SPECIALIZED MEDICAL STANDARDS - Key Persons


Dr. Sean Keenan

Job Titles:
  • CEO & Medical Director - SMS
Sean is a Board-certified Emergency Medicine and Emergency Medical Services physician with over 25 years of experience in emergency, prehospital and operational medicine. He was the original coordinator of the Prolonged Field Care Working Group and has served on the board of the Special Operations Medical Association for over 5 years. He works as a consultant for the Joint Trauma System, Defense Health Agency, and the University of Colorado, and as Chief Medical Officer for Ragged Edge Solutions, LLC. He also serves as the Chief Executive Officer for SMS, and Chair of the International Committee for Austere Emergency Care.

Emma Mitchell

Job Titles:
  • Marketing & Communications - SMS
Emma has a background in marketing, customer relationship management, and event planning for non-profits and small businesses. She has been working with SMS since early 2021, and enjoys being part of the effort to bring awareness to this life-saving education.

Paul Loos

Job Titles:
  • Writer & Website Developer - PFCC
Paul Loos is a retired US Army Special Forces Medical Sergeant. He is the Vice President of Special Projects at Ragged Edge Solutions LLC. During his 20 year career he was assigned to 1st Special Forces Command at Fort Bragg, NC as the NCOIC of the Non-Standard Medical Detachment in the Office of Special Warfare where he ran the Special Operations Forces Austere Care Course and the Regional Support Medic Course. Prior to that he was the Chief Instructor for the inaugural Special Forces Medical Sergeant Skills Sustainment Course at the Special Warfare Center and School's Joint Special Operations Medical Training Center. He deployed to Africa multiple times while assigned to 10th Special Forces Group on Operation Detachment Alpha 0211. Before graduating the Special Forces Qualification Course SFC Loos was a 68W Combat Medic with multiple deployments to Iraq as an Infantry and Scout Medic. He is the author of the Joint Trauma System Clinical Practice Guideline (CPG) on Prehospital Documentation in Prolonged Field Care Settings and has also co-authored other Prolonged Field Care CPGs including "TBI Management in PFC." He is a member of the Special Operations Medical Association and is the founder and Editor of the website, www.ProlongedFieldCare.org where he has authored many additional resources for Medics working in austere environments.