The 18th Medical Command Shoulder Sleeve Insignia (unit patch) was originally designated for the 18th Medical Brigade, which was activated on 18 August 1967 at Fort Lee (Fort Lee was renamed Fort Gregg-Adams in the Spring of 2023). Inactivated in 1970, the unit was redesignated as the 18th Medical Command on 16 August 1984 and activated in the Republic of Korea. Two dozen years would go by before the Command was inactivated and redesignated as the 65th Medical Brigade on 15 October 2008; the following day, the 18th Medical Deployment Support Command was activated on Fort Shafter, Hawaii and designated as the Theater Enabling Command for U.S. Army Pacific. In all, the “Pacific Knights” of the 18th Medical Command total less than 200 personnel.
On an arced rectangle, a point-down maroon sword suggests the color of blood and the necessity of treating injuries in a military medical environment. Around the sword are zig-zag bands of white that allude to bandaging of wounds while simultaneously forming the figure “8” which forms the numerical designation of the Command when combined with the sword.
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