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FM 4-02.6
Section III. DENTAL-LEAD TREATMENT AND CLINICAL
DIAGNOSTIC SUPPORT MODULES
L-10. Comprehensive Dental Officer (63B00 DC)
The dental officer leading the area support squad of an Echelon II MTF is accredited by the American
Dental Association to provide comprehensive oral health care. He examines, diagnoses, and treats diseases,
injuries and defects of teeth, jaws and oral cavity, and supporting structure. The dental officer also
provides technical supervision of assigned dental, medical laboratory, and radiology personnel and insures
the efficacy of their technical capability.
L-11. Dental Specialist (91E)
a. The 91E assigned to the dental element of the area support squad, serves as an integral
member of the dental team by combining the skills of soldier and dental caregiver.
b. This specialist assists the dental officer in prevention, examination, and treatment of disease of
teeth and oral region, and assist with the management of the dental facility. The 91E receives patients,
prepares the dental operatory, selects and arranges instruments, measures and records temperature blood
pressure and pulse, and assists dentist during patients exams. Assist with the administration of anesthesia
and in placement and removal of sutures. Prepares restorative and impression material. Performs
cardiopulmonary resuscitation. Performs dental radiography. Performs preventive maintenance on dental
equipment. Sets up, maintains, disassembles, and packs dental field equipment shelters.
L-12. Core Competencies/Critical Tasks and Training for the 91E
a. The 91Es of medical companies/troops must be trained in several areas of core competencies
as outlined below. These core competencies are clinically focused requiring specific skills that establishes
the scope and depth of clinical practices required by the AMEDD Dental Service.
b. Tables L-7 below contain the core competency and critical task list to be used by the
commander in the development of the unit’s dental proficiency training program. Proficiency training for
the dental specialist will be conducted annually. Such training will be conducted under the auspices of a
certified dentist. The medical company/troop commander, in collaboration with the senior dental officer,
will establish a continuing education program for the dental specialist. Such training will be conducted
annually.
L-10
FM 4-02.6
Table L-7.
91E Core Competency/Critical Task List
GENERAL DENTAL CORE COMPETENCY TASKS
1.
SET UP FIELD DENTAL OPERATING/TREATMENT UNIT
2.
PERFORM BASIC LIFE SUPPORT PROCEDURES
3.
MEASURE AND RECORD PATIENT’S VITAL SIGNS
4.
PREPARE PATIENT FOR DENTAL TREATMENT
5.
PREPARE MATRIX BANDS
6.
PREPARE DENTAL MATERIAL IN ACCORDANCE WITH MANUFACTURER’S INSTRUCTIONS
7.
STERILIZE DENTAL ITEMS
8.
PROCESS STERILIZED DENTAL ITEMS
9.
PREPARE PATIENT FOR DENTAL TREATMENT
10. PERFORM FOUR-HANDED DENTISTRY TECHNIQUES
11. PREPARE A RESTORATIVE PROCEDURE SETUP
12. SETUP COMPRESSOR/HYDRATOR
13. OPERATE COMPRESSOR/HYDRATOR
DENTAL CORE COMPETENCY CLINICAL TASKS
14. PREPARE A DENTAL LOCAL ANESTHETIC SETUP
15. PREPARE SURFACE DISINFECTION
16. PREPARE PATIENT FOR BASIC DENTAL EXAMINATION
17. SET UP FIELD SURGICAL SCRUB SINK
18. ASSIST IN MANAGEMENT OF CHAIR-SIDE EMERGENCIES
19. PREPARE OPERATIVE SITE
20. PREPARE AMALGAM RESTORATIVE MATERIAL
21. RETRACT SOFT TISSUE DURING DENTAL PROCEDURES
22. PROVIDE SUCTION DURING DENTAL PROCEDURES
23. PREPARE COMPOSITE RESIN MATERIAL
24. PREPARE IMMEDIATE RESTORATIVE MATERIAL
25. STORE ALL INSTRUMENTS TO MAINTAIN STERILE CONDITIONS
26. PROVIDE DENTAL PROPHYLAXIS WITH PROPHY CUP AND MINIMAL HAND SCALING TO REMOVE SUP-
RAGINGIVAL/DEPOSITS FOR PATIENTS
27. PREPARE EXTRACTION SETUP
28. PROVIDE—IRRIGATION DURING DENTAL PROCEDURES
29. DRY OPERATIVE SITE WITH AIR SYRINGE
30. PREPARE ALGINATE IMPRESSION MATERIAL
31. PREPARE DENTAL CEMENT
32. OPERATE THE FIELD SURGICAL SINK
33. ASSIST IN DENTAL TECHNIQUES FOR PREVENTION OF MEDICAL EMERGENCIES
DENTAL RADIOGRAPHY CORE COMPETENCY TASKS
34. ASSEMBLE FIELD DENTAL X-RAY UNIT
35. OPERATE FIELD DENTAL X-RAY UNIT
36. PROTECT THE PATIENT AND OPERATOR THROUGH THE USE OF BARRIER TECHNIQUE
37. EXPOSE A RADIOGRAPH MANUALLY
38. PROCESS AN EXPOSED RADIOGRAPH MANUALLY
39. EXPOSE A DENTAL RADIOGRAPH USING THE PARALLELING TECHNIQUE
40. EXPOSE A DENTAL RADIOGRAPH USING THE BISECTING ANGLE TECHNIQUE
41. MOUNT A FULL MOUTH SERIES OF RADIOGRAPHS
42. PREPARE AN ENDODONTIC SETUP
43. PREPARE A PROSTHODONTIC PROCEDURE SETUP
L-11
FM 4-02.6
Table L-7.
91E Core Competency/Critical Task List (Continued)
GENERAL DENTAL CRITICAL TASKS
44. PERFORM ROUTINE MAINTENANCE FOR HIGH- AND LOW-SPEED PIECES
45. DISASSEMBLE FIELD DENTAL X-RAY MACHINE
46. PACK DENTAL FIELD X-RAY MACHINE
47. DISASSEMBLE COMPRESSOR/HYDRATOR
48. DISASSEMBLE FIELD DENTAL OPERATING AND TREATMENT UNIT
49. PERFORM PREVENTIVE MAINTENANCE CHECKS AND SERVICES ON FIELD DENTAL EQUIPMENT
50. DISPOSE OF REGULATED DENTAL WASTE
51. PACK FIELD OPERATING AND TREATMENT UNIT
L-13. Radiology Specialist (91P)
a. The 91Ps assigned to the x-ray element of the area support squad, serves as an integral
members of the diagnostic support team by combining the skills of soldier and clinical radiology
expertise.
b. The radiology specialist—
• Operates fixed and portable radiology equipment.
• Reads and interprets radiographic request and physician orders.
• Prepares assembles and adjust instruments, materials, and equipment.
• Performs radiographic examinations of the upper and lower extremities, vertebral
column, trunk, and skull.
• Performs soft tissue radiographic examinations
• Assist in performing body section radiographic procedures using conventional and com-
puterized tomography.
• Assist in performing foreign body localization
• Assist in performing prenatal, pediatric, urogenital, and radiographic examinations of
respiratory, vascular and nervous system.
• Develops radiographic film using automatic processing.
• Applies radiation, electrical, and mechanical protective measures.
L-12
FM 4-02.6
• Maintains daily ledger and performs routine patient administration.
• Inspects and performs operator maintenance on radiology equipment.
• Packs and unpacks, loads and unloads radiology equipment.
• Assembles and dissembles radiology equipment and shelters.
L-14. Radiology Specialist/Sergeant Core Competencies, Critical Tasks, and Training
a. The 91P10/20s of medical company/troop must be trained/credentialed in several areas of
core competencies. These core competencies in radiography techniques and procedures are examples of
specific skills that establishes the scope and depth of clinical practices outlined in Table L-8 below.
b. The critical tasks listed in these tables are be used by the commander in the development of the
unit’s medical radiology training program for assigned radiology specialists (91P). Normally the training
will be conducted under the auspices of a certified diagnostic radiologist (61R00 MC) assigned to an
Echelon III MTF. The commander (medical company/troop) will make coordination, through channels,
with the supporting hospital and arrange for a continuing education program to support his clinical radiology
personnel. Such training/recertification should be conducted annually, METT-TC permitting.
Table L-8. Specialist/Sergeant (91P10/20) Core Competency/Critical Task List
TASK TITLE SKILL LEVELS 1&2
1.
TRANSPORT A CASUALTY WITH A SUSPECTED SPINAL INJURY
2.
ASSIST HEALTH CARE PROVIDER WITH TREATMENT FOR ANAPHYLACTIC SHOCK
3.
ADMINISTER CARDIOPULMONARY RESUSCITATION
4.
PREPARE PORTABLE RADIOGRAPHIC UNIT FOR OPERATION
5.
PERFORM RESCUE BREATHING
6.
MANAGE UNCONSCIOUS PATIENT
7.
OPERATE MOBILE RADIOGRAPHIC UNIT
8.
PREPARE FOR FIELD OPERATION IN AN NBC ENVIRONMENT
9.
OPERATE DEPMEDS PORTABLE RADIOGRAPHIC UNIT
10.
OPERATE FIELD CTC SCANNER
11.
INITIATE INTRAVENOUS INFUSION
12.
MANAGE CONVULSIVE AND/OR SEIZING PATIENT
13.
PERFORM CT EXAMINATION (EXAM) OF UNENHANCED SPINE
14.
MONITOR PATIENT’S CONDITION DURING ANGIOGRAPHY/INVASIVE PROCEDURE
15.
X-RAY THE CHEST
16.
X-RAY TRAUMA— LUMBAR SPINE
17.
PERFORM CT EXAM OF ENHANCED CHEST
18.
X-RAY THE CERVICAL SPINE
19.
X-RAY THE PELVIS
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FM 4-02.6
Table L-8. Specialist/Sergeant (91P10/20) Core Competency/Critical Task List (Continued)
TASK TITLE SKILL LEVELS 1&2 (CONTINUED)
20.
PROCESS FILM USING AN AUTOMATIC FILM PROCESSOR
21.
OPERATE A FIELD CTC SCANNER
22.
CODE PATIENT’S ID TO FILM FILE PACKETS/ENVELOPES
23.
EVALUATE QUALITY OF DEVELOPED RADIOGRAPHS
24.
USE UNIVERSAL PRECAUTIONS
25.
PREPARE FIELD X-RAY PROCESSOR FOR OPERATION
26.
PERFORM PREOPERATIONAL CHECK ON DEPMEDS PORTABLE RADIOGRAPHIC UNIT
27.
PREPARE DEPMEDS RADIOGRAPHIC UNIT (CS 8952) FIELD DEPLOYABLE X-RAY SYSTEM
28.
TRANSMIT IMAGES VIA SATELLITE
29.
OPERATE RADIOGRAPHIC UNITS
30.
PERFORM A PATIENT CARE HANDWASH
31.
PREPARE AN INJECTION FOR ADMINISTRATION
32.
ADMINISTER AN INJECTION (INTRAMUSCULAR, SUBCUTANEOUS, INTRADERMAL)
33.
ESTABLISH A STERILE FIELD
34.
APPLY IMMOBILIZATION DEVICE TO PATIENT
35.
PREPARE AN AREA FOR OPERATIVE TREATMENT
36.
ASSESS PATIENT CONDITION BEFORE X-RAY
37.
ASSIST HEALTH CARE PROVIDER IN MANAGING CARDIAC ARREST
38.
HANDLE PATIENT USING PROPER BODY MECHANICS
39.
ADMINISTER OXYGEN BY MASK/CATHETER
40.
ADMINISTER INTRAVENOUS CONTRAST MEDIA
41.
OPERATE ANGIOGRAPHIC IMAGING EQUIPMENT
42.
DIGITIZE CONVENTIONAL RADIOGRAPHIC IMAGES
43.
DIGITIZE IMAGES FROM NON-RACS IMAGING MODALITIES
44.
TRANSMIT IMAGES USING TELERADIOLOGY SOFTWARE AND HARDWARE
45.
PERFORM CT EXAM OF UNENHANCED BRAIN
46.
PERFORM CT EXAM OF UNENHANCED SINUSES
47.
PERFORM CT EXAM OF UNENHANCED NECK—SOFT TISSUE
48.
PRINT IMAGES
49.
PERFORM CT OF TEMPORAL BONE
50.
PERFORM CT EXAM OF UNENHANCED EXTREMITY
51.
PREPARE OXYGEN TANK FOR PATIENT USE
52.
MAINTAIN RADIOLOGY EMERGENCY EQUIPMENT TRAY/CART
53.
OPERATE SPOT FILM DEVICE
54.
X-RAY THE LUMBAR SPINE
55.
X-RAY ABDOMEN
56.
X-RAY THE HAND
57.
X-RAY THE FOOT
58.
OPERATE DIGITAL FLUOROSCOPIC UNIT
59.
OPERATE PORTABLE C-ARM RADIOGRAPHIC/FLUOROSCOPIC UNIT
60.
REPRINT CT IMAGES
61.
X-RAY TRAUMA HIP
62.
X-RAY THE TOES
63.
MAINTAIN TECHNIQUE CHARTS FOR RADIOGRAPHIC UNIT
64.
X-RAY DECUBITUS ABDOMEN
65.
X-RAY DECUBITUS CHEST
66.
X-RAY THE WRIST
67.
X-RAY TRAUMA SHOULDER
68.
X-RAY THE HIP
L-14
FM 4-02.6
Table L-8. Specialist/Sergeant (91P10/20) Core Competency/Critical Task List (Continued)
TASK TITLE SKILL LEVELS 1&2 (CONTINUED)
69.
X-RAY THE FEMUR
70.
X-RAY THE ANKLE
71.
X-RAY THE PATELLA
72.
X-RAY THE SKULL
73.
X-RAY FACIAL BONES
74.
X-RAY THE MANDIBLE
75.
X-RAY THE TEMPOROMANDIBULAR JOINTS
76.
X-RAY THE ZYGOMATIC ARCHES
77.
X-RAY SOFT TISSUE LARYNX
78.
X-RAY THE THORACIC SPINE
79.
X-RAY THE SACRUM/COCCYX
80.
X-RAY THE SACROILIAC JOINT AND LUMBOSACRAL ARTICULATION
81.
X-RAY THE RIBS
82.
X-RAY THE SCAPULA
83.
X-RAY THE SHOULDER
84.
X-RAY THE HUMERUS
85.
X-RAY THE ELBOW
86.
X-RAY THE FOREARM
87.
X-RAY FINGER OR THUMB
88.
X-RAY THE CLAVICLE
89.
X-RAY THE ACROMIOCLAVICULAR JOINTS
90.
X-RAY THE KNEE
91.
X-RAY THE LEG
92.
X-RAY THE CALCANEUS
93.
X-RAY THE PARANASAL SINUSES
94.
X-RAY THE STERNUM
95.
X-RAY THE NOSE
96.
ASSIST WITH PATIENT URINARY CATHETERIZATION
TASK TITLE SKILL LEVEL 2
1.
ESTABLISH RADIATION SAFETY PROGRAM
2.
PREPARE PATIENT EMERGENCY EVACUATION PLAN
3.
PERFORM RETAKE ANALYSIS
4.
PERFORM PROTECTIVE DEVICES QUALITY CONTROL TESTS
5.
DEVELOP STANDING OPERATING PROCEDURE DOCUMENT FOR A RADIOLOGY SECTION
6.
MAINTAIN RADIOLOGY SUPPLIES AND EQUIPMENT
7.
EVALUATE RADIOLOGY EQUIPMENT PREVENTIVE MAINTENANCE PROCEDURES
8.
PERFORM COLLIMATOR QUALITY CONTROL TEST
L-15. Medical Laboratory Specialist (91K)
a. The 91Ks assigned to the medical laboratory element of the area support squad, serves as
integral members of the diagnostic support team by combining the skills of a soldier and clinical laboratory
expertise.
L-15
FM 4-02.6
b. The medical laboratory specialist performs blood banking procedures and elementary and
advanced examinations of biological and environmental specimens to aid in the diagnosis, treatment, and
prevention of disease and other medical disorders. The duties the 91Ks assigned to area support squads
include the following:
(1) MOSC 91K10. Performs elementary clinical laboratory and blood banking procedures.
(2) MOSC 91K20. Performs elementary blood banking and clinical laboratory procedures
in hematology, immunohematology, biochemistry, serology, bacteriology, parasitology, and urinalysis.
L-16. Core Competencies of the 91K
The 91Ks of medical company/troop must be trained/credentialed in several areas of core competencies.
These core competencies are examples of specific skills that establishes the scope and depth of clinical
laboratory practices that are outlined in Table L-9.
Table L-9. Core Competency for Clinical Laboratory Specialists
CORE COMPETENCY IN MEDICAL LABORATORY TECHNIQUES AND PROCEDURES FOR THE 91K IS INCLUSIVE
OF THE FOLLOWING FOR AN AREA SUPPORT SQUAD:
THE MEDICAL LABORATORY SPECIALIST PERFORMS CLINICAL LABORATORY PROCEDURES IN A FIELD LAB-
ORATORY COMMENSURATE WITH THE CAPABILITY OF THE FACILITY. THIS SPECIALIST AIDS THE PHYSICIAN,
PA, AND OTHER MEDICAL PROFESSIONALS IN THE DIAGNOSIS, TREATMENT, AND PREVENTION OF DISEASE
IN PERFORMING THE FOLLOWING:
• REPORTING ACCURATE AND RELIABLE RESULTS
• BASIC HEMATOLOGY PROCEDURES
• BASIC MICROBIOLOGY AND SEROLOGICAL PROCEDURES
• BASIC CHEMISTRY PROCEDURES
• BASIC BLOOD BANKING PROCEDURES
• SPECIMEN PROCESSING
• QUALITY CONTROL PROCEDURES
L-17. Clinical Laboratory Training
Table L-10 contains critical tasks to be used by the Commander in the development of a unit medical
laboratory training program for assigned medical laboratory specialists (91K). Normally the training will be
conducted under the auspices of a certified Clinical Laboratory Officer (71E67 MS) assigned to an Echelon
III MTF. The Commander (medical company/troop) will make coordination, through channels, with the
supporting hospital and arrange for a continuing education program to support his clinical laboratory
personnel. Such training/recertification will be conducted annually.
L-16
FM 4-02.6
Table L-10.
91K10/20 Critical Task List
THE MEDICAL LABORATORY TECHNICIAN (91K) MUST BE COMPETENT IN THE FOLLOWING TASKS ALONG
WITH HAVING KNOWLEDGE AND TRAINING IN SETTING UP, MAINTAINING AND DEPLOYING DEPMEDS EQUIP-
MENT AND DEPMEDS LABORATORY EQUIPMENT. THE 91K MUST REMAIN FOCUSED ON OPERATIONAL
READINESS AND ENSURE THE CORE COMPETENCY SKILLS ARE MAINTAINED. COMMUNICATION WITH THE
NEXT LEVEL OF CARE IS IMPERATIVE TO SUSTAIN EQUIPMENT READINESS AND TRAINING
1. PERFORM ROUTINE URINALYSIS
FOCUSED ASSESSMENT, COLOR AND APPEARANCE, PH AND SPECIFIC GRAVITY, IDENTIFICATION OF URINARY
SEDIMENTS AND THEIR SIGNIFICANCE, ANALYZE AND INTERPRET COLOR REACTIONS ON DIPSTICK, CON-
FIRMATION TESTING, MICROSCOPIC EXAMINATION, QUALITY CONTROL
2. PERFORM BASIC HEMATOLOGY
FOCUSED ASSESSMENT, OBTAINING BLOOD SPECIMENS (CAPILLARY AND VENOUS), MICROHEMATOCRITE
DETERMINATION, MANUAL WBC, PLATELET ESTIMATE AND RBC COUNT BY UNNA-PAPPENHEIM STAIN,
WRIGHT’S STAIN, GIEMSA STAIN FOR THE PRESENCE OF MALARIAL PARASITE, QUALITY CONTROL
3. PERFORM BASIC MICROBIOLOGY
FOCUSED ASSESSMENT, GRAM STAIN, CONCENTRATION TECHNIQUES FOR OVA, CYSTS AND PARASITES,
MACROSCOPIC EXAMINATION OF FECES AND TEST FOR OCCULT BLOOD, SKIN SCRAPING USING KOH OR
NAOH, QUALITATIVE PREGNANCY TEST, RAPID PLASMA REAGIN (RPR), THROAT CULTURE, INFECTIOUS
MONONUCLEOSIS, QUALITY CONTROL
4. PERFORM BASIC CHEMISTRY
FOCUSED ASSESSMENT, USE CHEMICAL ANALYZER TO DETERMINE CHEMICAL ANALYTES (ELECTROLYTES,
AMYLASE, BILIRUBIN, BUN, CREATININE, AST, ALT, GLUCOSE), BLOOD GAS, QUALITY CONTROL
5. PERFORM BASIC BLOOD BANKING
FOCUSED ASSESSMENT, RECEIVING, STORING AND ISSUING BLOOD PRODUCTS. PERFORM AN IMMEDIATE
SPIN CROSS MATCH. PERFORM VENOUS PUNCTURE FOR BLOOD COLLECTION
Section IV. MENTAL HEALTH CLINICAL SUPPORT MODULES
L-18. Psychiatrist (60W00 MC)
The psychiatrist assigned to the divisional MH section of an Echelon II MTF is a licensed medical doctor
and is credentialed in psychiatry. This medical corps officer examines, diagnoses, and treats or provides
courses of treatment for personnel suffering from emotional or mental illness, mental retardation, or
situational maladjustment. This chief of section serves as the division psychiatrist (staff advisor). He also
provides technical supervision of assigned MH personnel and insures the efficacy of their technical capability.
L-19. Social Worker (73A67 MS)
The social worker assigned to the MH section of an Echelon II MTF holds a master’s degree in social work
and is credentialed by the Council on Social Work Education. This officer performs social work functions
L-17
FM 4-02.6
which include: providing critical event debriefing, psychological autopsies, suicide prevention, clinical
counseling, disaster relief, civil affairs, crisis intervention, substance abuse intervention, teaching and
training, supervision, research, administration, consultation, and policy development in various military
settings. These functions are provided to enhance unit readiness and the emotional well-being of service
members, their eligible family members, and DA civilians as appropriate. He also teaches and provides
technical guidance for behavioral science personnel.
L-20. Clinical Psychologist (73B67 MS)
The Clinical psychologist assigned to the MH section of an Echelon II MTF holds a PhD in clinical
psychology, and counseling psychology. He is a licensed psychologist, credentialed by the American
Psychological Association. This health professional applies psychological principles, theories, methods,
and techniques through direct patient services, consultation, education, and research to human effectiveness,
adjustment, and emotional disturbance in medical and other settings; investigation, evaluation and
amelioration of mental and behavioral disorders; prevention of mental illness; and promotion of effective
MH. He also teaches and provides technical guidance for behavioral science personnel.
L-21. Mental Health Specialist (91X)
The mental health specialist under the supervision of a psychiatrist, social worker, psychiatric nurse, and/or
psychologist assists with the management and treatment in in/outpatient MH activities; during peacetime or
mobilization; collects and records psychosocial and physical data; counsels and treats clients/patients with
personal, behavioral, or MH problems. Duties for the 91X at each military occupational specialty code
(MOSC) are as follows:
a. MOSC 91X. Under close supervision, collects and records psychosocial and physical data,
assists with care and treatment of psychiatric, drug and alcohol patients, and counsels client/patient with
personal, behavioral, or psychological problems.
b. MOSC 91X20. Collects and records psychosocial and physical data and assists with care and
treatment of psychiatric, drug and alcohol patients, and counsels clients/patients with personal, behavioral,
or psychological problems.
c.
MOSC 91X30. Collects and records psychosocial and physical data and assists with care and
treatment of psychiatric, drug and alcohol patients, and counsels clients/patients with personal, behavioral,
or psychological problems and assists with management of mental health activity.
d. MOSC 91X40. Assists professional staff with management and supervision of patient treatment
in in/outpatient mental health activities. Assist professional staff in the supervision of patient treat-
ment programs, personnel matters, supply economy procedures, fiscal, technical, and administrative
matters.
L-18
FM 4-02.6
L-22. Core Competencies of the 91X
The behavioral science specialist of medical companies must be trained/credentialed in several areas of core
competencies. These core competencies are examples of specific skills that establish the scope and depth of
clinical practices that are outlined in Table L-11.
Table L-11. Core Competency for Behavioral Specialists
CORE COMPETENCY IN BEHAVIORAL SCIENCE TECHNIQUES AND PROCEDURES FOR THE 91X IS TO TRIAGE,
EVALUATE, COUNSEL AND/OR TREAT STRESSED PATIENTS. THE PRIMARY TECHNIQUES AND PROCEDURES
USED INCLUDE THE FOLLOWING:
• MAXIMIZE PREVENTION TO CONTROL (AND WHEN FEASIBLE, REDUCE) STRESSORS THAT ARE KNOWN
TO INCREASE BF AND MISCONDUCT STRESS BEHAVIOR.
• TREAT BF IN THE SITUATIONAL AREAS OF PROXIMITY, IMMEDIACY, EXPECTANCY, AND SIMPLICITY.
EXAMPLES:
A. PROXIMITY REFERS TO THE NEED IN TREATING SOLDIERS AS CLOSE TO THE UNIT AND BATTLE AS
POSSIBLE. IT IS A REMINDER THAT OVER EVACUATION SHOULD BE PREVENTED.
B. IMMEDIACY INDICATES THAT BF REQUIRES TREATMENT IMMEDIATELY.
C. EXPECTANCY RELATES TO THE POSITIVE EXPECTATION PROVIDED TO BF CASUALTIES FOR THEIR
FULL RECOVERY AND EARLY RETURN TO DUTY.
D. SIMPLICITY INDICATES THE NEED FOR USING SIMPLE, BRIEF, STRAIGHTFORWARD METHODS TO
RESTORE PHYSICAL WELL-BEING AND SELF CONFIDENCE BY USING NONMEDICAL TERMINOLOGY
AND TECHNIQUES.
L-23. Mental Health Specialty Training
Tables L-12 and L-13 contain the critical tasks to be used by the unit commander and the senior mental
health officer in the development of a unit medical training program for assigned 91X personnel.
Table L-12.
91X10/20 Critical Task List
1. PERFORM CASUALTY EVALUATION
TRIAGE CASUALTY TO DETERMINE STATUS
2. PERFORM RESTRAINTS
RESTRAIN PATIENTS WHO POSE A THREAT TO OTHERS
3. PERFORM CASUALTY ASSESSMENT/SEPARATION
A. ASSESS CASUALTIES AND DATA OBTAINED TO DETERMINE FUNCTIONAL CAPACITY, APPROPRIATE
TREATMENT, AND OR RTD
L-19
FM 4-02.6
Table L-12.
91X10/20 Critical Task List (Continued)
B. SEPARATE STRESS AND MISCONDUCT COMBAT STRESS BEHAVIOR (MCSB) CASES FROM PSYCHI-
ATRIC, WOUNDED, AND SICK PATIENTS
4. PERFORM ADMINISTRATIVE ACTIONS
A. PREPARE BF AND NP CASES FOR EVACUATION OR TRANSFER
B. COORDINATE RTD OF MCSB AND RECOVERED BFC TO ORIGINAL OR ALTERNATE UNIT
Table L-13.
91X30/40 Critical Task List
PERFORM SUPERVISION AND IMPLEMENTATION OF THE ORGANIZATION’S PREVENTIVE MENTAL HEALTH
PROGRAM
A. TRAIN PHYSICIANS AND PHYSICIAN ASSISTANTS TO PERFORM NP TRIAGE.
B. COORDINATE THROUGH MEDICAL COMPANY’S HEADQUARTERS FOR ADDITIONAL CSC SUPPORT FROM
THE SUPPORTING MEDICAL BRIGADE.
C. MAINTAIN COORDINATION WITH SUPPORTED UNITS AND HIGHER HQ TO PREDICT POSSIBLE BF AND
STRESS CASUALTIES.
D. PREPARE CSC ESTIMATE OF TACTICAL SITUATION.
E. COORDINATE TRAINING WITH SUPPORTED FORCES HQ FOR COMBAT STRESS MANAGEMENT AND
PREVENTION.
F. COORDINATE CRITICAL INCIDENT STRESS DEBRIEFING OF TEAMS, CREWS, SQUADS, AND PLATOONS
AT RECONSTITUTION SITES.
G. FORWARD STATUS REPORT TO COMPANY HQ IAW TSOP.
Section V. PREVENTIVE MEDICINE SUPPORT MODULES
L-24. Preventive Medicine Officer (60C00 MC)
The PVNTMED officer leading the section of an Echelon II MTF is a practicing medical doctor, credentialed
in public health science. He determines status of, and conditions influencing, health of military and
appropriate civilian personnel; formulates and recommends measures for health improvements; and plans,
coordinates, and directs a program designed to maintain health, improve physical fitness, and prevent
disease and injury. This practicing physician also provides technical supervision of assigned professional
and paraprofessional personnel, and insures the efficacy of their technical capability.
L-25. Environmental Science Officer (72D67 MS)
The environmental science officer advises or performs professional and scientific work in environ-
mental health and industrial hygiene. Functions include: identification, evaluation, and formulation of
L-20
FM 4-02.6
recommendations for the control of potential health hazards; health hazard assessment of weapons,
equipment, clothing, training devices and materiel systems; development of environmental health and
industrial hygiene criteria and standards; promotion of policies, programs, practices, operations directed
toward the prevention of disease, illness, and injury. The environmental science officer also ensures the
establishment of protocols for the training of 91S personnel.
L-26. Preventive Medicine Specialist (91S)
The PVNTMED specialist conducts or assists with PVNTMED inspections, surveys, control operations,
and PVNTMED laboratory procedures, supervises PVNTMED facilities, or serves on PVNTMED staff.
The duties for 91S at each skill are as follows:
a. MOSC 91S/20. Conducts PVNTMED inspection, surveys and controls operations and assists
with PVNTMED laboratory procedures. Additionally, the 91S20 supervises subordinate personnel in the
performance of their duties.
b. MOSC 91S30. Conducts PVNTMED inspection, surveys and controls operations and assists
with PVNTMED laboratory procedures. Organizes water, food sanitation, hospital environment,
entomological, epidemiology, and environmental stress surveillance programs. Analyzes and evaluates
collected data. Supervises technical and administrative functions of PVNTMED activities.
c.
MOSC 91S40. Supervises medium size PVNTMED services or medical team/detachments.
Assists with development of unit defense plans and operational orders. Reviews and make appropriate
recommendations on doctrine and training literature. Maintains intelligence information and records.
Establishes quality control procedures for inspection programs and laboratory analysis. Develops community
health education programs. Evaluates existing PVNTMED programs and modifies as necessary to meet the
needs of the population served.
Section VI. OPTOMETRY CLINICAL SUPPORT MODULES
L-27. Optometry Officer (67F00 MS)
The optometry officers (67F MS) in the optometry section of the DSMC, MSMC and the medical com-
pany of the HSB are a primary health care provider in Echelons II and above MTFs. These certified
practicing optometrists, independently conduct examination to detect, prevent, diagnose, and manage ocular
related disorders; that is, injuries, diseases, and visual dysfunctions. Uses diagnostic and therapeutic
pharmaceutical agents (TPA) medical/surgical instruments. Prescribes spectacle and medical related con-
tact lenses, TPA and other therapy. Their duties include consultation in such areas as occupational vision
and the diagnosis and treatment of battlefield laser-induced injuries. The senior optometry officer/chief of
section provides technical supervision of assigned clinical personnel and insures the efficacy of their
technical capability.
L-21
FM 4-02.6
L-28. Eye Specialist (91WP3)
a. The eye specialist (91WP3) and the eye sergeant (91W20) perform routine diagnostic tests and
assist in the care of ophthalmology or optometry patients. As optometry specialist these duties are conducted
under the auspices of an optometrist or ophthalmologist.
b. As 91Ws these specialists also perform emergency and evacuation care under the medical
direction of a physician or other credentialed providers. Serves as a clinical technician in inpatient and
outpatient areas of MTFs. Performs basic force health protection care for individual soldiers and small
units. Is trained for combat and other operational environments. Conducts casualty triage and provides
medical care for patients in all operational environments to include enroute care during ground and air
ambulance evacuations. The 91W is certified to the national standards of EMT-B. Refer to Section II
above.
L-29. Core Competencies of the 91WP3
The eye specialist (91WP3) of medical companies must be trained in several areas of core competencies.
These core competencies are examples of specific skills that establishes the scope and depth of tactics,
techniques, and procedures that are outlined in Tables L-14 below.
Table L-14. Core Competency for Eye Specialists
CORE COMPETENCY IN EYE SPECIALTY TECHNIQUES AND PROCEDURES FOR THE 91WP3 IS INCLUSIVE OF
THE FOLLOWING:
• PATIENT SCREENING
• HISTORY TAKING
• TONOMETRY
• LENSOMETRY
• PHOTOGRAPHY
L-30. Training for the 91WP3
Table L-15 below contains the critical tasks to be used by the optometry chief of section in the development
of training program for assigned 91WP3 personnel. Also the unit commander will ensure that these
personnel comply with the 91W continued education and training program as outlined in Paragraph L-8 and
Table L-4 above.
L-22
FM 4-02.6
Table L-15.
91WP310/20 Critical Task List
FIELD-SPECIFIC TASKS
•
ASSEMBLE A FIELD COMBAT OPTOMETRY SET
•
DISASSEMBLE A FIELD OPTOMETRY SET
ADMINISTRATIVE TASKS
•
MAINTAIN AN EYE CLINIC HAND RECEIPT ACCOUNT
•
MAINTAIN THE EYE CLINIC FORMS SUPPLY
•
MAINTAIN THE EYE CLINIC PUBLICATIONS LIBRARY
•
ORDER EYE CLINIC EQUIPMENT
•
ORDER EYE CLINIC SUPPLIES
•
SCHEDULE EYE CLINIC APPOINTMENTS
•
MONITOR EYE CLINIC SCHEDULES
•
PREPARE EYE CLINIC COMPOSITE HEALTH CARE SYSTEM REPORTS
•
PREPARE EYE CLINIC SPECTACLE REQUEST TRANSMISSION SYSTEM REPORTS
PRESCRIPTION EYEWEAR TASKS
•
ORDER PRESCRIPTION EYEWEAR
•
MAINTAIN PRESCRIPTION EYEWEAR ORDER FILES
•
DISPENSE PRESCRIPTION EYEWEAR
•
RECEIVE PRESCRIPTION EYEWEAR
•
INSPECT COMPLETED PRESCRIPTION EYEWEAR
•
PERFORM REPAIRS AND ADJUSTMENTS ON PRESCRIPTION EYEWEAR
CLINICAL TASKS
•
CONDUCT AN EYE CLINIC PRE-EXAMINATION PATIENT SCREENING
•
CONDUCT AN OPTOMETRIC PHYSICAL SCREENING
•
CONDUCT AN OPTOMETRIC SCREENING FOR A DOD MEDICAL EVALUATION REVIEW BOARD CANDIDATE
•
CONDUCT AN OPTOMETRIC PHYSICAL SCREENING FOR AVIATION CANDIDATE
•
ADMINISTER DOCTOR-ORDERED TREATMENT FOR OCULAR INJURIES
•
ADMINISTER DOCTOR-ORDERED TREATMENT FOR OCULAR BURNS
•
ADMINISTER DOCTOR-ORDERED TREATMENT FOR OCULAR DISEASES
•
INITIATE EMERGENCY TREATMENT FOR A CHEMICAL BURN OF THE EYE
•
REMOVE NONEMBEDDED FOREIGN BODIES FROM THE CONJUNCTIVA OR CORNEA
•
CONDUCT VISUAL FIELD TEST
•
PERFORM OCULAR A/B SCAN
•
PERFORM OCULAR PHOTOGRAPHY
•
CONDUCT A FLUORESCEIN ANGIOGRAPHY
•
ADMINISTER A TEAR FLOW TEST
•
TRIAGE EYE EMERGENCIES
•
PERFORM OPERATOR MAINTENANCE ON OPHTHALMIC EQUIPMENT
•
CALIBRATE THE EYE CHART
•
DISPENSE CONTACT LENS
SURGICAL TASKS
•
CONDUCT AN OCULAR SURGERY PREOPERATIVE SCREENING
•
PREPARE FOR A MAJOR OCULAR SURGICAL PROCEDURE
•
PREPARE FOR A MINOR OPHTHALMIC SURGICAL PROCEDURE
•
PREPARE FOR OCULAR LASER TREATMENT
•
ASSIST THE DOCTOR DURING OCULAR SURGERY
•
CONDUCT AN OCULAR SURGERY POSTOPERATIVE CLEANUP
•
CONDUCT AN OCULAR SURGERY POSTOPERATIVE SCREENING
•
RECEIVE OPHTHALMIC SURGICAL SETS FROM CENTRAL MATERIAL SERVICE
L-23
FM 4-02.6
L-31. Optical Laboratory Specialist (91H10)
The optical laboratory specialist assembles spectacles utilizing presurfaced single-vision lens; surfaces
multivision lens and assembles multivision spectacles; repairs and fabricates spectacles; and maintains tools
and equipment.
L-24
C1, FM 4-02.6
GLOSSARY
ABBREVIATIONS, ACRONYMS, AND DEFINITIONS
A2C2
Army airspace command and control
AASLT air assault
ABC airway, breathing, circulation
ABCA American, British, Canadian, and Australian
ABCS Army Battle Command Systems
abn airborne
ACR armored cavalry regiment
ACS armored cavalry squadron
ACUS Area Common-User System
admin administrative
advanced trauma management (ATM) Resuscitative and stabilizing medical or surgical treatment
provided to patients to save life or limb and to prepare them for further evacuation without
jeopardizing their well-being or prolonging the state of their condition.
AELT air evacuation liaison team
AFMIC Armed Forces Medical Intelligence Center
AIR STD air standardization agreement
AM amplitude-modulated
amb ambulance
ambulance control point The ambulance control point consists of a soldier (from the ambulance company
or platoon) stationed at a crossroad or road junction where ambulances may take one of two or more
directions to reach loading points. The soldier, knowing from which location each loaded ambulance
has come, directs empty ambulances returning to the rear. The need for control points is dictated
by the situation. Generally, they are more necessary in forward areas.
ambulance exchange point (AXP) A location where a patient is transferred from one ambulance to
another en route to an MTF. This may be an established point in an ambulance shuttle or it may be
designated independently.
Glossary-1
C1, FM 4-02.6
ambulance loading point This is a point in the shuttle system where one or more ambulances are
stationed ready to receive patients for evacuation.
ambulance relay point This is a point in the shuttle system where one or more ambulances are stationed
ready to advance to a loading point or to the next relay point to replace an ambulance that has
moved from it. As a control measure, relay points are generally numbered from front to rear.
ambulance shuttle system The shuttle system is an effective and flexible method of employing ambulances
during combat. It consists of one or more ambulance loading points, relay points, and when nec-
essary, ambulance control points, all echeloned forward from the principal group of ambulances,
the company location, or basic relay points as tactically required.
AMEDD Army Medical Department
AMEDDC&S Army Medical Department Center and School
AML area medical laboratory
AN Army Nurse Corps
ANCD automated net control device
AO area of operations
AOE Army of Excellence
AOR area of responsibility
AR Army regulation
ARPERCEN Army Reserve Personnel Center
ARPERSCOM Army Reserve Personnel Command
ARSOF Army Special Operations Forces
ARTEP Army Training and Evaluation Program
AS area support
ASL authorized stockage list
ASMB area support medical battalion
ASMC area support medical company
Glossary-2
C1, FM 4-02.6
ASMD area support medical detachment
asst assistant
ATLS® Advanced Trauma Life Support
ATM See advanced trauma management.
attn attention
augmentation A command relationship. Units that are designated to augment another unit are, therefore,
not available to the losing command for the period of augmentation.
AXP See ambulance exchange point.
BAS battalion aid station
BCIS battlefield combat identification system
BCIS-NS battlefield combat identification system-node switch
BCOC base cluster operations center
BCT brigade combat team
bde brigade
behav behavioral
BF battle fatigue
BFC battle fatigue casualty
BLS basic life support
BMSO brigade medical supply office
brigade support area (BSA) A designated area from which combat service support elements from
DISCOM and corps support command provide logistics support to the brigade. The BSA normally
is located 20 to 25 kilometers behind the forward edge of the battle area.
BSA See brigade support area.
BSB brigade support battalion
Glossary-3
C1, FM 4-02.6
BSMC brigade support medical company
BSS brigade surgeon’s section
BW biological warfare
C2
command and control
C3
command, control, and communications
C4I command, control, communications, computers, and intelligence
casualty Any person who is lost to his organization by reason of having been declared dead, wounded, injured,
diseased, interned, captured, retained, missing, missing in action, beleaguered, besieged, or detained.
casualty collection point A specific location where casualties are assembled to be transported to a medical
treatment facility. It is usually predesignated and may be either staffed or not. The echelon
designating the point provides the staffing.
casualty evacuation A term used by nonmedical units to refer to movement of casualties aboard
nonmedical vehicles or aircraft. Casualties transported in this manner do not receive en route
medical care.
CBT combat
CDR commander
CE communications-electronics
CEMR civilian employee medical record
CHL combat health logistics
CHPPM Center for Health Promotion and Preventive Medicine
CHS See combat health support.
CIP combat identification panel
CL configured loads
clr clearing
cmd command
Glossary-4
C1, FM 4-02.6
CME continuing medical education
CMO civil-military operations
CNR combat net radio
co company
COA course(s) of action
combat health support (CSH) All support services performed, provided, or arranged by the Army
Medical Department to promote, improve, conserve, or restore the mental and/or physical well-
being of personnel in the Army and, as directed, in other services, agencies, and organizations.
These services include, but are not limited to, the management of health service resources such as
manpower, monies, and facilities; preventive and curative health measures; the health service
doctrine; evacuation of the sick (physically and mentally), injured and wounded, selection of the
medically unfit; medical supply, equipment, and maintenance thereof; and medical dental, veterinary
laboratory, optometry, and medical food services.
combat service support (CSS) The assistance provided to sustain combat forces, primarily in the fields of
administration and logistics. It includes administrative services, chaplain services, civil affairs,
food service, finance, legal services, maintenance, health service support, supply, transportation,
and other logistical services.
combat support (CS) Consists of fire support and operational assistance provided to combat elements. It
includes field artillery, air defense artillery, engineer, military police, signal, military intelligence,
and chemical.
combat trains The portion of the unit trains that provides combat service support required for immediate
response to the needs of forward tactical elements. At company level, health service support,
recovery, and maintenance elements normally constitute the combat trains. At battalion, the com-
bat trains normally consist of ammunition and petroleum, oils, and lubricates, vehicles, maintenance/
recovery vehicles and crews, and the battalion aid station.
(See also field trains; unit trains.)
combat zone (CZ)
(1) That area required by combat forces for the conduct of operations.
(2) The
territory forward of the Army rear boundary.
communications zone (COMMZ) Rear area of the theater of operations (behind but contiguous to the
combat zone) which contains the lines of communication, establishments for supply and evacuation,
and other agencies required for the immediate support and maintenance of the field forces.
COMMZ See communications zone.
company aid post A company aid post is a designated location on the battlefield where a combat medic
provides emergency medical treatment to casualties awaiting evacuation. This point is similar to the
Glossary-5
C1, FM 4-02.6
collecting point (patient) except that it is manned by one of the company combat medics or medical
platoon’s aide/evacuation team.
COMSEC communications security
CONUS continental United States
COSC combat operational stress control
COTS commercial off-the-shelf
CP command post
CRP common relevant picture
CPR cardiopulmonary resuscitation
CRT control receiver-transmitter
CS See combat support.
CSAR combat search and rescue
CSC combat stress control
CSH combat support hospital
CSOP clinical standing operating procedure
CSS See combat service support.
CSSCS Combat Service Support Control System
ctrl control
CW chemical warfare
CZ See combat zone.
DA Department of the Army
DABS division aviation brigade support
DAGR Defense Advance Global Positioning System Receiver
DC Dental Corps
Glossary-6
C1, FM 4-02.6
DD Department of Defense
DDL Daily Disposition Log
DE directed energy
decon decontamination
DIG digitized
DISCOM division support command
div division
division support area (DSA) An area normally located in the division rear area positioned near air-
landing facilities and along the main supply route. The division support area contains the division
support command post, headquarters elements of the division support command battalions, and
those division support command elements charged with providing backup support to the combat
service support elements in the brigade support area and direct support units located is the division
rear. Selected corps support command elements in the division may be located in the division
support area to provide direct support backup and general support as required.
DLA Defense Logistics Agency
DMLSS-AM Defense Medical Logistics Standard Support-Amplitude Modulated
DMOC division medical operations center
DMSO division medical supply office(r)
DNBI disease and nonbattle injury
DNVT digital nonsecure voice telephone
DOA dead on arrival
DOD Department of Defense
DODD Department of Defense Directive
DODI Department of Defense Instruction
DS direct support
DSA See division support area.
Glossary-7
C1, FM 4-02.6
DSMC division support medical company
DSS division surgeon’s section
DTF dental treatment facility
DTG date time group
DVE driver’s vision enhancer
EAB echelons above brigade
EAC echelons above corps
EBL estimated blood loss
Echelon I (Level I) Unit level—The first medical care a soldier receives is provided at this level. This
care included immediate lifesaving measures, advanced trauma management, disease prevention,
combat stress prevention, casualty collection, and evacuation from supported unit to supporting
medical treatment facility. Echelon I elements are located throughout the combat and communi-
cations zones. These elements include the combat lifesaver, combat medic, and battalion aid
station. Some or all of these elements are found in combat, combat support, and combat service
support units. When Echelon I capability is not organic to a unit then this support is provided that
unit by the supporting Echelon II medical unit.
Echelon II (Level II) Duplicates Echelon I and expands services available by adding dental, laboratory,
x-ray, and patient holding capabilities. Emergency care, advanced trauma management, including
urgency initial surgery with forward surgical team augmentation. Echelon II units are located in
the combat zone—brigade/regimental support area, corps support area, and communication zone.
Echelon II medical support may be provided by clearing stations of divisional and nondivisional
medical companies/troops.
Echelon III (Level III) This echelon of support is provided in the corps . Echelon III expands the support
provided at Echelon II (division-level). Casualties who are unable to tolerate and survive movement
over great distances will receive definite care in hospitals close to the division rear boundary as the
tactical situation will allow. Echelon III hospitalization is provided by the combat support hospital.
Operational conditions may require hospitals to locate in offshore support facilities, third country
support bases, or in the communication zone.
Echelon IV (Level IV) This echelon of support is provided in the communication zone by the combat
support hospital. It provides further treatment to stabilize those patients requiring evacuation to the
continental United States. This echelon also provides resuscitative and definitive care of soldiers
located in the communication zone.
Glossary-8
C1, FM 4-02.6
echelon of care A North Atlantic Treaty Organization term which can be used interchangeably with the
term level of care.
EIC electronic information carrier
emergency medical treatment (EMT) The immediate application of medical procedures to the wounded,
injured, or sick by specially trained medical personnel.
EMT See emergency medical treatment.
EMT-B emergency medical treatment (technician)—basic
EN electronic notebook
env environmental
EOH equipment on hand
EPLRS Enchanced Position Location Reporting System
EPW enemy prisoner(s) of war
equip equipment
evac evacuation
evacuation policy A command decision indicating the length in days of the maximum period of noneffectiveness
that patients may be held within the command for treatment. Patients, who, in the opinion of the
responsible medical officers, cannot be returned to duty status within the period prescribed are
evacuated by the first available means, provided the travel involved will not aggravate their disabilities.
F Fahrenheit
FAX facsimile
FBCB2
Force XXI Battle Command Brigade and Below
FEBA forward edge of the battle area
field trains The combat service support portion of a unit at company and battalion level that is not
required to respond immediately. At company level, supply and mess teams normally will be
located in the field trains A battalion’s field trans may include mess teams, a portion of the supply
section of the support platoon, a maintenance element, as well as additional ammunition and
petroleum, oils and lubricants. Positions of the field trains is dependent on such factors as the type
Glossary-9
C1, FM 4-02.6
of friendly operation underway, available suitable terrain, and intensity of enemy activity in the
area.
(See also combat trains; unit trains.)
first aid Urgent and immediate lifesaving or other measures which can be performed for casualties (or
performed by the victim himself) by nonmedical personnel when medical personnel are not
immediately available.
1SG first sergeant
fld field
FLOT forward line of own troops
FM frequency-modulated; field manual
FMC US Field Medical Card (DD Form 1380); forward maintenance company
FMTV Family of Medium Tactical Vehicles
forward arming and refueling point A temporary facility that is organized, equipped, and deployed by
an aviation unit commander, and located closer to the area of operations than the aviation units
combat service support area. It provides fuel and ammunition necessary for the employment of
helicopter units in combat.
FSB forward support battalion
FSE forward support element
FSMC forward support medical company
FSMT forward support medical evacuation team
FST forward surgical team
FX fracture(s)
G1
Assistant Chief of Staff, G1 (Personnel)
GC Geneva Convention Relative to the Protection of Civilian Internees in Time of War
GCSS-A Global Combat Support System-Army
general support (GS) A general support unit provides support to the total force, not to any particular
subdivision. Therefore, subdivision may not directly request support from the general support unit.
Glossary-10
C1, FM 4-02.6
Only the supported force headquarters may determine priorities and assign missions or tasks to the
general support unit. A general support unit has no command relationship with the supported unit
or force.
GOTS government off-the-shelf
GPS global positioning system(s)
GPW Geneva Convention Relative to the Treatment of Prisoners of War
GRC ground radio communications
GS See general support.
GTN global traffic network
GWS Geneva Convention for the Amelioration of the Condition of the Wounded and Sick in the Armed
Forces
GWS (SEA) Geneva Convention for the Amelioration of the Condition of the Wounded, Sick, and Ship-
wrecked Members of the Armed Forces at Sea
HA heart attack
HDC headquarters and distribution company
hldg holding
hlth health
HMMWV high-mobility multipurpose wheeled vehicle
HN host nation
HQ headquarters
HREC health record
HSB heavy separate brigade
HSMO health service materiel officer
HSSO health service support officer
Glossary-11
C1, FM 4-02.6
HX history
IAW in accordance with
ID identification
IHFR improved high-frequency radio
IIF informal information flow
initial point of treatment Any point within the combat health support system at which a soldier is seen
and treated by trained medical personnel
IR infrared
IV intravenous
JTF joint task force
kbps kilobits per second
kg kilogram
kHz kilohertz
KIA killed in action
km kilometers
LAB laboratory
ldr leader
lines of patient drift Natural routes along which wounded soldiers may be expected to go back
for
medical care from a combat position
LOC lines of communication
LOG logistical; logistics
LOGPAC logistical package
Glossary-12
C1, FM 4-02.6
LZ landing zone
MA mortuary affairs
maint maintenance
MASCAL mass casualty
MASF mobile aeromedical staging facility
MC Medical Corps
MC4
Medical Communications for Combat Casualty Care
MCO movement control office(r)
MCSB misconduct combat stress behavior
MCT movement control team
MDT Medical Detachment Telemedicine
med medical
MEDCOM medical command
MEDDAC medical department activity
MEDEVAC medical evacuation
medical equipment set (MES) A chest containing medical instruments and supplies designed for specific
table of organization and equipment units or specific missions.
medical treatment facility (MTF) Any facility established for the purpose of providing medical treatment.
This includes battalion aid stations, clearing stations, dispensaries, clinics, and hospitals.
MEDLAB medical laboratory
MEDLOG medical logistics
MEDLOG-D medical logistics-division
MEDTCU medical transportable computer unit
Glossary-13
C1, FM 4-02.6
MES See medical equipment set.
METT-TC mission, enemy, terrain, troops, time available, and civilian consideration
MH mental health
MHz megahertz
MIA missing in action
MLO medical logistics
MMMB medical materiel management branch
MMMC medical materiel management center
MOPP mission-oriented protective posture
MOS military occupational specialty
MOSC military occupational specialty code
MOUT military operations on urbanized terrain
MRI Medical Reengineering Initiative
MRO medical regulating office(r)
MS Medical Service Corps
MSB main support battalion
MSE mobile subscriber equipment
MSMC main support medical company
MSR main supply route
MSRT mobile subscriber radio telephone
MTF See medical treatment facility.
MTOE modified table of organization and equipment
MTS Movement Tracking System
Glossary-14
C1, FM 4-02.6
NATO North Atlantic Treaty Organization
NBC nuclear, biological, and chemical
NCO noncommissioned officer
NCOIC noncommissioned officer in charge
NCS net control station
NGO nongovernmental organization
NVG night vision goggles
OCONUS outside the continental United States
off officer
op operation
OPCON See operational control.
operational control (OPCON) The authority delegated to a commander to direct forces assigned so that
the commander may accomplish specific missions or tasks that are usually limited by function, time,
or location; to deploy units concerned, and to retain or assign tactical control of those units. It does
not of itself include administrative or logistic control. In the North Atlantic Treaty Organization, it
does not include authority to assign separate employment of components of units concerned.
OPLAN operation plan
OPORD operation order
OPSEC operations security
opt optical
OR operating room
OTC over the counter
PA physician assistant
passage of lines Passing one unit through the position of another, as when elements of a covering force
withdraw through the forward edge of the main battle area, or when an exploiting force moves
Glossary-15
C1, FM 4-02.6
through elements of the force that conducted the initial attack. A passage may be designated as a
forward or rearward passage of lines.
patient A sick, injured, or wounded soldier who receives medical care or treatment from medically
trained personnel
PDA personal digital assistant
PDS Personnel Daily Summary
PE&MR Patient Evacuation and Mortality Report
PERSCOM personnel command
PERSITREP Personnel Situation Report
PhD doctor of philosophy
plt platoon
PMCS See preventive maintenance checks and services.
PMM preventive medicine measures
pnt See patient.
POL petroleum, oils, and lubricants
preventive maintenance checks and services The care, servicing, inspection, detection, and correction
of minor faults before these faults cause serious damage, failure, or injury. The procedures and the
category of maintenance to perform PMCS are found in the -10 and -20 equipment technical
manuals and lubrication orders.
PSR Patient Summary Report
PVNTMED preventive medicine
QSTAG Quadripartite Standardization Agreement
reconstitution The total process of keeping the force supplied with various supply classes, services, and
replacement personnel and equipment required to maintain the desired level of combat effectiveness
and of restoring units that are not combat effective to the desired combat effectiveness through the
Glossary-16
C1, FM 4-02.6
replacement of critical personnel and equipment. Reconstitution encompasses unit regeneration and
sustaining support.
regt regiment
rep repair
RMC remote multiplexer combiner; radio multiplexer combiner
RMSO regimental medical supply office
RP release point; retained personnel
RPR rapid plasma reagin
RSA regimental support area
RSS regimental surgeon section
RT receiver; transmitter
RTD return to duty
S1
Adjutant (US Army)
S2
Intelligence Officer (US Army)
S3
Operations and Training Officer (US Army)
S4
Supply Officer (US Army)
SACMS-VT Semiannual Combat Medic Skills Validation Test
SAS squadron aid station
SATCOM satellite communications
SBCT Stryker Brigade Combat Team
sci science
SCTACST single-channel tactical satellite
sec section
Glossary-17
C1, FM 4-02.6
SEN small extension node
SF standard form; Special Forces
SFMC Special Forces medical sergeant
SFODA Special Forces Operational Detachment A
SGT Sergeant
SINCGARS single-channel ground and airborne radio system
SOF Special Operations Forces
SOI signal operation instructions
SOP standing operating procedures
SP Army Medical Specialist Corps
SPC specialist
spot report A concise narrative report of essential information covering events or conditions that may
have an immediate and significant effect on current planning and operations that is afforded the
most expeditious means of transmission consistent with requisite security. (Note: In reconnaissance
and surveillance usage, spot report is not to be used.)
spt support
sqd squad
SQDN squadron
SSA supply support activity
SSC small scale contingency
SSG staff sergeant
sta station
STANAG See Standardization Agreement.
Standardization Agreement (STANAG) North Atlantic Treaty Organization Standardization Agreement.
The North Atlantic Treaty Organization consists of 15 member nations allied together for military
Glossary-18
C1, FM 4-02.6
interoperability in both equipment and methods of operations. As each standardization agreement is
adopted, it becomes a part of each nation’s unilateral procedures and is incorporated into national
doctrinal and procedural publications.
STD sexually transmitted diseases
sup supply
support An action that aids, protects, complements, or sustains another force in accordance with an order
requiring such action. Units that are supporting another unit remain under the control of the head-
quarters providing the support.
surg surgical
T1
Immediate Treatment Group (nuclear casualty)—those patients requiring immediate lifesaving surgery.
Procedures should not be time-consuming and concern only those with a high chance of survival,
such as respiratory obstruction or accessible hemorrhage.
T2
Delayed Treatment Group (nuclear casualty)—those patients requiring surgery, but whose conditions
permit delay without unduly endangering safety. Life-sustaining treatment such as intravenous
fluids, antibiotics, splinting, catheterization, and relief of pain may be required in this group.
Examples are fractured limbs and uncomplicated burns.
T3
Minimal Treatment Group (nuclear casualty)—those patients with relatively minor injuries, such as
minor fractures or lacerations, who can be helped by untrained personnel or who can look after
themselves. Buddy care is particularly important in this category.
T4
Expectant Treatment Group (nuclear casualty)—those patients with serious or multiple injuries requiring
intensive treatment, or with a poor chance of survival. These patients receive supportive treatment
compatible with resources, which includes large doses of analgesics, as applicable. Examples or
severe head and spinal injuries, widespread burns, or high doses of radiation; this is a temporary
category.
TAMMIS Theater Army Medical Management Information System
task organization A temporary grouping of forces designed to accomplish a particular mission. Task
organization involves the allocation or distribution of available forces to a subordinate headquarters
by placing these forces either attached, under operational control to, or in direct support of the
subordinate headquarters. Staff planners must distinguish between that support and augmentation
which is provided to any or all the division(s), and additional support or augmentation which may
be required by the heavy or light division when conducting heavy-light operations.
(See also
augmentation.)
TB MED Technical Bulletin (Medical)
Glossary-19
C1, FM 4-02.6
TBSA total body surface area
TC training circular
TC-AIMS Transportation Coordinators’ Automated Information for Movement System
TCAM TAMMIS Customer Assistance Module
TF task force
TIM toxic industrial material
TM technical manual; team
TMIP Theater Medical Information Program
TO theater of operations
TOC tactical operations center
TOE table(s) of organization and equipment
TPA therapeutic pharmaceutical agent
triage The medical sorting of patients according to the type and seriousness of injury, likelihood of
survival, and the establishment of priority for treatment and/or evacuation. Triage ensures that
medical resources are used to provide care for the greatest benefit to the largest number. The
categories are: minimal—those who require limited treatment and can be returned to duty;
immediate—patients requiring immediate care to save life or limb; delayed—patients who, after
emergency medical treatment, incur little additional risk by delay or further treatment; and
expectant—patients who are so critically injured that only complicated and prolonged treatment will
improve life expectancy.
(For triage categories for nuclear casualties, refer to T1, T2, T3, and T4.)
trl trailer
trmt treatment
TSOP tactical standing operating procedure
TX treatment
UCMJ Uniformed Code of Military Justice
ULLS Unit Level Logistics System
Glossary-20
C1, FM 4-02.6
unit trains Combat service support personnel and equipment organic to or attached to a force that
provides supply, evacuation, and maintenance services. Unit trains, whether or not echeloned, are
under unit control and no portion of them is released to the control of a higher headquarters. Trains
are normally echeloned into combat and field trains.
(See also combat trains; field trains.)
UO urbanized operations
US United States
USAF United States Air Force
USAMMA US Army Medical Materiel Agency
UTI urinary tract infection
VA Department of Veterans Affairs
veh vehicle
VHF very high frequency
VRC vehicular radio communications
VS both adult and pediatric; vital signs
WIA wounded in action
WIN Warfighter Information Network
WMD weapons of mass destruction
XO executive officer
Glossary-21
C1, FM 4-02.6
REFERENCES
SOURCES USED
These are the sources quoted or paraphrased in this publication.
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.
2087. Medical Employment of Air Transport in the Forward Area. Edition 5.
9 September 1997.
(Latest Amendment, 10 September 1999.)
2132. Documentation Relative to Medical Evacuation, Treatment, and Cause of Death of Patients. Edition 2.
7 August 1974. (Latest Amendment,
15 September 1986.)
2931. Orders for the Camouflage of the Red Cross and Red Crescent on Land in Tactical Operations.
Edition 2.
19 January 1998.
(Latest Amendment, 3 April 1998.)
3204. Aeromedical Evacuation. Edition 6.
15 July 1999.
(Latest Amendment, 4 October 2000.)
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.
470. Documentation Relative to Medical Evacuation, Treatment, and Cause of Death of Patients.
Edition 1.
23 February 1979.
(Latest Amendment, 14 August 1989.)
529. Medical Employment of Air Transport in the Forward Area. Edition 1.
24 March 1980.
(Latest
Amendment, 14 August 1989.)
AIR STDs
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.
44/36A. Aeromedical Evacuation by Helicopter.
2 October 1978.
61/71. Selection, Priorities, and Classes of Conditions for Aeromedical Evacuation.
10 May 1989.
Joint or Multiservice Publications
Joint Publication 4-02.1. Joint Tactics, Techniques, and Procedures for Health Service Logistics Support
in Joint Operations.
6 October 1997.
References-1
C1, FM 4-02.6
AR 40-562. Immunizations and Chemoprophylaxis. AFJI
48-110; BUMEDINST 6230.15; CG
COMDTINST M6230.4E. 1 November 1995.
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 3-100. 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 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.
FM 8-284. Treatment of Biological Warfare Agent Casualties. NAVMED P-5042; AFMAN(I) 44-156;
MCRP 4-11.1C. 17 July 2000.
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 11-1. Talk II-SINCGARS Multiservice Communications Procedures for the Single-Channel Ground
and Airborne Radio System. MCRP 6-2.2.2; NDC TACMEMO 3-13.1; ACCPAM 33-154;
PACAFPAM 33-154; USAFEPAM 33-154.
29 May 1996.
FM 90-3. Desert Operations. FMFM 7-27. 24 August 1993.
FM 100-19. Domestic Support Operations. FMFM 7-10. 1 July 1993.
FM 101-5-1. Operational Terms and Graphics. MCRP 5-2A. 30 September 1997.
TB Med 81. Cold Injury. NAVMED P-5052-29; AFP 161-11. 30 September 1976.
TB Med 507. Occupational and Environmental Health Prevention, Treatment and Control of Heat
Injury. NAVMED P-5052-5; AFP 160-1. 25 July 1980.
TM 5-632. Military Entomology Operations Handbook. NAVPAC MO-310; AFM 9-16.
1 December
1971.
(Reprinted with basic including Changes 1—2, 2 January 1976.)
TM 8-227-12. Armed Services Blood Program Joint Blood Program Handbook. NAVMED P-6530;
AFH 44-152. 21 January 1998.
DODD 6490.1. Mental Health Evaluations of Members of the Armed Forces. 1 October 1997.
DODD 6490.2. Joint Medical Surveillance. 30 August 1997.
DODD 6490.5. Combat Stress Control Programs. 23 February 1999.
DODI 1400.32. DOD Civilian Work Force Contingency and Emergency Planning Guidelines and
Procedures.
24 April 1995.
DODI 3020.37. Continuation of Essential DOD Contractor Services During Crises. 6 November 1990.
DODI 6490.3. Implementation and Application of Joint Medical Surveillance for Deployments.
7 August 1997.
Army Publications
AR 40-3. Medical, Dental, and Veterinary Care.
30 July 1999.
AR 40-5. Preventive Medicine.
15 October 1990.
AR 40-61. Medical Logistics Policies and Procedures.
25 January 1995.
AR 40-66. Medical Record Administration and Health Care Documentation.
3 May 1999.
References-2
C1, FM 4-02.6
AR 40-400. Patient Administration.
12 March 2001.
AR 40-501. Standards of Medical Fitness.
30 August 1995.
(Reprinted with basic including Change 1,
27 February 1998.)
AR 71-32. Force Development and Documentation—Consolidated Policies.
3 March 1997.
AR 220-10. Preparation for Oversea Movement of Units (POM). 15 June 1973.
AR 335-15. Management Information Control System.
15 December 1982.
(Reprinted with basic in-
cluding Change 1, 28 October 1986.)
AR 750-1. Army Materiel Maintenance Policy and Retail Maintenance Operations.
1 August 1994.
(Change 1, 1 July 1996.)
FM 3-0. Operations. 14 June 2001.
FM 3-97.6. Mountain Operations.
28 November 2000.
FM 4-02. Force Health Protection in a Global Environment.
13 February 2003.
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 4-02.10. 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 4-02.21. Division and Brigade Surgeons’ Handbook (Digitized)—Tactics, Techniques, and Proce-
dures.
15 November 2000.
FM 4-02.24. Area Support Medical Battalion—Tactics Techniques, and Procedures. 28 August 2000.
FM 7-30. The Infantry Brigade.
3 October 1995.
(Change 1, 31 October 2000.)
FM 8-10-3. Division Medical Operations Center—Tactics, Techniques, and Procedures.
12 November
1996.
FM 8-10-6. Medical Evacuation in a Theater of Operations—Tactics, Techniques, and Procedures.
14
April 2000.
FM 8-10-7. Health Service Support in a Nuclear, Biological, and Chemical Environment.
22 April
1993.
(Reprinted with basic including Change 1, 26 November 1996.)
FM 8-10-8. Medical Intelligence in a Theater of Operations.
7 July 1989.
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 Hospitals—Tactics, Techniques, and Procedures.
26
March 1997.
FM 8-10-16. Army Medical Information Operations. 3 September 1998.
FM 8-10-18. Veterinary Service—Tactics, Techniques, and Procedures.
22 August 1997.
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 8-42. Combat Health Support in Stability Operations and Support Operations. 27 October 1997.
FM 8-43. Combat Health Support for Army Special Operations Forces. 21 June 2000.
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.
References-3
C1, FM 4-02.6
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 11-32. Combat Net Radio Operations. 15 October 1990.
FM 11-50. Combat Communications within the Division (heavy and light).
4 April 1991.
FM 11-55. Mobile Subscriber Equipment Operations. 22 June 1999.
FM 12-6. Personnel Doctrine. 9 September 1994.
FM 17-95. Cavalry Operations. 24 December 1996.
FM 19-4. Military Police Battlefield Circulation Control, Area Security, and Enemy Prisoner of War
Operations.
7 May 1993.
FM 21-10. Field Hygiene and Sanitation.
21 June 2000.
FM 21-10-1. Unit Field Sanitation Team.
11 October 1989.
FM 22-51. Leader’s Manual for Combat Stress Control. 29 September 1994.
FM 24-19. Radio Operator’s Handbook. 24 May 1991.
FM 27-10. The Law of Land Warfare. 18 July 1956. (Reprinted with basic including Change 1, 15 July
1976.)
FM 31-70. Basic Cold Weather Manual.
12 April 1968.
(Reprinted with basic including Change 1, 17
December 1968.)
FM 31-71. Northern Operations. 21 June 1971.
FM 63-1. Support Battalions and Squadrons, Separate Brigades, and Armored Cavalry Regiments.
30
September 1993.
(Reprinted with basic including Change 1, 20 September 1994.)
FM 63-2. Division Support Command, Armored, Infantry, and Mechanized Infantry Divisions.
20 May
1991.
FM 63-2-1. Division Support Command—Light Infantry, Airborne, and Air Assault Divisions.
16 Nov-
ember 1992. (Reprinted with basic including Change 1, 20 September 1994.)
FM 71-100. Division Operations. 28 August 1996.
FM 71-100-2. Infantry Division Operations—Tactics, Techniques, and Procedures.
31 August 1993.
FM 71-100-3. Air Assault Division Operations—Tactics, Techniques, and Procedures.
29 October 1996.
FM 71-123. Tactics and Techniques for Combined Arms Heavy Forces: Armored Brigade, Battalion/
Task Force, and Company/Team. 30 September 1992.
FM 90-5. Jungle Operations. 16 August 1982.
FM 90-10. Military Operations on Urbanized Terrain. 15 August 1979.
FM 90-26. Airborne Operations. 18 December 1990.
FM 100-8. The Army in Multinational Operations. 24 November 1997.
FM 100-10. Combat Service Support.
3 October 1995.
FM 100-17. Mobilization, Deployment, Redeployment, and Demobilization. 28 October 1992.
FM 100-17-5. Redeployment. 29 September 1999.
FM 100-23. Peace Operations. 30 December 1994.
FM 100-25. Doctrine for Army Special Operations Forces. 1 August 1999.
FM 101-5. Staff Organization and Operations.
31 May 1997.
FM 101-5-2. US Army Report and Message Formats. 29 June 1999.
References-4
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