Army Health System Overview Flashcards
Army Health System References
FM 4-02 (Army Health System)
ATP 4-02.3 (Army Health System Support to Maneuver Forces)
ATP 4-02.55 (Army Health System Support Planning)
What are the 2 perspective threats in the views of AMEDD?
- General threat
2. Health threat
Describe the health threat
a composite of ongoing or potential enemy actions; adverse environmental, occupational, and geographic and meteorological conditions; endemic diseases; and employment of CBRN weapons (to include weapons of mass destruction that have the potential to affect the short- or long-term health [including psychological impact] of personnel.)
What are the different sources of diesease?
- Endemics and epidemics
- Foodborne
- Waterborne
- Arthropods
- Zoonotic
- Vectors and breeding grounds
What are occupational and environmental health hazards?
- Climatic (heat, cold, humidity, and significant elevations above sea level)
- Toxic industrial materials
- Accidental or deliberate dispersion of radiological and biological material
- Disruption of industrial operations or industrial noise
- Disruption of sanitation services/facilities (such as sewage and waste disposal)
What are the sources of poisonous or toxic flora and fauna?
- Toxic poisonous plants and bacteria
2. Poisonous reptiles, amphibians, arthropods, and animals
What are the medical effects of weapons?
- Conventional (to include blast and mild traumatic injury/concussion)
- Improvised (to include improvised explosive devices)
- Chemical, biological, radiological, and nuclear warfare agents
- Directed energy
- Weapons of mass destruction
What are the physiologic and psychologic health threats?
- Continuous operations
- Combat and operational stress reactions
- Wear of mission-oriented protective posture ensemble
- Stability tasks
- Home front issues
When is the health threat analyzed?
During the planning process of an operation in order to develop the HSS/FHP plan
What is Health Service Support (HSS) defined as?
Defined as all support and services performed, provided, and arranged by the AMEDD to promote, improve, conserve, or restore the mental and physical well being of personnel in the Army.
What 3 components does HSS encompass?
- Casualty care
- Medical evacuation
- Medical logistics (MEDLOG)
What does casualty care entail?
Including patient treatment, hospitalization, the treatment aspects of dental care, neuropsychiatric treatment and clinical laboratory services
What does medical evacuation entail?
Including medical regulating and en route care
What does medical logistics entail?
Including all functional subcomponents and services
Define force health protection (FHP).
Defined as the measures to promote, improve, or conserve the mental and physical well-being of Soldiers. These measures enable a healthy and fit force, prevent injury and illness, and protect the force from health hazards and includes the prevention aspects of a number of AMEDD functions.
What does FHP encompass?
- Preventive medicine (PM)
- Veterinary services, including food inspection and the prevention of zoonotic diseases
- Combat and operational stress control (COSC)
- Dental services (preventive dentistry)
- Laboratory services and support
What does the Army Health System mean?
The all encompassing term to describe both the HSS and FHP aspects of AMEDD support.
What is tactical combat casualty care?
- Tactical evacuation
- Tactical field care
- Care under fire
**replaces CLS course
What are the 6 principals of the army health system?
- Conformity
- Proximity
- Flexibility
- Mobility
- Continuity
- Control
Define conformity
the medical plan is conformed with the Operation plan
Define proximity
medical assets are at the right place at the right time
Define flexibility
able to shift resources to meet changing requirements
Define mobility
assets remain in supporting distance to maneuver units
Define continuity
moving the patient through progressive, phased roles of care
Define control
ensure that scarce resources are efficiently employed
How many roles of medical care are there?
4
Describe role 1 medical care
- Battalion Aid Station and below
- Immediate lifesaving measures
- Self-aid, buddy aid, combat lifesaver
- EMT / ATM
- Medic, Physician, Physician Assistant
- Medical evacuation
Capabilities: Immediate lifesaving measures Disease Non-Battle Injury (DNBI) Combat Stress Preventive Measures Patient Collection Medical Evacuation from Supported Units
Describe role 2 medical care
- Medical company
- X-ray, laboratory, and dental support
- Preventive medicine
- Patient Hold (up to 72hrs)
- Advanced Trauma Management
- Med Log
- Medical Evacuation
- Limited Pharmacy
- Physical therapy
- Brigade medical supply office (BMSO)
Role 2 assets are located in:
Brigade Support Medical Company (BSMC)
Medical Company, Area Support (MCAS)
Describe role 3 medical care
- Field hospital
- Resuscitation, initial wound surgery, damage control surgery, and postoperative treatment
- Hospitalization
- Medical regulating
- Clinical services
Those patients expected to RTD are provided convalescent care and rehabilitative services
At Role 3, those patients not expected to return to duty (RTD) within the theater evacuation policy are stabilized and evacuated to Role 4 facilities
Role 3 is provided by the Combat Support Hospital (CSH)
Describe role 4 medical care
- Definitive care
- Full spectrum of
definitive medical care - CONUS or OCONUS safe havens
Command surgeon responsibilities
- Special staff officer that plans and monitors execution of the AHS mission
- Ensures all Medical Functions and medical operational planning factors are planned and synchronized in operation plans and orders
- Has technical supervision of medical operations within the command, but is not a commander (may recommend policy and procedures, but can not give orders to subordinate units except through unit plans and orders)
What are the primary tasks of mission command?
- Mission command
- Communications and computers
- Task-organization
- Medical intelligence
- Technical supervision
- Regional focus
