6/14/2017
Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
Principles By, with and through (mindset)
Non US-Centric solutions PAC (US E)
Reality based risk and outcomes
Finesse (judo, not karate)
Low tech/Urban considerations
History as guide/Long game
Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
“Unconventional Warfare consists of activities conducted to enable a resistance movement or insurgency to coerce, disrupt or overthrow an occupying power or government by operating through or with an underground, auxiliary or guerrilla force in a denied area.”
“Unconventional Warfare is warfare that is conducted within enemy lines through guerrilla tactics or subversion, usually supported at least in part by external forces.”
“Unconventional Warfare an attempt to achieve military victory through acquiescence, capitulation or clandestine support for one side of an existing conflict.”
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Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
Unconventional Warfare Medicine is the application of medical capabilities, supported by both the advisor and indigenous elements of a guerrilla/insurgent force where, in the context of Unconventional Warfare, the medicine practiced must be of a high enough quality of care to serve both indigenous and advisor forces, even in the absence of a dedicated medical asset, in order to preserve the strength of the fighting force, improve morale, serve the local population, and provide opportunity to grow the branches of the UW network.
Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
Unconventional Warfare Medicine is the application of medical capabilities, supported by both the advisor and indigenous elements of a guerrilla/insurgent force where, in the context of Unconventional Warfare, the medicine practiced must be of a high enough quality of care to serve both indigenous and advisor forces, even in the absence of a dedicated medical asset, in order to preserve the strength of the fighting force, improve moral, serve the local population, and provide opportunity to grow the branches of the UW network.
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Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
Old Manual – The reason for an update
“The resistance initially confines clandestine medical treatment facility to emergent and expedient care, with little preventive medicine.”
“A guerrilla hospital rarely outwardly resembles a conventional hospital.”
“The infrastructure of a resistance movement or insurgency includes the area complex and the guerrilla bases.”
-TC 18-01 Special Forces Unconventional Warfare (2010)
Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
OSW NSMED GOALS for the doctrine
• Utilize current medical doctrine to provide continuity and familiarity to all levels of command •SOF Truth – SOF forces often require the support of non-SOF elements
• Adapt this doctrine to fit the UW environment
• Provide a how-to or comprehensive list to medics practicing UW medicine
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Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
Example: Force Health Protection Specialist, USASOC: Planning Template
Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
OSW NSMED GOALS for the doctrine
• Allow for as much variability, fluidity, and latitude for the on-ground medic to avoid the constraints of rigid doctrine
• Arm the SOF medical planner with a robust resource bank
• Adapt conventional definitions for the continuum of care with UW considerations in mind
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Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
Phases of UW
10 + 1 UW Med. Capabilities
Underground, Auxiliary, Guerrilla
Buy/Rent/Build Recruit/Hire/Import
Continuum of Care, Role I, II, III
Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
APPROACH to the doctrine
• Align the historically recognized phases of UW with the development of the guerrilla/insurgent health care system
• Provide a natural progression through each phase
• Adapt the 10 + 1 critical categories of effective SOF medical support (AMEDD) to the UW environment
• Weave these 10 + 1 medical categories into the phases of UW (where applicable)
• Buy / Rent / Build for infrastructure. Recruit / Hire / Import for personnel
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Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
The 10 + 1 AMEDD Medical Categories to support ARSOF forces:
1. Medical Evacuation 2. Medical Treatment (Organic and Area Support) 3. Hospitalization - PFC 4. Medical Logistics 5. Preventive Medicine 6. Veterinary Services 7. Dental Services 8. Combat and Operational Stress Control 9. Medical Laboratory Services 10. Medical Mission Command +1. Training of Indigenous Medical Personnel (UW Phases of Unconventional Warfare of Phases Unconventional specific)
Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
OSW NSMED Solution to Current UW Medicine Employment – The Players
• Provide 2 courses in order to field a medical capability without the existence of a SOF medical provider
RSM – an advanced medical provider that centrally supports operational teams
SOFACC – course for non-medical personnel operating forward, with indigenous forces
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Unconventional Warfare Medicine
Office of Special Warfare, Non-Standard Medical Section
“The conventional army loses if it does not win. The guerrilla wins if he does not lose.” -Henry Kissinger
“Austere Medicine is the practice of medicine in a resource-constrained environment- In the wilderness, in developing countries and after a disaster.” -Johns Hopkins School of Medicine
“Guerrilla war is a kind of war waged by the few but dependent on the support of many.” -B. H. Liddell Hart
“There is another type of warfare—new in its intensity, ancient in its origin—war by guerrillas, subversives, insurgents, assassins; war by ambush instead of by combat, by infiltration instead of aggression, seeking victory by eroding and exhausting the enemy instead of engaging him. It preys on unrest.” -President John F. Kennedy
Unconventional Warfare Medicine Working Group
19 May 2017
Who should be on this working group Gaps •By name (with title) •Medical logistics •By title (Person will be identified) •Role III workup •Applicable resources/references Is the layout appropriate •Other applicable references •Introduction with pearls •RSE/Jed/ASO III input •How to guide by phase, by AMEDD •True SME pool of reviewers recommendations •Adapted Echelons of care by Role Resources/references •Paragraph vs. bullets •Suggestions/keep your eye out •Guerilla, auxiliary and underground •Permissive/semi-permissive/denied Historical examples and their application •High/medium/low tech solutions •Buy/rent/build Specific roles of board members •Hub for drafts that come in: Justin Rapp •Final proof before mass editing: Greg Risk •Planner???
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Questions ?
8