ACT 100 AHS Support to ULO

Question 1

Two perspectives of threat

Answer 1

General

Health (AMEDD’s primary concern)

Question 2

General threat

Answer 2

• 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

Question 3

Health Threat includes:

Answer 3

• 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

Question 4

2 main components of the Army Health System

Answer 4

1) Health Service support (sustainment component)

2) Force Health Protection (protection component)

Question 5

What does the Health Service Support (sustainment component) do?

Answer 5

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

Question 6

What does the Force Health Protection (protection component) do?

Answer 6

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

Question 7

10 Medical Functions**

Answer 7

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

Question 8

EAB =

Answer 8

Echelons above brigade

Question 9

What do EAB medical units do?

Answer 9

• 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)

Question 10

EAB medical units are comprised of:

Answer 10

• medical companies
• med detachments
• hospital center

Question 11

What is included in a hospital center?

Answer 11

• field hospital (32 bed)
• hospital augmentation team
• forward surgical teams
• forward resuscitation and surgical teams (FRST)
• combat support hospitals
• theater army health system

Question 12

6 main Army health system principles

Answer 12

1) flexibility
2) control
3) mobility
4) conformity
5) continuity
6) proximity

Question 13

The most basic element of effectively providing AHS support

Answer 13

Conformity

Question 14

Principle of Proximity

Answer 14

Provide AHS support to sick, injured, and wounded Soldiers at the right time and to keep morbidity and mortality to a minimum

Question 15

What is flexibility with regards to the AHS?

Answer 15

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

Question 16

What is mobility with regards to the AHS?

Answer 16

Ensure that AHS assets remain in SUPPORTING DISTANCE to support maneuvering combat forces

-mobility is increased by evacuating patients from medical units

Question 17

What is continuity with regards to the AHS?

Answer 17

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

Question 18

What is Control with regards to the AHS?

Answer 18

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

Question 19

How many roles of care make up the Health Service Support system (HSS)?

Answer 19

Four

Question 20

Role 1 care includes:

Answer 20

• Intermediate lifesaving measures
• DNBI prevention
• COSC prevention measures
• MEDEVAC
• Tx of combat medic/tx squad

*performed at the unit level

Question 21

Role 2 care includes:

Answer 21

-basic resuscitation, stabilization
-advance trauma management
-emergency medical tx
+/- surgical capability

*performed at a Role 2 EAB or BCT unit

Question 22

Role 3 care includes:

Answer 22

• Post-op tx
• initial wound surgery
• damage control
• first step toward restoration of functional health

*performed at Role 3 EAB AHS unit

Question 23

Role 4 care includes:

Answer 23

• 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

Question 24

AHS planning should:

Answer 24

• 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

Question 25

How are patients transported from Role 1 to 2?

Answer 25

MEDEVAC or CASEVAC

Question 26

How are patients transported from Role 2 to 3?

Answer 26

Intra-Theatre MEDEVAC

Question 27

How are patients transported from Role 3 to 4?

Answer 27

INTER-THEATRE MEDEVAC

Question 28

How are patients transported from POI to Role 1?

Answer 28

CASEVAC or MEDEVAC

Question 29

Which Medical Functions are at role 1?

Answer 29

Medical Command and Control
Medical Treatment
MEDEVAC

Question 30

Which Medical Functions are at role 2?

Answer 30

Medical Command/Control
Medical Treatment
MEDEVAC
Lab
COSC
Dental

Question 31

Which Medical Functions are at role 3 hospital center?

Answer 31

Medical Command/Control
Medical Treatment
MEDEVAC
Lab
COSC
Dental
Prev Med
Hospitalization

Question 32

An FRSD is considered what role of care when combined with an BSMC?

Answer 32

2