Army Health System Support to Maneuver Forces Flashcards
What is the Army Health System?
A component of the military health system that is responsible for operational management of the health service support and force health protection missions for training, pre-deployment, deployment, and post-deployment operations.
-Includes all mission support services performed, provided, or arranged by the army medical department to support health service support and force health protection mission requirements for the Army and as direcfted, for joint/colation/etc forces
What is Health Service Support (HSS) and Force Health Protection (FHP)?
The two missions of the AHS
- HSS = aligned under the sustainment warfighting function. all services performed, provided, or arranged to promote/improve/conserve/restore the mental/physical wellbeing of personnel
- FHP = aligned under the protection warfighting function. Defined as the measures to promote, improve, conserve the mental/physical well-being of service members.
What warfighting functions are HSS and FHP aligned under?
HSS = Sustainment FHP = Protection
What are the six principles of AHS support?
The principles of AHS support are essential considerations when planning AHS support operations
for maneuver forces. These principles constitute the basis upon which medical plans are developed. The
principle of conformity dictates that AHS plans must conform to the maneuver commander’s tactical plan
and commander’s guidance and intent. Medical plans and operations that are not synchronized and
rehearsed with the operational plan and sustainment concept of support will not provide efficient and
effective health care support. Especially at Roles 1 and 2, medical units must have the same mobility,
survivability, and sustainability as the forces they are supporting, as the only way to increase the mobility
of medical units is to evacuate patients being held at the MTF. Army Health System assets must be in
proximity of the forces they are supporting. Due to the importance of providing lifesaving interventions as
close to the time of wounding or injury as possible, medical assets must be employed close to the forces
they are supporting but not so close that they impede ongoing operations. Army Health System plans must
be flexible to enable the medical commander and/or command surgeon to shift scarce medical resources to
meet emerging areas of patient density within the operational area. The principle of continuity refers to the
AHS continuity of care by moving patients through progressive, phased roles of care extending from the
point of injury or wounding to the continental U.S.-support base. Control of medical resources ensures that
the use of scarce medical assets is maximized to provide the greatest good to the greatness number of
patients in the OE. Control comes from the continuous synchronization of AHS operations with the tactical
commander and within the AMEDD system of systems.
What is the difference between Role 1 and 2 care?
Role 1 = initial medical care a soldier receives (unit-level medical care)
-Immediate life-saving measures
-Disease/non-battle injury prevention
-Stabilization care (prior to transfer to higher level of care) or care to return to duty.
Role 2 = Medical complany/brigade support battalion, which are operated by the treatment latoon of medical complanies. Resuscitation is continued and advanced trauma management is provided. If necessary, additional emergency measures are insituted, ut they do not go beyond the measures dictated by immediate necessities.
-Can give pRBCs, obtain X-rays, limited labs, dental support, prev med
-Those patients who can return to duty within 72 hours are held for treatment THe others are transported to higher level. Those who are too unstable to be transported by receive care from an FST
What are the ten medical functions of the AHS?
Mission command, medical treatment, hospitalization, medical evacuation, medical logistics, prev med, veterinary services, dental services, COSC, and medical laboraty services
Understand Table 1-1 Health Threats.
The health threat is a
composite of ongoing or potential enemy actions; adverse environmental, occupational, and geographic and
meteorological conditions; endemic diseases; and employment of chemical, biological, radiological, and
nuclear (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 is the difference between a brigade and battalion surgeon in roles and
responsibilities? (refer to Table 2-1)
The battalion surgeon (CPT, AOC 62B) is normally the platoon leader of the maneuver battalion’s medical platoon and is responsible for all medical treatment provided by the platoon.
There may be a field medical assistant (1LT, AOC 70B67) as the medical platoon leader.
-Battalion surgeon is the battalion-level staff officer responsible for AHS supposrt advice to the maneuver battalion commander. COordinate w/ S1 for AHS support activities, etc. Keep battalion commander informed of the status of AHS support.
-The battalion surgeon, field medical assistant, and PSG comprise the medical platoon HQ
-Brigade surgeon (MAJ, AOC 62B) is responsible for AHS support for the BCT. Coordinates w/ brigade S1 and other HQ elements. Responsible for technical supervision of all medical activities. Part of brigade commander’s special staff.
What is the make-up of a medical platoon in a maneuver battalion?
Mission = provide Role 1 AHS support to the maneuver element
- HQ section, Treatment squad, ambulance squad, combat medic section
- Dependent on rthe maneuver elements for all logistic support (except class VIII)
What are the functions of a combat medic?
- 1 emergency care sergeant per company plus one combat medic per platoon.
- Combat medic locates with or near PL or PSG
- Functions are to perform triage/TC3 for sick/wounded, arrange medical evacuation, initiate TC3 card/document, sick call, manage class VIII resupply, inform CC and PL about medical welfare, serve on field sanitation team, etc.
Who is in tactical control of the battalion aid station?
S-4
What are the considerations that should be considered for the location of the BAS?
- Tactical situation/commander’s plan
- Expected areas of high casualty density
- Security
- Convergence of lines of drift
- Evacuation time/distance
- Accessible evacuation routes
- Solid ground with good drainage
- Near an open area suitable for HLZ
- Available communication means
- Additional space near site for establishing a patient decon site if required
What should be considered for location of an Ambulance Exchange Point (AXP)?
-May be placed forward of the BAS when both tracked and wheeled vehicles are being used when distance to BAS is extended.
What is the definition of a battalion aid station (BAS)?
Forward-most medically staffed treatment location organic to a maneuver battalion. Usually includes the medical platoon HQ and treatment squads
What is a collection point?
Specific location where casualties are assembled to be transported to a medical treatment facility. Usually predesignated and may or may not be staffed.
-CCPs are usually located near major traffic routes and along the base of terrain features, so they’re easy to access