FM 8-42 - Combat Health Support in Stability Operations and Support Operations.pdf

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FM 8-42
COMBAT HEALTH SUPPORT
IN
STABILITY OPERATIONS
AND
SUPPORT OPERATIONS
HEADQUARTERS, DEPARTMENT OF THE ARMY
DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited.
*FM 8-42
FIELD MANUAL
DEPARTMENT OF THE ARMY
Washington, DC, 27 October 1997
HEADQUARTERS
COMBAT HEALTH SUPPORT
IN STABILITY OPERATIONS AND SUPPORT OPERATIONS
TABLE OF CONTENTS
Page
PREFACE ......................................................................................................
vii
1-1. General ............................................................................... 1-1
1-2. Stability and Support Operations ................................................. 1-1
1-3. Principles ............................................................................ 1-2
1-4. Logistics Preparation of the Theater ............................................ 1-4
1-5. Medical Threat Assessment ...................................................... 1-4
1-6. Foundations for Combat Health Support Programs ........................... 1-7
1-7. Command Surgeon .................................................................. 1-8
1-8. Command Surgeons Role ......................................................... 1-10
1-9. Army Medical Department Battlefield Rules .................................. 1-12
1-10. The Law of Land Warfare ......................................................... 1-12
CHAPTER2. COMBAT HEALTH SUPPORT OPERATIONS .........................
2-1
2-1. General ...............................................................................
2-1
2-2. Planning and Preparing for Contingency Operations .........................
2-1
2-3. Task Organization of Elements ...................................................
2-2
2-4. Medical Evacuation Support ......................................................
2-3
2-5. Patient Treatment, Stabilization, and Holding .................................
2-4
2-6. Preventive Medicine ................................................................
2-5
2-7. Combat Health Logistics ..........................................................
2-5
2-8. Veterinary Support ..................................................................
2-5
2-9. Combat Stress Control .............................................................
2-6
CHAPTER 3. COMBAT HEALTH SUPPORT TO STABILITY OPERATIONS
AND SUPPORT OPERATIONS ...........................................
3-1
3-1. General ...............................................................................
3-1
3-2. Noncombatant Evacuation Operations ...........................................
3-1
3-3. Domestic Support Operations ....................................................
3-2
DISTRIBUTION RESTRICTION: Approved for public release; distribution unlimited.
*This publication supersedes FM 8-42, 4 December 1990.
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No. 8-42
FM 8-42
Page
3-4. Foreign Humanitarian Assistance ................................................ 3-5
3-5. Security Assistance ................................................................. 3-7
3-6. Nation Assistance ................................................................... 3-7
3-7. Support to Counterdrug Operations .............................................. 3-11
3-8. Combatting Terrorism ............................................................. 3-11
3-9. Peace Support Operations ......................................................... 3-14
3-10. Show of Force ....................................................................... 3-17
3-11. Support for Insurgencies and Counterinsurgencies ............................ 3-17
3-12. Attacks and Raids ................................................................... 3-23
CHAPTER4. SPECIFIC FUNCTIONAL AREA CONSIDERATIONS IN
STABILITY OPERATIONS AND SUPPORT OPERATIONS ....
4-1
Section
I. Command, Control, Communications, Computers, and
Intelligence .......................................................................
4-1
4-1. General ...............................................................................
4-1
4-2. Considerations .......................................................................
4-1
Section
II. Patient Evacuation and Medical Regulating ..................................
4-2
4-3. General ...............................................................................
4-2
4-4. Patient Evacuation and Medical Regulating Support to Stability
and Support Operations .........................................................
4-2
Section
III. Hospitalization and Treatment .................................................
4-4
4-5. General ...............................................................................
4-4
4-6. Nonphysician Health Care Practitioners ........................................
4-4
4-7. Hospitalization and Medical Treatment in Support of Stability
and Support Operations ......................................................... 4-6
4-8. General ............................................................................... 4-9
4-9. Medical Threat ...................................................................... 4-10
4-10. Preventive Medicine Support to Stability and Support Operations .......... 4-12
4-11. General ............................................................................... 4-16
4-12. Veterinary Support to Stability and Support Operations ...................... 4-17
4-13. General ............................................................................... 4-22
4-14. Dental Assessment ................................................................. 4-22
4-15. Dental Support to Stability and Support Operations ........................... 4-23
4-16. General ............................................................................... 4-24
4-17. Combat Stress Control Support to Stability and Support Operations ....... 4-25
4-18. General ............................................................................... 4-27
4-19. Combat Health Logistics Support to Stability and Support
Operations ........................................................................ 4-27
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Section
IX. Medical Laboratory Support .................................................... 4-30
4-20. General ............................................................................... 4-30
4-21. Medical Laboratory Support to Stability and Support Operations..........
4-31
APPENDIXA. ANTITERRORISM AND FORCE PROTECTION ......................
A-1
A-1. General...............................................................................
A-1
A-2. Terrorism Considerations.........................................................
A-1
A-3. Estimate of the Situation for a Security Assessment..........................
A-1
A-4. Force Protection and Security Measures.......................................
A-3
APPENDIXB. INTERAGENCY OPERATIONS .............................................
B-1
B-1. General...............................................................................
B-1
B-2. Unity of Effort.......................................................................
B-1
B-3. Operations Within the United States.............................................
B-1
B-4. Operations Outside the United States...........................................
B-3
B-5. Military Effort.......................................................................
B-4
B-6. Combat Health Support Implications in Interagency Operations...........
B-5
APPENDIXC. RISK ASSESSMENT ............................................................
C-1
C-1. General...............................................................................
C-1
C-2. Risk Assessment....................................................................
C-1
C-3. Rules of Risk Assessment.........................................................
C-1
C-4. Three-Tier Approach..............................................................
C-2
C-5. Levels of Risk........................................................................
C-3
C-6. Factors to Consider in Risk Assessment........................................
C-4
APPENDIXD. MULTINATIONAL OPERATIONS .........................................
D-1
D-1. General...............................................................................
D-1
D-2. Alliances and Coalitions...........................................................
D-1
D-3. Command Structure of Multinational Forces..................................
D-1
D-4. Rationalization, Standardization, and Interoperability........................
D-3
D-5. Combat Health Support Issues....................................................
D-5
D-6. Combat Health Support Considerations.........................................
D-6
APPENDIXE. COMBAT HEALTH SUPPORT ASSESSMENT CHECKLIST ......
E-1
E-1. General...............................................................................
E-1
E-2. Sample Medical Assessment Checklist.........................................
E-1
APPENDIXF. COMBAT HEALTH SUPPORT ASSESSMENT PLANNING
FOR STABILITY OPERATIONS AND SUPPORT
OPERATIONS.......................... ........................................
F-1
Section
I. Combat Health Support Estimate .............................................
F-1
F-1. General ...............................................................................
F-1
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FM 8-42
Page
Section
II. Combat Health Support Plan ................................................... F-44
F-8. General ............................................................................... F-44
F-9. Sample Format for the Combat Health Support Plan ......................... F-44
F-10. Sample Format for the Veterinary Service Portion of the
Combat Health Support Plan ................................................... F-50
F-11. Sample Format for the Preventive Medicine Portion of the
Combat Health Support Plan ................................................... F-51
F-12. Sample Format for the Dental Service Portion of the Combat
Health Support Plan ............................................................. F-53
F-13. Sample Format for the Combat Stress Control Portion of the
Combat Health Support Plan ................................................... F-54
F-14. Sample Format for the Combat Health Logistics Portion of the
Combat Health Support Plan ................................................... F-55
APPENDIXG. NUCLEAR, BIOLOGICAL, AND CHEMICAL
CONSIDERATIONS ..........................................................
G-1
G-1. Threat.................................................................................
G-1
G-2. Biological Warfare Agents........................................................
G-1
G-3. Chemical Warfare Agents.........................................................
G-2
G-4. Nuclear Weaponry..................................................................
G-4
G-5. Operations Under Nuclear, Biological, and Chemical Conditions.........
G-4
G-6. Civilian Disasters...................................................................
G-4
APPENDIXH. SAMPLE CHECKLIST FOR DEPLOYMENT FOR COMBAT
HEALTH SUPPORT OPERATIONS .....................................
H-1
H-1. General...............................................................................
H-1
H-2. Sample Predeployment Checklist................................................
H-1
APPENDIXI. SPECIALTY RESPONSE TEAMS ...........................................
I-1
I-1. General ...............................................................................
I-1
I-2. Responsibilities ......................................................................
I-1
I-3. Requests for Assistance ............................................................
I-1
I-4. Team Composition and Specialty-Specific Equipment ........................
I-2
I-5. Deployability and Continuous Operations .......................................
I-2
I-6. Administrative Support and Requirements ......................................
I-3
I-7. Equipment ............................................................................
I-4
I-8. Training ...............................................................................
I-4
iv
F-2. Sample Format for the Combat Health Support Estimate .................... F-2
F-3. Sample Format for the Veterinary Estimate ................................... F-11
F-4. Sample Format for the Preventive Medicine Estimate ....................... F-17
F-5. Sample Format for the Dental Estimate ........................................ F-26
F-6. Sample Format for the Combat Stress Control Estimate .................... F-31
F-7. Sample Format for the Combat Health Logistics Estimate .................. F-37
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