consists of 3 weeks that is split between Fort Sam Houston, TX and Camp Bullis, TX. The first ERST Team was rapidly integrated and deployed in May 2016 as ERST 1. The training conducted to prepare the clinicians chosen for ERST is austere, arduous, and stressful. Often, clinicians must do complex procedures and care for patients in these training environments for prolonged periods of time, and with limited resources. ERST is also trained on operational decision making and planning to better posture them for the Special Operation Forces (SOF) environment. The members of the team are selected by their respective military occupational specialty's (MOS) consultant to the surgeon general. The consultant for the MOS then sends the candidate's name to The Surgeon General (TSG) for final approval. Selected members must be physically fit, subject matter experts in their fields, and ready to serve in a highly demanding position. An ERST Consists of elite 8 members. One Certified Nurse Anesthetist (CRNA), One General Surgeon, One Orthopaedic Physician Assistant (PA), One Emergency Department Physician, One Critical Care Intensivist, One Surgical Technician, One Emergency Department Critical Care RN, and one Intensive Care/Critical Care RN. These members have also usually served on prior deployments within their medical capacity. The team can be broken into three sub-units; Damage Control Resuscitation (DCR Team), Damage Control Surgery (DCS Team), and Critical Care Evacuation Team (CCET). The DCR Team is composed of the ED Physician and ER RN. The DCR Team consists of the General Surgeon, Ortho PA, CRNA, and the Surgical Technician. CCET Team includes the Intensivist and ICU Critical Care RN. ERST's mission is to deploy far forward with SOF units, decreasing the time between point of injury (POI) to surgical care in austere environments while also being as light and mobile as possible. At this time, ERST has only served in Africa Command's area of responsibility (AOR). Currently, there are only six ERST Teams in existence. With the deactivation of Medical Command (MEDCOM), the ERST Mission will be assumed by another organization within the Army as Defense Health Agency (DHA) continues to gain control over all TDA medical facilities in the Army, Air Force, and Navy. History As the post–Cold War Army shrank, the U.S. Army's Health Services Command (HSC) decided to change the way it did business and operate more like a corporation. In 1992, HSC launched "Gateway To Care", a businesslike approach to