Health Service Support in a Nuclear, Biological, and Chemical Environment

About this eBook

Author

United States. Department of the Army

Title

Health Service Support in a Nuclear, Biological, and Chemical Environment Tactics, Techniques, and Procedures

Credits

Produced by Charlene Taylor, Gerard Arthus, John Campbell and the Online Distributed Proofreading Team at www.pgdp.net

Language

English

LoC Class

RC: Medicine: Internal medicine

Subject

Emergency medical services -- Handbooks, manuals, etc.

Category

Text

eBook-No.

49037

Project Gutenberg

https://www.gutenberg.org/ebooks/49037

Release Date

May 24, 2015

Copyright

Public domain in the USA.

Contents

1. 1.HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT
2. 2.TABLE OF CONTENTS
3. 3.PREFACE
4. 4.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
5. 5.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
6. 6.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
7. 7.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
8. 8.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
9. 9.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
10. 10.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
11. 11.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
12. 12.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
13. 13.APPENDIX E Example X-__, ANNEX__, TO HSS PLAN/OPERATION ORDER__, MEDICAL NBC STAFF OFFICER PLANNING FOR HSS IN AN NBC ENVIRONMENT
14. 14.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
15. 15.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
16. 16.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
17. 17.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
18. 18.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
19. 19.GLOSSARY
20. 20.REFERENCES
21. 21.INDEX

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