentally demanding but all of it has been thoroughly enjoyable. I am sure that each one of us has now found that we have different areas of strength as well as areas that require more work. I have learnt a lot about myself over the last few months and hopefully I can improve on my weaker areas in time for TSC Bravo.
It is time for me to sign off. I hope that you have enjoyed my blog and I really hope that any of you who are thinking of joining the Army Reserve will now have a better understanding of this phase of training? All I can say is that if I can do it then so can you! Good luck.

The Team together at the finish.

The team together at the finish.

I hope that it is all okay? Thank you for the opportunity to write this blog over the last few months. I have enjoyed it very much. Also, a big thank you to all the staff at ATU South. It has been a very rewarding time for us all and we all feel confident that we are ready for TSC Bravo.

Read more about Cfn Freire’s journey here

Training Afghan Medics: The Language of Healing Pt3

Lisa’s Diary 2014

Captain Lisa Irwin

Captain Lisa Irwin

Captain Lisa Irwin is a REME Reserve Officer currently on a three-year Full Time Reserve Service commitment with the Defence Cultural Specialist Unit.  She has spent 15 months learning Pashto and Dhari before deploying to Camp Bastion to be the 2 IC of a team of medical personnel set up to mentor Afghan medical personnel. This is her third tour of Afghanistan and her second blog, as she blogged during her last tour in 2010/2011, when she was deployed as a Female Engagement Team Commander.

24 Feb

We have had a testing few days as a team, after some Afghan patients presented at Shorabak with rare conditions including  acute leukaemia, a brain tumour and some kind of systemic infection that caused hydrocephalus (fluid on the brain). Two patients died despite our best efforts, which was very sad, but there was some benefit as we were able to explain to the Afghan health workers in Shorabak how important it is to carry out regular patient observations and to act on any irregularities.

We had a couple of good cases for reactive mentoring this week. One of the casualties had surgery following an IED strike but was otherwise stable so I helped to co-ordinate his transfer to Shorabak and set up the team to go over with him. Whilst surgery was being carried out in the Shorabak operating theatre I acted as an interpreter on the ward and in the laboratory, as we only had one local interpreter with us and he was needed in theatre. I was really pleased that I was able to interpret most things and I used my nursing experience to encourage the Afghan medics to ensure they had all they needed, and were ready, to receive the casualty on the ward once he came out of theatre.

While I was there I helped another patient who had become quite distressed. He is an ANA soldier with a good record for finding IEDs who had been caught in a blast, suffering facial injuries. He was concerned about his sight and the fear of long-term damage was making him anxious for his future. I held his hand and tried to explain that the healing process would take time. He calmed down but it was an upsetting conversation.

On a lighter note my relationship with the Afghan medics and the local interpreters goes from strength to strength. One of our interpreters recently came back from leave and told me he had brought some gifts back for the members of the team that were dear to him, and I was one of them! He then presented me with a lovely watch which was so thoughtful and a lovely surprise. One of the medics was trying out his best English to try and tell me how much he liked me, so at the end of our conversation (which had been in Pashto) he said to me ‘Goodbye, I love you’! It was very sweet but I’m not sure that was what he really meant to say! Still, whilst there are difficulties associated with my role, I am still really enjoying it and loving the challenges it brings.

1 Mar 14

This week has passed very quickly. I have been across to Shorabak with the team every day except Friday (we don’t routinely go across on Fridays due to it being their religious day) and in the last week the Shorabak hospital has been quite calm.  There has been a small, but steady, number of patients and the Afghans have been coping with them.  Occasionally when we visit our doctors may advise their doctors on the most appropriate management of some of the cases but generally they have been able to cope on their own. However, there haven’t been many major trauma cases recently so our input hasn’t been required as much when it comes to patient management. 

It has been a useful week for the team though as we have been able to use the time to encourage the Afghan medics to ensure their departments are well stocked and organised and to carry out some teaching. I meanwhile, either assist with interpreting when teaching is going on, or go on to the ward and talk to the patients.  Generally I am incredibly well received as the patients really appreciate a woman being able to speak to them in their own language and like to tell me about what happened to them (most patients suffer injuries due to IEDs or gun shots) and talk about their life and their family.  They are always very curious as to how I learned to speak Pashto and constantly tell me what a difficult language it is. I agree with them on that!

While it is generally quiet at the moment ISAF still stand the chance of suffering casualties, which has happened on occasion in the past month. Any death from the coalition hits everyone hard.  On previous tours I have been to repatriation ceremonies and I have always found them to be deeply moving, whether the soldier concerned was known to me or not. It is a difficult aspect of the job.

I have been particularly fortunate this week to have been asked to help with one of the Afghan children on the ward here.  The boy, who is aged around 14 (many Afghans are unsure of their actual age as birth certificates generally do not exist), suffered major leg injuries in an IED explosion while playing with his brother. He is naturally grumpy given what he is going through, so I was approached to perhaps do some reading and writing with him to try to occupy him.  I had helped with his nursing care before so he knew me and he and his uncle, who is his guardian, were pleased to see me.  My initial session was about establishing his level of literacy. He was illiterate, which is not uncommon in rural parts of Afghanistan, so I just spent the first session teaching him to read and write the first 5 letters of the Pashto alphabet (which has 42 letters) and to read and write his name.

He seemed interested and happy but I wasn’t entirely sure as he was also in some discomfort and so concentrating was difficult. However, the following day lots of the hospital staff kept congratulating me on the change in him and how good my intervention had been. After I had left he spent ages painstakingly writing and rewriting his name and showing the staff his achievement. I am so pleased that I was able, with something so simple, to put a smile back on to his face.  I have since been back and taught him the whole alphabet, some basic maths and made him laminated alphabet and picture flash cards and he has been thrilled.  He excitedly tells everyone ‘She is my teacher!’, though in Pashto so only I know what he is saying, and shows everyone his work. He is due to be discharged to an Afghan hospital soon but is keen to continue so I have made some more work books for him to take with him. It has been so gratifying to be able to help him in this way and I am glad I was given the opportunity.

Pt1: Lisa’s Diary Week 1-2 2014

Pt2: Lisa’s Diary Week 3-4 2014

Read Lisa’s previous blogs from 2010/2011:

Lisa’s Diary 1: October-December 2010

Lisa’s Diary 2: January-March 2011