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Fm 8-10-14 Employment of the Combat Support Hospital Tactics, Techniques, and Procedures

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Fm 8-10-14 Employment of the Combat Support Hospital Tactics, Techniques, and Procedures FM 8-10-14 FIELD MANUAL HEADQUARTERS No. 8-10-14 DEPARTMENT OF THE ARMY Washington, DC, 29 December 1994 FM 8-10-14 EMPLOYMENT OF THE COMBAT SUPPORT HOSPITAL TACTICS, TECHNIQUES, AND PROCEDURES Table of Contents PREFACE CHAPTER 1 - HOSPITALIZATION SYSTEM IN A THEATER OF OPERATIONS 1-1. Combat Health Support in a Theater of Operations 1-2. Echelons of Combat Health Support 1-3. Theater Hospital System CHAPTER 2 - THE COMBAT SUPPORT HOSPITAL 2-1. Mission and Allocation 2-2. Assignment and Capabilities 2-3. Hospital Support Requirements 2-4. Hospital Organization and Functions 2-5. The Hospital Unit, Base 2-6. The Hospital Unit, Surgical CHAPTER 3 - COMMAND, CONTROL, AND COMMUNICATIONS OF THE COMBAT SUPPORT HOSPITAL DODDOA-004215 ACLU-RDI 320 p.1 3-1. Command and Control 3-2. Communications CHAPTER 4 - DEPLOYMENT AND EMPLOYMENT OF THE COMBAT SUPPORT HOSPITAL 4-1. Threat 4-2. Planning Combat Health Support Operations 4-3. Mobilization 4-4. Deployment 4-5. Employment 4-6. Hospital Displacement 4-7. Emergency Displacement 4-8. Nuclear, Biological, and Chemical Operations APPENDIX A - TACTICAL STANDING OPERATING PROCEDURE FOR HOSPITAL OPERATIONS A-1. Tactical Standing Operating Procedure A-2. Purpose of the Tactical Standing Operating Procedure A-3. Format for the Tactical Standing Operating Procedure A-4. Sample Tactical Standing Operating Procedure (Sections) A-5. Sample Tactical Standing Operating Procedure (Annexes) APPENDIX B - HOSPITAL PLANNING FACTORS B-1. General B-2. Personnel and Equipment Deployable Planning Factors B-3. Hospital Operational Space Requirements B-4. Logistics Planning Factors (Class 1, II, III, IV, VI, VIII) APPENDIX C - FIELD WASTE Section I - Overview DODDOA-004216 ACLU-RDI 320 p.2 • C-1. General C-2. Responsibility for Disposal of Waste C-3. Categories of Waste Section II - General and Hazardous Waste C-4. General C-5. Sources of General and Hazardous Waste C-6. Disposal of General and Hazardous Waste Section III - Medical Waste C-7. General C-8. Responsibility for Disposal of Medical Waste C-9. Types of Medical Waste C-10. Source of Medical Waste C-11. Handling and Transporting Medical Waste C-12. Disposal of Medical Waste Section IV - Human Waste C-13. General C-14. Responsibility for Disposal of Human Waste C-15. Patient Facilities Section V - Wastewater C-16. General C-17. Requirement for Disposal C-18. Responsibility for Disposal C-19. Wastewater Sources and Collection C-20. Disposal of Wastewater APPENDIX D - SAFETY DODDOA-004217 ACLU-RDI 320 p.3 Section I - Introduction D-1. Safety Policy and Program D-2. Responsibility for Accident Prevention D-3. Principles of Accident Prevention D-4. Safety Plan D-5. Accident Investigation and Reporting Section II - Deployed Medical Unit Safety Considerations D-6. X-ray Protective Measures and Standards D-7. Hearing Conservation D-8. Compressed Gas Cylinders D-9. Flammable, Explosive, or Corrosive Materials D-10. Special Equipment D-11. Department of Defense Federal Hazard Communication Training Program D-12. United States Army Environmental Hygiene Agency D-13. Infection Control APPENDIX E - COMMUNICATIONS, AUTOMATION, AND POSITION/NAVIGATION SYSTEMS E-1. Operational Facility Rules and Equipment E-2. Communications Equipment APPENDIX F - COMMANDER'S CHECKLIST Section I - Personnel Checklist-Mobilization F-1. Personnel and Administration F-2. Finance F-3. Medical F-4. Discipline, Law, and Order DODDOA-004218 ACLU-RDI 320 p.4 F-5. Religion F-6. Legal F-7. Public Affairs Section II - Operations Checklist-Mobilization F-8. Operations F-9. Security and Intelligence F-10. Training Section III - Logistics Checklist-Mobilization F-11. Subsistence F-12. Supplies and Equipment F-13. Petroleum, Oils, and Lubricants F-14. Ammunition F-15. Major End Items F-16. Medical Supplies and Equipment F-17. Prescribed Load List F-18. Maintenance F-19. Laundry F-20. Transportation F-21. Miscellaneous Logistics F-22. Engineer F-23. Contracting Section IV - Personnel Checklist-Deployment F-24. Personnel and Administration F-25. Medical F-26. Discipline, Law, and Order ACLU-RDI 320 p.5 DODDOA-004219 F-27. Religion F-28. Legal F-29. Public Affairs Section V - Operations Checklist-Deployment F-30. Operations F-31. Security and Intelligence Section VI - Logistics Checklist-Deployment F-32. Subsistence F-33. Supplies F-34. Ammunition F-35. Major End Items F-36. Medical Items F-37. Repair Parts F-38. Maintenance F-39. Transportation F-40. Miscellaneous Logistics F-41. Engineer APPENDIX G - THE GENEVA CONVENTIONS G-1. Law of Land Warfare G-2. Medical Implications of Geneva Conventions G-3. Compliance with the Geneva Conventions APPENDIX H - COMBAT SUPPORT HOSPITAL LAYOUT APPENDIX I - SAMPLE OPERATIONS ORDER WITH ANNEXES GLOSSARY REFERENCES DODDOA-004220 ACLU-RDI 320 p.6 AUTHORIZATION LETTER DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited. DODDOA-004221 ACLU-RDI 320 p.7 PREFACE Throughout history. much has been written on the confrontations and wars between nations. From the beginning, a ins* concern eche commander nus been the health and &nese °this forms. Following all confrontations, an improvement in tactics and techniques has boon sought to enhance the force's ability to win the decisive battle. Over the years, advancements in technoloo , have given our commanders weapons with the lethality to destroy or generate casualtie* once thought to he impossible. Those advancements in technology and battlefield scrateen• have caused support elements to strive to improve the effectiveness of their services- The Army Medical Department fAMEDD) has maintained the pace. in the development and employment of battlefield medical techniques to provide responsive. quality combat health support (CMS) for the military forces. The purpose of this publication is to describe the (Unctions and employment of one of the CRS assets, the combat support hospital (CSI[!. Thin publication is designed for the hospital commander, his staff, and assigned personnel. It embodies doctrine based on Medical Forte 2000 and the L-edition Table of Organization and Equipment. (TOR'.. 08-70514000. The structural layout of the hospital is flexible and situationally determined (for example, mission requirements, commander's guidance, and terrain featureto. It require. intensive prior planning and training of all personnel to establish the facility. The staffing and organizational structure presented in this publication reflects those established in the L.-edition TOE 08.7051.000, effective as ul this publication date. tiovrecer, s uch staffing is subject to change to comply with Manpower Requirements Criteria outlined in Army Regulation (AR) 570-2 and can be subsequently modified by your modification TOE (MT01?). This publication is in concert with Field Manual (FM; 8 - 10, FM R - 56, and Training Circular ITC) 8- 13. Other FM 8-Series publications will be referenced in this publication. Users should be familiar with FM f00-5 and FM 100-10. Echelon is a North Atlantic Treaty Organization (NATO) term used to describe levels of medical co-re. Fur the PurT)Oliget of thin Publication. the terms lever and -echelon' are interchangeable. The proponent of this publication is the United States AI& Army Medical Department Center and School. Send comments and recommendations on Department of the Army `DA) Form 2028 directly to the Commander, 1LS. Army Medical Department Center and School, ATT N: HSMC-FCD-L, Fort Sam Houston, Texas 75234 -6175. this publication implements the following KATO International Standardizatiue Agreements (STANACW STANAG 171'LE 204iS Mod Lmargenty War Surgery (Edition 4i (Amendment Si 2921 Orders for the Camouflage of the Rod Cross and Red Crescent an Land in Tactical Operations Unless this publication states otherwise. masculine nouns and pronouns do not refer exclusively to men. Use of trade or brand names in this publication is for illustrative purposes only and does not imply endorsement by the Department of Defense (DOD!. DODDOA-004222 ACLU-RDI 320 p.8 I This chapter implements STANAG 2068 Med. CHAPTER 1 HOSPITALIZATION SYSTEM IN A THEATER OF OPERATIONS 1-1. Combat Health Support in a Theater of Operations a. A theater of operations (TO) is that portion of an area of war necessary for military operations and for the administration of such operations. The scenario depicts the size of the TO and the US Forces to be deployed. The theater is normally divided into a combat zone (CZ) and a communications zone (COMMZ). In some instances, the COMMZ may be outside the TO and located in offshore support facilities, Third Country support bases, or in the continental United States (CONUS). The CZ begins at the Army/corps rear boundary and extends forward to the extent of the commander's area of influence. The COMMZ begins at the corps rear boundary and extends rearward to include the area(s) needed to provide support to the forces in the CZ. b. The mission of the AMEDD is to conserve the fighting strength. This mission of CHS is a continuous and an integrated function throughout the TO. It extends from the CZ back through the COMMZ and ends in CONUS. Combat health support maximizes the system's ability to maintain presence with the supported soldier, return injured, sick, and wounded soldiers to duty, and to clear the battlefield of soldiers who cannot return to duty (RTD). Patients are examined, treated, and identified as RTD or nonreturn to duty (NRTD) as far forward as is medically possible. Early identification is performed by the treating primary care provider and continues in the evacuation chain with constant reassessment. Patients requiring evacuation out of the division who are expected to RTD within the theater evacuation policy are evacuated to a corps and/or COMMZ hospital. Those patients classified as NRTD follow the evacuation chain for trauma care and stabilization for evacuation out of the theater. 1-2. Echelons of Combat Health Support The CHS system within a TO is organized into four echelons of support which extend rearward throughout the theater (see Figure 1-1).
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