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

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Health Service Support facilities, and information and the organizational enabling capacity to deliver HSS. All seven care capabilities are requisite to sustained health and are mutually supportive to that purpose. Each capability, however, has unique attributes that can be identified, improved, and applied to attain the desired well-being of the joint force. 4. Policy and Resource Acquisition Capability All HSS capabilities are dependent on sound policy and sufficient resource acquisition. Policy provides the framework from which the HSS community derives the direction and identifies the requisite people, materiel, facilities, and information to promote, improve, conserve, or restore well-being. With policy as the guide, resource acquisition occurs through planning, programming, budgeting, and disbursement of money. This Title 10 US Code (USC) activity is foundational to the HSS community’s capability to organize, train, and equip sustainment. 5. Prevention and Protection Capability a. 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. Additionally, the Services will develop and enforce specific minimum standards; these standards will ensure Service members are free of diseases or medical and dental conditions that are incompatible with expeditionary military service. b. When focusing on the joint force, the medical portion of protection is labeled force health protection (FHP). It includes all measures taken by commanders, leaders, individual Service members, and the Military Health System to promote, improve, or conserve the mental and physical well-being of Service members across the range of military operations. These measures enable a healthy and fit force, prevent injury and illness, and protect the force from health hazards. c. Members of the joint force have to be physically and mentally fit. This requirement demands programs that promote and improve the capacity of the personnel to perform military tasks at high levels under extreme conditions for extended periods of time. These preventive and protective capabilities include physical exercise, nutritional diets, dental hygiene and restorative treatment, combat and operational stress management, rest, recreation, and relaxation geared to the individual or organization. d. Methods to prevent disease are best applied synergistically. Sanitation practices, waste management, pest and vector control are crucial to protection from disease. Regional spraying and the application of insect repellent to guard against hazardous flora are examples of prevention methods. Prophylactic measures can encompass human and animal immunizations, dental chemoprophylaxis and treatment, epidemiology, optometry, counseling on specific health threats, and issuance of protective clothing and equipment. I-3
Chapter I e. Key to preventive and protective care is information — the capacity to anticipate the current and future health environment — and its proper delivery to the affected human population. Derived from robust health surveillance and medical intelligence, this information addresses occupational, natural environmental, and enemy-induced threats: from industrial hazards; air and water pollution; endemic or epidemic disease; chemical, biological, radiological, nuclear, high-yield explosives, and lasers. HSS must be capable of acquiring, storing, moving, and providing information that is timely, relevant, accurate, concise, and applicable to the intended human user. In sum, this information capability is crucial to FHP. 6. First Responder Capability a. More than any other care service, the first responder capability is defined by its time requirements. It is this 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. This capability can offer primary care outpatient services, emergent care services, medical subspecialty services, and ancillary services. b. Primary care outpatient services often begin with the employment of basic or advanced first aid (via self-aid or buddy aid), followed by non-physician medical care, and, in some instances, physician primary care. Emergent care services offers basic pre-hospital trauma life support to include paramedic emergency care, initial resuscitative and fluid therapy, and cardiac life support. In addition to treating injuries, first responders treat patients for common acute minor illnesses. c. Medical subspecialty and ancillary services for some first responder activities consist of basic mental health, dental and preventive medicine capabilities, as well as limited pharmacy, laboratory, and radiology capacities. 7. Forward Resuscitative Capability a. 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-and-limb saving medical treatment. The forward resuscitative care (FRC) capability typically provides essential care for stabilization to ensure the patient can tolerate evacuation. This capability covers advanced emergency services, post surgical inpatient services, surgical subspecialty services, and ancillary services. b. Advanced emergency services build on first responder capability by providing trauma life support, resuscitative care, emergency physician care, initial advanced burn management, and blood/fluid therapy. Available surgical services are normally comprised of trauma, general, thoracic, and orthopedic surgery capabilities. In turn, these surgical services are supported by surgical inpatient services: med-surgical nursing care, post-operative care, critical care nursing, and temporary holding services. All these capabilities are underpinned by sufficient pharmacy, laboratory, and radiology services. I-4 JP 4-02
Page 1 and 2: Joint Publication 4-02 Health Servi
Page 3 and 4: Preface Intentionally Blank ii JP 4
Page 5 and 6: Summary of Changes Intentionally Bl
Page 7 and 8: Table of Contents • Special Opera
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Page 11 and 12: Executive Summary Care Capabilities
Page 13 and 14: Executive Summary Patient Movement.
Page 15 and 16: Executive Summary geography, indivi
Page 17: Chapter I 2. Purpose The purpose of
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Page 31 and 32: Chapter II TYPICAL JOINT TASK FORCE
Page 33 and 34: Chapter II (1) Expect to receive br
Page 35 and 36: Chapter II (14) Evaluate and charac
Page 37 and 38: Chapter II (42) Ensure communicatio
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Page 43 and 44: Chapter II (e) Supervising the deve
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Page 47 and 48: Chapter II 3. Maintain the daily st
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Page 57 and 58: Chapter II humanitarian and civic a
Page 59 and 60: Chapter II SAMPLE JOINT TASK FORCE
Page 61 and 62: Chapter II c. In coordination with
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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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