Dr. Justine Stremick, MD, MPH&TM, FACEPGreetings, and I hope this message finds you well. As we pause to reflect this coming Veterans Day, we honor and remember those we have lost, while continuing to serve, work, and stand for the ideals that define our nation. Thank you all for your service and dedication—both in uniform and beyond. |
Dr. Jerry Hagler, MDI never expected my path in medicine to look quite like this. I started as a combat medic—young, hungry, and trying to absorb everything I could. Over the years, I became a civilian paramedic, working long shifts in prehospital care while still drilling with my Army Reserve unit. Whether I was managing an airway in the back of an ambulance or leading a trauma lane during a field exercise, I was, and am, constantly balancing two worlds. But those two worlds had more in common than I realized: the unpredictability, the need for calm under pressure, and the ability to lead in the chaos. |
Lt Col (ret) Torree McGowan, MD, FACEPGSACEP commissioned this interview with retired Lt. Gen (Dr.) Paul K. Carlton, Jr. as part of its History of Military Emergency Medicine project. At 69, Dr. Carlton continues to work at Texas A & M University in Bryan, TX. During his distinguished career in the United States Air Force, Dr. Carlton, Jr. served as the 17th Surgeon General of the Air Force (1999-2002). Prior to that assignment, he was the Commander and Director of the Air Force Medical Operations Agency (1999-2002) at Bolling AFB, Washington, D.C. His story and contributions to military emergency medicine starts in 1972 when, at 25, he co-authored a legislative bill and completed his senior project to establish an emergency medical services system while attending medical school at the University of Colorado. |
CPT Mike Ramirez, MDThe ACEP Council—our College’s deliberative body—meets annually for two days alongside the Scientific Assembly to debate and vote on resolutions that shape College policy. Any two members can submit resolutions that may alter the Bylaws, College Manual, or Council Standing Rules. The outcomes of these votes drive ACEP’s policy direction and operational priorities for the year ahead. |
MAJ Sean E. Scott, MD, AEMUS-FPD and LTC Aicha Hull, MD, AEMUS-FPD(Previously published for ACEP's EM Ultrasound Section). Point-of-care ultrasound (POCUS) has led to significant changes to patient care and outcomes in hospital environments and has since spread to pre-hospital and austere environments. Over the past several decades, increased portability of ultrasound has allowed for its use and demonstrated efficacy in numerous resource-limited settings, including low and middle-income countries, the Iraq and Afghanistan wars, and natural disasters. The introduction of handheld devices has further increased the portability and ease of use of POCUS with reliable diagnostic accuracy. The intent of this document is to provide helpful advice to providers who will or are operating in austere environments in training others in POCUS. |
CPT Matthew Turner, MDThroughout the current Russo-Ukrainian War, Russian forces have consistently targeted Ukrainian medical infrastructure. From February 2022 to January 2025 alone, the World Health Organization recorded at least 2,215 attacks on Ukrainian healthcare, including a significant number of attacks on maternity wards and pediatric centers. Ukrainian forces have adapted by embracing hardened, underground facilities, offering a glimpse of the facilities that American forces may require during a future large-scale combat operation (LSCO). |
Michele Byers, CAE, CMP, DES and Ryan Leone, MScRead more to access GSS26 flyers and see the link for our GSACEP Members’ Voice anonymous form to submit your thoughts directly to the leadership team. |
GSEMRA BoardLearn more about joining the GSEMRA WhatsApp and applying for an EMRA Committee Leadership role by November 1! |
CPT Cayla Guerra, MD, USAGSACEP is more than an annual meeting—it’s a year-round community, and our newsletter is your platform. As a national level voice of emergency physicians serving in government and military settings, the GSACEP newsletter highlights our members’ clinical insights, operational experiences, and thought leadership. Interested in getting involved? Keep on reading! |
Thanks for reading and feel free to reach out with any feedback, comments, questions or concerns.
Editors:
- 2LT Ryan Leone - USA - ryan.michael.leone@gmail.com
- CPT Cayla Guerra - MD, USA - cayla1996@gmail.com
- MAJ Justine Stremick, MD, USA, FACEP - jstremic@gmail.com
- MAJ Matthew Mischo, MD, USA - matthew.mischo@gmail.com
- CDR Sean Stuart, DO, USN, FACEP - drstewiedo@gmail.com
GSACEP President: MAJ Justine Stremick, MD, USA, FACEP
GSACEP President Elect: CDR Christine DeForest, DO, USN, FACEP
GSACEP Immediate Past President: CDR Sean Stuart, DO, USN, FACEP
GSACEP Treasurer: Lt Col (ret) Torree McGowan, MD, FACEP
GSACEP Executive Director: Michele Byers, CAE, CMP, DES
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