Fleet Medicine Pocket Reference 2001
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Fleet Medicine Pocket Reference 2001 Surface Warfare Medicine Institute This booklet is designed to be useful to senior medical officers filling billets for CATF Surgeons and Officers-in-Charge of Fleet Surgical Teams. The information herein is derived from primary sources that are usually identified within the text. Non-referenced information is included in order to tap the experience of previous CATF Surgeons. Please send all correspondence concerning the content and style of this booklet to CDR Ralph Pene, MC, USN, at the address below. All feedback is useful, and updates are scheduled for release annually. This 2001 edition was updated by CDR Doug Kempf, MC, USNR. Surface Warfare Medicine Institute Building 500, Room 114 50 Rosecrans Street Naval Submarine Base San Diego CA 92106-4408 (619) 553-0097 email: [email protected] TABLE OF CONTENTS Acronyms and Abbreviations ................................................... 5 Bibliography............................................................................ 11 Blood Program ...................................................................... 14 BUMED-14 Message ............................................................. 23 Casualty Receiving and Treatment Ships .............................. 24 CATF Surgeon Tasks............................................................. 30 CLF Surgeon Tasks ............................................................... 32 Communications .................................................................... 33 Crisis Management ................................................................ 36 Echelons of Care.................................................................... 37 Fleet Surgical Teams ............................................................. 40 Glossary ................................................................................. 45 Liberty & Working Port Visits.................................................. 61 Mass Casualties..................................................................... 63 MEDEVAC ............................................................................. 64 Medical Intelligence................................................................ 65 Message Writing .................................................................... 72 MMART .................................................................................. 74 M+1 CRTS Wartime Manning ................................................ 77 Post-deployment Critiques ..................................................... 79 Pre-deployment Checklist (BUMED)...................................... 83 Pre-deployment Checklist (PHIBGRU 3)................................ 85 Preventive Medicine............................................................... 89 Quality Assurance/Credentials............................................... 94 Ship’s Compartment Numbering ............................................ 97 Shipboard Protocols............................................................... 98 Shipboard Resources Guide ................................................ 100 Shipboard Terminology ........................................................ 102 Triage ................................................................................... 103 Victims & Perpetrators & Alcohol Misuse............................. 113 WWW & Telephone List ....................................................... 114 ACKNOWLEDGEMENTS The following individuals were instrumental in the development of this reference. Their assistance has been invaluable and deeply appreciated. CAPT John Fahey, MC, USN CAPT Konrad Hayashi, MC, USN CAPT Steve Nichols, MC, USN CAPT T.G. Patel, MC, USN, Ret. CAPT Terrence Riley, MC, USN CAPT Adam Robinson, MC, USN CAPT David Snyder, MC, USN CAPT Michael Valdez, MC, USN CAPT Jeffrey M. Young, MC, USNR CDR Sue Herrold, NC, USN CDR Doug McMullen, MC, USN CDR Ken Schor, MC, USN CDR Dave Taft, MC, USN LCDR Dennis Moses, MSC, USN, Ret. LCDR Eric Rasmussen, MC, USN∗ LCDR Sally Veasey, MSC, USN LT Youssef H. Aboul-Enein, MSC, USNR LT William Hatley, MSC, USN LT Bruce Thompson, MSC, USN ENS Claude Long, MSC, USNR ∗ The originator of the Fleet Medicine Pocket Reference and editor for four years. ACRONYMS and ABBREVIATIONS (NWP3, NWP4-02, JCS Pub 1, edited superset) Composite Warfare Commanders AO ............... area of operation; or Air (Amphibious Ready Groups use an Officer “L” designation instead AOR............. area of responsibility of the leading “A”) AP................ armor-piercing AA ............... Officer in Tactical ARG............. Amphibious Readiness Command Group AB ............... Composite Warfare ASBBC ........ Armed Services Blood Commander Bank Center AQ............... Command and Control ASBP........... Armed Services Blood Warfare Commander Program AW .............. Anti-Air Warfare ASD (HA)..... Assistant Secretary of Commander Defense (Health Affairs) AS ............... Anti-Surface Warfare ASF ............. aeromedical staging Commander facility AX ............... Anti-Submarine Warfare ASMRO ....... Armed Services Medical Commander Regulating Office AP ............... Strike Warfare ASWBPL ..... Armed Services Whole Commander Blood Processing AR ............... Air Resource Laboratory Commander ATF.............. Amphibious Task Force ATLS ........... advanced trauma life support Alphabetical Listing ATO............. air tasking order A B AAA............. arrival and assembly BAS ............. battalion aid station area BB................ blood bank AAAV........... advanced amphibious BDA............. battle damage assault vehicle assessment AABB........... American Association of BES ............. beach evacuation Blood Banks station ABFC........... advance base functional BDC............. blood donor center components BLDRPT ...... blood report ACE............. Air Combat Element Blood Program acronyms: see ACLS........... advanced cardiac life Blood Program chapter support BLS.............. basic life support ACU............. Assault Craft Unit BPD............. blood product depot ADAL........... Authorized Dental BSU............. Blood Supply Unit Allowance List BTC ............. blood transshipment AECC .......... aeromedical evacuation center coordination center AELT ........... aeromedical evacuation C liaison team C2................ command and control AFMIC......... Armed Forces Medical C2W ............ command and control Intelligence Center warfare AJBPO ........ area joint blood program C4I............... command, control, office communication, ALCC........... airlift control center computer & intelligence AMMAL ....... Authorized Minimum CAS............. close air support Medical Allowance List CAT ............. Crisis Action Team CATF........... Commander, CSSE........... combat service support Amphibious Task Force element CBR............. chemical, biological, and CTF ............. Commander, Task radiological Force CBTZ........... combat zone CCO ............ Combat Cargo Officer D CE ............... combat element DAS............. deep air support CECO.......... Combat Evacuation DASC .......... Direct Air Support Control Officer Center CI................. counter-intelligence DET ............. detachment CIA .............. Central Intelligence DEW............ directed energy weapon Agency (usually laser) CIC.............. Combat Information DFAS........... Defense Finance & Center Accounting Service CIFS............ close-in fire support DIA .............. Defense Intelligence CINC ........... Commander in Chief Agency CLF ............. Commander, Landing DNBI............ disease and nonbattle Force injury CLZ ............. LCAC landing zone DOD ............ Department of Defense CLZA........... LCAC landing zone DOS............. day of supply support area DOS............. Department of State CME ............ continuing medical (State Department) education DOWW ........ disease occurrence CNO ............ Chief of Naval worldwide Operations DRAW ......... demonstration, raid, COC ............ combat operations assault, withdrawal center (amphib ops) COMMZ....... communications zone DTF ............. Dental Treatment CONREP..... connected Facility replenishment DTG............. date-time group COMSEC .... communications security (messages) CONUS ....... continental United DZ................ drop zone States CP ............... command post E CPG ............ Commander, EAF ............. expeditionary airfield Amphibious Group EEI............... essential elements of (ONE, TWO, or THREE) information CPR............. cardiopulmonary ELINT .......... electronic intelligence resuscitation EMB............. embarkation CRRC.......... combat rubber raiding EMCON ....... emission control craft EMT............. emergency medical CRTF........... casualty receiving and technician treatment facility EPW ............ enemy prisoner of war CRTS .......... casualty receiving and EW .............. electronic warfare treatment ship CSAR .......... combat search and rescue CSO ............ Chief Staff Officer (of amphibious squadron – PHIBRON) CSS............. combat service support CSSD .......... Combat Service Support Detachment F HLSC........... Helicopter Logistics FAC............. forward air controller Support Center FCC............. Federal Coordinating HNS............. host-nation support Center HSS............. helicopter service FCSSA ........ force combat service support support area HST ............. Helicopter Support FDC............. fire-direction center Team FEBA..........