essential_critical_care_orientation_1_20230129231728 Flashcards
why does the military have public affairs
public affairs fulfills the military obligation to keep the public informed
resources that gives a Gide for building media relations
Federal Communications Network has a communications guide
remarks a PAO makes to reporters that can be reported only if attributed to a nonspecific source
background
parts of a news segment where people are doing things like walking
B-roll/cutawayq
how should a PAO start interviews/press conferences
give ground rules to the media| also give out the press kit
NCO
noncommissioned officer
MBWA
marketing by walking around
MCMO
medical civil-military op
purpose of stability ops
process by which military/nonmilitary actors apply instruments of national power to:
* address drivers of conflict
* foster UN
* create conditions suitable for peace/security
* provide essential services/infrastructure
quote about the stance on stability operations
stability operations are a core US military mission that the DOD shall be prepared to conduct with a proficiency equivalent to combat operations
what should the DOD be prepared to conduct with a proficiency equivalent to combat operations
stability operations
problem of disjointed efforts
disjointed efforts are wasteful/counterproductive so align with goals/objectives
multiple smaller problems contribute to worsening situation
compounding the problem
when is unity of command difficult
unity of command is difficult to achieve when parties do not fall under traditional chain of command
why is it so important to pay attention to the amount of force used in a campaign
credibility and legitimacy are difficult to achieve when parties do not fall under traditional chain of command
*use restraint but in select circumstances carefully targeted application of overwhelming force may be useful in deterring potential spoilers/instilled HN confidence
risk of long-term campaigns
stabilization efforts run the risk of exhausting presence and potlicical will when a response requires long-term
*balance capability, objective, sustainability
how do stability ops support the HN
stability ops must support the HN as it evolves to address the root causes of instability
conflict transformation
process of addressing get underlying causes of conflict while developing viable peaceful alternatives of the people to meet their needs and pursue their potlicical and social economical aspirations*empower local stakeholders and ID sources of instability
what is needed in order for long-term stability to happen
cannot happen without HN ownership
*ask what the HN envisions but also do own analysis via viable course of action (COA)
4 fundamentals of stabilziation
conflict transformation
HN ownership
unity of effortbuilding
HN capacity
COIN
counterinsurgency
The Stabilization Framework
helps JFC conceptualize the operating environment of targeted nation-states in support of. US national strategy and interests
responsibilities of Secretary of Military Department
appoint senior reporganize/train/equip forcesease availability of unitysupport redeployment trainingdevelop policies and plans
what should you do as you consider planning stability operations
conduct analysis to determine readiness for stability ops
principle military advisor
Chairman of Joint CofS
role of Chairman of Joint Chiefs of Staff
principle military advisorestablish prioritiesassess military services capabilities and capacitymaintain joint stability op doctrine
water crosses a membrane
osmosis & ultrafiltration
solutes cross membrane
diffusion
role of CCDR
designates appoint officretaskinggathers lessons learnedID/validate requirementsrecommendationstailored all ousrce intelligence prouctID cabapility/capacity/c
JIOC
Joint Intelligence Operation Center
what do you need to understand in order to be successful in a military campaign
you need to understand the operating environment to have realistic, achievable, objectives, properly align ways/ends/means
Interagency Conflict Assessment Framework
framawirk for CSG assessment prior to stability operations| *to determine roles, responsibility
National Security Council
assists president| develops for stability and reconstruction
phases of joint operations
shape
deter
seize the inititative
dominate
stabilize
enable civil authorities
constant challenge of stability operations
effectively analyze progress via data collection and systematic indicators
MOE
measures of effectiveness
- indicators use to measure change in the attainment of an end state, achievement of an objective
- in stabilization ops, s/s of change might not be immediately present
important thing to remember about change in stability operations when you are considering measures of effectiveness
in stability operations, s/s of change might not be present for a long time
MOP
measure of performance| indicates uses to measure a friendly action that
set of desired condition the commander wants to exist at the end of the operation
end state
end state
set of desired conditions the commander wants to exit at the end of the oepration
assessment metrics for operations
MOE & MOP
Q’s impacting mission success -12
- is there a clearly defined end state- what is my objective- how did I get where I am
- is there an alternative way to achieve my objective
- what to tolerance do I have for violence- do I have sufficient assets to protect- what means are available to accomplish the mission- what is my exit strategy- can I control mission creep- is there sufficient time to complete the objections- what/how much infrastructure should I restore- what is 1 thing I can do to stabilize the situation
how the JFC creates relationships with locals
civil-military operations
what is FHA
foreign humanitarian assistance| *DOD activities outside of CONUS to relieve/reduce human suffering
DOD activities outside of CONUS taken to directly relieve/reduce human suffering
FHA = foreign humanitarian assistance
tsunami in the Pacific
26 DEC 2006 in Indonesia
lessons learned from the DOD responding to the Indonesia Tsunami in 2006
- develop one page summery of your capabilities that include the type of providers/tech/equipment/healthcare services2. team build to calcify role/responsibility3. send an advanced team4. when meeting new partners/HN ask “who is in charge” & “how can I help”5. either find out how units already present coordinate and attend their meetings OR take the initiative by starting meetings6. provide daily situation reports (sitrep)
daily reports
daily situation reports = strep
who runs the USNS Mercy
Merchant Marines
who should be members of an advanced team sent to evaluate need for FHA assistance
command/chief medical unitlogisticianMD with trauma/medical reliefUSAID rep who is familiar with NGO operating in the relief arearep from higher HQ who has authority total action & establish relationshiupos
role of advanced team sent to evaluate need for FHA assitance
survey/determine needsconsider sites to provide caredetermine logistical supportestablish contacts w/: embassy, military, NGO, Red Cross, HN/ministry of health
what should be included in the SITREP during FHA
number/type of pt seenproblems encounteredlessons learned*anecdotes to put faces to needs so higher ups feel engaged and personally resopnsible
what can the host nation support
provide vital functions to the forward deployedspeed receptionreinformcementenhance operational flexibilityincrease force sustainability
CA
civil affairs
document outlining stability operations
DODI 3000.05
JIACG
Joint Interagency Coordination Group
*staff group that establishes regular, timely collaborative working relationships between civilian and military operative plans
Health Service Support
pt movementcasualty managementmedservicesmedlogblood managemetn
FHP
force health protection| behaviora/l/well bing
6 principles of joint health servies
conformity
proximity
flexibility
mobility
continuity
control
conformity as a principle of joint health services
conform with commander’s plan to achieve conops
flexibility as a principle of joint health services
ability to adapt to escalations in violence/need to move or changes in OPLAN
continuity as a principle of joint health services
pt receives care from the X to definitive
control as a principle of joint health services
needed to ensure scarce resources are available to meet the CCDR’s tactical, operative, and strategic plan
CAAF
contractors authorized to accompany the force
topics of Health Support for Joint Health Policy
threatmedical intelligencepatient momentpatient movement itemsclinical capabilities & MEDLOG supportprevent stress casualtiesvet servicesmascaldental/pharmacyhealth support for returned US/POW & detaineesHN support
types of peace operations
PKO = peacekeeping operationspeace buildingpeacemakingconflict prevention PEO=peace enforcement ops
PKO
peacekeeping operations
PEO
peace enforcement ops
VEO
violent extremist orgs
fundamentals of peace ops
consent
impartiality
transparencey
crdibility
flexibility/adaption
perseverance
unity of effot
legitimacy
seucrity building
mutual respect/culture awareness/harmonization
restrain and minimal corce
importance of transparency
reinforces legitimacy and impartiality
failure to collaborate generates suspicion
importance of credibility
the force needs to have credibility by showing it has the capability and will to accomplish the mission
major medical readiness missions/programs that are federallysupported
NRF = National Response FrameworkNDMS = National Disaster Medical SystemDSCA= Defense Support of Civil Authorities
NRF
National Response Framework
NDMS
National Disaster Medical System
DSCA
Defense Support of Civil Authorities
EMP
Emergency Management Plan
a healthcare org’s plan for all types of emergency
EMP = Emergency Management Plan
Emergency Management Plan
healthcare org’s overarching plan for all types of emergencies and disasters*includes annexes (plans) for NDMS, DSCA, CBRNE
ability to expand to meet increase in demands
surge capacity
guides how the nation will respond to all types of disasters
National Response Framework
National Response Framework
guide to how the nation will respond to all types of disasters*uses NIMS
how is the National Response Framework laid out
guides how the nation will respond to all types of disastersuses NIMSdelineates plans in 15 Emergency Support Functions (ESF)ESF #15 I= public Health and Medical Services
Emergency Support Function (ESF #15)
ESF #15: Public Health & Medical Services| coordinated by DHHS
DSCA
military/DOD/national support for domestic emergencies, law enforcement support, and *support to: prepare, prevent, protect, respond, recover
benefit of using the military in a disaster
the military is uniquely able to provide broad spectrum support
when is DSCA activated
only is a special request (state gov to FEMA) is made and local resources have been exhausted.*exception if immediately serious conditoins
how frequently should healthcare orgs anticipate disasters
healthcare orgs should anticipate the types of disasters it may see and exercise x2/yur
EMP Components -15
- overview2. NDMS Implementation plan3. DSCA Plan4. deployment plan for SMARTS5. Notification & Recall plan6. External Disaster/MaSCAL7. Internal Disaster/Fire plan8. Physical Security Plan9. Hospital Evac/Transport10. Severe Weather11. Community12. Logistics13. Safety14. Hazmat15. CBRNE16. Emergency Power Plan17. Emergency Operations Control Plan18. Family Assistance19. Physical/Heahavioral/FLu Plan20. Public Affairs
HVA
Hazard Vulnerability Analysis| *use plan to design mitigation
how frequently should you exercise the EOP
x2/yr
what should the EOP include
EOP should include procedures to maintain/expand services, curtail services, conserve resources close hospitals, new patient, staging, evacuations, supplant, resources from local
critical to the success of any medical readiness plan
critical to the success of any medical readiness training is the emphasis paid to the program by senior leaders
purpose of tabletop exercises
focuses on systems integration issues
SMART
special medical augmentation respone
what are SMARTS
special medical augmentation response teams| *DOD executive agents that respond to major civilian emergencies/disasters
SMART-TCCC
special medical augmentation response -trauma/critical care
SMART-BN
nuclear/bio
SMART-SM
stress management
SMART-MCBT
medical command, control
SMART-PC
pastoral care
SMART-B
burn
SMART-HS
health systems assessment
SMART-AIT
aero-medical iso,ation team
what do you do after DSCA is activated
activate SMARTs
CHART
combined humanitarian assistance response
MEIR
medical effects of ionization radiation
MMCBC
medical managemnt of chemical biological
DEPMEDS
deployable medical system
FCBC
field medical management of Chem Bio casualty care
what is the key to the success of any medical readiness plan
leadershiop
primary meon’s healthcare organizations support DSCA
SMARTS = special medial augmentation repsones
strategies for surge capacity
- d/c early- hallways or clinic spaces convert to treatment areas- MOU to create spaces outside hospital- use local rehab facilities/clinic beds
what do you need if you have a MOU to transfer pt due to surge capacity
need a plan for communication & pt tracking
RICCS
regional in ident command and coordination system
H-MAB
Hospital Mutual Aid Radio SYstem
EMT
Emergency MEdical Technician
ethics related to pt care
bioethics
represents the “soul” of an organization
values/principles represent the “soul”P of an organization and sets the ethical tone
professional organization for hospital administrators
ACHE = American College of Healthcare Administrators
what must you do when you develop a plan/strategy
identify stakeholders
Dept of Commerce recommendations for an ethics program -8
-SOP to guide Behavior and foster regional stakeholder expectations-adequatew structure that provides for responsibility-communnicate standards to staff-encourge members to seek out help0program that audits member behaviors-due dilligence in hiring0appropriate response0regular evaluation of program effectiveness
Navy lawyers
JAG = Judge Advocate General
when should you conduct ethics program audits-3
- increseased number of employer greviences/resignations/termination/wrongful discharge- pt complaint leading to leagal actions- adverse publicity
components to evauate when you conduct an ethics program audit
vision/values/SOBstructure/authority/relationshipsfrequency/conveniences/strengths/weaknesses/communication/feasibilityresources supportdevelopment/revision/implementation of ethical values
what should you do when a new person takes over a role or responsibility
plan for transition of keyresponsibilities, function, capabilities
Steps to maintain control when you have a large number of agencies with different and competing objectives, priorities, and procedures -7
- form a collective view of hte problem in clear & unambiguous terms- understand objectives/end states/transition criteria for each organization- develop COA optiosn- capitalize on experience- establish responsibilities- establish common frame of reference- direct all means towards unity of effort
leadership emails
email updates what you are working on not just when it is needed
challenge of collaborating with very different types of organizations
differ in assumptions/perceptions and that can cloud understanding of the problem
Dictionary of Military Terms
JP 1-02: DOD Dictionary of Military Terms
how to get buy-in
common sense of ownershiop
fundamentals of peace operations-7
consentimpartialitytransparencyflexibility/adaptabilityrestraint/ inimal forcemutural respoectcultral awareness
how should you train for difficult situations
practice dealing with chaos, competent, stress
quote by TE Lawrence
“It is bewtter to let them do it themselves”
DMRTI
Defesne Medical Readiness Training Institutew
JMOC
JOint Medical OPerations COurse
supply chain for medical supplies
MEDLOG
supply chain for blood
MEDLOG
what does materials management fall under
MEDLOG
MEDLOG
brings medical products/ to joint ewnviornmentsupply chain*blood, materials management, tech, equipment repair, medical contractility, health facilities planning and management
making glassesDLA
optical fabrication
catagorize blood products
Class VIIIB
DLA
Defense Logistics Agency
military medical supply chain
MEDLOG = medical logistis
ASD(HA)
Assistant Sec Def of Health Affairs
who is ultimately responsible for MEDLOG
geographic combatant commanders
SIMLM
single integrated medical logistics manager
doctrine
fundamental principle that defines action
fundamental principle that defines action
doctrine
principles of hte HEalth Servi e SUpport in Joint ENviornments -6
conformityproximityflexibilitymobilitycontinuitycontrol
what does MEDLOG do
provides life-cycle managemnt of specialized medical products and services to operate an ywhere in teh worold
4 parts of an AAR
After Action Report
- summary
- observations
- issues
- lessons learned
structure for a proposal to make new/update doctrine
purpose
background
target audience
referencesl
ead agency
urgency
other relevalnt infomation
POC
DOTn LPGF-P
doctrine organization trainingmaterialsleadershippersonnelfacilitiespolicy
most important part of AAR
lessons lesrned
CBA
capabilities based asset
HART
Humanitarian Assistance REsponse Training
USAID
US Agency for INternational Development
MCDA
Military & Civil Defense Assets
Center for the Excellence in Disaster Management & Humanitarian Assistance
- estab 1994- congressionally mandated to provide education, training, research in civil-military operations- especially operatiosn that requrie internatioal disster managemebtn and humanitarian assistance as well as those that require coordination between DOD and other agencies
why are major disasters important to track on a global scale
the global effect of major disasters have a long=term effect on the stability of a country
DOD Directive 5100.46
outlines DOD policy/responsibilities for DOD support to Foreign DIsaster Relief Operations
resource for DOD’s Foreign Humanitarian Assistance
JP 3-29: Foreign Humanitarian Assistance: provides joint doctrine for planning, executing, and assisting foreign humanitarian assistance operations
disaster
serious disruption of hte funcitng of a community or society involving widespread human, material, enviornment, economical losses and impact which can exceed the ability of a community to cope using its own resources
Hurricane Maria
2017| 4K died
Typhoon Haiyan
2013hit SE Asia especially the Philippeanskilled 6Kknown is Philippeans as Super Typhoon Yolanda
geological disasters in 2011
Japan tsunami/earthquakd/nucelar disaster. 19K died| Horn of Africa drought to famine = 50k died
yer of the Japan earthquake/tsunami/nuclear disaster
2011| 19K died
Haiti earthquake
2010| 222K died
Indian Ocean earthquake/tsunami
2004| 226K died
HUrricane Mitch
Hondoras/Nicaragua/Guatamala/El Salvador199818K died
where can you find a catagorization of disasters based on criteria
Center for Research on the EPideminology of DIsasters is a WHO collaboration that catagorizes disasters based on variious criteria
oil explosion
Deepwater HOrizon
what is the most frequent and costly natural disaster in terms of human hardship and economic loss
floods
what does the scale of a disaster impact
the scale of a disaster impact depends on the choices we make for our lives and our enviornment
DRR
Disaster Risk Reduction
what is DIsaster Risk Reduction
systematic efforts to nalyze and manage the casual factors of disasters through reduced exposure to hazards, vulnerability of people/property/land management/devleopment and to improve preparedness for adverse events
INFORM
Index for Risk Management
what is INFORM
Index for Risk Management* model of risk concepts and organizations into 3 dimension of risk-hazards and exposue/vulnerability/lack of coping capacity dimensions* creates a risk fprofile for 90 countries* 50 indocators to measure risk* socio-economical vulnerability including development/dprivation/inequalities/aid dependency* www.inform-index.org
good resource for looking at risk-hazards for different countries
INFORM = Index for Risk Management| www.inform-index.org
anything subject to potential losses (people/infracstruutree/economi/prooperty/systems/elements) from a hazard
exposure
definition of an earthquake
sudden break in teh eartth’s crust
triggers of tsunamis–5
earthquakevolcanomass movementunderwater explosionmeteroitie
different names for hurricanes
Hurricane = w. atlantic/e pacificCyclone - indian ocean/s. pacifictyphoon = west pacific
where do you have cyclones
indian ocean| south pacific