FM 4-02.7 HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT (OCTOBER 2002) - page 6

 

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FM 4-02.7 HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT (OCTOBER 2002) - page 6

 

 

FM 4-02.7
(6) Active decontamination is attempted only when weathering will not decontaminate the
packaging material in sufficient time. Decontamination procedures can be enhanced by using heat to
vaporize the chemical agent; by reaction with decontaminants; or by removing with hot soapy water.
(a) The simplest (standard) decontamination materials are water and detergents. An
effective decontaminant is hot water used with the addition of soap or detergent and scrubbing. Commercial
abrasive powdered cleansers are effective decontaminants for many surfaces (metal, glass, Formica), but
not wood or soft plastics.
(b) Water can be used to flush chemical agents from surfaces. High-pressure application
produces a better cleansing action than low pressure. If the surface has absorbed the agent, flushing will
remove the surface contamination, but will not affect the agent that is absorbed.
(c) Soaking contaminated items in boiling water is an excellent decontamination method
for some agents. Water alone will not be sufficient to decontaminate all chemical agents. Soaking in warm
or cold water may reduce the contamination slightly; however, the hazard may not be reduced sufficiently
even after prolonged soaking. If hot water is not available, or if it might cause damage to the item, other
methods of decontamination should be considered, such as decontaminating solutions or a caustic solution
followed by thorough rinsing.
(d) Fibrous materials such as cloth and canvas are best decontaminated by washing and
scrubbing.
(e) Glass, metal, porcelain, and plastic surfaces are best decontaminated by using hot
water or hot soapy water. Some toxic materials are readily removed with no more than slight abrasion or
brushing.
(f)
Painted, varnished, and waxed surfaces are generally smooth and nonporous. Dust
and liquids are readily removed by wiping, brushing, or vacuuming. Absorbed materials are removed by
hot water, detergent, or complexing agents. None of these surfaces stand up well to heavy abrasive
techniques. Agents can be attacked and removed by caustics, acids, and organic chemicals. Some of these
surfaces readily absorb agents, so weathering following decontamination is advisable.
(g) Rubber is a porous material that can absorb agents. It is not easily decontaminated
by abrasive techniques. Warm, soapy water used with brushing is effective since it removes some absorbed
contamination. Strong acids, alkalies, and organic solvents may deteriorate and decompose rubber articles.
(7) Operational rations are the primary rations issued; always issue uncontaminated stocks
first. This allows for decontamination of contaminated stocks without interrupting supply support.
Normally, contaminated stocks are not issued. The decision to issue contaminated items is based on the
tactical situation, criticality of the items, type and extent of contamination, and the time and resources
available for decontamination. Decontamination efforts on subsistence items are limited to the containers
and carton overwrap material.
(a) The MRE retort and nonretort food pouch may be decontaminated with soap and
water wash. The chemical agents will be removed by the solutions.
J-19
FM 4-02.7
(b) Semipermeable materials (polyethylene menu bag, shrink wrap, and film wrap)
may have chemicals deposited not only on the surface, but also dissolved into the matrix of the material.
The chemicals can be removed from the surface by washing with hot soapy water, but contaminant
dissolved in the material is not removed. The remaining agent can only be removed by weathering which
can be accelerated through the use of heat and sweeping the surface with air.
(c) Fiberboard is both sorbent and permeable and acts like a blotter. Liquid
decontaminants can force the contaminant further into the fiberboard. Any attempt to decontaminate
fiberboard would be futile. The only alternatives are to remove the fiberboard, or to allow it to weather.
(d) Palletized unit loads of MRE and UGR outerwraps can be decontaminated through
the aid of a forced clean air sweep in 4 to 5 days, compared to 3 weeks or more under natural conditions
without a forced air sweep.
(8) Contaminated food supplies are only handled by personnel trained in decontamination
methods and in MOPP Level 4. Contaminated food items are divided into three groups as described below
(see Table J-1 for additional information).
(a) Group I consists of canned and unopened packaged items which have been exposed
only to agent vapors. Most items in this group will be safe to issue after a brief period of outdoor airing to
remove clinging vapors. Table J-7 lists the decontamination procedures for packaging materials
contaminated with nerve agents, mustards, and arsenicals.
Table J-7. Chemical Decontamination of Packaged Material
PACKAGING MATERIAL
CONTAMINATION
DECONTAMINATION PROCEDURES
AIRTIGHT METAL
VAPOR AND
AIR FOR 24 HOURS. WASH
CONTAINERS, GLASS
LIQUID
WITH HOT SOAPY WATER,
BOTTLES, FOIL
SODA, OR BLEACH SOLUTION.
ALUMINATED LAMINATED
RINSE WITH WATER.
MATERIALS.
POLYESTER, PVF,
VAPOR
REMOVE CONTAMINATED
WOODEN BOXES, CRATES,
PACKAGE. AIR CONTENTS FOR
BOARD, MULTILAYER
24 HOURS.
BAGS.
CARDBOARD,
LIQUID
CONTAMINATED CONTENTS—
POLYETHYLENE.
TREAT AS UNPACKAGED FOOD.
(b) Group II consists of canned and unopened packaged items which have been
contaminated with a liquid chemical agent.
1.
Attempts to decontaminate porous packaging materials, such as cardboard or
wood, are likely to be unsuccessful and may result in spreading the contamination. The best procedure in
J-20
FM 4-02.7
handling such items is to strip off the outer contaminated coverings and examine the inner layer to see if
penetration of the agent has occurred. If it has, continue stripping off layers until an uncontaminated layer
is reached and place it in Group I. If the agent has penetrated to the food, place it in Group III.
2.
Food in cans or in other sealed, impermeable containers is not in danger of
chemical contamination. Because contamination is confined to the outer surface of the sealed container,
decontamination is accomplished by: immersion in boiling, soapy water for 30 minutes and rinse; immersion
in boiling water for 30 minutes; spray with DS2; or to wash in hot soapy water, rinse, and aerate. Under no
conditions should contaminated containers be opened before they have been decontaminated and monitored.
3.
Supertropical bleach and DS2 can be used on the polyethylene menu bag for
up to 24 hours without a significant change in appearance, tensile properties, and size of the plastic. The
use of DS2 will cause significant degradative changes to most other plastics, while STB will cause little or
no change. Also, DS2 may cause false positive readings when using M8 or M9 paper, or the M256
Detector Kit to check completeness of decontamination.
(c) Group III will consist of unpackaged or poorly packaged items which have been
exposed to an agent in either vapor or liquid form. Foodstuffs in this group should be decontaminated only
when absolutely necessary. The decision to use foods that have been contaminated is to be made by the
commander. Decontamination procedure to be followed, in order, is: trim surface fat and grossly
contaminated areas; wash with water or 2-percent sodium bicarbonate solution; then boil in water.
1.
Boiling in water may be eliminated when the contamination has been only
with the vapors of irritant agents. When such an exposure has been light, aeration for a short time may be
used for decontamination.
2.
Frying, roasting, or broiling will not remove traces of blister agents from
meats. In general, salvage of foods heavily contaminated with droplets of the blister agents, especially the
arsenical blister agents, is not practical. Foods of high water or fat content are unfit for consumption and
reclamation is not practical when contaminated with liquid mustard or a liquid nitrogen mustard.
3.
When foods have been exposed to blister agent vapor, they can be reclaimed
by washing with sodium bicarbonate solutions and rinsing with clear water, by intensive cooking, or in the
case of dry provisions, by 24 to 48 hours of aeration. Lean meat contaminated with mustard vapor can be
reclaimed by boiling in water for 30 minutes or more. With nitrogen mustard vapor contamination, the
meat should be boiled in a 2-percent sodium bicarbonate solution. Discard the water used to boil the meat.
4.
Nerve agent contamination is treated the same as blister agent contamination.
5.
Foods, such as potatoes and hard-skinned fruits and vegetables, can be
decontaminated by washing or scrubbing, followed by peeling or scraping, then washing again.
6.
Prepared food in open containers will be contaminated; it must be temporarily
isolated, or disposed of (bury or as directed by commander).
J-21
FM 4-02.7
7.
A food item that is contaminated with irritants can be decontaminated by
airing. Consumability is determined by taste rather than toxicity.
8.
Phosgene is rapidly hydrolyzed, therefore, washing the food with water or
airing it will usually suffice.
9.
Food contaminated with white phosphorous should be destroyed.
10. Normally, hydrocyanic acid will have little effect on food supplies. The
exposures will most likely be as a vapor. However, foods with a high water content may become unfit for
consumption after exposure to high concentrations.
11. The effect of CK on foods is not known. Foods exposed to CK vapors are
considered toxic.
12. Table J-8 lists the decontamination procedures for unpackaged food
contaminated with a chemical agent.
(9) Decontaminating cattle, poultry, and other livestock is only attempted when other sources
of food are not available. Heavily contaminated animals should be destroyed. Livestock contaminated
lightly by phosgene, nerve agents, mustards, and arsenicals (such as vapor or liquid) may be slaughtered in
the early stages of poisoning before the full effects of exposure are shown. If these animals are slaughtered
in the preliminary stages of poisoning and all tissues exposed to the agent (the head, blood, lungs, organs,
and local areas) are discarded, there is no danger in consumption of the meat, provided the animal passes a
pre-slaughter and slaughter inspection. This is true even of animals poisoned by arsenical agents since the
edible tissue will contain amounts of arsenic too small to be toxic. Organs (liver, brain, heart, kidney, and
lungs) will contain more arsenic than the musculature and are discarded. The meat must be well cooked.
Personnel involved in slaughtering procedures must be careful to prevent spreading contamination to the
meat and to themselves.
(10) Decontaminating forage and grain exposed to only chemical agent vapors is by aeration.
Aerated supplies, especially if mixed with larger amounts of uncontaminated supplies, produces no ill
effects when fed to animals. Forage or grain heavily contaminated by liquid vesicants, especially arsenicals,
should not be used.
Table J-8. Chemical Decontamination of Unpackaged Food
FATTY FOODS
NONFATTY FOODS, HIGH
NONFATTY FOODS, LOW
(BUTTER, BACON,
WATER CONTENT
WATER CONTENT,
CHEMICAL AGENT MILK, CHEESE, HAM).
CRYSTALLINE (FRUITS,
AMORPHOUS (FLOUR,
VEGETABLES, SALT,
CEREALS, BREAD, PEAS).
SUGAR).
NERVE AGENTS
VAPOR, HEAVY
DESTROY
DESTROY, UNLESS POSSIBLE
AIR FOR 48 HOURS, THEN BOIL.
TO BOIL AFTER AIRING 48 HOURS.
J-22
FM 4-02.7
Table J-8. Chemical Decontamination of Unpackaged Food (Continued)
FATTY FOODS
NONFATTY FOODS, HIGH
NONFATTY FOODS, LOW
(BUTTER, BACON,
WATER CONTENT
WATER CONTENT,
CHEMICAL AGENT MILK, CHEESE, HAM).
CRYSTALLINE (FRUITS,
AMORPHOUS (FLOUR,
VEGETABLES, SALT,
CEREALS, BREAD, PEAS).
SUGAR).
VAPOR, LIGHT
DESTROY
AIR FOR 48 HOURS, THEN BOIL.
AIR FOR 48 HOURS, THEN BOIL.
LIQUID
DESTROY
DESTROY
DESTROY
MUSTARDS
VAPOR
REMOVE 1-3 cm
WASH WITH WATER,
WASH WITH WATER.
OF OUTER LAYER AND
AIR FOR 48 HOURS.
AIR FOR 48 HOURS.
WASH WITH 2% SODIUM
BICARBONATE SOLUTION.
BOIL FOR AT LEAST 30
MINUTES. DESTROY MILK.
LIQUID
DESTROY
DESTROY
DESTROY
ARSENICALS
DESTROY
DESTROY
DESTROY
J-23
FM 4-02.7
GLOSSARY
ABBREVIATION, ACRONYMS, AND DEFINITIONS
ABCA American, British, Canadian, and Australian
ABO agents of biological origin
AC hydrogen cyanide
AFJMAN Air Force Joint Manual
amb ambulance
AMEDD Army Medical Department
AMEDDC&S Army Medical Department Center and School
AMedP Allied Medical Publication
AML area medical laboratory
AN/PDR27
radiacmeter
AN/PDR77
radiacmeter
AN/VDR2
radiacmeter
AO area of operations
AR Army regulation
ATM advanced trauma management
ATTN attention
AXP ambulance exchange point
BAS battalion aid station
BAT Biological Augmentation Team
BC blood culture
bde brigade
BDU battle dress uniform
Glossary-1
FM 4-02.7
BI battle injury
BIDS Biological Integrated Detection System
Biological Warfare Agent Field Confirmation Identification Identification of a suspect biological
warfare agent by means of devices/materials/technologies that are based on detecting biological
markers using two or more independent biomarker results. Examples might include the findings of
the presumptive biomarker identification with the addition of a positive PCR, ELISA, or
electrochemiluminescence (ECL) results, using specific target nucleic acid sequences for the
organism and antibody recognition of agent-specific antigen sites, respectively.
(Field sample/
specimen identification by forward deployed or forward positioned laboratories [such as the US Air
Force Biological Augmentation Team (BAT), theater army medical laboratory, or forward deployed
preventive medicine unit (US Navy) and homeland security Laboratory Response Network (LRN)
Level B or C [US Army Community Hospitals or Medical Centers)].)
Biological Warfare Agent Definitive Identification And Confirmation The specific identification of a
suspect biological agent as to genus and species, serological type, or toxin. This level of
identification is by means of devices/materials/technologies that are based on two or more
independent biomarker results and using different methodologies.. This level of identification is
performed in a reference laboratory with a broader variety of methodologies available and highly
skilled testing personnel, thus providing the highest levels of accuracy.
(Sample/specimen
identification is accomplished by homeland security LRN Level C and D and nationally recognized
laboratory such as the US Army Medical Research Institute of Infectious Disease or Centers for
Disease Control and Prevention.)
Biological Marker Characteristics of a biological agent (organism, virus, toxin, or product) that are
specific to the agent. This includes (1) recognition of specific nucleic acid sequences (DNA or
ribonucleic acid
[RNA]) unique to the bacteria or virus by a technique such as PCR; (2)
identification of specific ECL assay; (3) specific growth properties as seen on selective media such
as characteristic colony morphology on culture along with phage inhibition; (4) Identification using
specific microscopic characteristics such as Gram stain, fluorescent antibody stain,
immunohistochemical stain, or cytopathic effects.
Biological Warfare Agent Presumptive Identification Identification of a suspect biological warfare
agent by means of devices/materials/technologies that are based detecting biological markers
(biomarkers) using a single methodology. The biomarkers and/or methodologies used at this level
of testing have significant limits to their accuracy. Agent identification to species level, or
differentiation among a family of similar agents, may not be possible. This is equivalent to the LRN
Level A and the US Army BIDS. (EXAMPLES: Identification by sensor triggering, hand-held
devices [hand-held assays] or initial systems, or laboratory analysis employing one screening
methodology [such as microscopic morphology, antibody/protein, or nucleic acid-based test].)
bot/pkg bottle/package
BSA brigade support area
Glossary-2
FM 4-02.7
BW biological warfare
BZ an incapacitating chemical warfare agent
C Centigrade/Celsius
C2
command and control
C4I Command, Control, Communications, Computers, and Intelligence
CaCl calcium hypochlorite
cal/cm2
calories per square centimeter
Cal/cm2/sec calories per square centimeter per second
CAM chemical agent monitor
CANA convulsant antidote for nerve agent (diazepam)
CB chemical/biological
CBDA Chemical Biological Defense Agency
CBPS chemically biologically protected shelter
CBRNE chemical, biological, radiological, nuclear, and high-yield explosive
CBSCC Chemical-Biological Sampling Control Center
CBSCE Chemical-Biological Sampling Control Element
cc cubic centimeter
CG phosgene
cGy centigray
CIS Commonwealth of Independent States (Russia)
CK cyanogen chloride
Cl chlorine
Glossary-3
FM 4-02.7
CLASS VIII Classification of medical supplies and equipment within the Federal Stock Classification
System
CLS combat lifesaver
cm centimeter
cm2
square centimeter
CNS central nervous system
CO2 carbon dioxide
CONUS continental United States
COSC combat operational stress control
CP chemically protected
CP DEPMEDS chemically protected deployable medical system
CPS collective protection shelter
CREST Casualty Requirements Estimation Tool
CS combat support
Cs-137
Cesium 137
CSF cerebrospinal fluid
CSH combat support hospital
CSS combat service support
CW chemical warfare
CX phosgene oxime
DA Department of the Army
DAP decontamination apparatus, portable
DCS division clearing station
Glossary-4
FM 4-02.7
DD Department of Defense
decon decontamination
DEPMEDS Deployable Medical System
DNA deoxyribonucleic acid
DNBI disease and nonbattle injury
DOD Department of Defense
DP diphosgene
DS2
decontaminating solution Number 2
DTF dental treatment facility
E EDTA
EAC echelons above corps
ECL electochemiluminescence
ECP entry control point
ECU environmental control units
EDTA ethylenediaminetetraacetate
EEE eastern equine encephalitis
ELISA enzyme-linked immunosorbent assay
EM electron microscopy
EMP electromagnetic pulse
EMS emergency medical services
EMT emergency medical treatment
EOD explosive ordnance disposal
Glossary-5
FM 4-02.7
EPW enemy prisoner of war
ER emergency room
evac evacuation
F Fahrenheit
F-1
Fraction-1
FA fluorescent antibody
FDECU field deployable environmental control unit
FH field hospital
FLOT forward line of own troops
FM field manual
FMC Field Medical Card
FSOP field standing operating procedures
FST forward surgical team
g gram
G1
Assistant Chief of Staff (Adjutant)
G2
Assistant Chief of Staff (Intelligence)
G3
Assistant Chief of Staff (Operations and Training)
G4
Assistant Chief of Staff (Logistics)
GA Tabun
gal gallon
GB Sarin
GD Soman
Glossary-6
FM 4-02.7
GF a nerve agent
GH general hospital
gm gram
GP general purpose
GVO green vinyl overboots
Gy gray (100 cGy)
H heparin
HD sulfur mustard (a blister agent)
HG chemical symbol for mercury
HL mustard and lewisite mix
HMMWV high mobility multipurpose wheeled vehicle
HN nitrogen mustard
HPLC high-pressure liquid chromatography
HSL health service logistics
HSS health service support
HUB hospital unit base
HUH hospital unit holding
HUM hospital unit medical
HUS hospital unit surgical
HTH high test hypochlorite (70% available chlorine)
I-131
Iodine-131
IATA International Air Transportation Association
Glossary-7
FM 4-02.7
IAW in accordance with
IC intensive care
ICAM improved chemical agent monitor
ICC incident command center
ICU intensive care unit
ICW intensive care ward
ID incapacitation dose
IgG immunoglobulin class G
IgM immunoglobulin class M
IMA installation medical authority
ISO International Organization for Standardization
IV intravenous
J2
Joint Intelligence Directorate
J3
Joint Operations Directorate
kg kilogram
km kilometer(s)
kph kilometers per hour
KT kiloton
L lewisite
LAB laboratory
lb pound
Glossary-8
FM 4-02.7
LCE load-carrying equipment
LD lethal dose
LD 50/60
lethal dose for 50 percent of exposed persons within a period of 60 days
LRN Laboratory Response Network
LSD d-lysergic acid diethylamide
LZ landing zone
µ micron
m meters
m3
milligrams per minute
MCRP Marine Corps Reference Publication
MEDEVAC medical evacuation
Medical Countermeasures Those measures taken to maintain soldier sustainability through the prevention
and pretreatment of injury from NBC agent hazards; and following injury those measures taken to
treat NBC casualties and improve medical capability for diagnosis, physiological resuscitation and
continued medical management of NBC casualties.
MES medical equipment set
MF2K Medical Force 2000 (Army of Excellence Organizations)
mg milligram
mg/kg milligrams per kilogram
MILVAN military-owned demountable container
ml milliliter
mm millimeter
MOPP mission-oriented protective posture
MOS military occupational specialty
Glossary-9
FM 4-02.7
MRE meal ready-to-eat
MRI Medical Reengineering Initiative
MSR main supply route
m/sec meters per second
MT megaton
MTF medical treatment facility
NaCl sodium chloride (salt)
NATO North Atlantic Treaty Organization
NAVMED P Naval Medical Publication
NBC nuclear, biological, and chemical
NBCC nuclear, biological, and chemical control
NBCWRS nuclear, biological, and chemical warning and reporting system
NCO noncommissioned officer
NL no limit
NTTP Navy Tactics Techniques and Procedures
O2
oxygen
OEG operational exposure guide
OPLAN operation plan
OPSEC operations security
Patient Decontamination—The removal and/or the neutralization of hazardous levels of nuclear, biological,
and chemical contamination from patients at a medical treatment facility. Patient decontamination
is performed under the supervision of medical personnel to prevent further injury to the patient and
to maintain the patient’s health status during the decontamination process. Patient decontamination
Glossary-10
FM 4-02.7
serves multiple purposes; it protects the patient from further injury, it prevents exposing medical
personnel to the contamination, and it prevents contamination of the medical treatment facility.
PCR polymerase chain reaction
PDS patient decontamination station
pH symbol relating the hydrogen ion activity in gram equivalents per liter used in expressing the acidity
and alkalinity on a scale whose values run from 0 to 14 with 7 representing neutrality. Numbers
less than 7 indicate increasing acidity, and numbers greater than 7 indicate increasing alkalinity.
PMM preventive medicine measures
pnt patient
ppm parts per million
PPW patient protective wrap
PS chloropicrin
PVF polyvinyl fluoride
PVNTMED preventive medicine
QSTAG Quadripartite Standardization Agreement
RDD radiological dispersal device
recon reconnaissance
RES radiation exposure status
RNA ribonucleic acid
ROWPU reverse osmosis water purification unit
RT red top
RT-PCR reverse transcriptase/polymerase chain reaction
RTD return to duty
Glossary-11
FM 4-02.7
S1
Adjutant (US Army)
S2
Intelligence Officer (U.S. Army)
S3
Operations and Training Officer (U.S. Army)
S4
Supply Officer (U.S. Army)
SCUD ballistic missile
SDK skin decontaminating kit
SFG Special Forces Group
SMART special medical assistance response team
SOF Special Operations Forces
SOP standing operating procedure
Sr-89
Strontium-89
Sr-90
Strontium-90
STANAG Standardization Agreement (NATO)
STAT statim
STB supertropical bleach
Sv Sievert
T2
trichothecene
TAML theater Army medical laboratory
TC training circular
TEU technical escort unit
TEMPER tent, expandable, modular, personnel
Toxic Industrial Biological (TIB) Biological materials (bacteria, viruses, and toxins) found in medical
research, pharmaceutical, and other manufacturing processes that are toxic to humans and animals,
or cause damage to plants.
Glossary-12
FM 4-02.7
Toxic Industrial Chemical (TIC) Chemical compounds used or produced in industrial processes that are
toxic to humans and animals, or cause damage to plants. EXAMPLES include fuels, solvents,
heavy metals, and chemicals used in manufacturing processes.
Toxic Industrial Material (TIM) Toxic industrial materials may be toxic industrial chemical (TIC), toxic
industrial biological (TIB) and toxic industrial radiological (TIR) materials.
Toxic Industrial Radiological (TIR) Radiation-emitting materials used in research, power generation,
medical treatment, and other non-weapon developmental activities that are harmful to humans and
animals if released outside their controlled environment.
TIR toxic industrial radiological
TM technical manual
trademark
TOE table of organization and equipment (US Army organizational structure document)
TO theater of operations
trmt treatment
TSOP tactical standing operating procedures
TT tiger top
µ microns
UGR unit group rations
UN United Nations
US United States
USAF United States Air Force
V-agent a nerve agent
VEE Venezuelan equine encephalitis
VX a persistent nerve agent
Glossary-13
FM 4-02.7
WBGT wet bulb globe temperature
WEE western equine encephalitis
WMD-IST weapons of mass destruction-installation support team
Glossary-14
FM 4-02.7
REFERENCES
NATO
NATO Emergency War Surgery Handbook. 1988.
NATO STANAGs
These agreements are available on request (using DD Form 1425) from the Standardization Documents
Order Desk, 700 Robins Avenue, Building 4, Section D, Philadelphia, Pennsylvania 19111-5094.
2002.
Warning Signs for the Marking of Contaminated or Dangerous Land Areas, Complete Equipments,
Supplies and Stores. Edition 8.
29 January 1999.
2047.
Emergency Alarms of Hazard or Attack (NBC and Air Attack Only). Edition 7.
24 July 1998.
(Latest Amendment, 7 February 2000.)
2068.
Emergency War Surgery. Edition 4.
28 October 1986.
(Latest Amendment, 17 October 1991.)
2083.
Commander’s Guide on Nuclear Radiation Exposure of Groups. Edition 5.
19 September 1986.
(Latest Amendment, 26 June 1994.)
2103.
Reporting Nuclear Detonations, Biological and Chemical Attacks, and Predicting and Warning of
Associated Hazards and Hazard Areas—ATP 45(A). Edition 8. 31 August 2000.
2104.
Friendly Nuclear Strike Warning. Edition 7.
28 June 1994.
(Latest Amendment, 28 June 1995.)
2112.
Nuclear, Biological, and Chemical Reconnaissance. Edition 4.
6 March 1998.
2475.
Medical Planning Guide for the Estimation of NBC Battle Casualties (Nuclear)—AmedP-8(A),
Volume I. December 2000.
2476.
Medical Planning Guide of NBC Battle Casualties (Biological)—AmedP-8(A), Volume II. March
2001.
2477.
Planning Guide for the Estimation of NBC Battle Casualties (Chemical)—AmedP-8(A), Volume III.
March 2001.
2500.
NATO Handbook on the Medical Aspects of NBC Defensive Operations—AMedP-6(B). Edition 4.
11 February 1997.
2873.
Concept of Operations of Medical Support in Nuclear, Biological, and Chemical Environments—
AmedP-7(A). Edition 3.
16 October 1996.
2879.
Principles of Medical Policy in the Management of a Mass Casualty Situation. Edition 3.
7 September 1998.
2941.
Guidelines for Air and Ground Personnel Using Fixed and Transportable Collective Protection
Facilities on Land. Edition 2.
19 June 1992. (Latest Amendment, 30 October 1995.)
2954.
Training of Medical Personnel for NBC Operations. Edition 1.
28 December 1987.
(Latest
Amendment, 6 June 1995.)
ABCA QSTAGs
These agreements are available on request (using DD Form 1425) from the Standardization Documents
Order Desk, 700 Robins Avenue, Building 4, Section D, Philadelphia, Pennsylvania 19111-5094.
183. Emergency Warning Signals and Alarms for NBCD Hazards or Attacks (NBC and Air Attacks Only).
Edition 3.
12 August 1991.
References-1
FM 4-02.7
187. Reporting Nuclear Detonations Biological and Chemical Attacks and Predicting and Warning of
Associated Hazards and Hazard Areas. Edition 5.
21 May 1998.
189. Friendly Nuclear Strike Warning. Edition 3.
12 August 1991.
501. Warning Signs for the Marking of Contaminated or Dangerous Land Areas, Complete Equipment,
Supplies and Stores. Edition 2.
11 May 1982.
608. Interoperable Chemical Agent Detector Kits. Edition 3.
13 December 2000.
816. Medical Aspects of Mass Casualty Situations. Edition 1. August 1990.
1330. Medical Aspects of NBC Defensive Operations. Draft.
2000. Guidelines on Entry and Exit Procedures for Using Collective Protection Facilities.
17 December
1996.
JOINT OR MULTISERVICE PUBLICATIONS
AR 40-535. Worldwide Aeromedical Evacuation. AFR 164-5; OPNAVINST 4630.9C; MCO P4630.9A.
1 December 1975. (Reprinted with basic including Change 1, 10 May 1979.)
AR 40-562. Immunizations and Chemoprophylaxis. AFJI 48-110; BUMEDINST 6230.15; CG
COMDTINST M6230.4E. 1 November 1995.
AR 40-656. Veterinary Surveillance Inspection of Subsistence. NAVSUPINST 4355.10; MCO 10110.45.
15 October 1986.
AR 40-657. Veterinary/Medical Food Inspection and Laboratory Service. NAVSUPINST 4355.4F; MCO
P10110.31G. 6 November 1997.
FM 3-3. Chemical and Biological Contamination Avoidance. FMFM 11-17.
16 November 1992.
(Change 1, 29 September 1994.)
FM 3-4. NBC Protection. FMFM 11-9. 29 May 1992. (Reprinted with basic including Changes 1—2,
21 February 1996.)
FM 3-5. NBC Decontamination. MCWP 3-37.3. 28 July 2000.
FM 3-6. Field Behavior of NBC Agents (Including Smoke and Incendiaries). AMF 105-7; FMFM 7-11 H.
3 November 1986.
FM 3-9. Potential Military Chemical/Biological Agents and Compounds. NAVFAC P-467, AFR
355-7.
12 December 1990.
FM 3-11.34. Multiservice Procedures for Nuclear, Biological, and Chemical (NBC) Defense of Theater
Fixed Sites, Ports, and Airfields. MCWP 3.37.5; NTTP 3-11.23; AFTTP(I) 3-2.33.
29 Sep-
tember 2000.
FM 3-19. Nuclear, Biological and Chemical Reconnaissance. FMFM 11-20. 19 November 1993.
FM 3-100. Chemical Operations, Principles and Fundamentals. MCWP 3-3.7.1. 8 May 1996.
FM 4-02.33. Control of Communicable Diseases Manual. 17th Edition. NAVMED P-5038. 31 Decem-
ber 1999.
FM 4-02.283. Treatment of Nuclear and Radiological Casualties. NTRP 4-02.21; AFMAN 44-161(I);
MCRP 4-11.1B. 20 December 2001.
FM 6-22.5. Combat Stress. MCRP 6-11C; NTTP 1-15M. 23 June 2000.
FM 8-9. NATO Handbook on the Medical Aspects of NBC Defensive Operations AMedP-6(B), Part I—
Nuclear, Part II—Biological, Part III—Chemical. NAVMED P-5059; AFJMAN 44-151V1V2V3.
1 February 1996.
References-2
FM 4-02.7
FM 8-284. Treatment of Biological Warfare Agent Casualties. NAVMED P-5042; AFMAN(I)
44-156;
MCRP 4-11.1C. 17 July 2000. (Change 1, 8 July 2002.)
FM 8-285. Treatment of Chemical Agent Casualties and Conventional Military Chemical
Injuries.
NAVMED P-5041; AFJMAN 44-149; FMFM 11-11. 22 December 1995.
FM 21-10. Field Hygiene and Sanitation. MCRP 4-11.1D. 21 June 2000.
DEPARTMENT OF DEFENSE
DOD 5100.52-M. Nuclear Weapon Accident Response Procedures (NARP). September 1990.
DOD Directive 3150.8. DOD Response to Radiological Accidents.
13 June 1996.
DD Form 1380. US Field Medical Card. December 1991.
DD Form 1911. Material Courier Receipt. May 1982.
DEPARTMENT OF THE ARMY FORM
DA Form 4137. Evidence/Property Custody Document. 1 July 1976.
ARMY PUBLICATIONS
AR 40-5. Preventive Medicine.
15 October 1990.
AR 40-61. Medical Logistics Policies and Procedures.
25 January 1995.
AR 40-66. Medical Records Administration and Health Care Documentation. 3 May 1999.
AR 40-400. Patient Administration.
12 March 2001.
FM 3-06.11. Combined Arms Operations in Urban Terrain. 28 February 2002.
FM 3-7. NBC Field Handbook. 29 September 1994.
FM 3-50. Smoke Operations. 4 December 1990. (Change 1, 11 September 1996).
FM 3-101. Chemical Staffs and Units. 19 November 1993.
FM 3-101-4. Biological Detection Platoon Operations—Tactics, Techniques, and Procedures.
9 June
1997.
(Reprinted with basic including Changes 1—2, 1 September 2000.)
FM 4-02.1. Combat Health Logistics. 28 September 2001.
FM 4-02.4. Medical Platoon Leaders’ Handbook—Tactics, Techniques, and Procedures.
24 August
2001.
FM 4-02.6. The Medical Company—Tactics, Techniques, and Procedures. 1 August 2002.
FM 4-02.10. Theater Hospitalization.
29 December 2000.
FM 4-02.17. Preventive Medicine Services.
28 August 2000.
FM 4-02.19. Dental Service Support in a Theater of Operations.
1 March 2001.
FM 4-25.12. Unit Field Sanitation Team. 25 January 2002.
FM 8-10. Health Service Support in a Theater of Operations.
1 March 1991.
FM 8-10-1. The Medical Company—Tactics, Techniques, and Procedures.
29 December 1994.
FM 8-10-6. Medical Evacuation in a Theater of Operations—Tactics, Techniques, and Procedures.
14
April 2000.
FM 8-10-8. Medical Intelligence in a Theater of Operations.
7 July 1989.
References-3
FM 4-02.7
FM 8-10-9. Combat Health Logistics in a Theater of Operations—Tactics, Techniques, and Procedures.
3 October 1995.
FM 8-10-14. Employment of the Combat Support Hospital—Tactics, Techniques, and Procedures.
29
December 1994.
FM 8-10-15. Employment of the Field and General HospitalsTactics, Techniques, and Procedures.
26 March 1997.
FM 8-10-18. Veterinary Service—Tactics, Techniques, and Procedures.
22 August 1997.
FM 8-10-24. Area Support Medical Battalion—Tactics, Techniques, and Procedures.
13 October 1993.
FM 8-10-25. Employment of Forward Surgical Teams—Tactics, Techniques, and Procedures.
30 Sep-
tember 1997.
FM 8-10-26. Employment of the Medical Company (Air Ambulance).
16 February 1999.
(Change 1, 20
May 2002.)
FM 8-30. Veterinary Food Inspection Specialist.
12 August 1986.
FM 8-42. Combat Health Support in Stability Operations and Support Operations.
27 October 1997.
FM 8-50. Prevention and Medical Management of Laser Injuries. 8 August 1990.
FM 8-51. Combat Stress Control in a Theater of Operations—Tactics, Techniques, and Procedures.
29 September 1994.
FM 8-55. Planning for Health Service Support.
9 September 1994.
FM 8-250. Preventive Medicine Specialist.
27 January 1986.
(Reprinted with basic including Change 1,
12 September 1986.)
FM 8-500. Hazardous Materials Injuries: A Manual for Pre-Hospital Care. Edition 4. 17 January 1997.
FM 10-52. Water Supply in Theaters of Operations. 11 July 1990.
FM 21-11. First Aid for Soldiers.
27 October 1988.
(Reprinted with basic including Changes 1—2,
4 December 1991.)
FM 22-51. Leaders’ Manual for Combat Stress Control. 29 September 1994.
FM 31-71. Northern Operations. 21 June 1971.
FM 90-3. Desert Operations. FMFM 7-27. 24 August 1993.
FM 90-5. Jungle Operations. 16 August 1982.
FM 90-10. Military Operations on Urbanized Terrain (MOUT). 15 August 1979.
STP 8-91W15-SM-TG. Soldier’s Manual, Skill Levels 1/2/3/4/5 and Trainer’s Guide, MOS 91W, Health
Care Specialist.
10 October 2001.
TC 8-13. Deployable Medical Systems—Tactics, Techniques, and Procedures.
7 December 1990.
TM 3-4240-288-12&P. Operator’s and Unit Maintenance Manual Including Repair Parts and Special
Tools List for Collective Protection Equipment NBC, Simplified M20 (NSN 4240-01-166-2254).
NAVFAC P-475. 20 August 1987.
(Reprinted with basic including Changes 1—2, 3 May 1989.)
TM 10-5410-228-10. Operator’s Manual for Chemical Biological Protective Shelter System.
31 August
2001.
TM 10-5410-283-14&P. Operator’s Unit, Direct Support, and General Support Maintenance Manual
(Including Repair Parts and Special Tools Lists) for Chemically Protected Deployable Medical
System (CP DEPMEDS) (NSN 5410-01-479-9730) (5410-01-479-9727) and CPDEPMEDS Training
Set (6910-01-479-2464).
30 November 2001.
References-4
FM 4-02.7
INDEX
References are to paragraph numbers unless otherwise indicated.
advanced trauma management, 3-1e, 3-9
Allied medical publications, viii, D-1, D-3d, D-11b, D19e
animals
consumption, for, 5-8, J-3a(5), J-3b(5), J-5c(9)
contamination of, J-3
decontamination of, 5-8, J-3d, J-4d, J-5d(9)
government-owned, 5-5, 5-8, C-7
protection of, 5-8, J-3a(5)
specimens, from, 5-9, 5-14, J-5b(4)
treatment of, 5-5, 5-8
area of operations, 1-3b(4)
attack, nuclear, biological, or chemical actions
after, 2-6a, 3-1c, 3-7
before, 3-5
detection of, 5-7, A-1, F-14, I-2, J-1, J-3b, J-4b, J-5b
during, 2-6a, 3-6, 3-9, 3-10b
monitoring, 3-10d, 4-2d(2)(a), 4-7h, 5-7, A-6a, C-4—5, Appendix E, F-4, F-15b, G-10f, J-3b, J-4b, J-5b
personnel considerations, 3-9
prediction for, D-3d, D-26b
responsibilities, 2-3, 2-6a, 5-22, 5-23
supplies, 3-5b, 3-8b, 4-1—2, 5-2a, 5-3, 5-5—6, 5-14, 5-24—26, C-2—3, C-5—12
survey, 3-7, 3-14c, C-4, D-4c, G-11j(4), J-3b, J-5b(4)
treatment, 3-7, 4-1a(3), 4-4, 4-7g
disposition, 3-10, 3-15b
elements, 2-1b(3), 3-10
operations, 2-2a
battlefield, 1-3a, 2-1, 2-2a, 2-3, 2-5a, 2-6, 3-1, 3-9, 3-12, 4-1, 5-1, 5-5, 5-15, 5-24, A-1, D-3, D-19, G-3,
H-2
contaminated, 1-3a, 2-1, 2-6a, 3-1e, 3-9, 3-12d, 4-1, 5-1, 5-5, 5-15, 5-24, A-1, D-3, D-19f, D-25,
G-8, J-5a
conventional, 3-1a and e, 3-10
care, in unit, D-7, D-15, D-23
casualties
biological, C-2, C-5, D-1, D-20
chemical, D-1
civilian, 3-11
estimates, D-3b, D-11
mass casualties, 2-1
nuclear, 3-7, A-6, D-1, D-6b, D-8
requirements estimation tool, D-2
chemical, biological, radiological, nuclear, and high-yield explosive, 5-28, C-1
collective protection systems
advanced simplified, F-2c, F-10
alternate facilities, 2-5b(4)
available, 2-5b
Index-1
FM 4-02.7
collective protection systems (continued)
decontamination of entrance area, F-13
employment
battalion aid station, 3-2b, F-2a, F-3
division clearing station, 3-3c, F-2a, F-4
forward surgical team, 3-4, F-2a, F-5
in DEPMEDS hospital, 4-1a, F-2b, F-6—9
operation, entry, and exit guidelines, 3-2b, F-12
procedures, 3-2b, 3-3c, 3-4
entry/exit, F-14—15
ambulatory patients, 3-2b, F-15
litter patient, 3-2b, F-15b
establish, 2-5b(1), F-3—6
radiation exposure, 3-12b and d, 5-3, A-6a
resupply of protected areas, F-16
shielding, 4-2b(2)(b)
water supply, in, F-6b
combat operational stress control, 3-3a, 5-20, C-9
effects of, 3-1a, 5-20
leadership actions, 3-1b, 3-3a, 5-21
preventive, 5-23b
reactions, 5-23c
responsibilities, 5-20, 5-22, 5-23
sleep plans, 5-21f
command and control, 2-1, 2-5a, 4-1a
appraisal of the support mission, 2-3
health service support units, 2-4
homeland security, 2-7
leadership, 2-6, 3-1b
operations, 2-2a, 2-4—5, 2-6b
planning considerations, 2-2
communications, 2-4, 3-1c
contaminated
environment, 4-1a
facility, 2-5c
patients, A-6
contamination, 3-1d, 5-3
avoidance, 2-5c, 3-1d, 3-17e
control, 2-5c, 3-14c
detection, 3-1d, I-2
food, 4-1a, A-9c, J-1
free area, 3-2b, 3-3b, 3-10d, 3-15
hinder HSS operations, 3-1d
persistency, 2-1b(2)
water, 4-1a, A-9c, I-1
Index-2
FM 4-02.7
decontamination
augmentation, 3-5c, 4-1a(3), 4-4a, C-4, G-3b, G-4b, G-5, G-6
biological, A-10c, D-12a, D-13b, G-12
ambulatory patients, G-14
litter patient, G-13
chemical
ambulatory patients, G-11
litter patients, G-10
clothing removal, G-10c, G-11a and i, G-13c, G-14b, G-17b
collocation with thorough decontamination, G-3
complicating factors, 4-4a
dental, 3-3a, 3-15, C-8
facility, 2-5b(9), 3-1c, 4-1a(2), 4-3—4, G-3f
Field Medical Card, G-2, G-10a(4), G-11f, G-13b, G-14b
food, 5-7
gross contamination removal, G-10a, G-11h
heat injury prevention, during, 6-10g(4)
immediate, G-2
litter, G-10e
mask, 4-2b(4), G-10a(1), G-11e
materials needed, 2-5d, 4-3, G-1c
medical treatment facility, at, G-4—6
monitor for completeness, 6-10f, G-11j, G-15
nuclear, 4-4ac, A-6c, G-15
ambulatory patients, G-17
litter patients, G-16
operations, G-1, G-3a, J-5c(5)
patient protective wrap, G-11c
patients, 2-5b(2) and (4), 2-5d, 3-2b, 3-14d, 3-15c, 4-1a(2), F-11, G-1a, G-8, G-13
personal effects, G-10c, G-13a, G-14a, G-16a, G-17a
personnel/equipment, 2-5b(2), 3-2b, 3-9, 4-3, G-11d, G-14a
shuffle pit, G-10g, G-11l, G-13e, G-14e, G-16d, G-17d
skin, G-10a and f, G-11, G-13d, G-14d, G-16c, G-17c
solution preparation, G-1c, G-7
spot, 3-2b, 4-3c, G-10f, G-11g
treatment during, G-10, G-11a and k(2)
bandages, G-10c(2) and f(2), G-11k(2)
splints, G-10c(2) and f(2), G-11k(2)
tourniquet, G-10c(2) and f(2), G-11k(2)
unit, G-2
waste, dispose of, G-10f(4), G-11k
water, G-7
defense, 3-14b
dental services, 3-3a, 5-15, C-8
decontamination, 5-17—18, C-8
Index-3
FM 4-02.7
dental services (continued)
mission, 5-16
operations, 5-17
patient protection, 5-19
treatment, 3-3a, 5-16, 5-17, 5-18
detection, 3-1d
diseases, 1-3b(4), 5-1, 5-2b, 5-3, A-8b(5), D-12c, D-17b
emergency medical treatment, 3-1e, 3-2b, 3-3c, 3-4, 3-7, 3-9, 3-15b, 4-1a(3), D-4a, D-12a
enemy prisoners of war, 2-2a
environment
biological, 3-14
chemical, 3-15
nuclear, 3-12
operations in extreme environments, 3-16
desert, 3-16d
jungle, 3-16c
mountain, 3-16a
NBC, 3-16
snow and extreme cold, 3-16b
urban terrain, 3-16
evacuation, 3-17, D-6, D-9, D-12a, D-14, D-22
aircraft, 3-17b and e
contaminated areas, in, 3-17b
ground vehicles, 3-17b
nonmedical vehicles, 3-17b(1), 4-1a(3)
personnel, 3-17b
facilities, 2-5b(9), 3-1c
clean, 3-1—3, 3-10, 3-15, 3-17b(4)
contamination, 3-2, 3-3c, 3-15a(4)
move
alternate facilities, 2-1b(4), 3-1d
decision to, 2-1b(3)
mobility, 4-1a, 4-2a, D-6a, D-14a, D-23a, F-1
patients, 2-1b(3)
protection available, 2-1b(1) and (4)
principles, 4-2b(4)(d)
field expedient protective systems, H-1, H-4
foxholes and trenches, H-3
protection
biological agent, against, H-4a
chemical agent, against, H-4a
factors, H-2
radiation, against, H-2
shielding, H-2
shelters, expedient, H-1, H-3—4
Index-4
FM 4-02.7
field expedient protective systems
shelters, expedient (continued)
building of opportunity, 2-1b(1), H-3
cave, 2-1b(1), H-3
culverts, H-3
ditches, H-3
dozer trenches, H-3
dug-in tents, H-3d
engineer support, H-3c
overpasses, H-3
sandbagging, H-3e
tents, H-3e
tunnels, 2-1b(1), H-3
Field Medical Card, G-2, G-10a(4), G-11f, G-13b, G-14b
first aid, 3-1a, 3-2a, 3-9, D-7b
buddy aid, 3-1a, 3-2a, D-4a, D-7b, D-12a, D-20c
combat lifesaver, 3-1a, 3-2a
self-aid, 3-1a, 3-2a, D-4a, D-7b, D-12a, D-20c
food
animal, J-3c(5)
considerations, J-3d
contamination avoidance, J-1c(1)
contamination of, 4-1a, J-3a, J-4a, J-5a
countermeasures, J-1b
decontamination of, J-1a, c(3), and d, J-3c, J-4d, J-5c
detection in, J-1a, J-4b, J-5b
disposition of, J-1a, J-5d(9)
monitoring, J-3b
operational rations, J-2a
priorities, J-1c
protection of, J-1a, J-2
storage
bulk, J-2b
expedient, J-2b
fresh food, J-2b
susceptibility of, J-1a
forward surgical team, 3-4
guidelines
chemical, biological, radiological, nuclear, and high-yield explosives, C-1
conduct operations, A-2
evacuation, A-7
health service support planning, C-1
mobilization, for, A-2
operational exposure, 3-12d
planning, A-1
Index-5
FM 4-02.7
guidelines (continued)
predeployment, A-2
health service logistics, 5-24, A-11
organizational maintenance, 5-27
protection of supplies
shipment, during, 5-26
storage, in, 5-25, A-11
health service support, D-9, D-12a
appraisal, 2-3
casualty collection point, 3-1c
conventional operations, 2-4
evacuation, 2-2b, 2-5b(5), 3-2—3, 3-16a, 3-17, 4-1, 4-2b(2), 4-7i, A-7, A-14b, A-15b, D-1—2, D-4a,
D-6, D-7b, D-8, D-12a, D-13b, D-14, D-16, D-19a, D-20c, D-22, D-24, D-26d, Appendix E,
F-2a, F-3, F-5, G-2, G-10, G-11c, G-14e, G-17d
factors, medical planning, 2-3
levels of, 3-2, 3-3, 4-1a
operations in NBC, 2-2g, 2-5, 2-6b, 3-1—4, 3-17d, 4-1a
personnel protection, 2-6a, 3-8
planning, 3-8
proximity, 3-1c
replacements, 3-1c
survival, 3-5a, 3-16c, 5-15, 5-22a, D-7b
technical channels, 3-1c
treatment, 3-7, 4-1a(3)
heat stress, 2-6a
homeland security, 2-7, 5-28, C-12
hospitalization
bed requirements, D-8, D-16, D-24
blood services, 5-11
conventional operations, 4-8
decontamination, 4-1a(5)
defensive measures, 4-1b
emergency services, 4-4
general medical services, 4-5
integrated battlefield, on, 4-1a
intensive care, 5-11
locations, 4-1a(1)
logistics support, 4-1b(2), A-11
nursing services, 4-7
protection, 4-1a(5) and b(2), 4-2b(2)(b), 4-4
protective procedures, 4-1a(5) and b(1)
biological, 4-1b(3)
chemical, 4-2b(4)
MOPP levels, 4-1b
nuclear, 4-2b(2)
Index-6
FM 4-02.7
hospitalization (continued)
response, 4-2a
surgical services, 4-6, 5-11
warning system, 4-1b(4)
initial effects
alternate operational sites, 3-10
detection, 3-1d, 5-7, 5-27, A-1, C-2, C-4, C-6—7, C-11, Appendix E, F-12c, F-14, I-2, J-1, J-2a, J-4b
installation medical authority, 5-28
International Standardization Agreements, D-1
STANAG 2475, p. viii, D-3
STANAG 2476, p. viii, D-11
STANAG 2477, p. viii, D-19
laboratory services, 5-9—11, A-10a, Appendix E
biological specimens, 5-11, 5-14
chain of custody, 5-14
clinical, 5-11
levels, 5-11
samples, 5-10
animals, small, 5-14
environmental, 5-14
field, 5-14
food, 5-14
soil, 5-14
vegetation, 5-14
support, 5-11
theater Army medical laboratory, 5-11
leadership
logistics, 2-6, 3-8, 4-2b(4)(c), 5-6, D-9, D-12a, D-17, D-25, Appendix E
main supply routes, 3-5c
mass casualties, 2-1, 5-15—16, 5-29, A-10b, A-14b, A-15b, D-4a, D-12a, D-20b
medical equipment sets
chemical agent patient decontamination, 3-8b, 4-3c(3), C-2, C-4
chemical agent patient treatment, 3-8b, 4-3c(3), C-2, C-4
medical evacuation, 2-5b(3) and (5), 3-1c and e, 3-2a, 3-3a, 3-10b, 3-12b, 3-17, 4-1, 5-28
medical surveillance, 3-3a, 3-14f
medical treatment facility, 2-1, 2-2a, 2-5b, 3-3c
mission-oriented protective posture
clothing, 2-5b, 3-1ab, 3-9—10, 3-15a, 5-19b, 5-21e, C-3, F-2a
equipment, 2-5b
performance degradation, 2-6
movement and management of contaminated facilities, 2-5b, 3-10d
nuclear, biological, and chemical battlefield
considerations, C-1
defense, 3-1b, 5-21
leadership, 2-6, 3-1, 3-6, 3-17a, 5-21, Appendix E
Index-7
FM 4-02.7
nuclear, biological, and chemical battlefield (continued)
operational exposure guide, nuclear, 2-5a, 3-1b
operations in, 1-3b(4), 2-2a, 2-4—5, 3-5a, 3-9, 3-12d, 3-16, 4-2b(1)(c), (2), and (4)(c), 4-3a, 5-14—15,
5-17, A-7, C-2, C-11, Appendix E, F-4—5
strikes, 4-1a
warning and reporting system, 4-1b
nursing services, 4-7, A-10
operational
exposure guide, nuclear, 2-5a, 3-1b, 3-12d, 3-17b
plans, 2-5a, 3-1a
operations, 4-2b(1)(c) and (2)(a), 4-3a(2), A-1, A-7, C-1, C-5, C-11, D-3d, F-3—5, F-11—12, G-1a, J-1d,
J-5c(5)
security, 4-1b(1), 4-2b
passive defense measures, 3-14b
patient
chemical agent, A-14
contaminated, 3-10c, 3-12, 4-1a(3), C-5
decontamination, 3-3b, 3-10, 4-1a(3) and b, A-14c, A-15c
externally contaminated, 3-12a
holding, 3-3a
internally contaminated, 3-12a
irradiated, 3-12a
management of, A-10c
number of, 2-1b(3)
protective wrap, 3-17f, F-15b(2)(a), G-11c
stability operations and support operations, in, A-7
types of, 2-1b(3), 3-12b, C-4
personnel
protection of, 2-1b(9), 2-6a
replacement of, 3-1c
planning
considerations for, D-4, D-20a
estimates, D-2, D-4, D-11c, D-17, D-19
health service support, 3-9
medical force, for, D-10, D-18, D-20, D-26
medical NBC staff officer, Appendix E
mobilization, C-2—3
NBC, 3-5c, p. D-1
predeployment, C-2
tool, medical, D-2
plans
establish a medical treatment facility, C-1
HSS, 3-17d
load, C-3
movement, C-3
Index-8
FM 4-02.7
plans (continued)
operation, 2-5a, 3-1a
tactical, 3-17d
preventive medicine
arthropods, 5-2b, 5-3
climate, 5-2a
detachments, 5-4
determining factors, 5-1, 5-2a
disease, 5-1
divisional, 3-3a, 5-3
field hygiene and sanitation, 5-3
field sanitation team, unit, 5-3—4
immunizations, 5-3, D-11f
incidents and morbidity, 5-2b
measures, 3-1e, 5-1, 5-4, 5-11—12
medical surveillance, 5-4
occupational and environmental health threat, 5-3—4
operations, 5-1—2, 5-4
pest management, 5-2b, 5-4
prophylaxis, D-11f
services, 3-3a, 5-1, 5-14, C-6, Appendix E
water and food, 5-2a, 5-3—4
protection
buildings of opportunity, use of, 3-1d, 3-5b, 3-12
collective, 3-1d, 3-2b, 3-3b, 3-4, 3-10a, 3-15, 4-7, C-2, C-4
covers, 3-1d, 3-12
environmental 4-2b(2), 4-5, 4-6a and c, 4-7c
hospital, 4-2a
individual, 4-2b, 5-21d
mask only, 4-2b(4)(a), 4-7b
materiel, 3-1d, 4-2b(4)(d)
overhead, 3-1d, 3-12
patient, 3-5d, 4-2b(4)(c), A-6
personnel, 3-5b, 4-2b(4)(a)
proximity, 3-1c
shielding, 3-5b, 4-2b(2)
site selection, 3-12
supplies, 3-5b
types of, 3-1d
warning system, 4-2b(4)
expedient,
2-5b(1), 3-5b, 3-12
shielding, 4-2b(2)(b)3
radiation exposure status, 3-12d, 3-17b
radiological dispersal devices, 1-1a, 4-1a, A-1
rations, F-6b, J-5a(4)
Index-9
FM 4-02.7
reporting, Appendix E
return to duty, 3-1e
samples, 5-3—4, 5-9, C-6—7, C-10, Appendix E
analysis of, B-1—2
chain of custody, 5-9, 5-14a and b(1), C-6—7
documentation, 5-9
collection, 5-9, B-1—2, B-4b
description of, B-2
environmental, 5-9, 5-14, B-1, B-3b, B-5
air, 5-12b(1), 5-14, B-1, B-8
soil, 5-12b(1), 5-14, B-1, B-10
vapor, B-8
vegetation, 5-12b(1), 5-14, B-1, B-4
water, 5-12b(1), 5-14, B-1, B-3c, B-9
food, 5-9b(1), 5-14, J-4b(1), B-1, B-3d
handling, 5-9
history of, B-2
identification, 5-9b(1), 5-13
labeling, 5-9, 5-13, B-4b
preservation, 5-9b(1), B-2, B-4b, C-6—7
transportation, 5-9b(1)
sleep loss, 2-6a
special medical response teams, 5-28—29
specimens, Appendix E
analysis, 5-10—11, 5-12b, A-10, B-1—3
ante mortem, B-3a
background documents, B-18
biological, 5-3—4, 5-9, A-10, B-1, B-5, B-12—13, p. C-6—7
chain of custody, 5-9a, 5-11—12, 5-14b(1), B-4, B-17, C-6—7, C-10—11
civilians, from, B-1b, B-13
collection of, 5-3—4, 5-9b(1), 5-10—12, 5-14, B-1, B-4b, B-12—13, C-7, C-10—11
description of, B-2
documentation of, B-2
field, 5-14
history of, B-2, B-15
identification, 5-9b(1), 5-12b, 5-13, A-10a
post mortem and forensic, B-3b, B-14
preservation, 5-9b(1), 5-11—12, B-2—3, B-4b, B-15—16, C-6—7, C-10—11
reporting, 5-12b, B-15, B-17
transportation, 5-9a and b(1), 5-12
types of, B-3
stability operations and support operations, A-7
Standardization Agreement (STANAG). See International Standardization Agreements.
stress, 2-6a
supply, Class VIII
Index-10
FM 4-02.7
tactical standing operating procedures, C-2
threat, 1-1a
biological warfare, 1-2, 1-3b, 3-14
chemical, biological, radiological, nuclear, and high-yield explosive, 1-2
chemical warfare, 1-2, 1-3c
directed energy, 1-2
medical, 1-2
nuclear, 1-2, 1-3a
radiological dispersal device, 1-2, 1-3a
toxic industrial material, 1-1b, 1-3d
toxic industrial material, 1-1b, 1-2, 3-1a and d, 4-1a, 5-3, A-1, A-15, Appendix E
training, 3-1b, C-3
treatment, 3-1—2, 3-7, 3-9—10, 3-13—16, 5-29, A-3a(3), A-6e, A-10d, A-14d, A-15d, Appendix E
advanced trauma management, 3-1e, 3-9
clean area, 3-1—3, 3-10, 3-15, 3-17b(4)
emergency medical treatment, 3-1e, 3-3b, 3-7, 3-9, 3-15b, 4-1a(3), D-4a, D-12a
triage, 2-3, 3-13, 4-1a(3) and b, 4-4b, 5-20, 5-29, C-2, C-5, D-4a, D-5, D-12a, D-13, D-21
veterinary services, 5-5, 5-14, C-7, Appendix E
animal care, 5-8
food protection, 5-6
waste disposal, F-6b
water supply, 4-1a, C-2, F-6b, I-1—4
actions to protect, I-3
detection in, I-2
treatment of, I-4
weapons, 1-3, 3-1b and c, 4-1a, A-1
biological, 4-2b(3), 5-2b, A-8, D-11e, D-12b
agents, A-8
behavior, A-9
dispersion, A-8—9
effects, 3-7, A-7, A-10, D-11c
incubation period, A-8a(3)
individual, F-14
infection, A-8a(2)
live agents, A-8a
spore forming, A-8b
toxins, A-8c
categories
nonpersistent, A-12a(2)
persistent, A-12b(1)
protection against, 3-10
vapor hazard, 3-10d
chemical, 4-2b(4)
agents, 3-7, A-11b
attacks types of, A-11b
Index-11
FM 4-02.7
weapons
chemical (continued)
behavior, A-12
blister, Table A-12, A-13b, D-20e
blood, Table A-12, A-13d
characteristics, A-12—13
incapacitating, A-12a, Table A-12
lung damaging, Table A-12, A-13c
nerve, Table A-12, A-13a
effects, 3-5b, A-11
employment of, A-1
nuclear, 4-2b(2)
biological effects, A-4
blast, 3-7, 3-12a, A-2c, A-3a
burns, A-4
detonation of, D-3e
effects of, D-3d
electromagnetic pulse, A-2a, D-4d
eye injuries, A-4c
fallout, 3-12b
overpressure, A-3a(2)
physical effects, A-2
physiological effects, A-3, A-5
radiation injury, 3-7, 3-12a
thermal injury, 3-7, 3-12a, D-4a
radiological dispersal device, 1-1b, 1-3, A-1, A-3
threat, 1-1, 3-1a, 3-2b
work/rest cycles, 2-6a
Index-12

 

 

 

 

 

 

 

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