This document provides an overview of the US Army Medical Department roles on the battlefield (Roles 1-5) in order to familiarize readers with medical support operations. It describes the five roles including point of injury care (Role 1), battalion aid stations (Role 2), combat support hospitals (Role 3), general hospitals (Role 4), and CONUS-based hospitals (Role 5). It also discusses medical logistics, planning, and evacuation procedures between the different roles on the battlefield.
1. Army Medical Logistics and Operations
July 03, 2016
LT Samantha Schaffer
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2. The purpose of this information brief is to inform you of Army
Medical Roles 1, 2, 3, and 4 in order to familiarize you with
Charlie Med’s role on the battlefield in order to help you
prepare for Capstone.
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Purpose
3. FM 4-02.1 Army Medical Logistics
FM 4-02.2 Medical Evacuation
FM 4-02.6 The Medical Company
FM 55-30 Army Motor Transport Units and Operations
FM 8-10-6 Medical Evacuation in Theater of Operations
http://www.usamma.army.mil/ US Army Medical Department
www.usamma.army.mil/assets/docs/USAMMAStrategic Plan FY15-18.pdf
US Army Medical Department Strategic Plan
http://armymedicine.mil/Pages/home.aspx Army Medical
http://www.cs.amedd.army.mil/FileDownloadpublic.aspx?docid=1a73495d-1176-
4638-9011-9e7f3c6017d8 Roles of Medical Care
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References
4. • Medical Overview
• Roles 1, 2, 3, 4, 5
• Who provides the support
• Where on the battlefield you’ll find these roles
• Mission Planning
• Questions
• Summary
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Outline
5. • Formed: Revolutionary War
• 27 July, 1775, when the Continental
Congress authorized a Medical
Service for an army of 20,000 men
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US Army Medical Department
(AMEDD)
6. Lead the acquisition and sustainment of medical
materiel equipment and technology
HDQTR: Fort Detrick, Maryland
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U.S. Army Medical Materiel
Agency (USAMMA)
7. Point of Injury (FLOT)→ Company Train
• 1st-CLS-Self and Buddy Aid (Treatment Team), CASEVAC
Company Train→ Combat Train
• 2nd- Battalion Aid Station (Medical Treatment Facility),
• Medical Platoon: Has Physician and PA Triage, Treatment,
MEDEVAC (Ambulance)
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Role 1
8. • Ground evacuation - principal means of evacuation for
patients in the forward areas (FLOT).
• CASEVAC
• MEDEVAC
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Mission Planning:
Movement to Combat Trains
11. Basic Primary Care/Emergency Treatment
• Brigade/Division Clearing Station (small hospital)
• BSA-BSB Charlie Co
• For all units operating in AO
• 100% mobile ~10ppl
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Role 2
Medical Treatment Facility
13. • Forward Surgical Team (FST) rapidly deploys to BCT for
immediate surgery to patient while awaiting evacuation
• 20 person team
• Transportable by ground, wing, or airborne
• Operational within 1 hr and can sustain for 72hrs
• Supporting Medical Co provides logistics/security
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Role 2-FST
14. Area Support Medical Company
• 6 Modulars
Casualty Collection, Treatment, RTD, or Evacuation
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Modularity in Roles 1 and 2
15. • Fully mobile
• Ambulances may be dispatched from the BSA (Role 2) to
units near the BSA that are receiving area medical support.
• The platoon leader/sergeant coordinates/establishes AXPs
as needed
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Mission Planning:
Ambulance Platoon
17. Combat Support Hospital
• All types of care: Inpatient/Outpatient/Surgical
• In Theater
• Return To Duty or Further Evacuation to CONUS
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Role 3
18. • Evacuation from the Clearing Station (Role 2) is performed
by ground and air ambulances from the corps medical
evacuation (MEDEVAC) battalion.
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Mission Planning:
Movement to Combat Hospital
27. • Medical Evacuation- Gaining Echelon is responsible for
arranging for evacuation from lower Echelons of care
• Theater Evacuation Policy- Number of days you can be
held in the hospital, in theater, before evacuation to
CONUS or other Safe Haven
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Mission Planning: Evacuation
28. Ambulance squad - 2 Ambulance Teams (two ambulances,
wheel or tracked vehicles).
Wheeled (Airborne/Light Infantry) -2 personnel: Emergency
Care Sergeant (E5) and an Ambulance/Aide Driver (E4).
Tracked (Armor/Mechanized Infantry)- 3 personnel:
Emergency Care Sergeant/Track Commander and 2
Ambulance/Aide Drivers.
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Mission Planning:
Ambulance Teams
29. • Know your Assets-Wheeled/Tracked, Personnel,
Capabilities
• Site Selection- Accessible, avoiding enemy targets, Patient
Density
• CASEVAC vs MEDEVAC vs AEROMEDICAL EVAC
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Mission Planning
31. • Primary: Medical Platoon with BCT renders care and
evacuation from FLOT and brings to Clearing Station (Role
1) for further support/evac (MEDEVAC)
• Alternate: FST (Forward Surgical Team) (Role 2) to
deploy to BCT while awaiting Evac from Role 1
• Emergency: Evac with only Role 1 care, utilize other
agencies resources, call to notify them of AO operation
(CASEVAC) (Aeromedical evac)
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Mission Planning: PACE PLAN
33. • Medical Overview
• Roles 1, 2, 3, 4, 5
• Who provides the support
• Where on the battlefield you’ll find these roles
• Mission Planning
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Summary
Editor's Notes
Core competencies: Equipping and Sustaining the Medical Force.
If no direct attachment, supported by Medical in AO
No Surgical or Patient Holding- Return to Duty or stabilize for evacuation
Battallion Aid Station-It should be situated near and be accessible to main road and not secluded so that there is no problem finding it by Ambulance personnel.
Heavy BCT, Stryker BCT, Infantry BCT, Medical Troop have medical platoon or company that travel with them and pop up medical facilities
Field Trains fall within BSA
The Clearing Station (Role 2) must be located in the general vicinity of the supported forces (or Role I facilities supported).
Surgical capability at Role 2 is not mandated by Army Doctrine
Medical company has a lot of plug and play pieces and fx much like an FSC
Patients unable to survive movement or long hauls, receive care as close to their unit as tactically possible
Provides Forward Surgical Teams
Ammunition and individual weapons, to include sensitive military equipment (electronic
devices and so forth) belonging to patients to be evacuated further to the rear, are collected and safeguarded
by the clearing station personnel and returned to the S4 of the supported unit or as directed
If a brigade/regiment is operating out of sector, patients may require evacuation by USAF assets from its BSA.
Will most likely return to CONUS
Germany
Ex. Role 2 medical units are responsible for evacuating patients from Role 1 (BAS)
Battalion S2/S3 should notify the area Medical Company that you will be operating in their AO
The convoy commander can request medics and ambulances from his unit's supporting medical company to accompany the convoy
The convoy commander can request stretchers and backboards for the convoy's use in case casualties have to be moved
CASEVAC-movement by vehicles not designated as medical
MEDVAC- vehicles specific to medical
Merge into your Convoy
CASEVAC- MOVEMENT OF CASUALTY BY NON MEDICAL PERSONNEL IN NON MEDICAL VEHICLE
MEDEVAC- TIMELY, EFFICIENT MOVEMENT AND EN-ROUTE CARE PROVIDED BY MEDICAL PERSONNEL
AEROMEDICAL EVAC-GENERALLY UTILIZES AIRFORCE FIXED WING WORKING WITHIN AO