[Gutenberg 49037] • Health Service Support in a Nuclear, Biological, and Chemical Environment / Tactics, Techniques, and Procedures by Army, United States. Department of the -- Read -- Imperial Library of Trantor

Index

HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT TABLE OF CONTENTS PREFACE CHAPTER 1 NUCLEAR, BIOLOGICAL, AND CHEMICAL WARFARE ASPECT OF THE MEDICAL THREAT

1-1. General

1-2. Medical Threat 1-3. Nuclear, Biological, Chemical, and Radiological Dispersal Device Threats—The Health Service Perspective

CHAPTER 2 COMMAND AND CONTROL

2-1. General

2-2. Health Service Support Command and Control Planning Considerations 2-3. Health Service Support Command and Control Appraisal of the Support Minion 2-4. Health Service Support Units 2-5. Movement/Management of Contaminated Facilities 2-6. Leadership on the Contaminated Battlefield 2-7. Homeland Security

CHAPTER 3 LEVELS I AND II HEALTH SERVICE SUPPORT

3-1. General

3-2. Level I Health Service Support 3-3. Level II Health Service Support 3-4. Forward Surgical Team 3-5. Actions Before a Nuclear, Biological, or Chemical Attack 3-6. Actions During a Nuclear, Biological, or Chemical Attack 3-7. Actions After a Nuclear, Biological, or Chemical Attack 3-8. Logistical Considerations 3-9. Personnel Considerations 3-10. Disposition and Employment of Treatment Elements 3-11. Civilian Casualties 3-12. Nuclear Environment 3-13. Medical Triage 3-14. Biological Environment 3-15. Chemical Environment 3-16. Operations in Extreme Environments 3-17. Medical Evacuation in a Nuclear, Biological, and Chemical Environment

CHAPTER 4 LEVELS III AND IV HOSPITALIZATION

4-1. General

4-2. Protection 4-3. Decontamination 4-4. Emergency Services 4-5. General Medical Services 4-6. Surgical Services 4-7. Nursing Services 4-8. Conventional Operations

CHAPTER 5 OTHER HEALTH SERVICE SUPPORT

Section I. PREVENTIVE MEDICINE SERVICES

5-1. General 5-2. Disease Incidence Following the Use of Nuclear, Biological, and Chemical Weapons 5-3. Preventive Medicine Section 5-4. Preventive Medicine Detachment

Section II. VETERINARY SERVICES

5-5. General 5-6. Food Protection 5-7. Food Decontamination 5-8. Animal Care

Section III. LABORATORY SERVICES

5-9. General 5-10. Level II 5-11. Level III 5-12. Level IV 5-13. Level V (Continental United States) 5-14. Field Samples

Section IV. DENTAL SERVICES

5-15. General 5-16. Mission in a Nuclear, Biological, or Chemical Environment 5-17. Dental Treatment Operations 5-18. Patient Treatment Considerations 5-19. Patient Protection

Section V. COMBAT OPERATIONAL STRESS CONTROL

5-20. General 5-21. Leadership Actions 5-22. Individual Responsibilities 5-23. Mental Health Personnel Responsibilities

Section VI. HEALTH SERVICE LOGISTICS

5-24. General 5-25. Protecting Supplies in Storage 5-26. Protecting Supplies During Shipment 5-27. Organizational Maintenance

Section VII. HOMELAND SECURITY RESPONSE

5-28. Chemical, Biological, Radiological, Nuclear, and High-Yield Explosive Response 5-29. Capabilities of Response Elements

APPENDIX A MEDICAL EFFECTS OF NUCLEAR, BIOLOGICAL, AND CHEMICAL WEAPONS AND TOXIC INDUSTRIAL MATERIAL

A-1. General

A-2. Physical Effects of Nuclear Weapons A-3. Physiological Effects of Nuclear Weapons A-4. Biological Effects of Thermal Radiation A-5. Physiological Effects of Ionizing Radiation A-6. Handling and Managing Radiologically Contaminated Patients A-7. Radiological Patients in Stability Operations and Support Operations A-8. Effects of Biological Weapons A-9. Behavior of Biological Weapons A-10. Management of Biological Warfare Patients A-11. Effects of Chemical Weapons A-12. Behavior of Chemical Weapons A-13. Characteristics of Chemical Agents A-14. Management of Chemical Agent Patients A-15. Management of Toxic Industrial Material Patients

APPENDIX B SAMPLE/SPECIMEN COLLECTION AND MANAGEMENT

Section I. INTRODUCTION

B-1. General B-2. Sample/Specimen Background Information B-3. Sample/Specimen Collection and Preservation B-4. Chain of Custody

Section II. SAMPLING TECHNIQUES AND PROCEDURES

B-5. General B-6. Expended Material B-7. Environmental Samples B-8. Collection of Air and Vapor Samples B-9. Collection of Water Samples B-10. Collection of Soil Samples B-11. Collection of Contaminated Vegetation B-12. Medical Specimens B-13. Collection of Medical Specimens B-14. Post mortem Specimens B-15. Reporting, Packaging, and Shipment B-16. Handling and Packaging Materials B-17. Collection Reporting B-18. Sample/Specimen Background Documents

APPENDIX C GUIDELINES FOR OPERATIONAL PLANNING FOR HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT

C-1. General

C-2. Predeployment C-3. Mobilization C-4. Establish a Medical Treatment Facility C-5. Operate a Medical Treatment Facility Receiving Contaminated Patients C-6. Preventive Medicine Services C-7. Veterinary Services C-8. Dental Services C-9. Combat Operational Stress Control C-10. Medical Laboratory Services C-11. Health Service Logistics C-12. Homeland Security

APPENDIX D MEDICAL PLANNING GUIDE FOR THE ESTIMATION OF NUCLEAR, BIOLOGICAL, AND CHEMICAL BATTLE CASUALTIES

Section I. INTRODUCTION

D-1. General D-2. Medical Planners' Tool

Section II. MEDICAL PLANNING GUIDE FOR THE ESTIMATION OF NUCLEAR, BIOLOGICAL, AND CHEMICAL BATTLE CASUALTIES (NUCLEAR)—AMedP-8(A), VOLUME I

D-3. General D-4. Medical Planning Considerations D-5. Triage D-6. Evacuation D-7. In-Unit Care D-8. Hospital Bed Requirements D-9. Medical Logistics D-10. Medical Force Planning

Section III. MEDICAL PLANNING GUIDE FOR THE ESTIMATION OF NUCLEAR, BIOLOGICAL, AND CHEMICAL BATTLE CASUALTIES (BIOLOGICAL)—AMedP-8(A), VOLUME II

D-11. General D-12. Medical Planning Considerations D-13. Triage D-14. Evacuation D-15. In-Unit Care D-16. Patient Bed Requirements D-17. Medical Logistics D-18. Medical Force Planning

Section IV. MEDICAL PLANNING GUIDE FOR THE ESTIMATION OF NUCLEAR, BIOLOGICAL, AND CHEMICAL BATTLE CASUALTIES (CHEMICAL)—AMedP-8(A), VOLUME III

D-19. General D-20. Medical Planning Considerations D-21. Triage D-22. Evacuation D-23. In-Unit Care D-24. Patient Bed Requirements D-25. Medical Logistics D-26. Medical Force Planning

APPENDIX E Example X-__, ANNEX__, TO HSS PLAN/OPERATION ORDER__, MEDICAL NBC STAFF OFFICER PLANNING FOR HSS IN AN NBC ENVIRONMENT APPENDIX F EMPLOYMENT OF CHEMICAL AND BIOLOGICAL COLLECTIVE PROTECTION SHELTER SYSTEMS BY MEDICAL UNITS

Section I. INTRODUCTION

F-1. General F-2. Types of Collective Protection Shelter Systems

Section II. EMPLOYMENT OF THE CHEMICALLY BIOLOGICALLY PROTECTED SHELTER SYSTEM

F-3. Establish a Battalion Aid Station in a Chemically Biologically Protected Shelter F-4. Division Clearing Station in a Chemically Biologically Protected Shelter F-5. Forward Surgical Team in a Chemically Biologically Protected Shelter

Section III. EMPLOYMENT OF THE CHEMICALLY PROTECTED DEPLOYABLE MEDICAL SYSTEMS AND SIMPLIFIED COLLECTIVE PROTECTION SYSTEMS

F-6. Collective Protection in a Deployable Medical System-Equipped Hospital F-7. Chemically/Biologically Protecting the International Organization for Standardization Shelter F-8. Chemically/Biologically Protecting the Vestibules F-9. Chemically/Biologically Protecting Air Handler Equipment F-10. Establish Collective Protection Shelter Using the M20 Simplified Collective Protection System F-11. Casualty Decontamination

Section IV. OPERATIONS, ENTRY, AND EXIT GUIDELINES

F-12. Operations F-13. Decontamination of Entrance Area F-14. Procedures Prior to Entry F-15. Entry/Exit for the Collective Protection Shelter System F-16. Resupply of Protected Areas

APPENDIX G PATIENT DECONTAMINATION

Section I. INTRODUCTION

G-1. General G-2. Immediate Decontamination G-3. Patient Decontamination and Thorough Decontamination Collocation G-4. Patient Decontamination at the Battalion Aid Station (Level I) G-5. Patient Decontamination at the Medical Company Clearing Station (Level II) G-6. Patient Decontamination at a Hospital (Level III or IV) G-7. Prepare Hypochlorite Solutions for Patient Decontamination G-8. Classification of Patients G-9. Patient Treatment

Section II. PATIENT DECONTAMINATION PROCEDURES

G-10. Decontaminate a Litter Chemical Agent Patient G-11. Decontaminate an Ambulatory Chemical Agent Patient G-12. Biological Patient Decontamination Procedures G-13. Decontaminate a Litter Biological Agent Patient G-14. Decontaminate an Ambulatory Biological Agent Patient G-15. Decontaminate Nuclear-Contaminated Patients G-16. Decontaminate a Litter Nuclear-Contaminated Patient G-17. Decontaminate an Ambulatory Nuclear-Contaminated Patient

APPENDIX H FIELD EXPEDIENT PROTECTIVE SYSTEMS AGAINST NUCLEAR, BIOLOGICAL, AND CHEMICAL ATTACK

H-1. General

H-2. Protection Against Radiation H-3. Expedient Shelters for Protection Against Radiation H-4. Expedient Shelters Against Biological and Chemical Agents

APPENDIX I DETECTION AND TREATMENT OF NUCLEAR, BIOLOGICAL, AND CHEMICAL CONTAMINATION IN WATER

I-1. General

I-2. Detection of Contamination in Water I-3. Procedures on Discovery of Contamination in Water I-4. Treatment of Contaminated Water

APPENDIX J FOOD CONTAMINATION AND DECONTAMINATION

J-1. General

J-2. Protection of Food from Contamination J-3. Nuclear J-4. Biological J-5. Chemical

GLOSSARY REFERENCES INDEX

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