JP 4-02 Health Service Support - DMRTI - Defense Medical ...

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• Covers Health Service Support EXECUTIVE SUMMARY COMMANDER’S OVERVIEW • Discusses the Organization of the Joint Task Force Surgeon’s Office • Describes Health Service Support Planning • Covers Health Service Support Operational Considerations Health Service Support Health service support (HSS) sustains the mental and physical well-being of people in order to enhance performance in the accomplishment of a military mission. Purpose Health service support (HSS) is related to three joint functions: sustainment, movement and maneuver, and protection. HSS promotes, improves, conserves, or restores health within a military system. HSS capabilities are employed across the range of military operations and include the ability to organize, train, and equip preceding deployment and enable the employment of physically fit personnel HSS. These capabilities span the operational environment from point of injury/illness to the appropriate capability of care. The purpose of HSS is to maintain the individual and group health needed to accomplish a military mission. The intent is to effectively and efficiently use medical capabilities and individual healthful practices to prevent and/or correct any human condition that would impair or preclude the joint force from achieving its objectives. Joint Functions and Health Service Support Capabilities Sustainment, protection, and movement and maneuver. Foremost is the role of HSS in sustainment: the provision of medical support required to maintain health during prolonged operations until successful accomplishment of the joint force objectives. HSS protection involves those measures taken to prevent hazards — natural environmental, occupational, or enemy-induced — from having an adverse effect on personnel. Finally, movement and maneuver for HSS includes the planning, routing, scheduling, and control of patients and attendant medical support over lines of communications and during operations. ix
Executive Summary Care Capabilities Within the three joint functions, HSS offers seven distinctive and overlapping care capabilities that enhance performance in a military force. Policy and Resource Acquisition Capability. All HSS capabilities are dependent on sound policy and sufficient resource acquisition. Prevention and Protection Capability. HSS can support the warfighter by applying prevention and protection capabilities. These capabilities are both wide-ranging and diverse and match the complexity of human health needs. These capabilities are focused on the individual, while others are directed at the family, organization, or force. First Responder Capability. The health care capability that provides immediate medical care and stabilization to the patient in preparation for evacuation to the next HSS capability in the continuum of care. Forward Resuscitative Care Capability. Forward resuscitative capability is characterized by the capacity to perform advanced emergency medical treatment as close to the point of injury as possible, to attain stabilization of the patient, and to achieve the most efficient use of life-andlimb saving medical treatment. Theater Hospitalization Capability. The theater hospitalization capability offers essential care to either return the patient to duty (within the theater patient movement (PM) policy) and/or stabilization to ensure the patient can tolerate evacuation to a definitive care facility outside the theater. Definitive Care Capability. Definitive care capability is rendered to conclusively manage a patient’s condition and is usually delivered from or at facilities in the homeland, but may be delivered in facilities outside the homeland. For the Service member this care capability normally leads to rehabilitation, return to duty, or discharge from the armed forces. En Route Care Capability. The purpose of an en route capability is the continuation of care during movement (evacuation) within the HSS continuum of care without clinically compromising the patient’s condition. x JP 4-02
Page 1 and 2: Joint Publication 4-02 Health Servi
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Page 7 and 8: Table of Contents • Special Opera
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Page 13 and 14: Executive Summary Patient Movement.
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Page 31 and 32: Chapter II TYPICAL JOINT TASK FORCE
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Page 35 and 36: Chapter II (14) Evaluate and charac
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Page 57 and 58: Chapter II humanitarian and civic a
Page 59 and 60: Chapter II SAMPLE JOINT TASK FORCE
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Chapter II c. In coordination with
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Chapter II (c) Staffing of the JMOC
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Chapter II COA development), JTF OP
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Chapter II in the selection of bed-
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Chapter II Intentionally Blank II-4
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Chapter III HEALTH SERVICE SUPPORT
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Chapter III 1. Standardization. 2.
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Chapter III (7) Prevention of Stres
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Chapter III 1. A healthy and fit fo
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Chapter III with language and regio
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Chapter III medical planners should
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Chapter III medical risks and plann
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Chapter III (3) IAW SecDef policy a
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Chapter III n. Have the numbers, ty
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Chapter III Intentionally Blank III
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Chapter IV (2) DOD components shall
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Chapter IV by these groups, especia
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Chapter IV When tarmacs are availab
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Chapter IV HN medical infrastructur
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Chapter IV joint medical planners s
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Chapter IV CHALLENGES OF PATIENT MO
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Chapter IV HEALTH SERVICE SUPPORT C
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Chapter IV (b) Role 2 — National
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Chapter IV (11) Education on preven
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Chapter IV of US forces until their
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Chapter IV (6) Ensuring that plans
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Chapter IV Decontamination team mov
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Chapter IV g. In a MASCAL situation
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Chapter IV c. Theater medical prepa
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Chapter IV US forces provide emerge
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Appendix A PATIENT MOVEMENT 1. Intr
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Appendix A (3) Joint Patient Moveme
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Appendix A PATIENT MOVEMENT PLANNIN
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Appendix A (4) First Responder/FRC
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Appendix A emergencies. National Gu
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Appendix A h. Patient Movement Item
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Appendix A c. Unstable. A patient w
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Appendix A (2) PMR. j. TRAC2ES prov
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Annex A to Appendix A Field and AE
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Annex A to Appendix A 3. Aeromedica
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Annex A to Appendix A search and re
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Annex A to Appendix A the TACC/AMOC
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Annex A to Appendix A h. Communicat
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Annex B to Appendix A 3. Patient Mo
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B-2 NOMENCLATURE SERVICE COMPONENT
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Appendix B the PMRC, the AECT coord
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Appendix B 5. Force Packages a. Whe
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Appendix B b. KC-135 Tanker. Tanker
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Appendix B UPHOLD DEMOCRACY. On 12
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Appendix B requirements. (d) Rapid
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Appendix B d. Medical Evacuation Re
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Appendix B DESCRIPTION OF MEDICAL E
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Appendix B MEDICAL EVACUATION/AFTER
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Appendix B MEDICAL EVACUATION/AFTER
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Appendix C ORGANIZATION FOR HEALTH
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Appendix C (a) First responder and
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Appendix C appropriately equipped,
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Appendix C (1) An Army MLMC is an A
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Appendix C quantities of medical ma
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Appendix C g. Support to Redeployme
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Appendix C assets. The local purcha
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Appendix C (7) Customs Clearance. C
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Appendix C (1) Pre-positioned unit
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Appendix C planners must understand
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Appendix C Provisions may also have
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Appendix C (2) Serviceable and unse
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D-2 SUPPORTING BASE ARMED SERVICES
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Appendix D (a) Coordinates blood re
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Appendix D (8) A BSU can usually su
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D-8 TREATMENT LEVEL BLOOD BANK PROD
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Appendix D be added to blood requir
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Appendix D (a) Blood typing system
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Appendix D BLOOD REPORT *** UNCLASS
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Appendix D Intentionally Blank D-16
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Appendix E (7) Medical risks and ef
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Appendix E g. Still other sources o
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Appendix F b. Deployment health sur
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Appendix F (4) Personal protection
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Appendix F developing mishap preven
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Appendix F maximizing combat capabi
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Appendix F the recommended counterm
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Appendix G (5) Identify applicable
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Appendix G h. Patient Administratio
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Appendix G (c) GPMRC. (d) Local aut
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Appendix H (1) MEDEVAC assets subje
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Appendix H c. Adversary Wounded and
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Appendix H b. Protection. There are
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Appendix H may, however, place cond
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Appendix H for the use made of the
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Appendix H (a) Medical personnel ma
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Appendix H Intentionally Blank H-14
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Appendix J a. Medical Stabilization
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Appendix J (b) An inherent, and cri
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Appendix J a. Medical Triage and Ev
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Appendix K (c) Can HSS resources be
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Appendix K (a) What is their medica
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Appendix K (4) Will they be provide
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Appendix K (f) What is the MEDEVAC
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Appendix K (1) Will troops be bille
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Appendix K 10. Health Service Suppo
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Appendix K (1) Will communications
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Appendix K (1) What is the MWD popu
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Appendix K fulfilled (13) Have all
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Appendix K (2) Have local cultural
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Appendix K (2) Are major operations
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Appendix K (6) Is there a threat fr
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Appendix K f. How will wastewater d
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Appendix K (1) Does it include medi
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Appendix K 20. Health Service Logis
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Appendix K (1) Will food be procure
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Appendix K (8) If the decision is m
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Appendix K (3) Will action be unila
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Appendix K 24. Crisis Action Planni
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Appendix K k. Coordinate involvemen
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Appendix K (3) Does OPORD provide F
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Appendix K (4) Ensure orders correc
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Appendix K (3) Objective 3: _______
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Appendix K (b) Internally Displaced
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Appendix K (11) Prevalence of sexua
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Appendix K (b) Diarrhea. (c) Choler
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Appendix K (9) List local utility c
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Appendix K (28) What type of insect
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Appendix K 2. Location: ___________
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Appendix K (4) What services are pr
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Appendix K (4) How do military and
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Appendix K (6) Hospital phone/facsi
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Appendix K (26) Disaster preparedne
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Appendix K (17) List voltage, cycle
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Appendix K p. Supplies/Materiel. (1
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Appendix K (d) Dialysis equipment:
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Appendix K (7) Does the host base o
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Appendix K Intentionally Blank K-76
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Appendix L (6) MAT combines user-ge
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Appendix L at the corps, division,
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Appendix L The GTN’s current conf
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Appendix M i. DODD 6490.2, Comprehe
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Appendix M d. FM 4-02.7, NTTP 4-02.
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Appendix M jj. USACHPPM Technical G
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Appendix M Intentionally Blank M-8
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Appendix N c. Record of Changes: CH
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Appendix N Intentionally Blank N-4
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Glossary AR ASBP ASBPO ASD(HA) ASF
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Glossary EAST EHO EMF EMS EPW ESO E
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Glossary LERSM LNO LOAC LOC LOX MA
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Glossary TACC TAES TAMMIS TBTC TCAM
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PART II — TERMS AND DEFINITIONS a
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Glossary at all levels of war that
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Glossary essential care. Medical tr
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Glossary limited to, the management
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Glossary Also called JFS. (This ter
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Glossary performance. (This term an
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Glossary preventive medicine. The a
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Glossary subordinate unified comman
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Glossary very seriously ill or inju
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