mcwp 4 11.1 ch 1, 2 and 4
TRANSCRIPT
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MCWP 4-11.1 chapter 1, 2 and 4
Health Service Support OperationsHM3 Zachery Tyler
Physical Therapy TechNaval Hospital Camp Pendleton
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Chapter 1 Fundamentals
● Health Service Support (HSS) is the employment of medical forces in support of the warfighter
● Mission: Minimize effects that wounds, injuries, and diesease have on unit effectiveness, readiness, and morale
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A Healthy and Fit Force
● HSS supports wellness and quality of life in order to strengthen the human component of military forces
● Utilize all available medical specialties to ensure a healthy and fit force
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Threat to the Force
● HSS Focuses on two forms of threat:
● The Enemy – Combat Casualties
- Depends on enemy’s intent and capability to cause causalties
● The Individuals Health – Diesease and Nonbattle Injuries (DNBI)
- Depend on environmental, physiological, and operational factors
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Casualty Care Management
● The HSS deploys small, mobile and task-organized capabilities to provide care throughout the continuum of healthcare.
1. Policy and Resource Acquisition2. Prevention and Protection3. First Responder4. Forward Resuscitative Care5. Theater Hospitalization6. Definitive Care7. En Route Care
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Functional Areas
● Medical plans must address the following funcitons
when developing the HSS concept of operations:
- Casualty Management from point of injury, triage, treatment, and transport to next taxonomy outside of Marine Corps capabilities.
- Force health protection and prevention – Prev Med
- Medical Logistics organize and provide specialized products and services
- Medical Command and Control (C2) integrates with tactical commanders to provide medical support to current and future operations
- Medical Stability Operations
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Chapter 2 Intelligence
• Medical intelligence from all sources, internal and external to the Marine Air-Ground Task Force (MAGTF) gives the commander a complete picture of medical threats.
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Internal Medical Intelligence Sources
Preventitive Medicine
● Most PVNTMED assets are organic to MEF, H&S Company, Med Batallion, CLR and MLG.
● PVNTMED activities include identifying environmental risks, assessing living conditions, water quality and supply, waste disposal, food safety and sanitation, entomology issues and hearing conservation.
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Internal Medical Intelligence Sources
Local Command Intelligence
● Additional medical intelligence may be requested through the intelligence staff officer sections of the command element, ground combat element, aviation combat element and MLG.
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Health Service Support Element
● HSSE within the MLG is typically first to receive intelligence from on-site care providers.
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National Center for Medical Intelligence
● Sole producer of finished medical intelligence for the DoD and provide intelligence on:
o World Wide Infectious Disease and environmental health risks
o Foreign military and civilian health care systems and infrastructure
o Developments in biotechnology and biomedical subjects
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Chapter 4 Logistics
● HSS Logistics encompasses procurement, initial issue, management, resupply, and disposition of material required to support medical and dental elements organic to MARFOR
● Guidance for procuring class VIII materials (blood products) can be found on DoD Instruction 6480.4 Armed Services Blood Program (ASBP) Operational Procedures.
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Logistics
● The following information is critical for the medical planner to develop and plan for appropriate Class VIII support:
- Concept of Operation/Scheme of Maneuver
- Combat Intensity- Duration of Operation- Casualty Estimates
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Allowance and Source of Logistics
• The MAGTF surgeon advises the MAGTF commander regarding medical and dental material support
• Allocation of material is documented in the table of equipment (T/E); the AMALs/ADALs; and the normal replenishment supply support
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Allowance and Source of Logistics
● The total T/E and AMALs/ ADALs are designed to support:
- MEF for 60 days- Marine Expeditionary Brigade for 30 days- Maritime Prepositioning Force for 30 days- MEU for 15 days
● The authorizing commander is responsible for funding AMALs/ ADALs above the level prescribed by MCO 6700.5
Medical and Dental Support (class VIII) Material Support of the Marine Operational Forces
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Table of Equipment (T/E)
● A unit's T/E includes items necessary for basic support of the organization
o Tentageo Vehicleso Toolso Communications equipmento Nuclear, biological, and chemical (NBC) gearo Specialized clothing. o Office equipment
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AMALS/ADALS
● AMALs and ADALs are specialized equipment and supply assemblages for medical and dental elements to provide combat HSS:
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Normal Replenishment Supply Support
● For first 60 days of operation additional supplies are maintained by the LCE combat detachment
● For operations longer than 60 days resupply provided by the theater lead agent for material management (TLAMM)/Single Integrated Medical Logistics Manager (SIMLM)
● TLAMM/SIMLM provide supplies, equipment repair, blood management and optical fabrication for all branches
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Normal Replenishment Supply Support
● HSS logistics is normally a service responsibility
● SIMLM provides central logistics support in Joint environment
● TLAMM is designated by SIMLM to accomplish the mission of replenishment
● The Army was tasked by DoD to perform TLAMM/SIMLM missions as they are the dominant user
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Individual HSS Equipment
● HMs assigned to combat support units are provided a Corpsman Assault Pack (CAP) as part of their field gear
● HM’s parent unit supply section is responsible for ensuring equipment is in good condition and medications are not expired
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Routine Resupply
● HSS personnel request for resupply → unit supply section → supported activities supply system management unit or LCE if deployed → LCE orders, receives, and distributes
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Combat Resupply
● HSS planners determine the number and type of AMALs/ADALs required to support the assault phase of the operation
● Once these are expended requests go through LCE
● Class VIII materials are provided by designated SIMLM provider once stockpiles are expended
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Patient Movement Items
● Medical equipment to support patient during evacuation
● Originating MTF provides PMI
● PMI remains with patient from originating MTF to destination MTF
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Disposal of Materials
● Must be accomplished with US forces and civilian safety in mind
● Must comply with local and international guidelines
● When in US coordinate with Defense Reutilization Marketing Office
● When overseas coordinate with Defense Reutilization Marketing Office or LCE
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Disposal of Materials
• During combat operations, the safest method of field disposal is burning, followed by deep burial (over 6 feet)
• The burial site must be located at a safe distance from watersheds and populated areas.
• Responsibility for neutralization and disposal of clothing, equipment, and dressings removed during NBC decontamination processes resides with the command's NBC officer
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Disposal of Materials
• Disposal of body parts, tissues, and Class VIII blood and blood products accomplished in the same manner as used by local medical facilities.
• Alternative disposal by burning or deep burial requires prior authorization and specific guidance of higher authority
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Protection of Medical Supplies
• Medical material and supplies are protected under the law of land Warfare and the Geneva Conventions.
• When medical material and supplies are mixed with combat supplies, they lose the protection afforded by these covenants.
• Marking medical supplies with red cross is up to area commander.
• Destruction of medical material and supplies is prohibited. They must be abandoned in a retrograde movement occasioned by enemy action or other tactical considerations.
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QUESTIONS• What is the mission of Health Service Support
Operations?• Minimize effects that wounds, injuries, and diesease have
on unit effectiveness, readiness, and morale
• What are the two forms of threat in a theater?• The Enemy and The Individual’s Health
• What is the purpose of medical intelligence?• Gives Area Commander a complete picture of medical
threats
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QUESTIONS• What functions must Medical plans address when
developing the HSS concept of operations?
- Force health protection and prevention- Medical Logistics- Medical Command and Control (C2)- Medical Stability Operations
• What kind of intelligence does Prev Med provide?
• Identifying environmental risks, assessing living conditions, water quality and supply, waste disposal, food safety and sanitation, entomology issues and hearing conservation
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QUESTIONS• Who is typically first to receive intelligence from on-site
care providers?
• HSSE within the MLG
• Guidance for procuring class VIII materials (blood products) can be found on what instruction?
• DoD Instruction 6480.4 Armed Services Blood Program (ASBP) Operational Procedures
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QUESTIONS• What information is critical for the medical planner to
develop and plan for appropriate Class VIII support?
- Concept of Operation/Scheme of Maneuver- Combat Intensity- Duration of Operation- Casualty Estimates
• Who advises the MAGTF commander regarding medical and dental material support?
- MAGTF Surgeon
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QUESTIONS• What does a unit's T/E include?• Items necessary for basic support of the organization
• What are AMALs/ADALs?• Specialized equipment and supply assemblages for
medical and dental elements to provide combat HSS
• What is the safest method of field disposal for class VIII material?
• Burning, followed by deep burial (over 6 feet)