627HC Units

2nd FST “Scalpel”

Mission: The 2nd Medical Detachment (Forward Surgical) will provide a rapidly deployable resuscitative surgical capability forward in a designated theater of operations in order to conserve the fighting strength.

10th Field Hospital “Mountain Medics”

Mission: On order, 10th Field Hospital (10th FH) prepares for expeditionary deployment in order to provide Role 3 hospitalization, outpatient services, enhanced medical, surgical, laboratory and X-ray capabilities while providing mission command and sustainment support to all FH elements in support of unified land operations.

History

First activated July 6, 1942, at Camp Bowie, Texas, the 10th FH provided medical support in Tunisia, Italy, France and Germany during World War II. The unit was inactivated Nov. 4, 1945, and redesignated as the 10th Evacuation Hospital and later as the 10th Combat Support Hospital (10th CSH) in 1967. On Aug. 16, 1983, the unit became the 10th Mobile Army Surgical Hospital (10th MASH) and realigned under the 4th Infantry Division Aug. 5, 1987. The 10th MASH deployed in support of Operation Desert Storm in 1991 and was redesignated as 10th Combat Support Hospital Dec. 16, 1992. The 10th CSH deployed in support of numerous operations: Operation Joint Forge, Operation Iraqi Freedom (three times), Operation Enduring Freedom and Operation Spartan Shield.

The U.S. Army developed a new field hospital design to increase flexibility for combatant commanders while providing maximum responsiveness for those injured on the battlefield. Scalable, modular and flexible hospitalization units will enable combatant commands to tailor capability to best fit mission requirements. The new modular design is based on lessons learned from more than a decade of combat and will support dual-based operations. Execution of the field hospital design began in fiscal 2015 and was approved by the vice chief of staff of the U.S. Army July 17, 2014. The field hospital design also increases selective surgical and emergency medicine specialties and capabilities; improves essential clinical capabilities without growing personnel requirements; expands early entry trauma capabilities; increases intensive care; and adds computed tomography (CT) scanners and microbiology lab capabilities. The 10th Combat Support Hospital is the first unit to convert under the Force Design Update; in a reflagging ceremony June 16, 2017, 10th Field Hospital was reactivated at Fort Carson, Colorado.

40th Forward Resuscitative Surgical Detachment “Vipers”

Mission: Provide forward damage control resuscitation and damage control surgery in support of unified land operations, either independently or as part of a future unified action partner coalition, for short and extended military health service support operations.

Commander’s Intent: Man, equip and train the 40th Forward Resuscitative Surgical Detachment (FRSD) as the premier medical detachment to provide forward expeditionary surgical services with multi-domain conflict during the range of military operations to include large scale combat.

History

During World War II, the Army activated a total of 103 Portable Surgical Hospitals in various theaters around the world. The first three portable surgical hospitals deployed to the Indian theatre from the U.S. were the 40th, 46th and 48th PSHs. The 40th participated in the China Defense Campaign from July 1942 to May 1945. Following this, the 40th PSH deactivated. In recognition of the increased demand signal for forward surgical care, the 40th reactivated as a Forward Resuscitative Surgical Detachment on Nov. 16, 2020, and held an official assumption of command ceremony for its first commander, Maj. Michael D. April, on April 9, 2021.

84th Medical Detachment

Commander’s Intent: Be fully trained to provide lifesaving medical care to our warfighters. The 84th Medical Detachment is focused on providing realistic training that is mission focused, ensuring our Soldiers are ready to deploy on short notice.

193rd Medical Detachment

Mission: On order, the 193rd Medical Detachment prepares for expeditionary deployment to augment any field hospital with 60 intermediate care ward (ICW) beds in order to provide additional hospitalization and nursing care in support of unified land operations.

Commander’s Intent: To train and develop a ready force able to provide hospitalization in support of large-scale ground operations.

History

The 193rd Medical Detachment was constituted Oct. 7, 1944, in the Army of the United States as the 193rd Medical Service Detachment. On Nov. 22, 1944, the unit was activated in England. On April 10, 1945, the unit was redesignated as the 193rd Medical Ambulance Detachment. The unit was inactivated Jan. 31, 1946, in England.

On Feb. 6, 1953, the unit was redesignated as the 193rd Medical Detachment and allotted to the Regular Army. The unit was activated again March 20, 1953, in Germany and again inactivated Dec. 3, 1954, in France.

On Feb. 1, 1968, the unit was activated at Fort Lewis, Washington, and subsequently inactivated Jan. 31, 1972, in Vietnam. On June 17, 2017, the unit was activated at Fort Carson, Colorado.

221st Medical Team (Optometry) “Hawkeye”

Mission: On order, 221st Medical Team (Optometry) provides world-wide optometry and optical fabrication support in any unified land operations and decisive action in order to minimize the impact of ocular injury and disease and maximize vision readiness.

Commander’s Intent: Be fully trained to rapidly deploy to any theater and establish medical optometry and optical fabrication services. The 221st will support the 4th Infantry Division and Fort Carson by augmenting optometric support for the garrison health care mission, and provide comprehensive vision care through examination, diagnosis and treatment.

History

The 221st Medical Detachment (Optometry) was activated Oct. 17, 2007. The detachment is designed to perform split based operations and therefore can deploy as two, three-person teams. Each team has an optometrist (67F), an optometry technician (68WP3) and an optical fabrication specialist (68H).

In June 2009, the 221st Medical Detachment deployed in support of Operation Iraqi Freedom. The detachment was initially assigned under the 421st Multifunctional Medical Battalion (MMB) and later aligned under the 61st MMB. The detachment provided optometry and optical fabrication support to Multinational Division-North (MND-N) which covered the northern third of Iraq. The detachment conducted split based operations at Contingency Operating Base Speicher and Forward Operating Base Diamondback (Mosul). The detachment provided far forward support to the warfighter by executing several optometry support jump missions to outlying forward operating bases within MND-N. Providing world-class combat optometry operations, the detachment executed 7,759 patient encounters and dispensed 4,677 optical devices during the deployment. The detachment redeployed to Fort Carson May 30, 2010.

418th Medical Logistics Company “Medlog Warriors”

Mission: To provide class 8 activities/operations, medical maintenance services/repairs and optical lens fabrication/repairs for the brigade combat teams and echelons above brigade units, to include augmented support to the Field Hospital.

Commander's Intent: The 418th MLC enables trust, in all facets of medical logistics, amongst all units residing on Fort Carson; and when deployed, across the entire area of operation that the 418th MLC WARRIORS are supporting. Leaders of the 418th MLC, at all levels, are charged with ensuring that all Warriors are Ready, Trained, Cared for, and Empowered.

Commander's Philosophy:

Readiness - If we received orders to deploy tomorrow, are we ready. I expect a high level of commitment in all aspects of personnel and equipment readiness. I expect leaders to anticipate and confirm all requirements are met within their section. Concurrently, I expect all Soldiers (at all levels) to manage their own individual readiness. I will not tolerate delinquency in individual readiness because a Solider was not told to meet their own requirements.
Training - We will train hard and to standard. I expect leaders to fully understand their strengths and weakness within their respective METL’s in order to develop training schedules that maximize time and resources. I expect all Soldiers to have the courage to ask questions when they do not fully understand a subject or task. We will live by the following motto: Don’t train to get it right, train until you cannot get it wrong!
Care - Taking care of Soldiers is a balance that must be constantly managed. Babying Soldiers is not taking care of them. You will train your Soldiers hard and enforce correct techniques. Leaders must prepare their Soldiers for the worst, being able to perform services or supply management in an office setting is different from being under high stress. Always pursue realistic training. Conversely, Leaders must be able to recognize tracer burnout and when training is no longer having an impact.
Empowerment - Organizations are successful when they work as a team to meet a clearly understood end-state. All Leaders will explain the purpose and end-state prior to all operations. Leaders will then empower their Soldiers by not giving them the “how-to guide” to carry out operations. Soldiers will use innovation, intellect, and ingenuity to meet their leader’s desired end state. It is okay to fail during training events, it is the only way to learn and develop. When we do fail, do not make the same mistake again. Give subordinates more leadership responsibility and grow your section from within.

534th Medical Detachment

Mission: On order, the 534th Medical Detachment provides surgical, intensive care, microbiology, psychiatric/mental health, public health, physical therapy and casting services in support of the 32-bed field hospital.

Commander's Intent: Maintain sustained readiness and individual Soldier competency in order to provide world class health care to U.S. and allied forces in a constantly changing, dynamic deployed environment in support of large-scale combat operations.

History

Constituted Dec. 6, 1944, in the Army of the United States as the 878th Medical Supply Detachment. The unit was activated Dec. 15, 1944, at Camp Barkeley, Texas; inactivated Jan. 15, 1945, in the Northern Marianas; redesignated Nov. 15, 1950, as the 534th Medical Supply Detachment; and activated Dec. 15, 1950, at Fort Bragg, North Carolina. The unit was reorganized and redesignated Jan. 1, 1953, as the 534th Medical Detachment and allotted to the Regular Army. It was inactivated Feb. 14, 1955, at Fort Sam Houston, Texas; activated Nov. 1, 1966, at Fort Sill, Oklahoma; and inactivated Nov. 28, 1971 in Vietnam. The unit was activated Oct. 16, 2004, at Fort Hood, Texas, and inactivated Oct. 15, 2007, at Fort Hood, Texas. It was once again activated June 17, 2017, at Fort Carson, Colorado.