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

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Joint Task Force Surgeon’s Office (a) Identifies and provides appropriate HSS resources and infrastructure that supports the CJTF’s concept of operations (CONOPS) at the operational and tactical levels. (b) Provides the CJTF a healthy and fit force, prevent casualties, and manage and effectively care for casualties and the total delivery of responsive HSS to the deployed force. (c) Provides essential care of the injured and ill in the JOA and their rapid evacuation to definitive medical care. (d) Provides for prescription refills of maintenance medications within the JOA. (e) Identifies joint deficiencies and risks, and develops joint alternative COAs to address shortfalls. (f) Conducts HSS operations in a uniform manner that promotes collaborative planning between JTF components, DOD and other USG agencies, and appropriate NGOs and IGOs, HN and allied participants, and builds on collaborative strengths. (g) Considers as functional HSS categories for JTF planning: PM, blood program, hospitalization, FRC capabilities, HSS for other than US forces, RTD, medical logistics, FHP, and preventive medicine, dental services, veterinary services, combat and operational stress control, medical communications system and intelligence, and HNS or other US Federal agency support. (h) Considers support for MCMO. (8) Ensure membership and required medical liaison relationships to appropriate JTF boards, centers, cells, groups, and teams. (9) In conjunction with the JTF SJA, provide the CJTF with medical engagement protocol recommendations. (10) Assist component commands in identifying HSS and FHP requirements and assign cross-Service support where practical; conduct liaison with each component surgeon to ensure HSS and FHP support is provided and maintained. (11) Establish the JTF operational area FHP, HSS and PM plan, and ensure efficient and effective interface of the theater and strategic AE systems through the JPMRC. (12) Monitor medical regulating and PM activities of the JPMRC and ensure procedures are established to provide patient in-transit visibility information to the manpower and personnel directorate of a joint staff (J-1). (13) Assist the CJTF in formulating a recommended PM policy within the JOA and monitor evacuation requirements. II-5
Chapter II (14) Evaluate and characterize the occupational and environmental health threats in JOA and make recommendations for countermeasures to control or reduce occupational and environmental health, and safety threats that may impact personnel health or mission objectives. (15) Advise the CJTF on the medical analysis of the COAs and the medical estimate based on the integration of all health and safety risk assessments. (16) Integrate health risks with other operational risks using risk management principles to reduce the impact on JTF missions and personnel during joint operations. (17) Communicate risks on health and safety including protective countermeasures and other topics such as use of chemoprophylaxes, sanitation, and first aid to JTF personnel in the JOA (to include all military personnel, essential DOD civilian, and contractor personnel who directly support deployed forces). (18) Establish HSS and FHP procedures for operations in a CBRN environment to include recommending the theater PM policy of contaminated patients. (19) Provide MIPOE to the JTF intelligence directorate of a joint staff (J-2) for inclusion in the joint intelligence preparation of the operational environment (JIPOE). (20) Provide preventive medicine support and information on cultural issues relevant to interactions with HN medical systems; and participate in the selection of bed-down locations. (21) Provide guidance for development of medical annexes to joint plans, HSS estimates, and patient estimates based on casualty planning factors. (22) Coordinate with all other medical support activities in the JOA that may play a role in the mission to ensure unity of effort. These may include NGOs, IGOs, multinational medical units, HN medical assets, and other USG agencies and activities/interest in the public health sector. (23) Coordinate all FHP and deployment health surveillance and readiness predeployment, deployment, employment, and redeployment activities and tasks. (24) Be aware of the presence of special operations forces (SOF) within the JOA and provide HSS and FHP as required. (25) Ensure appropriate medical care is provided for civilians, contractors, allied military personnel, and detainees per mission requirements, established medical engagement protocols, DOD policy, contractual obligations, or applicable national agreements. (26) Plan for providing support in the prevention and treatment of stress. (27) Monitor mass casualty (MASCAL) plans for the JOA. II-6 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 and 18: Chapter I 2. Purpose The purpose of
Page 19 and 20: Chapter I e. Key to preventive and
Page 21 and 22: Chapter I 10. En Route Capability a
Page 23 and 24: Chapter I f. The Assistant Secretar
Page 25 and 26: Chapter I (7) Coordinates PM throug
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Page 31 and 32: Chapter II TYPICAL JOINT TASK FORCE
Page 33: Chapter II (1) Expect to receive br
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Page 55 and 56: Chapter II (d) Ensure the receipt a
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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Page 65 and 66: Chapter II COA development), JTF OP
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Page 71 and 72: Chapter III HEALTH SERVICE SUPPORT
Page 73 and 74: Chapter III 1. Standardization. 2.
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Page 77 and 78: Chapter III 1. A healthy and fit fo
Page 79 and 80: Chapter III with language and regio
Page 81 and 82: Chapter III medical planners should
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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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