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NATO Staff Maritime Medical Course LO-3 Manage the Recognised Maritme Medical Picture

NATO Staff Maritime Medical Course LO-3 Manage the Recognised Maritme Medical Picture RECOGNIZE HEALTH THREATS. CAPT Jeffery Paulson and CAPT Frank Chapman US Fleet Forces Command and US NAV EUR. Recognize Health Threats. Introduction Objectives Anticipate Threats Prepare to prevent

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NATO Staff Maritime Medical Course LO-3 Manage the Recognised Maritme Medical Picture

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  1. NATO Staff Maritime Medical Course LO-3 Manage the Recognised Maritme Medical Picture RECOGNIZE HEALTH THREATS CAPT Jeffery Paulson and CAPT Frank Chapman US Fleet Forces Command and US NAV EUR NATO UNCLASSIFIED Releasable to the INTERNET

  2. Recognize Health Threats Introduction Objectives Anticipate Threats Prepare to prevent Prepare to respond Summary NATO UNCLASSIFIED Releasable to the INTERNET

  3. Initial Data to Recognize Health Threats Planned operational environment Combat Non-Combat Know the POE Operations at Sea Operations on Shore Engagements ashore Liberty NATO UNCLASSIFIED Releasable to the INTERNET

  4. Medical Intelligence and the Threat Assessment ALLIED JOINT MEDICAL DOCTRINE FOR MEDICAL INTELLIGENCE, AJMedP-3 NATO UNCLASSIFIED

  5. Planned Operational Environment Questions to ask: Who is going? What are they doing? When are they going? Where are they going? How are they doing it? Open-ended NATO UNCLASSIFIED

  6. Threats Afloat War Damage from Combat Actions Mines, Missiles, Explosives Sea Environment Storms and Sea State Collisions at Sea Groundings Man Overboard NATO UNCLASSIFIED

  7. Combat Opposing forces Conventional Warfare Small Arms Explosives Asymmetrical Warfare IEDs Ashore vs Afloat NATO UNCLASSIFIED

  8. Environmental Heat and Cold Smoke and Inhalation injuries Chemical Contamination Animal Bites – Rabies, Infection Snake Bites – Venom Marine Animal Bites and Venom NATO UNCLASSIFIED

  9. Alcohol and Illicit Drugs Prescribed Drugs Operational Stress Behavioral Threats NATO UNCLASSIFIED

  10. Non Combat Trauma MVA’s Motorcycle – Scooters Boating Other Recreational Activities NATO UNCLASSIFIED

  11. Health Risks – Biological Infectious disease Food Borne illnesses Safe Food and Water are critical Disease can degrade a fighting force quickly and for a prolonged time NATO UNCLASSIFIED

  12. Infectious Disease Pandemic Illness Influenza as example SARS and others NATO UNCLASSIFIED

  13. Food Borne Food Sources Food Acquisition Policy Food Handling Food Storage (frozen, chilled, dry) Food Preparation (hepatitis and other human vector disease) NATO UNCLASSIFIED

  14. Vector Borne Port calls Travel or Deployment Ashore Malaria, Rabies, Dengue, JEV NATO UNCLASSIFIED

  15. Operating Environment at Sea INDUSTRIAL HIGH RISK ENVIRONMENT High Risk Evolutions: Underway Replenishment Vertical Replenishment Re-fueling at Sea Cargo and personnel transfer NATO UNCLASSIFIED

  16. Occupational Safety Electrical Work Small Boat Operations Helicopter Operations Fuels, Including Otto Fuel II Fires Welding, Cutting, Brazing Machinery maintenance and operations Heavy Weather Operations NATO UNCLASSIFIED

  17. Ship Distress at Sea Abandon ship – Immersion Injuries Oil on Sea Burning Oil Fire NATO UNCLASSIFIED

  18. Survival in the Water Windchill Non freezing cold injury Freezing cold injury Heat illness and sunburn Seasickness in the life raft Osmotic Diarrhea Oil Contamination Skin Ulcers Toxic Chemicals Triage of Survivors Psychological considerations NATO UNCLASSIFIED

  19. Urgency Balance: Risk to Sailor Threats Urgencyvs Operational Tasking NATO UNCLASSIFIED

  20. Biological Chemical and Radiological Ship capabilities? Detection of exposure Confirmation of agent Air boundaries Countermeasures - washdown? Treatment NATO UNCLASSIFIED

  21. Stress Management Management of critical stress and traumatic stress Stress reactions, PTS, Suicide Resources? Medical, Chaplain, Chain of Command, Friends NATO UNCLASSIFIED

  22. Threat Assessment Summary Threat Analysis can provide the commander information critical to mission accomplishment. Mitigation of potential threats increases chance of mission success. Medical threats are a critical piece of a proper threat analysis and must not be overlooked in mission planning. NATO UNCLASSIFIED

  23. Questions? HelgeBarstrand, Cdr SG, NOR Navy, MSc, KCLJ, (N43) Branch Head Medical, Medical Plans & Concepts, MC Northwood UK +44 (0) 1923 956 675 Email: h.barstrand@manw.nato.int NATO UNCLASSIFIED Releasable to the INTERNET

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