ACT 100 AHS Support to ULO Flashcards
Two perspectives of threat
General
Health (AMEDD’s primary concern)
General threat
- includes traditional considerations (PMESII-PT), enemy capabilities and assets, non-state and individual actors
- influenced by character, types, severity of wounds/injuries; enemy’s ability and willingness to disrupt AHS ops/respect Geneva Conventions
Health Threat includes:
- ongoing/potential enemy actions
- occupational and env. Health hazards (climate, toxic materials, poor sanitation, etc.)
- diseases (endemic, food/waterborne, zoonotic, etc.)
- CBRN
- poisonous flora/fauna
- medical effects of weapons
- physiologic and psychological stressors
-influenced by combat effectiveness from sustained wounds, injuries, or diseases
2 main components of the Army Health System
1) Health Service support (sustainment component)
2) Force Health Protection (protection component)
What does the Health Service Support (sustainment component) do?
Provides medical care to Soldiers on the battlefield. Goal is to promote, improve, conserve, and RESTORE health within a military system.
-3 main components: casualty care, medical evacuation, and med log
What does the Force Health Protection (protection component) do?
Characterized by PREVENTIVE care.
- includes preventive measures taken to promote, improve, or conserve the mental and physical well-being of Soldiers.
- encompasses prev med, vet services, area medical lab services, and preventive aspects of dental services and combat/operational stress control
10 Medical Functions**
1) Medical Command and Control
2) Medical treatment
3) MEDEVAC
4) Prev Med
5) Dental
6) Lab Services
7) Combat and Op. Stress Control
8) Med Log
9) Vet Services
10) Hospitalization
1-3: available at all echelons in a BCT
4-8: available at BSMC
9-10: medical function NOT organic to the BCT
EAB =
Echelons above brigade
What do EAB medical units do?
- provide roles of care greater than what is available in a BCT and/or same level role care to non-BCT units without organic medical assets
- usually assigned to multi-functional medical battalion (MMB)
EAB medical units are comprised of:
- medical companies
- med detachments
- hospital center
What is included in a hospital center?
- field hospital (32 bed)
- hospital augmentation team
- forward surgical teams
- forward resuscitation and surgical teams (FRST)
- combat support hospitals
- theater army health system
6 main Army health system principles
1) flexibility
2) control
3) mobility
4) conformity
5) continuity
6) proximity
The most basic element of effectively providing AHS support
Conformity
Principle of Proximity
Provide AHS support to sick, injured, and wounded Soldiers at the right time and to keep morbidity and mortality to a minimum
What is flexibility with regards to the AHS?
Being prepared to and empowered to shift AHS resources to meet changing requirements
-must manage scarce medical resources to benefit the greatest # of Soldiers in the AO, thereby maximizing lifesaving capacity
What is mobility with regards to the AHS?
Ensure that AHS assets remain in SUPPORTING DISTANCE to support maneuvering combat forces
-mobility is increased by evacuating patients from medical units
What is continuity with regards to the AHS?
Continuity is achieved by moving the patient through progressive, phased roles of care, extending from the POI to the CONUS-support base
-the CO must adjust patient flow or theater evacuation policies to ensure optimized care/outcomes
What is Control with regards to the AHS?
Control is required to ensure scarce AHS resources are efficiently employed. Control ensures that the scope and quality of medical treatment meet professional standards, policies, and US/international law
How many roles of care make up the Health Service Support system (HSS)?
Four
Role 1 care includes:
- Intermediate lifesaving measures
- DNBI prevention
- COSC prevention measures
- MEDEVAC
- Tx of combat medic/tx squad
*performed at the unit level
Role 2 care includes:
-basic resuscitation, stabilization
-advance trauma management
-emergency medical tx
+/- surgical capability
*performed at a Role 2 EAB or BCT unit
Role 3 care includes:
- Post-op tx
- initial wound surgery
- damage control
- first step toward restoration of functional health
*performed at Role 3 EAB AHS unit
Role 4 care includes:
- recovery treatment for patients who can return to duty
- may include a period of minimal care and increasing physical activity to restore patients to functional health
- most definitive medical care**
*performed at CONUS based hospitals and other safe havens
AHS planning should:
- be synchronized with tactical plan based on CO’s intent
- be guided by AHS principles
- address all 10 medical functions
- establish priorities before/during/after ops
- coordinate with supported and supporting medical units
How are patients transported from Role 1 to 2?
MEDEVAC or CASEVAC
How are patients transported from Role 2 to 3?
Intra-Theatre MEDEVAC
How are patients transported from Role 3 to 4?
INTER-THEATRE MEDEVAC
How are patients transported from POI to Role 1?
CASEVAC or MEDEVAC
Which Medical Functions are at role 1?
Medical Command and Control
Medical Treatment
MEDEVAC
Which Medical Functions are at role 2?
Medical Command/Control Medical Treatment MEDEVAC Lab COSC Dental
Which Medical Functions are at role 3 hospital center?
Medical Command/Control Medical Treatment MEDEVAC Lab COSC Dental Prev Med Hospitalization
An FRSD is considered what role of care when combined with an BSMC?
2
