The 18th Medical Command (DS) began as the 18th Medical Brigade, activated on 18 August 1967 at Fort Lee, Virginia. On 16 December 1970 it was inactivated at Fort Meade, Maryland.
On 16 August 1984 the unit was redesignated as the 18th Medical Command and activated in the Republic of Korea.
On 15 October 2008, the Command was inactivated on the Korean peninsula and redesignated as the 65th Medical Brigade.
On 16 October 2008, the 18th Medical Deployment Support Command was activated on Fort Shafter, Hawaii as the Theatre Enabling Command for United States Army Pacific.
Decorations include the Meritorious Unit Commendation (Navy) for participation in Korean exercises in 1989.
18th MEDCOM Shoulder Sleeve Insignia.
Description: on a shield, oblong in shape and arched at both sides, 3 inches in height and 2 inches in width, within a 1/8 inch white border a field of blue having a white edged maroon sword throughout the center with point down and entwined about the blade two white zig-zag bands in the form of a figure eight. When viewed, the sword and the bands form the number 18.
Symbolism: The sword is in the color maroon, suggestive of human blood, and symbolic of the medical needs of an army. The zig-zag bands are in pure white to suggest bandaging and the antiseptic requirements of medical practice; by entwining the sword they signify the support provided by the organization.
Distinctive Unit Insignia.
Description: a device of gold color metal and enamel 1 1/8 inches in height consisting of gold sun of eighteen rays bearing in center a maroon Maltese Cross all centered on a gold disc scored with concentric rays and enclosed by a maroon motto scroll bearing the words “Trust, Labor, Courage” in gold letters; over the lower half of the scroll a wreath of gold oak leaves entwined by two white serpents their tails crossed in center, their heads raised at either side facing outward.
Symbolism: The gold sun and maroon cross are symbolic of the support provided by the organization. The Maltese Cross is the symbol of the Knights of Malta, also called the Knights Hospitaler, Knights of St. John and Order of the Hospital of St. John, which grew out of a hospital established in the 11th Century to care for pilgrims in the Holy Land. The eighteen rays of sun allude to the unit’s numerical designation. The serpents are a reference to the Staff of Aesculapius of the Medical Corps insignia and the oak leaf is a symbol of strength.