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BOLC Final 2020 > Ecnelons Above Brigade Medical Units > Flashcards

Ecnelons Above Brigade Medical Units Flashcards

1
Q

What medical functions are found in the Echelons above Brigade?

A

The first area with all 10 medical functions

  • MCAS, FST
  • Area Med lab
  • CSH, Minimum care detachment
  • Med Det (COSCO)
  • MEDCOM (DS), MEDBDE, MMB
  • Med co (ground ambulance)
  • MEDLOG company, med det (blood)
  • Med Det (prev med)
  • MDVSS
  • dental (area support)
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2
Q

What is the medical mission command mission?

A

Mission: provide medical mission command and admin supervision of assigned and attached med units

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3
Q

What does medical command (deployment support ) MEDCOM (DS) provide?

A

Provides AO Mission Command for EAB med units

  • med brigade (MEDBDE)
  • Multifunctional Med BN (MMB)
  • Combat Support Hospital (CSH)
  • any EAB med unit not task org under a MEDBDE, MMB or CSH

Serves as senior med command in AOR

Conducts AOR med operations plans and med contingency plans

Is joint capable w augmentation

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4
Q

What does medical brigade (MEDBDE) provide?

A

Provides scalable expeditional medical mission command capability for assigned and attached med units

  • MMBs and CSH
  • attached units
  • task org to support deployed corps forces (corps support command or division sustainment brigades
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5
Q

What types of units may be attached to MMB, CSH, or directly assigned to a med brigade

A
  • Med Co, areas support (MCAS)
  • Med Co Ground ambulance
  • MEDLOG companies and med detachments (Blood support) units
  • FST
  • Other med function detachments (PM, Dental, Combat operational stress, or division sustainment brigades)
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6
Q

What does the Multifunctional Medical Battalion (MMB) provide?

A

Mission

  • provides a scalable, flexible, and modular capability for medical mission command, administrative assistance, logistical support, and technical control of assigned and attached medical function organizations
  • task org for support of deployed BCTs and EAB forces on mission requirements
  • may be assigned to a medical brigade (MEDBDE) or to a MEDCOM(DS)
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7
Q

What element is organic to the Medical battalion?

A

Only the battalion HQ and Headquarters Detachment (HHD) is organic

  • modular battalion-role medical hq can be scaled upwards as complexity of mission and battlefield increases
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8
Q

What does the Medical Company Area Support (MCAS)

A

Mission: provides Role 2 AHS support win its assigned AO, as well as unit level (role 1) support for assigned and attached units w/o organic role 1 capability

  • treatment/sick call services
  • ancillary services (lab, x-ray, dental)
  • ground ambulance/evac support
  • med log
  • BH

May reinforce support to the BCTs

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9
Q

What is the mission of the medical company (ground ambulance)?

A

Mission: to provide ground evac w/in theater

  • usually attached to an MMB and employed w/in the EAB area
  • consists of company HQ and ambulance platoons
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10
Q

What are some common missions of medical company (ground ambulance)?

A

Common missions

  • medical evac from med companies (BSMCs, and MCASs) to AOR hospitals
  • augmentation of med co evac assets
  • movement of patients between hospitals w/in EAB or to aeromedical staging facilities for evac from the AOR
  • emergency movement of medical personnel and supplies
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11
Q

What is the mission of the Medical logistics (MEDLOG) company?

A

Mission: provide the following MEDLOG support to EAB med units operating w/in the AOR:

  • med material (class VIII)
  • med maintenance
  • single and multi-vision optical lens fabrication
  • patient movement items (PMI)
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12
Q

Does MEDLOG have blood?

A

They have no organic blood support capability (distributed element from a medical detachment (blood support) may be attached)

AOR will be assigned by its higher HQ (MMB or MEDBDE)

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13
Q

What is a MEDLOG company comprised of?

A

Company HQ

Log support platoon

  • receiving/storage section
  • stock control section
  • shipping section
  • optical support

Maintenance platoon

  • organization maintenance section
  • med maintenance section
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14
Q

What is the mission of the medical detachment (blood support)

A

Mission: provides collection, manufacturing, storage and distribution of blood and blood products to EAB med units

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15
Q

What does a MED detachment (blood support) element look like?

A

Five-soldier forward distribution section

- may attach to MEDLOG company for ops

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16
Q

What type of blood product is typically found at the Role II?

A

RBC’s

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17
Q

What makes up EAB ancillary support units?

A 
Dental services 
COSC
Prev med
Vet services
Area med lab services and support
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18
Q

What is the dental company (area support) mission?

A

Mission: provide operational dental care consisting of emergency and essential dental care designed to eliminate potential dental emergencies on an area basis

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19
Q

What types of care do dental companies provide?

A

Emergency care

  • relief of pain
  • elimination of acute infection
  • control of life-threat oral conditions
  • tx of trauma to teeth/jaw/facial structure

Essential care

  • dental tx necessary to intercept potential emergencies
  • care necessary for prevention of lost duty time and preservation of fighting strength
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20
Q

What is the mission of medical detachment combat and operational stress control (COSC)

A

Mission: provide COSC prevention and treament services in direct support of BCT and EAB units and on an area basis to a joint or multinational force as directed

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21
Q

Where do you normally find COSC units?

A

Normally assigned to MEDCOM (DS) or MEDBDE, may be further assigned to a MMB or CSH

May be used to proved COSC support on an area basis to all services and indeg population as directed in stability operations or support operations

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22
Q

What is Prev Meds mission?

A

Provide technical consultation support on PM issues through the AOR

Provide specialized PM support in the areas of

  • DNBI surveillance and epidemiology
  • health physics
  • environmental health assessment and engineering
  • health education and promotion
  • retrograde cargo inspection
23
Q

What is the mission of the Veterinary Service Support?

A

MDVSS is the sole provider of vet services for all service components of the DOD

24
Q

What are the capabilities of MDVSS (vets)

A
  • Roles 1 and 2 med and surg to military and contractor working dogs
  • role 3 advanced canine vet med and surgical care
  • commercial food source audits
  • food safety, quality assurance and sanitation inspections
  • disease epidemiology surveillance and control
25
Q

Where do you find the MDVSS (vet) assets?

A

Normally assigned to a MEDCOM (DS) MEDBDE, MMB or equivalent sister service organization

26
Q

What is the mission of the area medical lab (AML)?

A

Mission: to identify and evaluate health hazards in the AO through unique field confirmation and theater validation med lab analysis and rapid health hazard assessment of CBRN, endemic disease, occupational and environmental health (OEH) threats

27
Q

What are the capabilities of the AML?

A
  • ID CBRN threat agents in med specimens and other samples
  • assist in the ID of OEH hazards and endemic diseases
  • special environmental control and containment to eval med specimens for the presence of highly infectious hazardous agents
  • data analysis to support med analysis and operational decisions
  • med lab analysis to support the diagnosis of zoonotic and significant animal disease that impact military operations
28
Q

What is the mission of the FST?

A

To provide a rapidly deployable immediate surgery capability forward in the division AOR, enabling pts to withstand further evac

29
Q

What is an FST comprised of and what do they do?

A

20 person team w 2 OR tables

They:

  • perform triage/preop resuscitation, initial surgery and postop nursing care for up to 30 critically wounded or injured pts over a period of 72hrs
  • post-op nursing care for up to 8 pts simultaneously prior to further pt evac
30
Q

Where do you find FSTs?

A

operationally employed by being attached to a med co (BSMC or MCAS) otherwise attached to CSH

31
Q

Though FSTs are 100% mobile they require significant support for example:

A
  • food/water
  • maintenance
  • pt regulation/evac coordination
  • base and convoy security
  • NBC decon
32
Q

Who is in an FST?

A 
FST chief
2x Gen surgeon
1x Ortho surgeon
1x preop nurse
2x med surg nurse
2x CRNA
1x MS officer
1x Det SGT
2x OR NCO
3x practical nurse
1x OR specialist
2x Emergency care specialist

Pre op, or and post op tents

33
Q

What are the capabilities of FST?

A
  • Standardized, rapidly deployable, networked, self-mobile, modular surgical team capable of supporting short and extended operations
  • able to receive triage and prepare incoming pts for surgery, provide surgery and continued postoperative care. Can configure to support single or split based ops
  • continuous ops x 72hrs
  • surg care for up to 30 critically wounded x 72hrs
  • post-op nursing care for 8 pts simultaneously per team

This is an augmentation of surgical capability to a role 3 hospital

34
Q

What is a forward resuscitation and surgical team (FRST)

A

A rapidly deployable networked self mobile, modular and scalable resuscitative and surgical team, with the ability to provide emergency treatment to receive, triage and prepare incoming patients for surgery; and provide required surgery and continued postoperative care the following configurations to support single or split based ops

35
Q

FRST configurations

A

A rapidly deployable, networked, self mobile, modular and scalable resuscitative and surgical team, with the ability to provide emergency treatment to receive, triage, and prepare incoming patients for surgery; and provide the required surgery and continued postoperative care the following configurations to support single or split based operations:

36
Q

How many beds can a role 3 hospital provide?

A

They are split-based

  • Aco: 84 beds
  • Bco: 164 beds

For a total of 248 beds

37
Q

What is the mission of the CSH Aco?

A

Mission: provide hospitalization and outpatient services for all classes of pts w/in theather

organic transportation to deploy early Entry hospitalization element (EEHE)

  • 44 beds
  • 2 OR tables
  • 2 ICUs (12 pts each)
  • 1 intermediate care ward (ICW) (20 pts total)

Provides a functional hospital when agumented with the HHD assets (mission command and laundry/bath services)

Then can provide 40 bed hospital augmentation element for a total of 84 beds

38
Q

What is the mission of the CSH B-co?

A

Mission: provide hospitalization and outpatient services for all classes of pts w/in theather

39
Q

How does CSH Bco deploy?

A

Its a stand alone hospital (no early entry module) w augmentation form HHD (mission command, laundry/bath)

40
Q

What does CSH Bco provide?

A

4 OR tables
2 ICU wards (12 pts each)
7 ICW (20 pts each, 140 total)

It duplicates all services found in the 84 bed hospital plus

  • organic dental services section
  • provide OR capabilities for genera, ortho, thoracic, urologic and gyn surgery
41
Q

What are the capabilities and key assets for a CSH

A 
3 OR
- 6 OR tables
- 96 OR Hours
248 beds
- 48 ICU beds
- 200 Intermediate Care wards (ICW) beds
Split based capable only w additional augmentaion
42
Q

What medical specialties does the CSH provide?

A 
OBGYN x 2
Urologist
Anesthesia x 2
Psych
Internist x 2
Primary care physician x 3
Gen surg x 5
Thoracic surgeon
Orthopedic surgeon
Diagnostic radiologist
Emergency physician x 4
Comprehensive dentist
Oral and maxillofacial surgeon
PT
Emergency medicine PA 
Public health Nurse
Family Nurse Practitioner
43
Q

What is the role of a field hospital?

A

Provide hospitalization; the FH provides essential care w/in the AO to treat and RTD those pts who can be treated w/in theater evac policy and stabilization and evac those pts requiring definitive, convalescent and rehab care.

it represents the switch from CSH to field hospital 2/2 the change from coin to peer/near peer threat

44
Q

What are the field hospital capabilities

A

The FH capabilities include

  • triage/emergency care,
  • outpatient services,
  • inpatient care,
  • pharmacy,
  • clinical lab,
  • blood bank,
  • radiology,
  • PT,
  • med log,
  • operational dental care,
  • oral and maxillofacial surgery,
  • nutrition care
  • patient admin
45
Q

What is the breakdown of elements in a field hospital?

A 
HHD, Hospital center (HQ) - 26 soldiers
Field Hospital (32 bed) 166 soldiers

Med detachment (24 bed hospital, aug, surg) 66 soldiers

Med detachment (32 bed, hospital aug, medical) 45 soldiers

Med detachment (60 bed hospital aug, ICW) 33 soldiers

46
Q

Field Hospital

What are the capabilities and key assets for HHD, hospital center

A

capabilities and key assets

  • Command section
  • Clinical ops section
  • Staff sections
  • Transportation section

Med specialties

  • deputy cdr clinical service
  • chief surgical service
  • deputy cdr nursing
  • deputy cdr admin
47
Q

Field Hospital

What are the capabilities and key assets for 32 bed field hospital

A

Capabilities and key assets

  • 1/2 OR tables
  • 36 OR hrs/day
  • 32 beds (12 ICU, 20 ICW)
  • triage/pre-op/emt
  • rad services
  • CT
  • pharmacy
  • lab/blood

Med specialcities

  • pulm
  • OB/GYN
  • anasthesia
  • internist
  • gen surg
  • ortho surg
  • diagnostic rad
  • emergency DOC
  • Emergency PA
48
Q

What is the purpose of a minimal care detachment?

A

It is a role 3 capability enhancer

With 120 bed pt hold

49
Q

Minimal care detachment mission?

A
  • provide min and convalescent care for CSH pts expected to RTD in theater
  • provide PT, OT
  • provide oversight of holding and monitoring facilities for decon of biologic and communicable diseases
50
Q

What is the Minimal care detachment comprise of?

A

3 minimal care wards (40 pts per)

51
Q

Who does the MCD fall under?

A

Assigned to MEDBDE; attached to CSH for all life support and trans requirements

52
Q

Does the MCD have trucks

?

A

Nope

53
Q

What if a patient cant be cared for in theater?

A

Hospitalization is provided in role 4 conus or oconus med facilities.

  • va
  • civilian hospitals (national disaster medical system network)

BOLC Final 2020 (12 decks)

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