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

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TABLE OF CONTENTS PAGE EXECUTIVE SUMMARY ................................................................................................ ix CHAPTER I HEALTH SERVICE SUPPORT • Introduction ............................................................................................................... I-1 • Purpose...................................................................................................................... I-2 • Joint Functions and Health Service Support Capabilities ............................................ I-2 • Policy and Resource Acquisition Capability ............................................................... I-3 • Prevention and Protection Capability ......................................................................... I-3 • First Responder Capability ..........................................................................................I-4 • Forward Resuscitative Capability ................................................................................I-4 • Theater Hospitalization Capability ............................................................................. I-5 • Definitive Capability.................................................................................................. I-5 • En Route Capability ....................................................................................................I-6 • Authorities and Responsibilities ..................................................................................I-7 CHAPTER II JOINT TASK FORCE SURGEON’S OFFICE • Introduction ............................................................................................................. II-1 • Joint Task Force Surgeon’s Office ............................................................................ II-1 • Organizing the Joint Task Force Surgeon’s Office ................................................... II-10 • Joint Task Force Surgeon’s Office Battle Rhythm .................................................... II-28 • Boards, Centers, Groups, Teams, and Cells ............................................................. II-31 • Joint Task Force Surgeon Reachback ...................................................................... II-38 CHAPTER III HEALTH SERVICE SUPPORT PLANNING • Health Service Support Planning Considerations ..................................................... III-1 • Planning for Joint Health Service Logistic Support................................................ III-13 • Planning Factors for Joint Operations .................................................................... III-15 • Checklist for Health Service Support Planning ...................................................... III-17 CHAPTER IV HEALTH SERVICE SUPPORT OPERATIONAL CONSIDERATIONS • Civil Support Operations ........................................................................................ IV-1 • Stability Operations and Crisis Response Contingencies.......................................... IV-2 • Medical Civil-Military Operations ........................................................................... IV-7 v
Table of Contents • Special Operations Forces ..................................................................................... IV-10 • Multinational Operations ...................................................................................... IV-12 • Detainee Considerations ....................................................................................... IV-19 • Chemical, Biological, Radiological, and Nuclear Operations ................................. IV-22 • Mass Casualty Operations ...................................................................................... IV-25 • Contingency Contractor Personnel ........................................................................ IV-27 APPENDIX A Patient Movement ............................................................................................. A-1 B Service Component Transportation Assets......................................................... B-1 C Health Service Logistic Support ........................................................................ C-1 D Blood Management .......................................................................................... D-1 E Intelligence Support to Health Service Support .................................................. E-1 F Casualty Prevention ........................................................................................... F-1 G Patient Area Reception Plans ............................................................................ G-1 H Geneva Convention Information ....................................................................... H-1 J Medical Aspects of Reintegration....................................................................... J-1 K Health Service Support Planning Checklists ...................................................... K-1 L Systems and Planning Tools ............................................................................... L-1 M References ....................................................................................................... M-1 N Administrative Instructions ............................................................................... N-1 GLOSSARY Part I Part II Abbreviations and Acronyms .................................................................... GL-1 Terms and Definitions ............................................................................. GL-10 FIGURE I-1 Health Service Support ................................................................................. I-1 I-2 Taxonomy Continuum of Health Care Capabilities ........................................ I-2 II-1 Typical Joint Task Force Staff Organization ................................................ II-2 II-2 Functional Areas ........................................................................................ II-10 II-3 Notional Joint Task Force Surgeon’s Office Organization ........................... II-12 II-4 Sample Joint Task Force Surgeon’s Office Battle Rhythm .......................... II-30 III-1 Health Service Support Planning Considerations ........................................ III-2 III-2 Patient Movement Item System ................................................................. III-3 IV-1 Principles of Health Service Logistic Support in Stability Operations and Joint Response Contingencies ............................................................ IV-6 IV-2 Health Service Assessment Factors ............................................................ IV-9 IV-3 Challenges of Patient Movement During Special Operations .................... IV-12 IV-4 Health Service Support Challenges in Multinational Operations ............... IV-14 A-1 Patient Movement Requirements Center — Component Lift Interface .......................................................................... A-5 vi 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: Summary of Changes Intentionally Bl
Page 9 and 10: Table of Contents Intentionally Bla
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
Page 27 and 28: Chapter I (19) In conjunction with
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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
Page 39 and 40: Chapter II (m) Ensuring that detain
Page 41 and 42: Chapter II LNOs). (13) Liaison offi
Page 43 and 44: Chapter II (e) Supervising the deve
Page 45 and 46: Chapter II 8. Advise the JTFS on a
Page 47 and 48: Chapter II 3. Maintain the daily st
Page 49 and 50: Chapter II 3. Form, organize, and o
Page 51 and 52: Chapter II 17. Maintain thorough kn
Page 53 and 54: Chapter II 16. Establish procedures
Page 55 and 56: Chapter II (d) Ensure the receipt a
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Chapter II humanitarian and civic a
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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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