>> this week on " defense news," the role of the national guard at home, and medics. welcome to "defense news." interacting more than he was -- with u.s. citizens more than any other force. i sat down with lieutenant general timothy two ask him to speak about the guard. >> the army national guard is a dual message -- mason -- mission force. those skill sets, we take them into the homeland, and what makes us responsive. it gives the general the

respond to whatever the emergency is or the governor determines is required. >> we have seen situations in baltimore, in north carolina, where the army national guard has been called in for support, basically. is the training different domestically and homeland security situations versus wartime? >> we do training related t disturbance, crowd control training for certain units, and then some domestic response exercises. it is hard to predict what emergencies will come up in any of the states, but we try to set them with conditions to be balanced, so they have the capability to respond to just about anything when called on by the government. >> by the same token,

a few natural disasters, whether it is global warming related -- have you seen an increase in the need to respond to the situations in recent years? >> it has pretty much stayed evening. most emergencies are not even read about at the national level. i think the number we track right now is about 95% of all emergencies never leave the state. state and local authorities take care of year in active duty. >> that has been consistent. >> every now and then there is a blip like katrina, but in general, consistent. there are always tornadoes -- natural disasters are part of

i asked about the prior -- is training different, or consistent in that case? >> i talked about exercises we do, domestic response exercises to help us understand how to work with local authorities and make sure systems are compatible. it helps to train local authorities about what to expect , so a little bit. but most of the training is based on four-fighting missions. >> it is interesting. from what i have seen, there has been an embrace of the army national guard at the domestic level because of those challenging situations. do you feel that, someone involved? what kind of response to you have? >> the army national guard has always been connected to our communities. soldiers come from those local communities.

in many states the face of our army. we have always been there, always ready. so, i think the way we interact with communities, because we are in those communities is a great value to us. >> the big topic of conversation is guard 4.0. can you speak about what that is in the latest opportunity there? >> i would love to. gu explaining the evolution of an -- of the army national guard from the beginning of the abrams doctrine to where we are today. there has been evolution as you think about the one -- strategic reserve breaking case of cord -- cold war through deployments to

army national guard leaving to keep certain sets ready to go. >> there is some talk of increasing training of the national guard. i know that is a big priority for the army. the national guard -- can you talk to me a little bit about that? >> yes. we were asked a year or so ago to take a look at what is right for this time period. was 39 days right for training and army reserve, army guard of the 21st century, and when you think back to where 39 days came from, it came from the militia act of 1950 -- 1905, give or take. is that still correct we think generally it is in the sweet spot. there are certain sets of capacity and capability we will need to have ready sooner, so in

ask some to move to a ask some to move to a rotation. >> when they rotation. it was happening so fast. somehow it felt like everything was moving in slow motion. if i didn't react, things could have gotten messy in a hurry. i mean just got that sweet ride with a great rate from navy federal. i was not about to let anything happen to her. just looking out for my wingman. he's still in training. open to the armed forces, the dod and their families.

jill: when evacuating a war-torn location, military medics need to perform a range of functions, and the lieutenant deputy commander of the evacuation department spoke to valerie and senator. >> we are responsible for the movement of department of defense assets, combat troops. stuff like that. we do have part of the commission -- we evacuate troops out of the combat zone. starting back with the anon, 24%

of those who did would die of their wounds. these days, we have gone a lot quicker. typical patients can be injured in combat zone and moved back to a large medical set in the united states within two hours. valerie: can you talk about the change from single-mission aircraft to multi-mission aircraft has affected that? >> at one time we aircraft. we decided that was not an efficient use of aircraft, and we use multi-mission aircraft that can perform multiple missions. the sea-17 and kc 135 -- they will go into a combat zone, off land -- offload troops, and provide medical evaluation. we might fly into a combat zone

weapons. we are using it on the inbound and outbound leg. valerie: how long does it take to configure an airplane like that? crexendo depends on the mission. the goal is to keep the airplane on the ground for no more than 30 minutes at the time. after we landed, we were quickly to get the aircraft cargo and passengers off, and reconfigure. typical, we will load the patients. valerie: you mentioned the survival rate, and how that has improved over the course of the last 30 or so years since the end. when it comes to afghanistan, and the war there, how did some of the changes that took place there -- how did that contribute to that increase? >> the survival rate is much better.

we have far better body armor and protected -- protection. they are surviving better from initial blast. a system used in the civil war that has been long forgotten is now back -- we learned one of the -- the use of a tourniquet that is very old saves lives. we are able to get patients to damage and control sur system in the air vac system, we are able to move patients quickly. valerie: how far forward is surgical care question >> it can be five minutes from a data from -- care? >> it can be five minutes from a battlefield. if not, medevac systems will be off the ground within 15 minutes, and we will have

in a command post during the earthquake in haiti when a lot of people under your command had to go out and evacuate civilians that needed help. could you talk a little bit about your experiences, what you heard about, what your crew saw their? price sure. it was a unique response. i was head of the action tape it we had crews support of the mission. we launched cruise to fly down and pick up those that have been seen and treated. the first crew coming in expected to take up to seven patients. included in that were several critical neonatal babies that had just been born. valerie: how do they respond?

missions, different patients anywhere from pediatric to geriatric. valerie: one last question -- with all of the knowledge the air force has gained, with the expenses in the iraq war, haiti -- how do you make sure that the lessons learned are not lost? >> that is one of the biggest concerns. we went into the world with a greater died of wound rate than we had today. the knowledge. the biggest project is the wounded warrior. our training, we focus on training -- how do we keep these things, ensure new members get the same training expenses up to combat, and that is through the use of training devices, training centers, missions. valerie: do you have any thoughts on how those systems are changing in order to enable

to cape that level of expertise? >> absolutely. it is so much more advanced. we have advanced technology that allows us to simulate multiple diseases, injuries. we do not want to do experience by chance. we want to guarantee each group member will get a chance to see

jill: welcome back to "defense procedures require a certain template. the lieutenant offered valerie a look at the simulation system that offers a taste of what to expect. >> the primary care is the air medical readiness situation, taking a live aircraft. they fly a training mission while we are at altitude.

we are limited to training time and weather. valerie: so, they deliver the system we are sitting in this year. i was wondering if you could explain the training system and the key figures. >> it allows configuration for multiple roles and we have simulators loaded on board the consumer that multiple injuries emergencies, door warnings, or rapid decompression of -- or lost of pressurization. valerie: what kind of missions can be simulated? >> anywhere from a humanitarian response missing -- mission to a full combat response mission. the patient, again, can be situated to be a military

humanitarian or disaster response wounds. valerie: in the coming months, the system is going to become movable. so that crews can simulate takeoff and landing. why is that so important, to have a system that is moving, and is giving those sorts of responses? >> we are looking for simulation in an immersive environment. we know the better the training if we can simulate the environment they would feel and experience in-flight, they would remember that. in the back of the aircraft, we cannot see when we are approaching an error for -- aircraft. we have to go on what we can feel. valerie: could you talk about the mannequins used during the training process? >> we had multiple that we use on the aircraft.

-- with him. we can also then use him in the simulator. he has high fidelity physiology inside of him, so when we use him, the crew can check, and he will receive pulses. he blinks. his eyes respond to light, just like yours do. he sweats, bleeds, talks -- allows the crew member to have a patient we can set to any of this we need. training has started recently. i think this month you said. >> we started this past month. we will be fully ready for training in the next six months. we have been bringing crews in here, routinely training them. sofa, the expense has been positive. they realize their skills they can practice here they do not get a chance to do in our formal training method, which we still

do the invasive skills we could not do. the mannequins do not complain. valerie: so, what sort of throughput do you anticipate once this is fully capable? >> we plan on having the unit operating 5, 6 days a week. we should bring two cruise through a day, so we should be able to bring in upwards of 2000 crewmembers a year. valerie: are similar simulators. are the place to get other trainers and installations? >> we are always looking at other options. the hope is to establish regional training centers where crewmembers will be able to go close to their region and at the training to return to the home station. valerie: any idea when that might happen? >> at this time, i don't know.

-17 trainers, will there be any difference between those simulators and what we see here? >> very are not major differences. they were all designed to be reconfigurable. the biggest difference is how they appear on the inside. they will have motion platforms. they'll have smoke generators, high-fidelity patient simulators, the embedded camera. they will receive the same type of training divide between some of the training you see here on the ground and systems like this, and what crews will do in the air? >> we still do in-flight training. it cannot be simulated on the ground. the biggest divide and difference is the crew's ability to practice certain skills. in-foot, i cannot fill the cabin

drill, there is no smoke. they can only take it so far. it is difficult to understand what is going on to protect yourself and your patience. valerie: what are the challenges to make sure this sort of training is immersive? >> the biggest challenge is a suspension of disbelief. when crewmembers walk in, we want them to know you can take the simulation so far. you may be on a boxing anger, but th him. can you describe --valerie: can you describe what happened in the training simulation we saw earlier? >> a little bit of an emergency procedure -- a patient who was a wounded warrior with a cardiac respiratory problem. the patient went down. the crew began treating him for advanced life support. while it does not happen often, it is a high-end risk low frequency event.

training in this environment with the smoke, vibration -- why is that so important as opposed to training inside of a classroom? >> it is important. i can have a high fidelity patient in a classroom, but it is not until i take you into the environment of care where you can simulate the stresses of life. vibration is a critical element. it causes pain, increased injury. it is one of the things we consider. environment, make it immersive, and include the stress of the flight in the environment where the patient is actually existing, the cruise became better and understand better. jill: in this week's money minute, personal finance expert jeanette mack explains how technology could make life easier. jeanette: the military uses some of the most high-tech equipment to do the job. you have tested technology to help plan and execute missions.

it has made managing money faster and easier than ever. expertly designed apps are available for use and highly recommended. if you are manually balancing your checkbook out of a habit, or lack of trust, you can rest assured mobile and online banking can save you time and hassle while being secured to use. you can also make deposits from your account that could save you a check to the branch, not to mention gas money. why you payments from your bank account so you can save stamps, paper, and the environment. manage everything from your electric bill to your loans. it can help you do everything from tracking your spending, creating savings goals, and more. throughout your curriculum advancements in technology how to be more successful. banking tech is the same way. find out what tools your financial institution has to help you be more successful.

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jill: the pentagon force protection agency and first responders have been mass casualty exercise. the exercise was designed to to have the preparedness and interoperability of emergency response teams in cases of accidents and attacks on the pentagon. >> we are the largest, we are the center of american military power, command and control. we are right in the middle of an urban area, surrounded on all sides by major roadways. so, our -- what we do here is needed to protect the workforce, and allow the missions of the pentagon to continue.

all of our partners are engaged because we know the pentagon is a target. we keep hearing the bad guys tell us i want to strike the white house, the capital, and the pentagon. so, we have to be ready for a multitude of different things. we see the adversaries change their tactics. from paris, where it was multiple, complex attacks, to nice, wher in a big crowd, and those sorts of things. so, we are constantly trying to evaluate what we are doing with partners, making sure we refine our plans and make sure procedures of the best they can be. what we had was a helicopter coming in for a landing that experience a catastrophic failure and crashed on the pentagon. while it was crashing, it jettisoned fuel tanks, which

caught fire. there were several medical casualties at the aircraft. immediately upon crashing, the tower, the pentagon tower would initiate a crash alert that goes to a host of individuals to get response agencies rolling. the first on scene where the joint base crashed truck, and their job is to get the fire pulled the pentagon force protection agency would immediately respond to this location. clearly, we are not firefighters. we will establish incident command. quickly after we get here, our clinic medics, response teams, will the unseen, working with a crash truck, waiting till it is safe. medical people will be dispatched to try to deal with any casualties at the scene.

medical services to arrive. we work with them every day. they would get here, form a unified command, and we would deal with responding to the fire, rescuing anyone in the helicopter and casualties other. >> pentagon force protection agency assumes command and control. the fire department has that piece of the fire and rescue, and all of it lines up into the incident command system and the national system, a national framework which all responders and first responders build into. you can see that behind me where you have leadership coming together, doing command and control. that is something we practice and exercise. that is at the heart of any exercises and the key to success and appropriate response. >> i have learned the complexity and how deep everything works here at the pentagon -- how many

working together in a mess situation like this, -- mass situation like this where something as small as a helicopter crash could lead to many other things. the response is pretty impressive. >> today's exercise reinforced the fact that these are absolutely critical and valuable to everybody that has a responsibility to respond on the reservation. we have plans. we have procedures, and each of us practice those separately in many cases, but it is things like this -- exercises like this -- full-scale exercises where we all get together and see how the plans mesh up, and try to see how they can be improved, selling case this really happens, we are not stumbling on anything. jill: that is all this week on "defense news."

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[music] >> dr. charles stanley: in every circumstance, i can give thanks for what? that he's my savior, my lord, my master, my god. lord, i don't understand why you allowed this to happen, but in the midst of this, i'm going to give you thanks because i know that you'll help me to survive. you'll help me to be able to bear the pain; to get through the sorrow and the heartache and the loss and all the adversity i feel in my heart. i'm going to thank you that you'll be with me in it. >> male announcer: next on "in touch," "thanksgiving in the midst of adversity." >> announcer: join us during the program and follow along with