Sect 3-Pnc Chs Ech III-V

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U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL LP WVBN-05BAMEDD NONCOMMISSIONED OFFICER ACADEMY 0196 BASICNONCOMMISSIONED OFFICER COURSE

LESSON TITLE: Principles of Combat Health Support, Levels III--V

THIS LESSON IS USED IN THE FOLLOWING COURSES:

COURSE NUMBERS COURSE TITLE(S)

6-8--C40 AMEDD NCO BASIC (NCOES)

SECTION I. -ADMINISTRATIVE DATA

TASKS (5) TAUGHT OR SUPPORTED: NA

TASK NUMBER TASK TITLE

Q8lTTSB-K3 Identify the echelons, principles, and

objectives of CHS.

O81TTSB-K14 Identify the Medical Force 2000

assets available to support corps

and division combat operations.

TASK(S) REINFORCED:

TASK NUMBER TASK TITLENone

ACADEMIC HOURS: PEACETIME MOBILIZATION

HOURS /TYPE HOURS /TYPE

TYPE OF INSTRUCTION l.0/SGI

TEST NA

TEST REVIEW CMF__________

TOTAL HOURS 1.0

HOURS LESSON NO.

TESTING: CMF 3.0 WVBN-30X

REVIEW OF TEST RESULTS: WVBN-30X

PREREQUISITE LESSON(S): WVBN-03A The Combat Health Support

System, WVBN-04A Principles of Combat Health Support, Echelons I

& II CLEARANCE AND ACCESS: UNCLASSIFIED.


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REFERENCES:

NUMBER TITLE PAGES ADDITIONAL

INFORMATION

FM 8-10 Health Service Support in a Theater of OperationsFM 8-10-4 Medical Platoon Leaders Handbook

FM 8-10-5 Brigade and Division Surgeons Handbook

LP WVBN-05B (MF2K graphic)

STUDENT STUDY ASSIGNMENT: Read and be prepared to. discuss

Supplementary Reading #1.

INSTRUCTOR REQUIREMENTS: Review lesson prior to class.

ADDITIONAL SUPPORT PERSONNEL REQUIREMENTS: None.

EQUIPMENT REQUIRED FOR THE INSTRUCTION: Overhead projector,

screen.

MATERIALS REQUIRED FOR THE INSTRUCTION:

INSTRUCTOR MATERIALS: VGTs (6)

STUDENT MATERIALS: Supplementary Reading #1.

CLASSROOM, TRAINING AREA, AND RANGE REQUIREMENTS: Classroom

suitable for 16 students.

AMMUNITION REQUIREMENTS: None.

INSTRUCTIONAL GUIDANCE: This lesson consists of a student

reading assignment and one hour of classroom discussion. The

reading assignment provides the student background material

concerning the lesson. The classroom discussion is a review of

the student reading assignment, Supplementary Reading #1. Review

graphics carefully ensure full understanding. The MF2K graphic is

at the end of the lesson allow 15 minutes to discuss. The

echelons graphic is review.

PROPONENT LESSON PLAN APPROVAL AUTHORITY:

NAME RANK POSITION DATE

PAULETTE H. DUNLAP CSM CMDT Jan96

AMEDD NCO

AcademySECTION II. INTRODUCTION

NOTE: Read the following terminal learning objective statement to the

students:

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At the completion of this lesson you (the student) will:

Identify the combat health support functions of the corps!

COMMZ and CONTJS based medical units IAW FM 8-10, FM 8-10-4, FM

8-10-5.

SAFETY REQUIREMENTS: None

RISK ASSESSMENT LEVEL: Low

ENVIRONMENTAL CONSIDERATIONS: None

EVALUATION: CMF

INSTRUCTIONAL LEAD-IN: In previous instruction you have been

given a overview of combat health service support and you have examined

the first two echelons.

Since the force of combat health support is from the rear, it isonly appropriate that we now examine the third through the fifth

echelons of combat health support within a theater of operations, the

corps/COMMZ and CONUS.

SECTION III. PRESENTATION

Enabling Learning Objectives (ELOs):

1. Identify the corps/COMMZ and CONUS units with their correspondingdescription, mission and area of operations IAW cited references.

2. Identify the MF2K hospitals with their corresponding description,

mission and area of operations IAW cited references.

3. Identify the location of corps/COMMZ and CONUS units IAW cited

references.

SEQUENCE OF ACTIVITIES:

Introduction: This lesson further develops previous instruction

presented on combat health support in echelons I and II, by examining

in greater detail the combat health support provided by the corps/COMMZ

and CONUS level of medical support.

INSTRUCTOR NOTE: Show and review VGT #1 (echelons of combat health support) 5 minutes.

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LEGEND:

ASMC AREA SUPPORT MEDICAL COMPANY EMT EMERGENCY MEDICAL TREATMENT

ATM ADVANCED TRAUMA MANAGEMENT FSMC FORWARD SUPPORT MEDICAL COMPANY

BN BATTALION FST FORWARD SURGICAL TEAM

BSA BRIGADE SUPPORT AREA MASH MOBILE ARMY SURGICAL HOSPITAL

CBT COMBAT MED MEDICALCLE STA CLEARING STATION MSMC MAIN SUPPORT MEDICAL COMPANY

COMMZ COMMUNICATIONS ZONE REGT REGIMENT

CSM COMBAT SUPPORT HOSPITAL SPT BN SUPPORT BATTALION

DSA DIVISION SUPPORT AREA SQDN SQUADRON

EAC ECHELONS ABOVE CORPS TRMT TREATMENT

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INSTRUCTOR NOTE: Show VGT #2 (topic outline) 3 minutes per topic.

MEDICAL COMMAND

QUESTION: What is the description, mission and area ofoperations of the medical command (MEDCOM)?

INSTRUCTOR NOTE: Allow students to respond, ensure the points

below are covered.

DESCRIPTION -The MEDCOM is the senior medical command and

control unit for Echelons Above Corps (EAC) medical units. It is

a theater level headquarters commanded by a Major General,

Medical Corps(MC).

MISSION -Provides command and control, administrative

assistance, technical supervision and consultative services for

assigned and attached medical units in the theater of operations.

AREA OF OPERATION -The Medical Command is located in the

rear of the COMMZ, normally in proximity to the Theater Army

Headquarters.

MEDICAL BRIGADE (CZ)MEDICAL BRIGADE (COMMZ)

QUESTION: What is the description, mission and area ofoperations of the Medical Brigade (MED BDE)?

INSTRUCTOR NOTE: Allow for student response, ensure the

following points are covered:

DESCRIPTION - There are two types of Medical Brigades. The

Medical Brigade (CZ) and the Medical Brigade (COMMZ). The MED BDE (CZ)

is the primary command and control unit for the corps. The MED BDE

(COMMZ) is a subordinate command and control unit for Echelons Above

Corps (EAC) medical units. Both MED BDEs are commanded by a general

officer (MC).

MISSION -To provide command and control, administrative

and technical supervision of all assigned and attached medical

units.

AREA OF OPERATIONS -The MED BDE (CZ) is normally locatedadjacent or in close proximity to the Corps Support Command(COSCOM) Headquarters in the Corps. The MED DDE (COMMZ) ispositioned in the COMMZ in a location that will allow it toprovide command and control of its subordinate units. Both MEDBDEs may collocate with one of their subordinate units forsupport.

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QUESTION: What is the description, mission and area of operation of

the medical group?

INSTRUCTOR NOTE: Allow for student response. Ensure the points

below are covered.

DESCRIPTION -The Medical Group is the subordinate medical

command and control (C2) unit in the Corps. The unit is commanded by a

Colonel, Medical Service Corps (MSC).

MISSION -To provide command, control, and administrative

assistance to assigned and attached medical units.

AREA OF OPERATIONS -The Medical Group operates in the Corps

area and locates itself in a position to allow effective C2 of its

subordinate units.

AREA SUPPORT MEDICAL BATTALION

QUESTION: What is the description, mission and area of operation for

the Area Support Medical Battalion (ASMB)?

INSTRUCTOR NOTE: Ensure the points below are covered.

DESCRIPTION -The ASMB provides first and second echelon health

care for those non-divisional units without organic medical support.

The ASMB is organized into a Battalion Headquarters, Support Company,

and three Area Support Medical Companies.

MISSION -To provide first and second echelon combat health

support in its area of operations.

AREA OF OPERATIONS -The ASMB operates throughout the Corps and

COMMZ.EVACUATION BATTALION


the Evacuation Battalion?


below are covered.

DESCRIPTION -The Evacuation Battalion is staffed and equipped

to serve as the central manager for both air and ground evacuation

assets within its area of operations.

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The battalion headquarters provides C2 for all assigned and attached

ambulance companies. The battalion is a mix of Medical Companies Air


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Ambulance and Medical Companies Ground Ambulance along with a

headquarters detachment.

MISSION -To provide air and ground evacuation to all classes

of patients within the theater of operations and to provide command and

control for air and ground medical evacuation units within the theater

of operations.

AREA OF OPERATIONS -Elements of the battalion operatethroughout the theater.

INSTRUCTOR NOTE: Show VGT #3 (hospital system) 3 minuts each.

MOBILE ARMY SURGICAL HOSPITAL


the Mobile Army Surgical Hospital (MASH)?


below are covered.

DESCRIPTION -The MASH is a 30 bed facility that can

function independently, providing resuscitative surgery, AdvancedTrauma Life Support (ATLS) stabilization, preoperative and

postoperative nursing care. The supportability of the MASH is enhanced

by its capability to divide and operate as two separate surgical units;

A hospital unit surgical forward (HUSF) and a hospital unit surgical

main (HUSM).

MISSION -Provide hospitalization for those non-

transportable patients who require far forward surgical and/or medical

treatment to stabilize them for further evacuation.

AREA OF OPERATIONS -The MASH is deployed as far forward as

tactically feasible. It can operate within the Divisions AO and can

collocate with the Main Support Medical Company. The HUSF can be

deployed as far forward as the Forward Support Medical Companies

in the BSA.COMBAT SUPPORT HOSPITAL

QUESTION: What is the description, mission, and area ofoperation of the Combat Support Hospital (CSH)?

INSTRUCTOR NOTE: Allow students to respond. Ensure the points

below are covered.

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DESCRIPTION -A 296-bed CZ hospital that is equippedand staffed to provide treatment and stabilization for allclasses of patients within the Corps. The CSH consists of aHospital Unit Base (HUB) and a Hospital Unit Surgical (HUS). The


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unit is currently equipped with the Deployable Medical System(DEPMEDS).

MISSION -Provides hospitalization for all categoriesof patients within the combat zone.

AREA OF OPERATIONS The OSH is deployed in theCorps area normally from the Corps center to the Corps rear.

FIELD HOSPITAL

QUESTION: What is the description, mission and area of operationof the Field Hospital (ELD)?

INSTRUCTOR NOTE: Allow students to respond. Ensure the pointsbelow are covered.

DESCRIPTION -A 504-bed facility designed and staffedfor the treatment of return-to-duty (RTD) patients. The unitconsists of a HUB and a hospital unit holding (HUH) It is DEPMEDSequipped.

MISSION -Provides hospitalization for generalclasses of RTD patients and to provide reconditioning,rehabilitation, and convalescent care services for patients whocan be returned to duty within the theater evacuation policy.

AREA OF OPERATIONS -The FLD normally operates in theforward area of the COMMZ.

GENERAL HOSPITAL

QUESTION: What is the description, mission, and the area ofoperation of the General Hospital (GEN)?

INSTRUCTOR NOTE: Allow for student response. Ensure points beloware covered.

DESCRIPTION -A 476-bed, DEPMEDS facility equippedand staffed for the treatment and stabilization of all categoriesof non-return-to-duty (NRTD) patients. The unit is composed of aHUB, HUS and a Hospital Unit Medical (HUM).

MISSION -Provides hospitalization for generalclasses of patients and to serve as the primary conduit for theevacuation of patients to CONUS or out of the theater.

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AREA OF OPERATION -Normally located in the COMMZ

rear and often will locate in existing fixed facilities.


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QUESTION: What other units can be found in the Corps/COMMZ?

INSTRUCTOR NOTE: Allow for student response, then show VGT #4

(see answer below) 30 seconds.

o DENTAL BATTALION

o AREA MEDICAL LABORATORY (AML)

o MEDICAL LOGISTICS BATTALION (REAR AND FWD)

o COMBAT STRESS CONTROL

o MEDICAL COMPANY (HOLDING)

o VETERINARY AND PREV MED DETACHMENTS

o MEDICAL/SURGICAL TEAMS

QUESTION: What echelon of care is provided in the Continental

United States (CONUS)?

INSTRUCTOR NOTE: Allow for student response. Ensure the

following point is covered. 30 seconds.

Hospitalization at level V is provided by military

facilities and Department of Veterans Affairs hospitals, possibly

overflowing into civilian hospitals using the National Disaster

Medical System. This includes U.S. Army MEDDACS and MEDCENS.

INSTRUCTOR NOTE: Show VGT #5 and #6. Review thoroughly the

Medical Force 2000 graphic which represents the types of units.Ensure the symbols, as well as the locations are understood. See

the last 2 pages of this LP for graphic and legend. SR #1 has

graphic and legend also.

SUMMARY: During the last several hours we have examined combat

health support, from far forward to the CONUS rear. We have

studied the missions, medical resources, and concepts of health

care.

Obviously, we cannot become experts on combat health

support in a few hours, but hopefully we now have a better and

broader perspective of how the AMEDD works.

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MEDICAL FORCE 2000

NOTE: THIS GRAPHIC REPRESENTS THE TYPES OF UNITS BUT DOES NOT REPRESENT ACTUAL BASIS OF ALLOCATION

LEGEND:

ASP -AEROMEDICAL STAGING FACILITY UNITED STATES AIR FORCE

ASMB -AREA SUPPORT MEDICAL BATTALION

AXP -AMBULANCE EXCHANGE POINT

BAS -BATTALION AID STATION

BDE TOC -BRIGADE TACTICAL OPERATIONS CENTER

BSA -BRIGADE SUPPORT AREA

CLR STA -CLEARING STATION

COLL PT -COLLECTION POINT

COMBAT TRAINS -THE PORTION OF UNIT TRAINS THAT PROVIDES COMBAT SERVICES SUPPORT

CSH -COMBAT SUPPORT HOSPITAL

DISCOM -DIVISION SUPPORT COMMAND

DMOC DIVISION MEDICAL OPERATIONS CENTER

DSA-

DIVISION SUPPORT AREAEVAC -EVACUATION

FIELD TRAINS -THE COMBAT SERVICE SUPPORT PORTION OF A UNIT AT COMPANY AND BATTALION THAT IS NOT

REQUIRED TO RESPOND IMMEDIATELYFLD HSOP -FIELD HOSPITAL

PLOT -FORWARD LINE OF OWN TROOPS

FSB -FORWARD SUPPORT BATTALION

FSMC -FORWARD SUPPORT MEDICAL COMPANY

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GE -GENERAL HOSPITAL

FWD -FORWARD

HUSF -HOSPITAL UNIT SURGICAL FORWARD (MASH ELEMENT)

MASF -MOBILE AEROMEDICAL STAGING FACILITY

MASH -MOBILE ARMY SURGICAL HOSPITAL

MEDCOM -MEDICAL COMMAND

MED GP -MEDICAL GROUP

MEDLOG -MEDICAL LOGISTICS BATTALION

MSB -MAIN SUPPORT BATTALION

MSMC -MAIN SUPPORT MEDICAL COMPANY

MSR-MAIN SUPPLY ROUTE

PVNTMED - PREVENTIVE MEDICINEREAR -REAR

S4 -SUPPLY OFFICER US ARMY

TAML -THEATER ARMY MEDICAL LABORATORY

TMMMC - THEATER MEDICAL MATERIEL MANAGEMENT CENTER

TOC -TACTICAL OPERATIONS CENTER

D -DENTAL

V -VETERINARY

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Sect 3-Pnc Chs Ech III-V