Army Health Command Flashcards
The Army Health System is?
- The army’s component of the military health system
- responsible for operational management of Health Service Support (HSS) and Force Health Protection (FHP)
- a complex “system of systems”
The Army Health system is called a “system of systems” what does this mean?
- divided into medical functions
- Aligned with medical disciplines and specific knowledge
- interrelated and interdependent
The army health system is distributed…?
Across 4 roles of medical care
What is HSS?
Defined as all support servicesperformed, provided, and arranged by the AMEDD to promote, improve, conserve, or restore the mental and physical wellbeing of personnel in the Army
What are the 3 components of HSS?
Casualty care: including pt tx, hospitalization, dental, neuropsych, clinical lab
Medical evacuation: medical regulating and en route care
Medical logistics (MEDLOG): all functional sub components and services
What is force Health Protection (FHP)?
The measures to promote, improve, or conserve the mental and physical wellbeing of Soldiers.
These measures enable a healthy and fit force, prevent injury and illness, and protect the force form health hazards and includes the prevention aspects of a number of AMEDD functions.
What does FHP (force health protection) encompass?
- Preventive medicine (PM)
- Vet services (food inspection and prevention of zoonotic disease)
- Lab services
- Preventive aspects of dental
- Combat and operational stress control (COSC)
What does Army Health System (AHS) encompass?
Encompassing term to describe both:
- HHS
- FHP
Aspects of AMEDD support
What are the ten medical functions?
- Medical Mission Command
- Medical treatment
- Hospitalization
- Medical Evacuation (including medical regulating)
- Dental services
- Prev med
- Combat and operational stress control (COSC)
- Vet services
- Med log (including blood management)
- Med lab (clinical and area labs)
What is “health threat”?
A composite of ongoing or potential enemy actions; adverse environmental, occupational, geographic and meteorological conditions; endemic diseases; and employment of CBRN weapons (including short/long term health, psych impact)
What categories comprise the health threat?
- Diseases
- Occupational and environmental health hazards
- poisonous or toxic flora and fauna
- medical effects of weapons
- Psychological and psychological stressors
When is the health threat analyzed?
During the planning process of an operation IOT develop the HHS/FHP plan
What are the roles of medical care?
Role 1: BAS and below
Role 2: medical company BSMC or MCAS
Role 3: Combat support hospital
Role 4: definitive care
What is included in a role 1?
- immediate lifesaving measures
- self-aid/buddy-aid, CLS
- EMT/ATM
- Medic, Physician, Physician Assistant
- Medical Evacuation
What is included in a Role 2?
- x-ray, lab, and dental
- prev med
- patient hold
- advanced trauma management
- med log
- med evacuation
What is included in a role 3?
- resuscitation, initial wound surgery, and postoperative treatment
- hospitalization
- medical regulating
- clinical services
- pharmacy
What is included in a role 4?
- Full spectrum of definitive medical care
- CONSU or OCONUS safe havens
What are the common attributes of Roles of Medical Care?
- Treatment: higher units in the roles of med care include same and sometimes higher tx capability
- evacuation: all roles of care evac patients to themselves (can skip roles prn)
- medical logistics: basic load of med supplies
- mission command: all roles synced and controlled by maneuver commanders on the advice of med personnel (command surgeon and med unit cdr)
What are the capabilities of role 1 facility?
- Immediate life saving measures
- Disease non-battle injury (DNBI)
- Combat stress prev med
- Patient collection
- Med evacuation from supported units
A role 2 can do patient hold for patients expected to RTD by when?
RTD up to 72hrs
Where are role 2 assets located?
Brigade Support Medical Company (BSMC)
Medical Company, Area Support (MCAS)
At role 3 the patient is treated in an MTF staffed and equipped to provide care in for pts in what categories?
- resuscitation
- initial wound surgery
- damage control surgery
- post op treatment
Who stays/goes from a Role 3?
Those pts expected to RTD are provided convalescent care and rehab services
Pts not expected to RTD w/in theater evac policy are stabilized and evacuated to Role 4
Where is role 3 care provided?
At the combat support hospital (CHS)
Where is role 4 found?
CONUS-based hospitals and other safe havens
- OCONUS
- VA
- National Disaster Medical System (NDMS)
- civilian hospitals
Role 4 hospitals represent?
The most definitive medical care available in the army health system
What does the modular medical system provide?
- standardized all medical sub-elements in Role 1 and 2
- enables medical planners to rapidly tailor, augment, reinforce or reconstitute medical units as needed
The modular medical system is designed IOT…
Acquire, receive and triage patients to provide emergency medical treatment (EMT) and advanced trauma management (ATM)
The modular medical system is build around 6 modules oriented to?
- casualty collection
- treatment
- evacuation or RTD
What are the 6 medical modules for the modular medical system?
- combat medic module
- ambulance squad module
- treatment squad module
- area support squad module
- patient holding squad module
- forward surgical team module
Where are the Combat medic Module found?
All role 1 and role 2 medical units
What does the Combat Medic Module consist of?
- One 68W w assigned medical treatment equipment
- organic to medical platoons or sections of combat and combat support btn
- attached to platoons/companies of supported units
The combat medic module personnel are trained in?
EMT
Physical assessment
Preparation of patients for evac
The combat medic module personnel are equiped with?
MES Combat Medic consisting of items for:
- hemorrhage control
- fluid replacement
- airway management
- burn treatment
- fracture stabilization
- limited sick call
Where are ambulance squad modules found?
Found in:
- medical platoons/sections in maneuver btn (role 1)
- brigade support med company (BSMC) and medical companies area support (MCAS) (role 2)
What does the ambulance squad module provide?
Provides
- patient evac in their assigned area of operations
- enroute medical treatment
Where are the treatment squad modules found?
- Medical platoons/sections in maneuver battalions and designed combat support units (role 1)
- Brigade support medical companies (BSMC) and medical companies area support (MCAS) (role2)
What do treatment squad modules provide?
Provides:
- advanced trauma management (ATM) designed to resuscitate and stabilize patients for evacuation to the next role of care or RTD
Each treatment squad may…
Split into two treatment teams IOT echelon support forward and maintain contact with combat maneuver elements
Where are area support squad modules found?
Found in:
- brigade support medical companies (BSMC) and medical companies, area support (MCAS) (role 2)
What does area support squad modules provide
Dental, lab and x-ray
- emergency dental treatments and augments ATM capability
- basic diagnostic lab services and specimen collection
- provides limited x-ray capability
Does area support squad modules operate independently?
area support squad modules are collocated with the medical company role 2 MTF
- may not operate independently like the treatment squad module
Where are the Patient Holding Squad Module found?
Brigade support medical companies (BSMC) and medical companies, area support (MCAS) (role 2)
What does Patient Holding Squad Module provide?
- Holding and minimal care for up to 40 pts
- Patients must be RTD/evac w/in 72hrs
Does patient holding squad modules operate independently?
area patient holding squad modules are collocated with the medical company role 2 MTF
- may not operate independently like the treatment squad module
What constitutes an area support section?
When a treament squad, an area support squad, and a patient holding squad are collocated, they form an area support section
What constitutes and area support squad?
Dental, lab and rad
What does the area support section provide?
Provides HHS/FHP on an area basis to all forces w/in an assigned area
Part of the medical company role 2 med tx facility
What does an FST provide?
Forward resuscitative asurgery is the initial emergency resuscitative surgery coupled w life, limb saving actions provided in forward areas
Where are FST’s located?
Location is dependent upon METT-TC and support requirements, such as collocating w med company to receive necessary life support and ancillary services (i.e. x-ray, lab)
FST’s operate in medical conditions which warrant forward resuscitative surgery including interventions for…
- Sever uncontrolled bleeding,
- Airway compromise
- Life-threatening chest inj
- Some soft tissue inj
- Some ortho inj
What is the role of the command surgeon?
Special staff officer that plans and monitors execution of the AHS mission
Ensures all medical functions and medical operational planning facors are planned and syncronized in operation plans and orders
Has technical supervision of medical ops w/in the command
Though the command surgeon has technical supervision of med ops w/in command they are…
Not a commander
- may recommend policy and procedures but cannot give orders to subordinate units (except through unit plans and orders)
____ is delivered through ____ which is distributed across ____
HHS/FHP is delivered through MEDICAL MISSION COMMAND which is distributed across ROLE 1-4
