|
|
|
Planning Considerations for Joint and
Multinational Operations
z
What dental resources are deployed in theater?
(Which Services have dental assets deployed in
the theater? Can these assets provide area dental support to the other Services that do not have
organic dental capabilities? What categories of dental care will be provided in theater?)
z
Is it anticipated that dental personnel will be required to perform their alternate wartime role
during the operation?
(Are mass casualty operations anticipated? Will dental personnel be
used to augment medical resources in mass casualty operations? Do dental personnel from all
the Services have the training in advanced trauma management to perform the alternate
wartime role?)
Note. Dental personnel have the additional wartime role of augmenting medical personnel
during mass casualty situations. Under these circumstances, dental officers and staff may be
called upon to augment and assist the MTF staff in treating the sick and injured. The areas
where they may be able to provide assistance include: assisting with surgical procedures,
forensic dental examinations, treatment of maxillofacial injuries, management of soft tissue
wounds, and management of CBRN casualties, treatment of orthopedic injuries, initial burn
treatment, and intravenous infusion techniques.
z
Where will dental resources be located?
(At the hospitals? In field dental units? In clinics or
other outpatient settings?)
MEDICAL EVACUATION
D-4. The theater evacuation policy is a significant factor in determining what medical infrastructure will
be deployed to the theater. The shorter the evacuation policy, the less treatment assets (especially
hospitals) will be required in theater. Strategic medical evacuation from Role 3 hospitals is accomplished
by the US Transportation Command while medical evacuation from Roles 1 and 2 is a Service component
responsibility.
z
Is the theater evacuation policy anticipated to change during the operation?
(Are exceptions to
the theater evacuation policy permitted [such as for special operations forces]?)
z
What are the specific responsibilities for each Service component?
(Each Service component is
responsible for the medical evacuation of their own forces from Roles 1 and 2 to Role 3. Will
one Service component be responsible for this medical function for all joint forces within the
joint operational area [such as the US Army being designated to provide air and ground
medical evacuation support to the joint force?] Army support to the other Services normally
encompasses shore-to-ship for US Marine Corps ground forces to hospital ships and/or
casualty receiving and treatment ships?)
z
Will a theater patient movement requirements center or a joint patient movement requirements
center be activated for the operation?
(Will the joint theater patient movement requirements
center and/or joint patient movement requirements center be established to coordinate medical
regulating operations? What units will coordinate with the theater patient movement
requirements center for medical regulating information [this is normally accomplished by the
theater patient movement center of the MEDCOM {DS}, intratheater patient movement center
of the MEDBDE, or the medical regulating officer in the MMB; however, a Role 2 MTF may
coordinate for this support if other C2 units are not deployed within the AO].)
z
Will a mobile aeromedical staging facility/aeromedical staging facility/aeromedical staging
squadron be established for staging patients awaiting medical evacuation aircraft?
(Where will
they be located? Is it anticipated that they will be required to relocate during the operation?
How much time is required to relocate the units? Once patients have arrived at the mobile
aeromedical staging facility/aeromedical staging facility/aeromedical staging squadron how
long can they be held? If the incoming flight is canceled who will pick up the patients and
sustain them until the next scheduled flight?)
z
What other USAF aeromedical evacuation resources will be available in theater?
(This should
include a discussion of aeromedical evacuation liaison teams, aeromedical evacuation crews,
and critical care air transport teams? Will the USAF have sufficient critical care air transport
26 May 2010
FM 4-02.12
D-3
Appendix D
teams to provide en route medical care on the aircraft? Does the Army originating medical
facility have to plan on providing medical attendants to provide en route medical care of
critical care patients?)
z
How will patient movement items be handled? (How will property exchange between US Army
units/organizations be conducted? United States Army and US Marine Corps? United States
Army and the USAF
[mobile aeromedical staging facility/aeromedical staging
facility/aeromedical staging squadron]? United States Army and US Navy? United States
Army and US Coast Guard? Refer to JP 4-02 and FM 4-02.1 for additional information on
patient movement items.)
z
Are US Army medical air ambulance unit personnel deck-landing qualified for US Navy ships?
(Have pilots received the necessary training and certification to accomplish the shore-to-ship
mission?)
HOSPITALIZATION
D-5. Hospital resources provide essential care within the theater to return Soldiers to duty or to evacuate
them from the theater. Hospitalization is one area within joint operations that is often designated for joint
use. Joint use of facilities however does not equate to or require joint staffing. Additionally, hospitals
often plan to include shared services with other Service component hospitals so that high-dollar specialty
medical equipment does not have to be deployed by each Service component.
z
What hospital resources will be in the theater?
(Identify hospital units from all Service
components within the theater. What is the ratio between medical beds and surgical beds?
What ancillary services are provided within the theater [such as physical therapy, occupational
therapy, or other convalescence and rehabilitative services]? Are hospital units being phased
into the theater as the operation progresses and the theater matures?)
z
What hospitals will be designated for the care of retained persons and EPWs/detainees?
(If
significant numbers of retained persons and EPWs/detainees are anticipated, will a hospital or
hospitals be designated only to receive these patients? If not, will all hospitals receive and treat
retained persons and EPWs/detainees? Will the echelon commander provide security [guards]
for EPWs/detainees treated and evacuated through medical channels?)
z
Has an eligibility determination been made for care in US facilities?
(The eligibility
determination is made at the highest level possible in coordination with the SJA. The
determination should address personnel such as DOD civilian employees and/or contractors,
other governmental agencies, NGOs, host nation civilians, or any other personnel/groups/
organizations who may seek medical care in a US facility. Once the policy has been
determined, it should be disseminated to the lowest level possible. Refer to Appendix A.)
z
Are there any hospital resources within the theater that can operate as shared resources with
hospitals from the other Services?
(To ensure that a duplication of services does not occur, the
medical planner must determine if there is any state-of-the-art medical equipment [high dollar
cost] which all Services could use at one location rather than equipping each Service hospital
separately?)
z
Is there a hospital which is equipped to treat psychiatric casualties?
(What hospitals have
psychiatric care beds? If none are deployed, what hospitals will receive psychiatric care
patients? How long can psychiatric care patients be held within the theater? Is the originating
medical facility required to provide a medical attendant to provide en route medical care to
these patients? Will sedation and/or restraints be required prior to or in flight? How many
days of medication must accompany the patient?)
VETERINARY SERVICE
D-6. Veterinary services are provided by the Army for all Service components (except food inspection on
USAF installations), and when directed, may provide veterinary support to other government agencies
employing MWDs or other government-owned animals. Additionally, veterinary support includes
veterinary PVNTMED activities to reduce DNBI casualties from zoonotic diseases transmissible to man.
D-4
FM 4-02.12
26 May 2010
Planning Considerations for Joint and
Multinational Operations
During CBRN operations, MWD require protection from the affects of chemical warfare and biological
warfare agents similar to Soldiers.
z
Although the US Army is the Executive Agent for veterinary support for all Services, will the
USAF conduct its own subsistence inspection on USAF installations?
(The medical planner
needs to determine if the USAF will conduct its own subsistence inspections on USAF
installations. How does this impact the veterinary service support plan for the operation?)
z
What types of rations are to be used by the forces in the AO? (The type of ration used [such as
meals, ready to eat versus A rations versus unitized group rations] will determine the
anticipated workload for the operation. Are medical supplemental rations available?)
z
Will MWD and/or other government-owned animals be used in the operation?
(What
Services/units will be employing MWD and/or government-owned animals? Where will these
units/animals be located? What functions will the animals perform? Are there other
government-owned animals belonging to other governmental agencies [non-DOD] which must
be sustained?)
z
Does a command policy exist on unit mascots or pets?
(What is the theater policy on
maintaining unit mascots or pets? Have they been screened for zoonotic diseases transferable
to man? Have they been immunized?)
z
How will animals requiring evacuation be managed? (What vehicles will be used to perform the
evacuation [such as dedicated medical vehicles or general transportation assets]? Will the
handler accompany the animal? If the handler cannot accompany the animal, will the animal
require sedation for the evacuation?)
z
What CBRN defense actions are planned for protecting MWDs?
(Is collective protection
available for MWDs? What are the chemoprophylaxis and treatment regimens available to
lower the risk to MWDs and to mitigate the effects of exposure to biological warfare and
chemical warfare agents and/or toxic industrial materials? Refer to FM
4-02.7 and
FM 4-02.18 for additional information.)
PREVENTIVE MEDICINE
D-7. Preventive medicine encompasses all activities aimed at reducing health threats and preventing
DNBI. Field hygiene and sanitation is a command responsibility and must be a crucial pillar of the
commander's information plan. All Service components will deploy PVNTMED capabilities. It is
essential for the medical planner to understand what capabilities are available within the theater and what
capabilities are available within the MHS that can provide reachback support.
z
Do all Services have PVNTMED assets deployed in the theater?
(If no, which Service will
provide PVNTMED support on an area support basis? Is augmentation required to accomplish
the mission?)
z
What is the health threat in the AO?
(What are the endemic and epidemic diseases in the AO?
Are disease outbreaks seasonally related? Have any of the Services previously conducted
extended operations in the AO? How is medical intelligence obtained for the joint force? What
are the OEH hazards faced by the joint force [to include toxic industrial materials]? Are there
hazardous flora and fauna in the AO? Refer to Table 1-1 for additional information on the
health threat.)
z
Have site surveys been conducted for areas to be inhabited by US forces?
(Are the individual
Services responsible for providing this medical function in their individual areas? Will this
medical function be performed for the joint force by one specific Service? Were any areas
determined to be hazardous [such as sewage runoff, fly or other arthropod infestation, or soil
contaminated by toxic industrial materials]? Can adverse environmental conditions be
corrected? Is selection of another site required? Was the site previously used by other forces?
Are sanitation facilities adequate? Are the methods of human waste disposal in compliance
with applicable environmental laws/policies of the US and host nation [such as chemical toilets
and individual waste collection bags]?)
26 May 2010
FM 4-02.12
D-5
Appendix D
z
Have Soldiers been properly trained and certified by support PVNTMED resources for
insecticide spraying?
(Refer to DA Pamphlet 40-11 for additional information on training and
certification.)
z
Is it anticipated that refugee, retained persons, and/or EPW/detainee operations will be
required?
(Are sufficient PVNTMED assets deployed in theater to support these types of
operations without adversely impacting the delivery of health care to US forces? Is
augmentation required? Are sufficient sanitation facilities available to support the refugee,
retained persons, and EPW/detainee populations? Is sanitation maintained on public food
service facilities? Are water supplies adequate and potable?)
z
Do units have field hygiene and sanitation supplies and equipment on hand?
(Do all the
Services have adequate field hygiene and sanitation supplies and equipment on hand? Are
teams [such as the unit field sanitation team] trained to apply PVNTMED measures to counter
the health threat?)
z
Do Soldiers have personal protective supplies and equipment available and/or issued?
(Are
sunscreen, sunglasses, insect repellent, bed nets, or other personal protective
supplies/equipment on hand or available for issue?)
z
If continuous operations are anticipated, have work/rest schedules (sleep plans) been developed
and implemented when appropriate?
(Continuous operations without adequate amounts of
sleep can lead to serious performance degradation [such as faulty decisionmaking or lowering
resistance to diseases]. Refer to FM 6-22.5 for additional information on sleep requirements.)
z
Is a command policy established and disseminated on water discipline?
(In operations
conducted in hotter climates, extreme cold weather, or in mission oriented protective posture
equipment, command emphasis must be given to a water discipline program to ensure heat
injuries are minimized.
Note. Dehydration can occur in extreme cold weather operations as well as in operations
conducted in hotter climates.
COMBAT AND OPERATIONAL STRESS CONTROL/BEHAVIORAL HEALTH ACTIVITIES
D-8. One of the significant health threats to deployed forces is stress. Home front issues combined with
the operational environment can render Soldiers combat ineffective. Commanders and small unit leaders
must recognize the signs of stress with the Soldiers and units and take immediate corrective action to
mitigate the effects of combat and operational stress reactions.
z
Do all the Services have BH personnel deployed to the theater?
(Do all of the Services have
organic COSC/BH resources? Are there any Services which will require COSC/BH support on
an area support basis?)
z
During the operation is it likely that a mass casualty situation will develop?
(What is the type of
operation? What is the level of violence likely to be encountered? What is the likelihood of a
mass casualty situation arising? Are assets available to provide COSC interventions during
mass casualty operations?)
z
What is the likelihood of a terrorist attack?
(What is the terrorist threat? Would the likely
target be a military installation and/or unit? Would the likely target be in a civilian area [such
as in a subway, transportation hub, or public building]? Are COSC assets available to provide
interventions for victims, caregivers, or rescue personnel?)
MEDICAL LOGISTICS (TO INCLUDE BLOOD MANAGEMENT)
D-9. Medical logistics is essential for sustaining patient care and treatment in a deployed setting. Blood
and blood products are living tissue and require special handling and distribution. The Army may be
designated by the GCC as the SIMLM to provide MEDLOG support to all Service components deployed in
the operation.
D-6
FM 4-02.12
26 May 2010
Planning Considerations for Joint and
Multinational Operations
z
Has the GCC designated a single integrated logistics manager for the operation?
(Which
Service has been designated to execute the integrated MEDLOG mission? What type of
equipment will be used to requisition medical supplies? What procedures and/or formats are
required to requisition supplies and medical equipment?)
z
How will medical equipment maintenance and repair be accomplished?
(What units/
organizations will provide this support? Can this support be contracted?)
z
What units/organizations will provide optical fabrication support?
(Where will units providing
this support be located? Within the theater? In the support base?)
z
Are there any Service-specific MEDLOG requirements?
(Do the individual Services have any
special requirements for medical materiel or requirements which the Service providing the
SIMLM function would normally not have/stock?)
z
How are blood management functions/activities conducted? (The medical planner must identify
the medical units which will have blood requirements, the organizations that will support these
requirements, and the responsibilities of the units requesting this support. Will whole blood
collection take place in the AO? What testing procedures can be conducted within the theater?)
z
How will medical waste be collected and disposed of?
(Does a command policy exist on the
collection, handling, and disposition of medical waste?)
MEDICAL LABORATORY SUPPORT
D-10. There are two types of medical laboratory support (clinical diagnostic and FHP). Medical treatment
facilities (Roles 2 and 3) have a clinical diagnostic laboratory capability organic to the organization. The
FHP mission is accomplished by the area medical laboratory which is capable of providing field
confirmatory analysis of suspect chemical warfare and biological warfare agents.
z
What medical laboratory assets will be deployed to the theater?
(Will all Services have organic
medical laboratory assets to assist in the diagnosis of diseases? Will any of the Services
require medical laboratory support from the other Services?)
z
What medical laboratory will provide the identification of suspect biological warfare and
chemical warfare agents?
(Will an intratheater laboratory have this capability? How will
specimens/samples of suspect biological warfare and chemical warfare agents be obtained?
Are there any special handling requirements for suspect biological warfare and chemical
warfare agent specimens/samples? How will the chain of custody be maintained for suspect
biological warfare and chemical warfare agents while in transit? How will the results of the
testing be disseminated?)
z
Will a near-patient testing capability be present in any of the in-theater medical units?
(Will
medical units without organic laboratory support be able to do any near-patient testing [such
as dipsticks]? What units will have this capability?)
z
Will any intratheater medical laboratory assets have a split-base operating capability?
(Can any
of the intratheater laboratories conduct split-base operations? Can laboratory teams be
deployed to collect specimens/samples of suspect biological warfare and chemical warfare
agents? Can teams be deployed to investigate and/or collect samples/specimens from disease
outbreaks?)
z
What procedures will be used to submit samples/specimens for analysis by CONUS-support
base laboratories?
(This would include organizations such as US Army Center for Health
Promotion and Preventive Medicine or the US Army Medical Research Institute of Infectious
Diseases?)
z
How will samples/specimens of suspect biological warfare and chemical warfare agents be
transported?
(Is there a technical escort unit deployed to the theater? If not, who will provide
this service? Are procedures in place to ensure the chain of custody is not broken during
transport? What procedures must be followed to ensure samples/specimens are packaged and
shipped correctly? Will refrigeration or the use of dry ice be required during transport?)
26 May 2010
FM 4-02.12
D-7
Appendix D
OPERATIONS IN A CHEMICAL, BIOLOGICAL, RADIOLOGICAL, AND NUCLEAR
ENVIRONMENT
D-11. Patient decontamination is the responsibility of all roles of care. Although decontamination should
have been accomplished prior to arriving at the MTF, patient decontamination must be accomplished prior
to admitting a patient into a treatment area of a facility using chemically biologically protected shelter, as
the health care providers work without protective equipment inside of the chemically biologically protected
shelter.
z
Is the use of CBRN weaponry anticipated?
(Is there an imminent threat for the use of CBRN
weaponry by the enemy/opposition? What is the potential threat for a terrorist incident
involving the use of CBRN weapons/devices to occur during the operation? Is there a toxic
industrial materials threat that can be exploited by the enemy or terrorists in the AO?)
z
What is the potential for accidental contamination?
(Is there the potential of contamination
from an accidental release of radiation and/or chemicals by a commercial source [such as a
nuclear power plant or chemical manufacturing facility]?)
z
What medical units have the capability to perform patient decontamination operations?
(Do all
Services have an organic patient decontamination capability? If no, what units will provide
this support on an area support basis? Is nonmedical augmentation required to conduct these
operations [such as nonmedical personnel performing this function under the supervision of
medical personnel]?
z
What are the reporting and notification requirements in the event of a suspect CBRN incident?
(Are report formats and required submission time factors standardized across the Services for
reporting suspect CBRN incidents?)
z
Is collective protection available for MTFs?
(Do all Services have organic collective protection
shelters for MTFs? If no, will certain MTFs with collective protection be designated as the
units to provide patient decontamination support?)
z
Are veterinary personnel available to inspect CBRN contaminated subsistence?
(If not, who
makes the decision that contaminated subsistence items can be decontaminated and determined
to be safe for consumption? Are these procedures standardized in unit standing operating
procedures? Refer to FM 4-02.7 for additional information.)
z
Are PVNTMED personnel available to inspect CBRN contaminated water supplies?
(If no,
who determines that contaminated potable water can be treated and consumed?)
z
Are immunizations, chemoprophylaxis, antidotes, pretreatments, and barrier creams available?
(Are Soldiers immunized against the most likely biological warfare agents that might be
employed? Is there any chemoprophylaxis available for the most likely biological warfare
agents that might be employed? Are there any pretreatments for potential exposure to nerve
agents and/or other chemical warfare agents which might be employed? Are barrier creams
available?)
SECTION II — PLANNING CONSIDERATIONS FOR MULTINATIONAL
OPERATIONS
MULTINATIONAL OPERATIONS
D-12. Multinational operations present new challenges to the medical planner. In addition to ensuring the
rapid, effective, and efficient delivery of health care on the battlefield for US forces, the planner must
coordinate support with the health authorities of all participating nations. Thorough coordination is
required to ensure that a duplication of services does not occur and that maximum use and benefit is
achieved from scarce medical resources. Each nation is responsible for providing health care for its forces
in multinational operations.
D-8
FM 4-02.12
26 May 2010
Planning Considerations for Joint and
Multinational Operations
MULTINATIONAL OPERATIONS MEDICAL PLANNING
CHECKLIST
GENERAL PLANNING CONSIDERATIONS
D-13. In multinational operations, C2 is a significant consideration among participating nations. The goal
is to achieve a unity of effort and not to duplicate medical functions/services within the AO.
z
What is the mission of the force and how does it affect medical operations?
(Does the mission
involve combat operations? Peace operations? Foreign humanitarian assistance? How does
the type of mission affect the composition of the medical force [far forward surgical capability
for combat wounded or pediatric, geriatric, obstetric, and general medicine requirements for
foreign humanitarian assistance]? Is this operation being conducted under the auspices of an
organization such as the United Nations and how does that affect the medical infrastructure?)
z
What is the composition of the force?
(What is the composition and size of the US contingent?
How many other nations are participating? What is the size of each national contingent?)
z
What are the medical capabilities of the force?
(What is the medical troop ceiling for the US
forces? What medical personnel, units, and equipment do the other national contingents have?
Can US forces be treated by another nation’s medical personnel or in another nation’s
treatment facilities? Can members of other national contingents be treated in US facilities?
What are the education, training, and experience role of health care professionals from
participating nations?)
z
Who has been designated to provide medical support to the multinational force?
(Is each
national contingent providing all aspects of medical care for their forces? Has one nation been
designated to provide medical support to all nations? Does each national contingent have
separate responsibilities [such as one nation providing medical evacuation support and/or
another nation providing dental support]?)
z
Has a command surgeon been identified to oversee and coordinate medical activities within the
multinational force?
(If yes, what nation? What are the roles and responsibilities of this
position? Is there a multinational medical staff section to plan for medical operations? If no,
how will medical issues be resolved among the nations? Are there medical liaison officers
assigned to the participating nations’ surgeons offices? What authority/technical supervision
does this staff officer have over US medical operations?)
z
Are there any ISAs among the participating nations?
(Are all of the participating countries a
part of NATO or the ABCA armies? If no, will nations not a party to the ISAs abide by the
medical protocols, procedures, and techniques identified in the ISAs?)
Note. Many of the ISAs deal with medical materiel standards such as the size of the NATO
standard litter. It is unlikely that multinational forces would adopt/purchase a different type of
litter just for the operation. However, other ISAs pertain to medical treatment protocols, report
formats, notification requirements, and procedural tasks. These ISAs may be easily adapted to
the current operation.
z
What is the anticipated level of compliance with the provisions of the Geneva
Conventions
(friendly and enemy)?
(Are all participating nations signatories to these
conventions? Are command policies and procedures in consonance with these conventions?
How will conflicts be resolved? What is the likely disposition of the enemy to honor the
protections afforded under the Geneva Conventions?)
z
Will all nations have interoperable communications and automation systems?
(If no, will one
country equip the multinational force C2 elements with compatible systems? What reports are
required using automated systems? Can these reports be completed by hand and submitted
using a courier or messenger? How will requests for medical evacuation be received? Is using
wire communications more feasible than radio transmissions? Are interpreters available at
each C2 headquarters?)
26 May 2010
FM 4-02.12
D-9
Appendix D
z
Has a determination of eligible beneficiaries (in conjunction with the SJA) been made for care
in US facilities?
(Has a policy statement been formulated and disseminated? Refer to Appendix
A for additional information.)
z
If
(when) members of the participating nations are treated in US facilities, what is the
mechanism for returning them to their parent nation for continuing medical care? (Do the other
nations have treatment facilities established in the AO to which these patients could be
transferred after receiving emergency, stabilizing care? If there are only US facilities within
the AO, who will evacuate these patients to their homelands? What coordination is required to
return a patient to his nation’s facilities and/or evacuate him from the AO?)
z
What is the anticipated level of violence to be encountered?
(Should the primary focus of
medical support be on combat trauma or DNBI
[in stability operations unit/personnel
ineffectiveness usually results from DNBI rather than combat-related injuries]? Is it
anticipated that a change in the level of violence will be experienced during the operation? Are
there sufficient medical supplies and equipment available to transition from one environment to
another? Will augmentation of medical resources be required if the operation changes?)
z
What are the rules of engagement?
(How do they impact on the medical mission? What
weapons will the multinational force have for self-defense and defense of patients in medical
units?)
Note. Rules of engagement are constraints on the use of force; they are not the procedures by
which medical operations are executed.
z
What are the mechanisms for reimbursement of services?
(How is the country providing
support reimbursed for the services provided? Will repayment come directly from national
contingents or through an international organization such as the United Nations? What
restrictions apply to the use of funds from US forces? What services/support provided by US
forces can be reimbursed [such as medical supplies and equipment used, hospitalization costs,
or medical evacuation support]?)
MEDICAL TREATMENT (AREA SUPPORT)
D-14. Medical treatment encompasses the routine health care and tactical combat casualty care provided by
organic medical assets. Those units without organic medical resources are provided support on an area
basis. The planner must ensure that the supported multinational force population is included in the
determination of medical workload if the US is providing this support.
z
Are interpreters available to translate patient complaints to the attending medical personnel?
(Has a multinational phrase book been developed for the operation? The NATO languages are
included in AMedP-5. If they are not included in the AMedP-5, a local supplement should be
developed. Will medical personnel have available language cards or graphic representations
of medical conditions to use? Will an automated translation service be available?)
Note. If graphic representations are used to facilitate communications, ensure that they are not
offensive to the target audience and that they do not violate accepted local cultural and religious
beliefs.
z
What units are providing Roles 1 and 2 medical care?
(Are Roles 1 and 2 medical care being
provided to non-US units/personnel on an area support basis? What units are providing this
support? What are the capabilities of the units providing this support? Do Role 2 units have a
holding capability? For how long? Do Role 2 units have x-ray, laboratory, BH [COSC], and
PVNTMED capability?)
D-10
FM 4-02.12
26 May 2010
Planning Considerations for Joint and
Multinational Operations
DENTAL SERVICE
D-15. United States forces must be dental Class 1 or 2 prior to deployment to ensure the Soldiers will not
require extensive emergency dental interventions once in theater. Multinational forces may not have the
same degree of dental readiness as US forces. If the US is providing dental care for the multinational
force, this fact must be considered to ensure there are sufficient dental resources (personnel, materiel, and
equipment) to be able to manage the anticipated patient workload.
z
What units will provide dental services for the multinational force?
(Does each national
contingent have field dental assets deployed in the theater? Will one nation provide dental
support to the multinational force?)
z
What is the scope of dental services to be provided within theater?
(Operational care
[emergency and essential] and comprehensive care? What is dental health status of deployed
multinational forces?)
z
Do all members of the multinational force have panorexes on file for identification purposes?
(United States forces have panorexes on file for forensic identification, if required. Will all
national contingents have these x-rays taken?)
z
Will a preventive dentistry program be implemented for US forces and/or multinational forces
in theater?
(What activities will comprise the preventive dentistry program in theater? Dental
screenings? Mandatory training/education program? Will these activities be extended to the
other national contingents in the multinational force?)
z
What dental conditions will necessitate the evacuation of patients from the theater?
(What oral
conditions cannot be treated satisfactorily in theater? What coordination is required to
arrange for the evacuation of dental patients? Will members of the multinational force be
evacuated for dental treatment? Where will they be evacuated to? Their national contingent
facilities or out of the theater?)
MEDICAL EVACUATION
D-16. Medical evacuation and medical regulating of multinational force may present some challenges. If
the US is providing medical evacuation support to multinational forces, they must have interoperable
communications in order to request the medical evacuation support. For those multinational forces who
cannot be returned to duty within the theater evacuation policy and must be evacuated from the theater,
who arranges for this evacuation. When evacuating Soldiers out of the theater, international borders must
be crossed and approval must be obtained prior to the evacuation. Depending upon any given scenario, the
political situation may not permit one nation's Soldiers to cross the international borders and alternate
evacuation plans are required.
z
What is the theater evacuation policy?
(Is it the same for all national contingents? Are
exceptions to the evacuation policy permitted
[such as for special operations forces
personnel]?)
z
What units are conducting medical evacuation operations?
(Can US forces be evacuated by
another nation’s assets? Can US forces be evacuated to another nation’s MTFs? Are US
forces providing medical evacuation support on an area support basis to the other national
contingents?)
z
What types of evacuation assets are available?
(Air or ground? Dedicated or nonstandard
evacuation platforms? Vehicle or aircraft of opportunity? Do all participating nations have
organic evacuation assets?)
z
How are requests for evacuation transmitted?
(Is there a prescribed standard evacuation
request format established? Are dedicated medical evacuation radio frequencies established or
are land lines used? Do all units have access to communications equipment to initiate a
request? If no, how will specific units submit requests?)
z
How will units requesting medical evacuation be located and identified?
(Have procedures for
identifying units from the air been standardized [such as using colored smoke]? Have ground
evacuation units been provided strip maps, overlays, or other navigational aids/information?)
26 May 2010
FM 4-02.12
D-11
Appendix D
z
Do medical evacuation vehicles/aircraft require armed escort while performing their mission?
(If yes, what units will provide this support? What is the response time? Can ground medical
vehicles only move as part of convoys or are they permitted to move independently?)
z
How will patient movement items be managed?
(Will direct exchange for patient movement
items be made? If equipment remains with the patient and direct exchange does not occur, how
will the originating medical facility’s equipment be replaced? Are patient movement items
interoperable with other national contingents? Can other national contingents’ medical
equipment be used on-board US aircraft [airworthiness certification] and ground evacuation
vehicles?)
z
Will mobile aeromedical staging facility/aeromedical staging facility/aeromedical staging
squadron [or similar organizations] be established at airheads to sustain patients awaiting
evacuation from the theater?
(If yes, what nation will provide these organizations or medical
functions for the multinational force? If no, how are patients awaiting evacuation from the
theater sustained?)
z
What nation will provide the medical regulating function?
(Will each nation perform the
medical regulating function for their facilities? Will the US perform this function for the
multinational force? Will the TPMRC [or similar organization] be activated? Will each
country provide its own strategic medical evacuation function? Will the USAF provide the
strategic capability for the multinational force?)
HOSPITALIZATION
D-17. The capabilities and availability of services at the various national contingent hospitals must be
determined. These capabilities and services may vary significantly from one member nation to another.
Additionally, US facilities must validate credentialing and scope of practice for non-US health care
providers working within US facilities.
z
What hospitals are established in the AO?
(Are these US facilities? What are the capabilities
of these hospitals? What is the anticipated length of stay [theater evacuation policy and
hospital capability will affect the time factors for length of stay]?)
z
What ancillary services are offered by the hospitals?
(This will be affected by the anticipated
duration of the operation and the theater evacuation policy. If convalescence for some
injuries/illnesses is anticipated to occur within the theater, ancillary support such as physical
therapy or occupational therapy may be available within the hospital. If the theater evacuation
policy is short [essential care in the AO], the majority of patients would be stabilized and
evacuated from the theater for definitive care in the support base.)
z
What is the surgical capability of in-theater hospitals?
(Does a far forward surgical capability
exist [such as an FST]? Is there a surgical backlog? How mobile are the forward surgical
capabilities of the various contingents within the multinational force? Will transportation
services be required to move these assets or do they have organic transportation assets?)
z
What procedures/notifications are required when a non-US Soldier is admitted to a US facility?
(Who notifies the Soldier’s national contingent? How and when is the patient transferred to his
national contingent?)
z
Will non-US physicians be permitted to treat patients in a US facility?
(What will the scope of
practice be? What credentialing processes must occur? Who provides technical/professional
oversight?)
z
Has a formulary been established for prescription drugs?
(Does it include medications for
diseases endemic to the multinational force, as well as to the AO? Does it include medications
for foreign humanitarian assistance operations, if appropriate?)
z
What outpatient services will be provided?
(Will there be outpatient clinics conducted on a
recurring basis? Do the hospital/clinics have an area support mission?)
z
How will patients be transferred from one hospital to another within the theater?
(Who will
provide the transportation assets? What coordination is required to affect the transfer?)
z
Are the deployed hospitals capable of providing hospitalization support to the civilian
populace?
(Do the hospitals have the medical equipment, medical supplies, and health care
D-12
FM 4-02.12
26 May 2010
Planning Considerations for Joint and
Multinational Operations
providers to support pediatric, geriatric, and obstetrics/gynecological patients?
Is
augmentation required to supplement medical specialty providers?)
z
Is there a specific hospital designated for care of EPWs/detainees?
(Will multinational staffing
be required for this facility?)
VETERINARY SERVICE
D-18. The medical planner must determine if the multinational force has MWDs and/or other animals and
whether the US veterinary assets will be directed to treat and sustain these animals. Additionally, the
planner must determine if veterinary support will be required to inspect other nations' rations for quality
assurance and safety as this will impact the anticipated medical workload.
z
What types of rations are used in theater?
(This is dependent upon the anticipated duration of
the operation and the availability of approved food sources within the theater.)
z
Will Class I operations be consolidated for the multinational force?
(Will each national
contingent cultivate its own food sources or will all contingents receive their subsistence from
the same sources?)
z
Will US forces provide veterinary inspection of subsistence for food safety and quality
assurance for multinational forces?
(Will veterinarians only inspect food sources used for
subsistence for US forces or for the entire multinational force?)
z
Will government-owned animals be used in the operation?
(Will MWDs or pack animals be
used in the operation? Will US forces provide animal medical care to US forces animals or for
the multinational force?)
z
Has a command policy been disseminated on unit mascots/pets? (If unit mascots are permitted,
who will provide care for these animals? Have they been vaccinated for zoonotic diseases
transmissible to humans?)
z
How will animals be evacuated?
(If animals require evacuation will they be evacuated on
dedicated medical vehicles/aircraft? On general transportation assets? Will the handlers
accompany the animals? If the handlers do not accompany the animals, are special
precautions [such as muzzles or sedation] required? If animals are not US-owned, where will
they be evacuated to? Will each nation evacuate its own animals? How are animals evacuated
and treated by US forces returned to their national contingent?)
z
Will the operation involve capacity building activities?
(Will veterinary support requirements
include animal husbandry activities for the host nation populace? Are agencies [such as the
US Agency for International Development] conducting veterinary activities within the AO? Do
the other national contingents participating in the operation have resources which could be
used in these activities?)
z
What veterinary PVNTMED activities will be implemented in-theater?
(Will zoonotic disease
surveillance be conducted? Will epidemiological investigations be conducted when outbreaks
of transmissible diseases occur? Who will conduct these activities? What coordination is
required with the host nation or other national contingents?)
PREVENTIVE MEDICINE AND THE HEALTH THREAT
D-19. Medical and OEH surveillance are two of the primary missions of PVNTMED during multinational
operations. The health threat to the force must be identified early in the mission planning process. In
addition to endemic diseases in the civilian population, Soldiers may also be exposed to subclinical
exposures to endemic diseases in the multinational force. Further, as each nation will have different
standards and policies in the conduct of field hygiene and sanitation, PVNTMED personnel must assist in
site surveys and dining facilities inspections.
z
What are the diseases (endemic and epidemic) in the AO and/or in the separate national
contingents? (How is medical intelligence on the proposed AO obtained [medical aspects of the
intelligence preparation of the battlefield, National Center for Medical Intelligence, US Army
Center for Health Promotion and Preventive Medicine, or other sources]? Have any of the
participating nations conducted lengthy operations in the proposed AO and documented the
26 May 2010
FM 4-02.12
D-13
Appendix D
health threat? Are the disease outbreaks seasonally related [such as during monsoons]? Have
disease surveillance missions been previously conducted in the proposed AO?)
z
Are immunizations or chemoprophylaxis available to counter the disease threat?
(Have US
forces been immunized and/or provided chemoprophylaxis? Have other national contingents
been immunized and/or provided chemoprophylaxis?)
z
Have site surveys been conducted in areas US forces will inhabit?
(Have bivouac areas been
inspected prior to establishing the site? Will US forces be housed with members of other
national contingents? Were any areas determined to be hazardous [such as sewage runoff, fly
or other arthropod infestation, or soil contaminated by toxic industrial materials]? Can
adverse environmental conditions be corrected? Is selection of another site required? Was the
site previously used by other forces? Are sanitation facilities adequate? Are the methods of
human waste disposal being used in compliance with environmental laws/policies of the host
nation [such as using chemical toilets or individual waste collection bags]?)
z
What PVNTMED support will US forces provide other national contingents?
(Are pest
management programs implemented in all unit areas or only in US forces AOs? Will US
PVNTMED personnel inspect water supplies for all nations or just US forces? Will US
PVNTMED personnel conduct dining facility inspections for all nations or just US forces? Will
medical and OEH surveillance operations be conducted for all nations or for US forces only?)
z
What is the role of training in field hygiene and sanitation for US forces and other national
contingents?
(Is an active PVNTMED education program required for US forces? For other
national contingents? If so, who will provide the training? Are field hygiene and sanitation
standards being enforced?)
z
Is it anticipated that refugee, retained or detained persons, and/or EPW operations will be
required?
(Which nation will be responsible for field hygiene and sanitation if refugee and/or
EPW/detainee camps/facilities must be established? Are sufficient PVNTMED assets available
within country to provide this support? Is augmentation required? What would be the impact
on the provision of PVNTMED to US forces if augmentation was not available?)
z
Do units have required field hygiene and sanitation supplies and equipment on hand?
(Do US
forces? Do other national contingents? If the national contingents do not have adequate
supplies and equipment available, will supplies/equipment be provided by the US forces? Is
training required for use of this equipment?)
z
Do Soldiers have personal protective supplies and equipment available and/or issued?
(Are
sunscreen, sunglasses, insect repellent, bed nets, or other personal protective
supplies/equipment on hand or available for issue? Do the national contingents have these
items? If they do not, will they be provided by US forces?)
COMBAT AND OPERATIONAL STRESS CONTROL/BEHAVIORAL HEALTH ACTIVITIES
D-20. In a multinational setting, BH counseling may present unique challenges due to differences in
language and culture. In disaster relief operations, the plan for these services must also include rescuers
and caregivers.
z
Is each national contingent responsible for its BH programs and treatment?
(Who will provide
BH services to each national contingent? If one nation is providing these services to the
multinational force, what accommodations will differences in language and culture require?)
z
How will NP and/or COSC patients be evacuated?
(On dedicated medical vehicles? On
general transportation assets? Will NP patients require an escort, sedation, or restraints for
evacuation by aircraft?)
z
What preventive programs will be implemented in theater?
(Are preventive programs
implemented for US forces? For the multinational forces?)
z
Will a traumatic event management program be established?
(Is each national contingent
responsible for its COSC activities? Will all Soldiers [regardless of nationality] affected by the
traumatic/catastrophic event be debriefed at the same time? Who provides follow-up care, if
required?)
D-14
FM 4-02.12
26 May 2010
Planning Considerations for Joint and
Multinational Operations
MEDICAL LOGISTICS (TO INCLUDE BLOOD MANAGEMENT)
D-21. A continuous flow of Class VIII supplies and blood is essential in providing medical treatment to a
deployed force. Blood and blood products require special handling as they are living tissue. The health
care provider must ensure that blood and blood products used are from an acceptable source and have had
the requisite testing. When operating in a multinational force environment, safeguards must be in place to
ensure the quality and efficacy of pharmaceuticals meet US standards. Medical logistics also includes
medical equipment and medical equipment maintenance and repair. If medical equipment is not
interoperable across the force, medical equipment maintenance and repair may become an issue.
z
What is the Class VIII stockage level?
(Has theater policy been established and disseminated
concerning the days of supply required for Class VIII in US medical units?)
z
What is the impact of multinational operations on blood management?
(Are there any cultural,
religious, or social prohibitions on the use of blood and blood products for any of the national
contingents? May US forces receive blood from other nations? If yes, how will the blood be
tested before use? Can blood testing and collection be accomplished in the theater? Can blood
requirements be fulfilled by collecting blood from members of the participating nations? What
is the capability to store and maintain blood and blood products in the theater? Will the US
provide blood support to the other national contingents? What reporting system will be
established to track patients who have been transfused? What reports are required on a daily
or weekly basis [such as the blood reports discussed in JP 4-02, FM 4-02.1, FM 8-55, or
TM 8-227-12]?)
z
Is the US tasked to provide MEDLOG support to the multinational force?
(Has the US Army
been designated as the SIMLM for US forces? For the multinational force?)
z
Are there donated medical supplies and equipment for use in accomplishing the mission?
(Are
donated medical supplies and equipment available for use in foreign humanitarian assistance
or disaster relief operations? Who is responsible for receiving, repackaging, storing, and
distributing these items? What type of security is required to safeguard these supplies and
equipment? Who will provide required security?)
z
How will resupply be affected?
(Are units using line item requisitioning or are combat
configured loads being used? Will supply point distribution be used? Will medical
vehicles/aircraft provide backhaul for medical supplies, equipment, and blood?)
z
What reports are required to be submitted to the supporting MEDLOG facility?
(Are these
reports automated? Are automated systems interoperable? What are the report formats and
suspense times/dates?)
z
Can medical supplies and equipment from non-US sources be used for US forces? (Do foreign
pharmaceuticals meet Food and Drug Administration guidelines? Can foreign made medical
equipment be maintained and repaired by US forces? Has foreign medical equipment received
air worthiness certification for use in US Army helicopters or USAF fixed-wing aircraft?)
z
If operations are conducted under the auspices of an international organization (such as the
United Nations) how do their supply/resupply procedures and requirements impact on US Class
VIII operations?
(Will US forces be constrained to only using designated sources? Do these
sources meet appropriate guidelines?)
z
How will medical waste be collected and disposed of? (Command policy must be established to
ensure the proper collection and disposal of medical waste generated by MTFs or other
medical operations.)
MEDICAL LABORATORY SERVICES
D-22. Laboratory assets of the multinational force may be limited or may require that one national
contingent provide support to the entire force.
z
What laboratory capability exists within the national contingents?
(Do the field medical units
have a laboratory capability? What is the scope of diagnostic laboratory services available in
the hospitals? Are there any independent military laboratory units within the multinational
force?)
26 May 2010
FM 4-02.12
D-15
Appendix D
z
How are suspect biological warfare and chemical warfare specimens and samples collected,
handled, stored, and transferred?
(Who collects suspect biological warfare/chemical warfare
agent specimens and samples? How is the chain of custody maintained on suspect biological
warfare/chemical warfare agent specimens and samples? What special handling requirements
exist for storing and transporting suspect biological warfare/chemical warfare agent specimens
and samples? Is there a medical laboratory within the theater which can analyze suspect
biological warfare/chemical warfare agent specimens and samples? What coordination is
required to transfer suspect biological warfare/chemical warfare agent specimens and samples
out of the theater to an appropriate testing facility?)
OPERATIONS IN A CHEMICAL, BIOLOGICAL, RADIOLOGICAL, AND NUCLEAR
ENVIRONMENT
D-23. In multinational force operations the medical planner must know what protections are available for
the entire force and what medical CBRN defense materials are available
(chemoprophylaxis,
immunization, pretreatments, antidotes, and barrier creams). The medical planner must also know what
medical units have and can establish medical treatment areas in collective protection.
z
What is the potential threat for use of CBRN weaponry during the operation?
(Is there an
imminent threat for the use of CBRN weaponry by the enemy/opposition? What is the potential
threat that a terrorist incident involving the use of CBRN weapons/devices may occur during
the operation?)
z
What is the level of protection for each national contingent?
(Do all national contingents have
mission-oriented protective posture equipment? If yes, what level of protection is afforded? If
no, will one nation supply the needed equipment to the participating nations without the
equipment?)
z
Is collective protection available to the MTFs?
(Are collective protection shelter systems
available to all participating nations? If no, will one nation supply the needed shelters to the
participating nations without shelters?)
z
Have patient decontamination teams been identified from supported units?
(Have designated
personnel been notified? Do all nations have the organic ability to conduct patient
decontamination? Is augmentation required [nonmedical Soldiers performing the function
under the supervision of medical personnel]?)
z
What are the reporting and notification requirements in the event of a suspect CBRN incident?
(Are there standard formats for reporting any suspected incidents? How will the entire force be
alerted to the possibility of a CBRN attack? Will the US CBRN warning system be used or will
another system be established for the operation?)
z
Are veterinary personnel available to inspect CBRN contaminated subsistence?
(If not, who
makes the decision that contaminated subsistence items can be decontaminated and determined
to be safe for consumption? Are these procedures standardized in the multinational force [such
as in unit standing operating procedures]?)
z
Are PVNTMED personnel available to inspect CBRN contaminated water supplies?
(If no,
who determines that contaminated potable water can be treated and consumed?)
z
Are treatment protocols established for the treatment of CBRN casualties?
(Are all the
participating nations in agreement on the treatment protocols to be used? Do all participating
nations have the necessary medications and medical equipment to treat these casualties?)
z
Are immunizations, chemoprophylaxis, antidotes, pretreatments, and barrier creams available?
(Are Soldiers immunized against the most likely biological warfare agents that might be
employed? Is there any chemoprophylaxis available for the most likely biological warfare
agents that might be employed? Are there any pretreatments for potential exposure to nerve
agents and/or other chemical warfare agents which might be employed? Are barrier creams
available?)
D-16
FM 4-02.12
26 May 2010
Glossary
SECTION I — ACRONYMS AND ABBREVIATIONS
ABCA
American, British, Canadian, Australian, and New Zealand
AHS
Army Health System
AIS
automated information system
AMEDD
Army Medical Department
AO
area of operations
AOC
area of concentration
AR
Army regulation
ASCC
Army service component command
BCT
brigade combat team
BH
behavioral health
C2
command and control
CA
civil affairs
CBRN
chemical, biological, radiological, and nuclear
CE
communications-electronics
CMO
civil-military operations
COMSEC
communications security
CONUS
continental United States
COSC
combat and operational stress control
CPT
captain
CSE
campaign support element
CSH
combat support hospital
CSM
command sergeant major
CWO
chief warrant officer
DA
Department of the Army
DCSPER
deputy chief of staff, personnel
DCSSPO
deputy chief of staff, security/plans/operations
DNBI
disease and nonbattle injury
DOD
Department of Defense
DODD
Department of Defense directive
DODI
Department of Defense instructions
EAB
echelons above brigade
EEE
early entry element
EPW
enemy prisoner of war
FHP
force health protection
1SG
first sergeant
FM
field manual
FMI
field manual interim
FST
forward surgical team
G-2
assistant chief of staff, intelligence
G-3
assistant chief of staff, operations
G-9
assistant chief of staff, civil affairs
GCC
geographic combatant commander
HHC
headquarters and headquarters company
HR
human resources
HSS
health service support
IP
internet protocol
ISA
international standardization agreement
JP
joint publication
26 May 2010
FM 4-02.12
Glossary-1
Glossary
LTC
lieutenant colonel
MAJ
major
MCP
main command post
MEDBDE
medical brigade (support)
MEDCOM (DS)
medical command (deployment support)
MEDLOG
medical logistics
mission, enemy, terrain and weather, troops and support available, time available, and
METT-TC
civil considerations
MHS
Military Health System
MMB
medical battalion (multifunctional)
MOS
military occupational specialty
MSG
master sergeant
MTF
medical treatment facility
MWD
military working dog
MWR
morale, welfare, and recreation
NATO
North Atlantic Treaty Organization
NCO
noncommissioned officer
NGO
nongovernmental organization
NP
neuropsychiatry
OCP
operational command post
OEH
occupational and environmental health
OPLAN
operation plan
OPORD
operation order
PAO
public affairs office
PFC
private first class
POC
point of contact
PVNTMED
preventive medicine
S-1
personnel staff officer
S-2
intelligence staff officer
S-3
operations staff officer
S-4
logistics staff officer
S-6
signal staff officer
S-9
civil affairs staff officer
SFC
sergeant first class
SGM
sergeant major
SGT
sergeant
SIMLM
single integrated medical logistics manager
SJA
staff judge advocate
SPC
specialist
SSG
staff sergeant
STANAG
standardization agreement
TOE
table of organization and equipment
TPMC
theater patient movement center
TPMRC
theater patient movement requirements center
TSOP
tactical standing operating procedure
US
United States
USAF
United States Air Force
USAMEDDC&S
United States Army Medical Department Center and School
WO
warrant officer
Glossary-2
FM 4-02.12
26 May 2010
Glossary
SECTION II — TERMS AND DEFINITIONS
Army Health System
A component of the Military Health System that is responsible for operational management of the health
service support and force health protection missions for training, predeployment, deployment, and
postdeployment operations. The Army Health System includes all mission support services performed,
provided, or arranged by the Army Medical Department to support health service support and force health
protection mission requirements for the Army and as directed, for joint, intergovernmental agencies, and
multinational forces.
Force Health Protection
(1) Measures to promote, improve, or conserve the mental and physical well-being of service members.
These measures enable a healthy and fit force, prevent injury and illness, and protect the force from health
hazards
(JP 1-02).
(2) Force health protection encompasses measures to promote, improve, conserve or
restore the mental or physical well-being of Soldiers. These measures enable a healthy and fit force,
prevent injury and illness, and protect the force from health hazards. These measures also include the
prevention aspects of a number of Army Medical Department functions (preventive medicine, including
medical surveillance and occupational and environmental health surveillance; veterinary services,
including the food inspection and animal care missions, and the prevention of zoonotic disease
transmissible to man; combat and operational stress control; dental services (preventive dentistry); and
laboratory services [area medical laboratory support]) (FM 4-02).
Health Service Support
(1) All services performed, provided, or arranged to promote, improve, conserve, or restore the mental or
physical well-being of personnel. These services include, but are not limited to the management of health
services resources, such as manpower, monies, and facilities; preventive and curative health measures;
evacuation of the wounded, injured, or sick; selection of the medically fit and disposition of the medically
unfit; blood management; medical supply, equipment, and maintenance thereof; combat and operational
stress control and medical, dental, veterinary, laboratory, optometry, nutrition therapy, and medical
intelligence services (JP 1-02). (2) Health service support encompasses all support and services performed,
provided, and arranged by the Army Medical Department to promote, improve, conserve, or restore the
mental and physical well-being of personnel in the Army. Additionally, as directed, provide support in
other Services, agencies, and organizations. This includes casualty care (encompassing a number of Army
Medical Department functions—organic and area medical support, hospitalization, the treatment aspects of
dental care and behavioral/neuropsychiatric treatment, clinical laboratory services, and treatment of
chemical, biological, radiological, and nuclear patients), medical evacuation, and medical logistics
(FM 4-02).
26 May 2010
FM 4-02.12
Glossary-3
References
These are the sources quoted or paraphrased in this publication.
GENEVA CONVENTION
This document is available online at: http://www.unhcr.org/refworld/docid/3ae6b3694.html.
Geneva Convention for the Amelioration of the Condition of the Wounded and Sick in Armed Forces
in the Field, 75 United Nations Treaty Series (UNTS) 31, entered into force 21 October 1950
NATO STANAGS
2060, Identification of Medical Materiel for Field Medical Installations, Edition 4, 27 March 2008
2068, Emergency War Surgery, Edition 5, 12 September 2005
2131, Multilingual Phrase Book for Use by the NATO Medical Services—AMedP-5(B), Edition 4,
2 March 2000
2132, Documentation Relative to Medical Evacuation, Treatment and Cause of Death of Patients,
Edition 2, 7 August 1974
2350, Morphia Dosage and Casualty Markings, Edition 3, 28 October 2003
2454, Road Movements and Movement Control—AMovP-1(A), Edition 3, 27 January 2005
2931, Orders for Camouflage of the Red Cross and the Red Crescent on Land in Tactical Operations,
Edition 2, 19 January 1998
2939, Medical Requirements for Blood, Blood Donors and Associated Equipment, Edition 4,
24 January 2000
3204, Aeromedical Evacuation, Edition 7, 1 March 2007
ABCA PUBLICATION AND STANDARD
Publication 248, Identification of Medical Materiel to Meet Urgent Needs, Edition 2,
27 September 1988.
Publication 256, Coalition Health Interoperability Handbook, Edition 2, 15 July 2009
Standard 470, Documentation Relative to Medical Evacuation, Treatment and Cause of Death of
Patients, Edition 1, Amendment 3, 14 August 1989
UNITED STATES CODES
All United States Codes can be found at: http://www.gpoaccess.gov/uscode/index.html
Title 10 United States Code, Armed Forces
Title 18, Part I, Section 1385, United States Code, The Posse Comitatus Act
EXECUTIVE ORDER
This document is available at: http://www.archives.gov/federal-register/executive-orders/1999.html
Executive Order 13139, Improving Health Protection of Military Personnel Participating in Particular
Military Operations, 30 September 1999
DEPARTMENT OF DEFENSE PUBLICATIONS
Department of Defense publications are available online at: http://www.dtic.mil/whs/directives/ and DD
forms are available on the OSD website (www.dtic.mil/whs/directives/infomgt/forms/formsprogram.htm ).
26 May 2010
FM 4-02.12
References-1
References
DODD 3025.15, Military Assistance to Civil Authorities, 18 February 1997
DODD 6400.4, Department of Defense Veterinary Services Program, 22 August 2003
DODD 6490.02E, Comprehensive Health Surveillance, 21 October 2004
DODI 2000.18, Department of Defense Installation Chemical, Biological, Radiological, Nuclear and
High-Yield Explosive Emergency Response Guidelines, 4 December 2002
DODI 3000.05, Stability Operations, 16 September 2009
DODI 6490.03, Deployment Health, 11 August 2006
Department of Defense Form 1380, U.S. Field Medical Card
JOINT PUBLICATIONS
Memorandum for the Chairman (MCM) is available at https://www.dtic.mil/cjcs_directives/index.htm
JP 1-02, Department of Defense Dictionary of Military and Associated Terms, 12 April 2001
JP 3-0, Joint Operations, 17 September 2006
JP 4-02, Health Service Support, 31 October 2006
Memorandum for the Chairman (MCM) 0028-07, Procedures for Deployment Health Surveillance,
2 November 2007
MULTISERVICE PUBLICATIONS
These publications are available online at: https://akocomm.us.army.mil/usapa/
FM 1-02 (FM 101-5-1)/MCRP 5-12A, Operational Terms and Graphics, 21 September 2004
FM 3-100.4/MCRP 4-11B, Environmental Considerations in Military Operations, 15 June 2000
FM 4-02.7/MCRP 4-11.1F/NTTP 4-02.7/AFTTP 3-42.3, Multiservice Tactics, Techniques, and
Procedures for Health Service Support in a Chemical, Biological, Radiological, and Nuclear
Environment, 15 July 2009
FM 21-10/MCRP 4-11.1D, Field Hygiene and Sanitation, 21 June 2000
TM 8-227-12/NAVMED P-6530/AFH 44-152, Armed Services Blood Program Joint Blood Program
Handbook, 21 January 1998
ARMY PUBLICATIONS
These publications are available online at: https://akocomm.us.army.mil/usapa/. DA forms are available on the
AR 40-3, Medical, Dental, and Veterinary Care, 22 February 2008
AR 40-5, Preventive Medicine, 25 May 2007
AR 40-7, Use of U.S. Food and Drug Administration-Regulated Investigational Products in Humans
Including Schedule I Controlled Substances, 19 October 2009
AR 40-66, Medical Record Administration and Healthcare Documentation, 17 June 2008
AR 40-400, Patient Administration, 27 January 2010
AR 71-32, Force Development and Documentation—Consolidated Policies, 3 March 1997
DA Form 7656, Tactical Combat Casualty Care Card
DA Pamphlet 40-11, Preventive Medicine, 22 July 2005
FM 1-0 (FM 12-6), Human Resources Support, 21 February 2007
FM 3-0, Operations, 27 February 2008
FM 3-07, Stability Operations, 6 October 2008
FM 4-02 (FM 8-10), Force Health Protection in a Global Environment, 13 February 2003
FM 4-02.1, Army Medical Logistics, 8 December 2009
References-2
FM 4-02.12
26 May 2010
References
FM 4-02.2, Medical Evacuation, 8 May 2007
FM 4-02.4 (FM 8-10-4), Medical Platoon Leaders’ Handbook—Tactics, Techniques, and Procedures,
24 August 2001
FM 4-02.6 (FM 8-10-1), The Medical Company—Tactics, Techniques, and Procedures, 1 August
2002
FM 4-02.10, Theater Hospitalization, 3 January 2005
FM 4-02.12, Health Service Support in Corps and Echelons Above Corps, 2 February 2004
FM 4-02.17, Preventive Medicine Services, 28 August 2000
FM 4-02.18 (FM 8-10-18), Veterinary Service—Tactics, Techniques, and Procedures,
30 December 2004
FM 4-02.19, Dental Service Support Operations, 31 July 2009
FM 4-02.25, Employment of Forward Surgical Teams Tactics, Techniques, and Procedures,
28 March 2003
FM 4-02.43 (FM 8-43), Force Health Protection Support for Army Special Operations Forces,
27 November 2006
FM 4-02.51 (FM 8-51), Combat and Operational Stress Control, 6 June 2006
FM 4-25.12 (FM 21-10-1), Unit Field Sanitation Team, 25 January 2002
FM 5-0, The Operations Process, 26 March 2010
FM 6-0, Mission Command: Command and Control of Army Forces, 11 August 2003
FM 6-22.5, Combat and Operational Stress Control Manual for Leaders and Soldiers, 18 March 2009
FM 8-42, Combat Health Support in Stability Operations and Support Operations, 27 October 1997
FM 8-55, Planning for Health Service Support, 9 September 1994
FM 27-10, The Law of Land Warfare, 18 July 1956
FM 100-15, Corps Operations, 29 October 1996
FMI 4-02.46, Medical Support to Detainee Operations, 8 November 2007
required).
TOE 08640G000, Headquarters and Headquarters Company, Medical Command
TOE 08420G000, Headquarters and Headquarters Company, Medical Brigade
TOE 08422GA00, Headquarters and Headquarters Company, Medical Support Brigade, Early Entry
Module
TOE 08486GB00, Headquarters and Headquarters Company, Medical Battalion (Multifunctional)
OTHER GOVERNMENT AGENCIES
Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act) (Public Law 100-707);
The Stafford Act is a 1988 amended version of the Disaster Relief Act of 1974 (Public Law
Homeland Security Presidential Directive-5 (HSPD-5), Management of Domestic Incidents,
Department of Homeland Security, National Response Framework, January 2008
26 May 2010
FM 4-02.12
References-3
|