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The Army Health System Terms and Principles

The Army Health System Terms and Principles. Force Health Protection in a Global Environment. CONSERVE THE FIGHTING STRENGTH. CONSERVE THE FIGHTING STRENGTH. TLOs. Terminal Learning Objective :

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The Army Health System Terms and Principles

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  1. The Army Health System Terms and Principles

  2. Force Health Protection in a Global Environment CONSERVE THE FIGHTING STRENGTH CONSERVE THE FIGHTING STRENGTH

  3. TLOs Terminal Learning Objective: Discuss, identify and describe the units, missions, and operational considerations for employing Army Medical Logistics elements in the Operational Environment. As of: 15 NOV 2010

  4. ELOs Enabling Learning Objectives: • Describe and discuss key fundamentals of the Army Health Systems and it’s common terms. • Identify and discuss the employment of key medical logistics units within the theater of operations. As of: 15 NOV 2010

  5. References • FM 3-90.6, Brigade Combat Team (Sep 2010) • JP 4-02, Health Service Support (Oct 2006) • FM 4-02, Force Health Protection In a Global Environment (Feb 2003) • FM 4-02.1, Army Medical Logistics (Dec2009) • FM 4-02.4, Medical Platoon Leader's Handbook Tactics, Techniques and Procedures (INCL C-1) (Aug 2001) • FM 4-02.12 Army Health System Command And Control Organizations (May 2010) • FM 8-55 Planning for Health Service Support (Sep 94) As of: 15 NOV 2010

  6. Agenda • Terms & Acronyms • Basic Fundamentals • Roles/Roles of Medical Care [I-III] • CASEVAC vs. MEDEVAC • Army Medical Logistics (Medical materiel/MEDLOG) As of: 15 NOV 2010

  7. Terms & Acronyms AHS Army Health System BSMC Brigade Support Medical Company CSH Combat Support Hospital FDP Forward Distribution Point FHP Force Health Protection FLA Field Litter Ambulance HSS Health Service Support HSSO Health Service Support Officer MEDCOM Medical Command MED BDE Medical Brigade MMB Multi-functional Medical Battalion MES Medical Equipment Set MLMC Medical Logistics Management Center MLO Medical Logistics Officer MTF Medical Treatment Facility PM Preventive Medicine As of: 15 NOV 2010

  8. Terms & Acronyms AMB ambulance COSC combat and operational stress control MMB multifunctional medical battalion ASMC area support medical company CSH combat support hospital PVNTMED preventive medicine AVN aviation DEN dental SUST sustainment BCT brigade combat team DIV division SVC services BDE brigade DS deployment support SPO security, plans, and operations BFSB battlefield surveillance brigade FST forward surgical team THTR theater BSMC brigade support medical company GA ground ambulance TM team BSB brigade support battalion GSAB general support aviation battalion TSC theater sustainment command BSD blood support detachment HOSP hospital VET veterinary CA civil affairs ME maneuver enhancement brigade CAB combat aviation brigade MEDBDE medical brigade CMD command MEDCOM medical command CMO civil-military operations MEDLOG medical logistics

  9. Basic Fundamentalsof AHS Doctrine • Immediate care as far forward as possible; pre-position assets for rapid evacuation • Higher evacuates from lower • Ground evacuation is the primary method; air is preferred • Greatest good for the greatest number; focus on saving “Life, Limb, or Eyesight” = TRIAGE • The “Platinum Ten Minutes”! • The 75th Ranger First Responder As of: 15 NOV 2010

  10. Army Health System (AHS) Health Service Support (HSS) Force Health Protection (FHP) Sustainment WFF Component Protection WFF Component • Promotes, improves, conserves, and restores health within a military system. • Employed across the range of military operations. • BLUF: Providing medical care to Soldiers on the battlefield. • Medical portion of Protection WFF. • Preventive measures taken to promote, improve, or conserve the mental and physical well being of Soldiers. • Comprised of preventive aspects of five Army FHP functions. As of: 15 NOV 2010

  11. Role of Care Five Role of care make up the Health Service Support (HSS) system, extending from the point of wounding, injury, or illness. Each succeeding Role possesses the same treatment capabilities as those Role forward and adds a new treatment capability. Role VI Role I Role II Role III Role V Care in convalescent, restorative, and rehabilitative MTF Care is administered at an HSS organization Care requiring clinical capabilities found in an MTF Care is rendered at the unit Role Therapy for recovering patients Includes postoperative treatment. First step toward restoration of functional health Includes therapy for patients in the recovery phase for patients who can return to duty Includes self aid and buddy aid and emergency lifesaving measures Includes basic resuscitation and stabilization and may include surgical capability May include a period of minimal care and increasing physical activity to restore patients to functional health As of: 15 NOV 2010 JP 4-02. “DOCTRINE FOR HEALTH SERVICE SUPPORT IN JOINT OPERATIONS”

  12. Medical Treatment • Encompasses Role I and II treatment • Provided by organic assets or on an area support basis from supporting medical units As of: 15 NOV 2010

  13. Role I Care • First care a Soldier receives- whether injury or illness • Immediate Lifesaving Measures • - “BBCs” Bleeding, Breathing and Circulation • - Focus on “Life, Limb, and Eyesight” • - Shock Prevention • Role I includes: • - Physician • - Physician’s Assistant M113 with Treatment Team As of: 15 NOV 2010

  14. Role II Care • Includes all the capabilities of Role I plus: • - Advanced Trauma Management • - Ancillary Services - Dental, Lab, X-Ray and Patient Holding • Holds patients who can return to duty for up to 72 hours (mission dependent) • Use of blood/blood products (when FST is attached) • Role II Units on the Battlefield • - BSMC (BCT) • - ASMC (Division/Corps/ASCC) As of: 15 NOV 2010

  15. Hospitalization Starts at Role III • Part of the theater-wide HSS system for managing sick, injured and wounded personnel • Refers to health care services provided at hospitals on an inpatient basis for all classes of patients whose conditions cannot be managed on an outpatient or holding (RTD 72hrs) status. As of: 15 NOV 2010

  16. Role III Care • Includes capabilities of Role I and II, plus resuscitative surgery • For Soldiers who require comprehensive pre-operative, general anesthesia, initial wound surgery, and post-operative treatment • Role III units include: • - 248 bed Corps Role Combat Support Hospitals • - Theatre Role US Navy Hospital Ships (USNS Mercy & USNS Comfort) – used in early stages of operations As of: 15 NOV 2010

  17. Role III CSH (Split-Based Capability) • Has 248-beds to support surgical and hospitalization requirements • Composed of: • Headquarters, Headquarters Detachment (HHD) • Hospital Company 84-bed (Alpha Co) • 44-Bed Early Entry Hospitalization Element • 40-Bed Hospital Augmentation Element (beds only) • Hospital Company 164-bed (Bravo Co) As of: 15 NOV 2010

  18. CASEVAC –vs.- MEDEVAC CASEVAC MEDEVAC • The transport of casualties on a non-standard evacuation platform. • Does not include en-route care from medical personnel. Only CLS if available. • Vehicle does not have medical capabilities to sustain the casualties while en-route to care. • The transport of casualties on a standard evacuation platform. • Includes en-route care from medical personnel. • Evacuation platform has medical capabilities to sustain the casualties while en-route to care. -vs- 18 As of: 15 NOV 2010

  19. Casualty Evacuation • When a casualty is moved on a non-medical vehicle without en-route medical care, the patient is transported • Used in Mass Casualty situations (dedicated or identified) • CASEVAC vehicles and CLS attendants must be identified and location tracked to facilitate quick response • Examples: • M998: maximum 3 litter or 4 ambulatory patients • HEMTT Cargo: maximum of 9 litter patients • 5 Ton Cargo: maximum of 12 litter or 16 ambulatory patients • M871 Cargo Trailer: maximum of 16 litters • UH-60A Blackhawk: 6 litter & 1 ambulatory pts or 7 amb • CH-47 Chinook: 24 litter or 33 ambulatory patients • C-17A: 48 litter and 44 ambulatory patients • C-130 Hercules: 70 litter or 84 ambulatory patients Ground Rotary Air Fixed Wing 19 As of: 15 NOV 2010

  20. Medical Evacuation • Provided by standard medical units with medical evacuation platforms • Med PLTs, BSMCs, and ASMCs have organic medical evacuation assets in addition to treatment assets • Two specific units on battlefield designated for medical evacuation are the Medical Company (Ground Ambulance) and Medical Company (Air Ambulance). • Medical evacuation platforms include: M996 UH-60A 2 Litter/4Ambulatory 4 Litter + 1 Amb / 8 Ambulatory M997 M113 4 Litter/8 Ambulatory 4 Litter/8 Ambulatory 20 As of: 15 NOV 2010

  21. Health Service Logistics • Integral part of the HSS Plan • Managed solely by the AMEDD • Mission integrated and supports the commander's mission • Provides support where and when it is required in the fastest, most inexpensive, and most practical way possible As of: 15 NOV 2010

  22. Health Service Logistics The HSL system encompasses: • Planning and execution of medical supply operations • Medical equipment maintenance and repair • Regulated medical or hazardous waste management and disposal • Production and distribution of medical gasses • Optical fabrication • A Single-Integrated Medical Logistics Manager (SIMLM) for joint operations • Blood management for Army, joint, or combined operations As of: 15 NOV 2010

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