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NATO Staff Maritime Medical Course LO-3 Manage the Recognised Maritme Medical Picture RECOGNIZE HEALTH THREATS. CAPT Jeffery Paulson and CAPT Frank Chapman US Fleet Forces Command and US NAV EUR. Recognize Health Threats. Introduction Objectives Anticipate Threats Prepare to prevent

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Presentation Transcript
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NATO Staff Maritime Medical Course

LO-3 Manage the Recognised Maritme Medical Picture

RECOGNIZE HEALTH THREATS

CAPT Jeffery Paulson and CAPT Frank Chapman

US Fleet Forces Command and US NAV EUR

NATO UNCLASSIFIED Releasable to the INTERNET

recognize health threats
Recognize Health Threats

Introduction

Objectives

Anticipate Threats

Prepare to prevent

Prepare to respond

Summary

NATO UNCLASSIFIED Releasable to the INTERNET

initial data to recognize health threats
Initial Data to Recognize Health Threats

Planned operational environment

Combat

Non-Combat

Know the POE

Operations at Sea

Operations on Shore

Engagements ashore

Liberty

NATO UNCLASSIFIED Releasable to the INTERNET

medical intelligence and the threat assessment
Medical Intelligence and the Threat Assessment

ALLIED JOINT MEDICAL DOCTRINE FOR MEDICAL INTELLIGENCE, AJMedP-3

NATO UNCLASSIFIED

planned operational environment
Planned Operational Environment

Questions to ask:

Who is going?

What are they doing?

When are they going?

Where are they going?

How are they doing it?

Open-ended

NATO UNCLASSIFIED

threats afloat
Threats Afloat

War Damage from Combat Actions

Mines, Missiles, Explosives

Sea Environment

Storms and Sea State

Collisions at Sea

Groundings

Man Overboard

NATO UNCLASSIFIED

combat
Combat

Opposing forces

Conventional Warfare

Small Arms

Explosives

Asymmetrical Warfare

IEDs

Ashore vs Afloat

NATO UNCLASSIFIED

environmental
Environmental

Heat and Cold

Smoke and Inhalation injuries

Chemical Contamination

Animal Bites – Rabies, Infection

Snake Bites – Venom

Marine Animal Bites and Venom

NATO UNCLASSIFIED

behavioral threats
Alcohol and Illicit Drugs

Prescribed Drugs

Operational Stress

Behavioral Threats

NATO UNCLASSIFIED

non combat trauma
Non Combat Trauma

MVA’s

Motorcycle – Scooters

Boating

Other Recreational Activities

NATO UNCLASSIFIED

health risks biological
Health Risks – Biological

Infectious disease

Food Borne illnesses

Safe Food and Water are critical

Disease can degrade a fighting force quickly and for a prolonged time

NATO UNCLASSIFIED

infectious disease
Infectious Disease

Pandemic Illness

Influenza as example

SARS and others

NATO UNCLASSIFIED

food borne
Food Borne

Food Sources

Food Acquisition Policy

Food Handling

Food Storage (frozen, chilled, dry)

Food Preparation (hepatitis and other human vector disease)

NATO UNCLASSIFIED

vector borne
Vector Borne

Port calls

Travel or Deployment Ashore

Malaria, Rabies, Dengue, JEV

NATO UNCLASSIFIED

operating environment at sea
Operating Environment at Sea

INDUSTRIAL HIGH RISK ENVIRONMENT

High Risk Evolutions:

Underway Replenishment

Vertical Replenishment

Re-fueling at Sea

Cargo and personnel transfer

NATO UNCLASSIFIED

occupational safety
Occupational Safety

Electrical Work

Small Boat Operations

Helicopter Operations

Fuels, Including Otto Fuel II

Fires

Welding, Cutting, Brazing

Machinery maintenance and operations

Heavy Weather Operations

NATO UNCLASSIFIED

ship distress at sea
Ship Distress at Sea

Abandon ship – Immersion Injuries

Oil on Sea

Burning Oil Fire

NATO UNCLASSIFIED

survival in the water
Survival in the Water

Windchill

Non freezing cold injury

Freezing cold injury

Heat illness and sunburn

Seasickness in the life raft

Osmotic Diarrhea

Oil Contamination

Skin Ulcers

Toxic Chemicals

Triage of Survivors

Psychological considerations

NATO UNCLASSIFIED

urgency
Urgency

Balance:

Risk to Sailor

Threats

Urgencyvs Operational Tasking

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biological chemical and radiological
Biological Chemical and Radiological

Ship capabilities?

Detection of exposure

Confirmation of agent

Air boundaries

Countermeasures - washdown?

Treatment

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stress management
Stress Management

Management of critical stress and traumatic stress

Stress reactions, PTS, Suicide

Resources?

Medical, Chaplain, Chain of Command, Friends

NATO UNCLASSIFIED

threat assessment summary
Threat Assessment Summary

Threat Analysis can provide the commander information critical to mission accomplishment.

Mitigation of potential threats increases chance of mission success.

Medical threats are a critical piece of a proper threat analysis and must not be overlooked in mission planning.

NATO UNCLASSIFIED

questions
Questions?

HelgeBarstrand, Cdr SG, NOR Navy, MSc, KCLJ,

(N43) Branch Head Medical, Medical Plans & Concepts, MC Northwood UK

+44 (0) 1923 956 675 Email: [email protected]

NATO UNCLASSIFIED Releasable to the INTERNET

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