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
where do you have typhoons
west pacific
what is a hurricane
rotational low pressure wind
disasters created by droughts -7
desertificationcrop failurefood shortage/faminemalnutritonepidemicpopulation displacementcomplex emergencies/conflicts
rotation of hurricanes
counter clockwise in northern hemisphre| clockwise in sourthern hemisphere
water in New Orleans
Lake Pontchartrain
Lake Pontchartrain
New ORleans
why was Hurricane Katrina so bad for New Orleans
b/c most of New Orleans is below sea level which is why the levee break was so serious
examples of vulnerabilities
poor construction/building designinadequate protection of assetslK OF PUBLIC INFORMATION/AWARNESSLIMITED OFFIAL RECOGNIZATION OF RISK/PREPAREDNESS MEASURES
what prevents concrete buildings from collapsing in earthquakes
rebar
importance of rebar
prevents concrete buildings from collapsing in earthquakes
vulnerabilities in the Haiti Earthquake
2010;no buildign coude enforcementno rebar in the bildignsweak government authoriteisextreme povertyweak Haitian ivil Protection Agency
what measures the ability of a country to deal with copign with disaSTERS
coping capacity dimension measures teh ability of a country to deal with coping with disaster in terms of formal organization alctivities and efforts by the country’s existing government/infrastructure which contributes to the reduction of disaster risk
how much has the world population grown since 1970-2020
87%
population densities most at risk in disasters
high population places more at risk to communities in disasters* urbanization puts more in high risk areas and safet living areas taken by the wealthy* high poverty reusolts in human settlemnt in less desirable areas and potentially inadequation evacuation transport
problem of AAR
might lack documentaiton, objectivity, and perspective
link between urbanization and disasters
high population places put people more at risk* urbaization puts more in high risk areas and safer living areas are taken by the wealthY* high poverty results in human settlent in less desirable areas and potentially inadequate evacuation transport
personal account s/p disaster
personal accounts desibe what happened from one pov wo analysis of comparative observationsq
problem of technology in disasters
we have beocme reliant on technology wo assessing the risk/impact of catastorophe of failure w/o the system
what do you need to do if you want to do a disciplined study of disasters
disciplined study of disasters requres that you make quantitiative observations as well as comparative observations
why do we become compalacent about low probability events
b/c they compete with our priorities of daily living
what are challenges to interagency preparedness to disasters
complacency| lack of action
Paris Agreement
2016| countries agreed to limit global tenperature rise to 2C
BP oil spill
2011Deepwater Horizon Oil Rig = BP*safety lapses*fell short of staffing and delligence*communication failure*overall complaency aboard the rig*BP's oust and time saving decisions didnt' consider contigencies and mitigation
government of Japan
National Diet
cause of hte FUkoshima NuclearDIsaster
lack of government and colla oration betwene government reulationsfialure to develop basi staffing and operations applied regulations on a volunary baisis
disaster risk reduction
concept where you look beyond hazatds wher to consider prevailinbg conditions of vulnerability and expousure
cyclic model of disasters
response, recovery, risk reduction, preparedness, disaster
focus in the response phase of disaster response
immeidate life savingfocuses on short-term needsMobilize services, first aid, search nd resuce, evacuation, firefighting
objective of disaster management
save livesalleviate suffering, protect people/economy/disaster
“build back better”
using the “recovery” phase of disaster response to rehab/reconstruct to increase community resillience via integrating disaster risk reduciton via resvitalizing livihood, economy
4 Priority Areas in Risk Reduction
- understand disaster risk2. strengthen disaster risk governance to manage disaster riks3. investing in disaster risk reduction for resillience (drives innovation)4. enhance disaster preparedness for effective rsponse and to “build back better” in recovery/he hab/reconstruciton
disasterpreparedness activities
contigency palnnignstockpileequipment/suppllytrain/exercisesarrange for coordinationevacuationpublic infor
Second & Third Order Effects of military relief
-actions taken can affect the stability/jresiliencey of the affected state-Q’s to ask: will assistance make relations better or worse?will activities harm competition/suspicous/jealousydoes it promote tolerance or intolerancedoes this action increase uvnearbilities of people/communities to violenceare we doign something that the people/commnity can do itself
EB White on humor
Humor can be dissected as a frog can but the ting dies int heprocess and the innards are discouraging to any but the pure siceintific mind
National DIsaster Management Framework
direct/control/coordinate with mutual aid partnerscommunications between direct responderswoarning messages to the public-protects population with hazard control-emergency assistance/life support agency-;ogistics management/support
logistics for disasters
identify probable resources need, how to get, transport, store, and distribute
Sendai Framework for DIsaster Risk Reduction
4 PRiorities- 2. understand disaster risk dimensions, and vulnerability, capacity, exposure, hazard characteristics, enviornmenbt2. strengthen disaster risk governance3. invest in disaster risk reduction for resillience4. enhance disaster preparedness for effective response (build back better/take action in anticipation of events
how many people were newly displaced in 2017
16.2M| inlcudes 11.8M who were displaced within their own coutnry
were are most of the world’s refubgees hosted
85% of the world’s refugees are hosted by the devleoped world
top 3 contries hosting the largest number of refugees in relation to their national population
Lebanon| JOrdan Turkey
4 catagories of affected populations of displaced persons
vulnerable persons
refugees
IDP
stateless
vulnerable persons
displaced persons at the highest risk due to r due to age, gender, ethnicity, informity, unique situations
reugees
displacedpersons who have a well foundd fear for persecution due to their race/religion/nationalty/social gorup membershiop/political opins
IDP
forced to flee home due to armed onflict, violence, disaster, and still remain outside wof their own country
what do you need to known when you respond to an internationaL DISASTER
who are the other responderswhat do the other responders have role/respondsibilityhow do they operate
complex emergencies
humanitarian crisis where theire is a considerable breakdwon of authorities for conflict which requeresan international response that goes beyond the capacity of a single agency
humanitarian crisis where there is considerable breakdown and response needs to be internatioal beyond the scope of a single angency
complex emergency
who leads international disasters
Affected State| international relief can only happen at the Affected State’s REquest
USA’s DIsaster Agency
FEMA = Federal EMergency Management Agency
waters that border tghe PHilipeans
SOuth ChinaPacificSulu Sea
Sulu Sea
by the PHilipeans
important questions to ask about refugees 3
-how protection is offered to the refugees
-who is responsible for providnt that protection
-what legal protectiosn are they entitled
refugee
well founded fear of persecution who are unwilling/unable to seek protection fromt heir coutnry
refoulment
involuntary return of a refugee or asylyum seeker to their country of orgin where they fear perseuction
involutnary return of a refugee/asylum seeker to their country of orgin where they fear persecution
refoulment
1951 COvention on the State of Refugees
prohibits refoulment (involuntary return of an asylum seeker/refugee to their coutry of orgin) by stating “no contracting state shall expel/return (refoul) a refugee when their life would be threatned on account of their race, religoin, nationality, membership of a soupl gruop,, politial opinion
leads the world in refugee progection
UN High COmmissioner for Refugees
protection of the camp during the Darfur crisis
camp perimeter was set up around Darfur camps to keep the Janjaweed (Sudan military) from sexually assaulting women then they gathered
Janjaweed
Sudan military. during the Darfur crisis, camp perimeters had to be set up to prevent them from sexuallyu assaulting camp residents
flees home but does not cross the border
IDP
right of IDP
IDP have the right to retain/return to their property w/o using it as a bargaining chipo for protection
citizenship based on location of birth
jus soli “yous”
jus soli
citizen
citizenshipo based on your parents
jus sanguinis
jus sanguinis
citizenshiop based on your parents
why are stateless people different from refugees
no citizenshipo
lead for refugees and stateless
UN High COmissioner
push/pull factors of forced return for IDP/refugees
push - threat to cut off aidpull -promise to provide aid upon returngoal: volunary, not involvntary return
what shoudl refugee return allow
dignitysafety w/o fear of retaliation/harm[ossessions safe from threat/illegal confiscationrecognization as legal people who may seek redresssustainability to not be displaced agian
2 widely accepted guidlines for military support in disaster relief
Oslo guidelines| APC-MARO
APC-MADRO
Asian-Pacific Regional Guidelines for hte use for foreign miitary assets indatural disaster response operations
Oslo Guidelines
1994can only deploy at request of affectd state. affected state has overall operation in disasterreposne operations under civilian controllimited deployments in scope/time, staff to fill gaps
benefits of military aid in humanitarian crisis -5
- has rapidly deployable operational capabilities in austere environments
- self sustaining expeditionary units
- trained to operate in chos
- contigency planning
- security
6 aspects of effective military assets in humanitarian crisis
timeliness: main factor effectiving effectivenes. if assets are slow to arrive, it impedes
appropriateness: how well the capability suits teh rtesponse/sutibility to local culture/political responseefficiencyabsorptive
capacity: ability of a disaster managemenbt institution to coordinate and effectively use assets during a relief operation
coordination: information management is cruicial to success/failure
why is timeliness important for effective military assets in humanitarian crisis
timeliness is a main factor affectiving effectivness. if assets are slow to arrive, it impedes deployment of civilian alternates
why is appropriateness an important aspect of military assets in humanitarian crisis
how well the capability suits the response, how suitable to the local culture/political climate
why is absorptive capacity an important aspect of military assets in humanitarian crisis
ability of a disaster management institution to coordinate and effectively use assets during a relief operation
why is coordination an important aspect of military assets in humanitarian crisis
information management is crucial to success/failure
problem of communication between military/civilian during humanitarian disasters
communication is impaired b/c the military overclassifies material
Operation Tomadachi
post 2011 earthquake/tsunami
operation that repsonded to the 2011 earthquake/tsunami
Operation Tomadachi
relief in place
tactical enabling operation in which, by direction of higher authorities, all or part of a unit is replaced in an area by the incoming unit
tactical enabling operation in which, by direction of higher authorities, all or part of a unit is replaced in an area by the incoming unit
relief in place
battle handover
coordinated operation between 2 units where transfer of responsibility for fighting
mission creep
gradual or incremental extension of a mission beyond the original scope
*gradual shift in objectives
gradual shift in the objectives of a mission
mission creep
rachet effect
instance of restrained ability of human processes to be reversed once a specific thing has happened
instance of restrained ability of human processes to be reversed once a specific thing has happened
rachet effect
software bloat
process where successive versions of a computer program become slower, use more memory, or disc space
process where successive versions of a computer program become slower/use more memory/disc space
software bloat
response to the earthuake in Haiti
Operation Unified Response| led by LT Gen Keen
Operation Unified Response
Haiti earthquake response
FDR
Foreign Disaster Relief
IDRA
International Disaster Relief A
MCDA
relief personnel, equipment/supply, service provided by foreign military & civil defense orgs for international disaster relief assistance
HA/DR
humanitarina assistance disaster relief
humanitarian assistance disaster relief
HA/DR
definition of the UN
organization comitted to peace, security, develop friendly relations among nations, and promote social progress
six divisions of the UN
General Assembly
Security Council
Economic & Social Council
Office of the Secretariat
wORLD coURT
tRUSTEE cOUNCIL
main deliberative body of the UN
General Assembly
admin for the UN
Office of the Secretariat
judicial branch for the UN
World Court
what can’t the General Assembly do
can’t pass laws or force nations to abide by its decisions
permanent members of the UN Security Council
US, China, France, Russia, UK
members of the UN Security Council
Permanent: US, China, Russia, UK, France| 10 rotate
how does the UN Security Council pass resolutions
needs at least 9/15 votes to pass resolutions and none of the 5 can oppose
leader of the UN
Secretary-General is the chief administrator and not president*office of the Secretariat
cases done by the World Court
nations, not individual disputes
most recent members to the UN
S. Sudan in 2011| Montenegry in 2006
yr South Sudan became a member of the UN
2011
flees home but hasn’t left the country
Internally Displaced Person (IDP)
UNHCR
UN High COmission for REfugees
OCHA
UN Office for hte Coordination of Humanitarian Affairs
agencies within the UN
UNHCR
runs ReliefWeb
OCHA
office for the coordination of humanitarian affairs
UN’s OCHA
UNDSS
UN secuerity monitor/reporting agency| not armed security
what does OCHA do
runs info services like ReliefWebdeploys a UN DIsaster Assessment & Coordination team 24-48hrs post affected state request which sets up an onsite operations coordination center to coordinate UN agencies and humanitarian organizations
UN agency that is the first on the ground in after an affected nation requests help
OCHA deploys a UN DIsaster Assessment & Coordination team 24-48 hrs post affected state request which sets up an onsite operations coordination center (OSOCC) to coordinate UN agencies/humanitarian orgs
secular
not religious
not religious
secular
ASEAN
ah-se-uhnAssociation of SouthEast Asian Countriesdoes humanitarian assitance on disaster managemnet
Phillippeans typhoon
2013: Typhoon Haiyan
International Comittee of the Red Cross
works in conflict
founded the International Comittee of the REd Cross
1863 Henri Dunant after the Battle of ASolferino
Henri Dunant
founded the INternational COmittee of the REd Cross in 1863 after the Battle of SOlferino
founding of the International Federatn of hte Red Cross & Red Crescent
works natural disasters| founded 1919 post WWI
role of the International COmittee of the REd Cross
- guardian of international humanitarian law & Geneva Convention- POW prisoinr visits, trace missing , family reunification, promotes international humantiarian law
looks for people missing in war
International COmittee of hte REd Cross
where is the Secretariat of the INternational COmittee of hte REd Cross
Geneva
how are NGO’s established
private| established by charters
examples of NGO’s
MercyCorpSave the CHildrenOxfamDr w//o BOrdersCatholic Relief ServicesWorld VIsion
challenge of funding from UN to NGO’s
with each layer, admin costs decreases the funding amount that actually reaches the beneficiaries
force multiplier
factor/combo of factors that give personnel or weapons the ability to accomplish greater feats than without it (military science term)
ISTAR
intelligence, surveillance, target acquissition, & reconnaissance
layers between donor and beneficiary
each layer between donor and benefiuciary increases admin costs which decreases the final amount*so send money not objectsbuy locally goods that are appropriate to stimulate the local economyhire local workers
“Fog of War”
uncerrtainity of situational awareness experiened by participants in military operations
humanitarian principles
humanity
impartiality
independence
neutrality
FDR
Foreign Disaster RElief
neutrality| as a humanitarian principle
no support of one side over another| decide which side is good/bad/right/wrong
humanitarian actors versus government aid
aid agencies aren’t government foreign policy instrumentsnot accountable to the state/governmentmust still abide by the laws of hte country where they operateomust be autonmatous from political/economical/miliary/other onjectives
called working with NGO’s a “force Multiplier”
Colin POwell as SofS staid he wanted to have a good relationship with NGOs who are a force multiplier and an imprtant part of the combat team
*criticized by the Humanitarian community b/c Humanitarian principle of neutrality
DOD military civic action programs
MEDCAPENCAPDENTCAP
MEDCAP
MEDCAP = medical civic action program
ENCAP
engineering civic action program
DENTCAP
dental civic aciton program
MEDCAP & humanitarianism
a MED CAP doesn’t meet humanitarian principleshumanity: not a primary purpose but does sve lives and alleviate human sufferingimpartiality: probably not b/c a medcap objective is to build support for US military activity and US policyI4ndependence: no b/c US military is part of US gov/US foriegn policy*neutrality: no b/c a MEDCAP is in country partially to advance US military objectives & US gover interests. even FDR are executed as part of a greater theatre security cooperation, objectibes to build stable government firends to US
how to use humanitarian priinciples to think about how DOD and humanitarian actors help local populations
both mil;itary and humanitarian actors help local populations but in differnet roles follwoing differnet principels*know the difference in how they think/operate if involved in a philosphicla debate with an aid agency
symbol for aircraft carrier
CVN
LHA
amphib assault ship| Landing Helicopter Assault
CVN 68
NimitzNaval Base KitsapBremerton, WA
Nimitz
CVN 68Naval Base KitsapBremerton, WA
CVN 69
EsienhowerNimitz classNorfolk, VA
Esienhower
CVN 69Nimitz classNorfolk
CVN 70
Carl VinsonNimitz classNaval Air Station North IslandSan Diego
Carl Vinson
CVN 70Nimitz classNaval air Station North IslandSan DIego
CVN 71
RooseveltNaval Air Station North IslanSan Diego
Roosevelt
CVN 71Naval Air Station North IslanSan Diego
CVN 72
LincolnNaval Air Station North IslanSan DIego
Lincoln
CVN 72Naval Air Station North IslanSan Diego
CVN 73
Washington| Newport News Shipbilding
Washington
CVN 73| Newport News Shipbuilding
CVN 74
John C Stennis| Naval Station Norfolk
John C. Stennis
CVN 74| Naval Station Norfolk
CVN 75
Harry S. Truman| Naval Station Norfolk
Harry S. Truman
CVN 75| Naval Station Norfolk
CVN 76
Ronald Reagan| Yokosuka
Reagan
CVN 76| Yokosuka
CVN 78
Gerald R Ford| Norfolk
Gerald R. Ford
CVN 78| Norfolk
CVN 79
John F. Kennedy| TBD 2022
John F. Kennedy
CVN 79| TBD 2022
CVN 80
Enterprise| TBD 2027
Enterprise
CVN 80| TBD 2027
Makin Island
LHD 8
LHD 8
Makin Island| Wasp class
3 types of Amphibs
LPH = landing platform helicopterLHA = landing helicopter assaultLHD= landing helicopter dock
2 LHA in America Class
America| Tripoli
class of America
LHA (America class)
class of Tripoli
LHA (America class(
Tripoli
LHA 7America classSan Diego
LHA 7
Tripoli
America
LHA 6| Sasabo in Nagasaki
LHA 6
America
Bataan
LHD 5NorfolkWasp class
LHD 5
BataanNorfolkWasp class
Boxer
LHD 4San DiegoWasp class
LHD 4
BoxerWasp classSan DIego
Essex
LHD 2San DiegoWasp class
LHD 2
EssexSan DiegoWasp class
LHD 3
KearasageNorfolkWasp class
Kearasage
LHD 3Norfolkwasp class
LHD 7
Iwo JimaWasp classNaval Station Mayport
Iwo Jima
LHD 7Wasp classNaval Station Mayport
LHD 8
Makin Island| Wasp class
LPD 25
Somerset| LPD
Somerset
S==LPD 25
LSD 47
Rushmore| San Diwego
Rushmore
LSD 47| San Diego
LSD 41
Whidbey Island| Little Creek Virginia
LCC 19
Blue Ridgeflagship of 7th fleet*does C4I for Seventh fleetYokosuka
flagship of 7th fleet
Yokosuka
LPD
amphibious transport dock
LSD
dock landing ship
cruiser
CG
CG
cruiser
DDG
guided missile destroyer
guided missile destroyer
DDG
FFG
frigate
frigate
FFG
classes of LHA
Tarawa| America
purpose of LHA
power. projection & transport marines
task forces of LHA
amphibious ready groups
medical capabilities of Wasp class LHD
64 bed hospital6 OR’soverflow of 536
use of Wasp class
LHD = landing helicopter dockhospital capabilitiesMEU
BES
beach evacuation staiton
C2W
command & control warfare
CAS
close air support
CBTZ
combat zone
CE
combat element
CHOP
change to operational command
COG
center of gravity
COMMZ
communications zone
COCq
combat operations center
COMPACTFLT
commander, US pacific fleet
COMSEC
communications security
CSG
carrier strike group
CRTF
casualty receiving & treatment facility
CRTS
casualty receiving & treatment ship
CSAR
combat search and rescue
CTF
commander task force
CVBG
carrier battle gruop
DET
detachmetn
DEW
directed energy weapon (laser)
DFC
detachment for cause
DFAS
defense finance and accounting system
DOWW
diseases occurring world wide
DRAW
demonstration, raid, assuault, withdraw (amphibious ops)
DSCA
defense support civil authorities)
EEI
essential elements of infomration
ELINT
electronic intelligence
EMCON
emission control
ERSS
expeditionary resuscitation surgical system
ESF
emergency support function
FOB
forward observer
GQ
general quarters
called when there is an emergency on board
GQ = general quarters
HNS
host nation support
HHS
health services support
IA
individual augmentee
IFF
identification friend or foe
IAW
inaccordinace with
IOT
in order to
IRR
Individual Ready Reserve
JOPES
Joint Ops Planning & Execution System
JULL
Joint Unified Lessons Learned
ITT
Interrogator & Translation Team
LZSA
Landing Zone Support Area
MARG
Marine Amphibious Readiness Gruop
MASF
Mobile Aeromedical Staging Facility
M-Day
Mobilization Day
MCLL
Marine Corp Lessons Learned
MAO
Medical Administraiton Officer
MEPES
Medical Planning & Execution ystem
MILL
Medical lessons learned
chemical attack gear
MOPP = Mission Oriented Protective Posture
MMSO
Military Medical Support ORganization
MEDCAP
Medical Capabilities SUty
MRCC
Medical Regulating Control Center
MRRS
Medical Regulatory System
MSOC
Medical Support Ops Center
MSR
Main Supply Route
NDMS
Natioanl Diseaster MEdical SYstem
getting civilians out of a disaster area
NEO = Noncombatant Evacuation OPeration
NOFORN
Not Releasable to Foreign Nationals
O&M
Operations & Maintence
OMFT
Operational Maneuvers ffom the Sea
OOQ
operations other than war