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FM 4-02.1 Combat Health Logistics

By USAMEDDC&S
204 pages 2007

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This book is included in the Medical Specialties, Veterinary Medicine & Emergency Situations section.

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PREFACE
Combat health logistics (CHL), to include blood management, is one of the major Army Medical Department (AMEDD) functional areas. Under the Medical Force 2000 (MF2K) concept, CHL in a theater of operations (TO) is provided by the medical battalion, logistics (forward), the medical battalion, logistics (rear), the theater medical materiel management center, and the medical detachment (logistics support). These organizations were designed based upon the North Atlantic Treaty Organization (NATO) scenario and workloads. Current MF2K CHL doctrine is articulated in Field Manual (FM) 8-10-9. Under Force XXI and the medical reengineering initiative (MRI), theater CHL will be provided by five new tables of organization and equipment (TOEs) organizations and a table of distribution and allowances (TDA) element from the United States (US) Army Medical Materiel Agency (USAMMA) (see Chapter 3). These new TOEs organizations were designed based on lessons learned from Desert Shield/ Desert Storm and recent contingency operations. The purpose of this publication is to describe the CHL in support of a Force Projection Army into the 21st Century. It embodies doctrine based on the MRI and the A-edition TOE. The organizational structures presented in this publication reflect those established in the A-edition TOE in effect on the date of this publication. For a copy of your modified TOE, contact the Authorizations Documentation Directorate, 9900 Belvoir Road, Suite 120, ATTN: MOFI-FMA, Fort Belvoir, Virginia 22060-2287. This publication is in concert with FM 8-10. Other FM 8- and FM 4-02 series publications will be referenced in the manual. Users should be familiar with FM 3-0 and FM 100-10. The use of the term echelon of care in this publication is synonymous with level of care and role of care. The term echelon of care is the old NATO term. The term role of care is the new NATO and American, British, Canadian, and Australian (ABCA) term. In this manual, the term trauma specialist is used in place of combat medic. This change is in line with the AMEDD’s transition to the 91W military occupational specialty (MOS) which will replace MOS 91B and 91C when new modified TOEs take effect. The proponent of this publication is the US Army Medical Department Center and School (AMEDDC&S). Send comments and recommendations directly to the Commander, CONTENTS PREFACE CHAPTER 1. INTRODUCTION TO COMBAT HEALTH LOGISTICS 1-1. General 1-2. Scope of Combat Health Support Operations 1-3. Medical Threat and Medical Intelligence 1-4. Force Projection Considerations 1-5. Combat Health Logistics Support 1-6. Significance of the Medical Commodity CHAPTER 2. ARMY PRE-POSITIONED CLASS VIII STOCKS 2-1. General 2-2. Army Pre-Positioned Stocks 2-3. Host-Nation Support 2-4. Agreements 2-5. Logistics Civil Augmentation Program 2-6. United States Army Medical Department Pre-Positioned Stock Roles and Responsibilities CHAPTER 3. COMBAT HEALTH LOGISTICS Section I. Combat Health Logistics Support 3-1. General 3-2. Mission 3-3. Theater Combat Health Logistics Section II. Combat Health Logistics Support Organizations 3-4. General 3-5. Medical Logistics Management Center (TOE 08699A000) 3-6. Headquarters and Headquarters Detachment, Medical Logistics Battalion (TOE 08496A000) 3-7. Logistics Support Company (TOE 08497A000) 3-8. Medical Logistics Company (TOE 08488A000) 3-9. Blood Support Detachment (TOE 08489A000) 3-10. Medical Logistics Support Team CHAPTER 4. CLASS VIII SUPPLY OPERATIONS Section I. The Force XXI Digitized Division 4-1. General 4-2. Combat Lifesaver 4-3. Trauma Specialist 4-4. Medical Platoon/Battalion Aid Stations 4-5. Division Medical Companies 4-6. Interim Brigade Combat Team 4-7. Medical Materiel Management Branch 4-8. Division Medical Supply Operations 4-9. Medical Logistics Company 4-10. Routine Requisitions of Class VIII Supplies 4-11. Emergency Requisitions Section II. The Corps 4-12. General 4-13. Corps Combat Health Support Logistics System Section III. Echelons Above Corps 4-14. General 4-15. Echelons Above Corps Combat Health Support Logistics System CHAPTER 5 MEDICAL MAINTENANCE Section I. Role of Medical Equipment Maintenance 5-1. General 5-2. Objectives of the Army Medical Department Maintenance System 5-3. Maintenance Factors Section II. Levels of Medical Equipment Maintenance and Responsibilities of Each Level 5-4. General 5-5. Unit-Level Maintenance 5-6. Direct Support Maintenance 5-7. General Support Maintenance 5-8. Depot Support Maintenance Section III. Medical Equipment Maintenance Support 5-9. General 5-10. Support to Other Services and Joint Operations CHAPTER 6. OPTICAL SUPPORT 6-1. General 6-2. Echelons I and II Optical Support 6-3. Echelon III Optical Support 6-4. Echelon IV Optical Support 6-5. Contact Lenses 6-6. Optical Equipment Sets CHAPTER 7. BLOOD SUPPORT 7-1. General 7-2. Blood Components Available in the Field 7-3. Continental United States-Based Blood Supply 7-4. Theater Blood Supply 7-5. Echelon Blood Support 7-6. Blood Reporting System CHAPTER 8. COMMUNICATIONS 8-1. General 8-2. Communications Responsibilities and Systems CHAPTER 9. MEDICAL LOGISTICS INFORMATION SYSTEMS 9-1. General 9-2. Theater Army Medical Management Information System 9-3. Medical Assemblage Management 9-4. The Medical Maintenance System 9-5. The Medical Supply System 9-6. Theater Medical Information Program 9-7. Theater Medical Information Program Operational Concept APPENDIX A. LAW OF WAR OBLIGATIONS FOR MEDICAL PERSONNEL A-1. Law of War A-2. Medical Implications of Geneva Conventions A-3. Compliance with the Geneva Conventions APPENDIX B. CLASS VIII LOGISTICS SUPPORT B-1. Class VIII Strategic Operations B-2. Customer Assistance B-3. Other Customer Assistance APPENDIX C. MATERIEL IDENTIFICATION C-1. Classes of Supply (United States) C-2. Comparative Table C-3. Federal Supply Classifications (Medical) APPENDIX D. STRATEGIC MOVEMENT DATA APPENDIX E. COMBAT HEALTH SUPPORT LOGISTICS MANAGEMENT IN JOINT OPERATIONS E-1. Logistics Functions, Support Responsibilities, and Requirements E-2. Responsibilities E-3. Single-Integrated Medial Logistics Manager E-4. Planning APPENDIX F. PATIENT MOVEMENT ITEMS F-1. General F-2. Mission F-3. Explanation of System F-4. Responsibilities F-5. Execution GLOSSARY REFERENCES INDEX End of Preview.

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