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The Army Health System Terms and Principles. Force Health Protection in a Global Environment. CONSERVE THE FIGHTING STRENGTH. CONSERVE THE FIGHTING STRENGTH. TLOs. Terminal Learning Objective :

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Force Health Protection in a Global Environment




Terminal Learning Objective:

Discuss, identify and describe the units, missions, and operational considerations for employing Army Medical Logistics elements in the Operational Environment.

As of: 15 NOV 2010


Enabling Learning Objectives:

  • Describe and discuss key fundamentals of the Army Health Systems and it’s common terms.
  • Identify and discuss the employment of key medical logistics units within the theater of operations.

As of: 15 NOV 2010

  • FM 3-90.6, Brigade Combat Team (Sep 2010)
  • JP 4-02, Health Service Support (Oct 2006)
  • FM 4-02, Force Health Protection In a Global Environment (Feb 2003)
  • FM 4-02.1, Army Medical Logistics (Dec2009)
  • FM 4-02.4, Medical Platoon Leader's Handbook Tactics, Techniques and Procedures (INCL C-1) (Aug 2001)
  • FM 4-02.12 Army Health System Command And Control Organizations (May 2010)
  • FM 8-55 Planning for Health Service Support (Sep 94)

As of: 15 NOV 2010

  • Terms & Acronyms
  • Basic Fundamentals
  • Roles/Roles of Medical Care [I-III]
  • Army Medical Logistics (Medical materiel/MEDLOG)

As of: 15 NOV 2010

terms acronyms
Terms & Acronyms

AHS Army Health System

BSMC Brigade Support Medical Company

CSH Combat Support Hospital

FDP Forward Distribution Point

FHP Force Health Protection

FLA Field Litter Ambulance

HSS Health Service Support

HSSO Health Service Support Officer

MEDCOM Medical Command

MED BDE Medical Brigade

MMB Multi-functional Medical Battalion

MES Medical Equipment Set

MLMC Medical Logistics Management Center

MLO Medical Logistics Officer

MTF Medical Treatment Facility

PM Preventive Medicine

As of: 15 NOV 2010


Terms & Acronyms

AMB ambulance COSC combat and operational stress control

MMB multifunctional medical battalion ASMC area support medical company CSH combat support hospital PVNTMED preventive medicine

AVN aviation DEN dental

SUST sustainment BCT brigade combat team

DIV division SVC services

BDE brigade DS deployment support SPO security, plans, and operations BFSB battlefield surveillance brigade FST forward surgical team THTR theater

BSMC brigade support medical company GA ground ambulance

TM team BSB brigade support battalion

GSAB general support aviation battalion TSC theater sustainment command

BSD blood support detachment HOSP hospital

VET veterinary CA civil affairs

ME maneuver enhancement brigade CAB combat aviation brigade

MEDBDE medical brigade CMD command

MEDCOM medical command CMO civil-military operations

MEDLOG medical logistics

basic fundamentals of ahs doctrine
Basic Fundamentalsof AHS Doctrine
  • Immediate care as far forward as possible; pre-position assets for rapid evacuation
  • Higher evacuates from lower
  • Ground evacuation is the primary method; air is preferred
  • Greatest good for the greatest number; focus on saving “Life, Limb, or Eyesight” = TRIAGE
  • The “Platinum Ten Minutes”!
  • The 75th Ranger First Responder

As of: 15 NOV 2010

army health system ahs
Army Health System (AHS)

Health Service Support (HSS)

Force Health Protection (FHP)

Sustainment WFF Component

Protection WFF Component

  • Promotes, improves, conserves, and restores health within a military system.
  • Employed across the range of military operations.
  • BLUF: Providing medical care to Soldiers on the battlefield.
  • Medical portion of Protection WFF.
  • Preventive measures taken to promote, improve, or conserve the mental and physical well being of Soldiers.
  • Comprised of preventive aspects of five Army FHP functions.

As of: 15 NOV 2010


Role of Care

Five Role of care make up the Health Service Support (HSS) system,

extending from the point of wounding, injury, or illness. Each succeeding

Role possesses the same treatment capabilities as those Role

forward and adds a new treatment capability.

Role VI

Role I

Role II

Role III

Role V

Care in


restorative, and



Care is

administered at

an HSS


Care requiring



found in an MTF

Care is

rendered at the

unit Role

Therapy for





treatment. First

step toward

restoration of

functional health

Includes therapy

for patients in the

recovery phase for

patients who can

return to duty

Includes self aid

and buddy aid

and emergency



Includes basic

resuscitation and

stabilization and

may include

surgical capability

May include a

period of minimal

care and

increasing physical

activity to restore

patients to

functional health

As of: 15 NOV 2010


medical treatment
Medical Treatment
  • Encompasses Role I and II treatment
  • Provided by organic assets or on an area support basis from supporting medical units

As of: 15 NOV 2010


Role I Care

  • First care a Soldier receives- whether injury or illness
  • Immediate Lifesaving Measures
  • - “BBCs” Bleeding, Breathing and Circulation
  • - Focus on “Life, Limb, and Eyesight”
  • - Shock Prevention
  • Role I includes:
  • - Physician
  • - Physician’s Assistant

M113 with Treatment Team

As of: 15 NOV 2010


Role II Care

  • Includes all the capabilities of Role I plus:
  • - Advanced Trauma Management
  • - Ancillary Services - Dental, Lab, X-Ray and Patient Holding
  • Holds patients who can return to duty for up to 72 hours (mission dependent)
  • Use of blood/blood products (when FST is attached)
  • Role II Units on the Battlefield
  • - BSMC (BCT)
  • - ASMC (Division/Corps/ASCC)

As of: 15 NOV 2010



Starts at Role III

  • Part of the theater-wide HSS system for managing sick, injured and wounded personnel
  • Refers to health care services provided at hospitals on an inpatient basis for all classes of patients whose conditions cannot be managed on an outpatient or holding (RTD 72hrs) status.

As of: 15 NOV 2010

role iii care
Role III Care
  • Includes capabilities of Role I and II, plus resuscitative surgery
  • For Soldiers who require comprehensive pre-operative, general anesthesia, initial wound surgery, and post-operative treatment
  • Role III units include:
  • - 248 bed Corps Role Combat Support Hospitals
  • - Theatre Role US Navy Hospital Ships (USNS Mercy & USNS Comfort) – used in early stages of operations

As of: 15 NOV 2010

role iii csh split based capability
Role III CSH (Split-Based Capability)
  • Has 248-beds to support surgical and hospitalization requirements
  • Composed of:
    • Headquarters, Headquarters Detachment (HHD)
    • Hospital Company 84-bed (Alpha Co)
      • 44-Bed Early Entry Hospitalization Element
      • 40-Bed Hospital Augmentation Element (beds only)
    • Hospital Company 164-bed (Bravo Co)

As of: 15 NOV 2010

casevac vs medevac



  • The transport of casualties on a non-standard evacuation platform.
  • Does not include en-route care from medical personnel. Only CLS if available.
  • Vehicle does not have medical capabilities to sustain the casualties while en-route to care.
  • The transport of casualties on a standard evacuation platform.
  • Includes en-route care from medical personnel.
  • Evacuation platform has medical capabilities to sustain the casualties while en-route to care.



As of: 15 NOV 2010

casualty evacuation
Casualty Evacuation
  • When a casualty is moved on a non-medical vehicle without en-route medical care, the patient is transported
  • Used in Mass Casualty situations (dedicated or identified)
  • CASEVAC vehicles and CLS attendants must be identified and location tracked to facilitate quick response
  • Examples:
  • M998: maximum 3 litter or 4 ambulatory patients
  • HEMTT Cargo: maximum of 9 litter patients
  • 5 Ton Cargo: maximum of 12 litter or 16 ambulatory patients
  • M871 Cargo Trailer: maximum of 16 litters
  • UH-60A Blackhawk: 6 litter & 1 ambulatory pts or 7 amb
  • CH-47 Chinook: 24 litter or 33 ambulatory patients
  • C-17A: 48 litter and 44 ambulatory patients
  • C-130 Hercules: 70 litter or 84 ambulatory patients


Rotary Air

Fixed Wing


As of: 15 NOV 2010

medical evacuation
Medical Evacuation
  • Provided by standard medical units with medical evacuation platforms
  • Med PLTs, BSMCs, and ASMCs have organic medical evacuation assets in addition to treatment assets
  • Two specific units on battlefield designated for medical evacuation are the Medical Company (Ground Ambulance) and Medical Company (Air Ambulance).
  • Medical evacuation platforms include:



2 Litter/4Ambulatory

4 Litter + 1 Amb / 8 Ambulatory



4 Litter/8 Ambulatory

4 Litter/8 Ambulatory


As of: 15 NOV 2010

health service logistics
Health Service Logistics
  • Integral part of the HSS Plan
  • Managed solely by the AMEDD
  • Mission integrated and supports the commander's mission
  • Provides support where and when it is required in the fastest, most inexpensive, and most practical way possible

As of: 15 NOV 2010

health service logistics1
Health Service Logistics

The HSL system encompasses:

  • Planning and execution of medical supply operations
  • Medical equipment maintenance and repair
  • Regulated medical or hazardous waste management and disposal
  • Production and distribution of medical gasses
  • Optical fabrication
  • A Single-Integrated Medical Logistics Manager (SIMLM) for joint operations
  • Blood management for Army, joint, or combined operations

As of: 15 NOV 2010