MEDOPSBOOKFEB01

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Medical Operations Handbook CPT Michael W. Smith US Army, Medical Service Corps

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FEBRUARY 2001 VERSION This handbook is a compilation of information I have acquired over the years. If some of it looks familiar, you probably saw it in a unit’s SOP, from course handouts, in a CALL newsletter, in a battle book, or maybe even in an FM. Whenever I found something that looked like it would be wise to know, I added it into the book. I have tried to keep it concise, so I know there are many other pieces of information out there that would be great to add. The beauty of this book is that it is made to fit into a standard Army Aviation Checklist book so you can add or delete as you see fit. This handbook is not intended to substitute current directives, instructions, or doctrinal publications and there is no official endorsement by any Department of Defense or Department of Army personnel. I would like to thank the following individuals for their support in putting this book together: BG Robert E. Brady, US Army (Retired) COL Fred Gerber, Director of Health Care Operations, Department of the Army, Office of the Surgeon General COL Richard Agee, Health Care Operations, AMEDD Center and School LTC Jeff McCollum, AMEDD Center and School LTC Rick Nichols, Combined Arms Center, Fort Leavenworth MAJ Tom Berry, 173rd Infantry Brigade (Airborne) CPT David E. Parker, 4th Infantry Division Mr. Greg Rathbun, AMEDD Lessons Learned Remember, this book is just a collection of information I liked…it is not to be taken as gospel, only FM’s have that distinction. Hope you find it helpful. CPT Michael W. Smith 70H Forward Feedback To: GIMedic@aol.com

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INDEX MEDICAL OPERATIONS 6 Joint Echelons of Care 7-8 Echelons of Care/Health Care Principles 9 Army Hospitalization 10 Medical Battlefield Operating Systems 11 Medical Brigade 12 Combat Support Hospital 13 Field Hospital 14 Mobile Army Surgical Hospital 15 Medical Battalion (Evacuation) 16 Medical Company (Ground Ambulance) 17 Medical Company (Air Ambulance) 18 Area Support Medical Battalion 19 Medical Company (DS) 20 Medical Detachment (VS) 21 Medical Detachment (PM) 22 Medical Detachment (CSC) 23 Forward Surgical Team 24 Medical Logistics Battalion (FWD) 25 Main Support Medical Company 26 Forward Support Medical Company 27 Battalion Aid Station 28 MEDCOM SMART Teams 29 USAF Command and Control (AECC/AECE) 30 USAF Transport Teams/SPEARR 31 USAF Liaison Teams/Clinic 32 USAF Staging Facilities 33 USAF Air Transportable Hospital 34 USN Fleet Hospitals 35 USN Medical Assets(Hospital Ships/NEPMU) 36 USN Fleet Surgical Team 37 USN MMART 38 USMC Medical Battalion 39 USMC Dental Assets 40 Joint Medical Planning Checklist 41-42 CINC AORs 43 CINC Surgeon POCs 44 CASEVAC Checklist 45 CASEVAC Planning Factors 46 CASEVAC Planning 47 Evacuation Platform Capabilities 48

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MEDEVAC Request 49 Patient Movement Contacts 50 Health Service Support Estimate 51-53 Medical Planning Checklist 54 CHS Synch Matrix 55 Medical Intelligence Checklist 56 Special Operations CHS Planing 57 CHS To Non-Combatant Evacuation Operations 58 Preventive Medicine Checklist 59 Corps CHS Daily Supply Usage Matrix 60 Medical Logistics (Blood) 61 Combat Lifesaver Bag Packing List 62 Federal Response Plan 63 Office of Foreign Disaster Assistance 64 OFDA Emergency Indicators 65 Medical MOS 66-67 STAFF OPERATIONS 68 Staff Estimate Format 69 Deliberate Decision Making Process 70 Military Decision Making Process 71 Abbreviated Decision Making Process 72 COA Briefing Format 73 Analysis of COA/Wargaming Sequence 74 METT-T Checklist 75 Command Relationships/Support Relationships 76 Battle Information Management 77-78 Liaison Officer Responsibilities 79 Liaison Officer Checklist 80 Rehearsal Checklist 81 Daily Commander’s Update 82 Operations Order Format 83-84 Operations Order Annex Sequence 85 BATTLEFIELD OPERATING SYSTEMS 86 Battlefield Operating Systems 87 Fire Support Checklist 88 Call for Fire 89 Target List 90 Enemy Weapon Systems Range 91 Air Defense Warning 92 Intelligence Checklist 93 IPB Templates 94 Information Management 95 NBC Checklist/MOPP Levels 96 NBC-1 Report/Unmasking Procedures 97 Patient Decon/Treatment Site 98 RAMP/ROE Checklist/ROE 99

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ADVON/Quartering Party Operations 100 ADVON/Quartering Party Checklist 101 ADVON/Quarters Party Actions/Troop Leading Procedures 102 Tactical Operations Checklist 103-107 Combat Service Support Checklist 108 Classes of Supply/Ground Equipment Records 109 Convoy Operations 110 Command, Control, Communications Checklist 111 Civil Military Operations Center Checklist 112 Radio Troubleshooting/Develop Commo Plan 113 TOC OPERATIONS 114 TOC Functions 115 TOC Lanes 116 TOC OIC Checklist 117 TOC NCOIC Checklist 118 TOC Checklist 119-120 TOC OIC/NCOIC Duties 121 Battle Captain Ruck Packing List 122 TOC Battle Drills 123-124 GRAPHIC REFERENCE DATA 125 Pre-combat Checks/Crew Checklist 126 Two Person Fighting Position 127 Triple Strand Concertina 128 Range Card 129 Sector Sketch 130 Risk Assessment 131-132 Aircraft Information 133-136 Conversion Matrix 137 References 138

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MEDICAL OPERATIONS The object of war is not to die for your country but to make the other bastard die for his. George Patton

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Joint Echelons of Care in the Theater Combat Medical System ARMY Self/Buddy Aid Combat Lifesaver Combat Medic Bn Aid Station FSMC ASMB CSH Field Hospital General Hospital Military Hospitals FST ECHELON V ECHELON IV ECHELON III ECHELON II ECHELON I AIR FORCE Self/Buddy Aid Squadron Med Element/ Air Transportable Clinic Air Transportable Hospital Contingency Hospital Air Transportable Hospital Contingency Hospital Veterans Hospitals Civilian Hospitals (NDMS) 7

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Joint Echelons of Care in the Theater Combat Medical System NAVY Self/Buddy Aid Navy Corpsman Surface Combatant Ships Casualty Receiving Treatment Ships Aircraft Carriers Combat Zone Fleet Hospital COMMZ Fleet Hospital OCONUS MTF Military Hospitals ECHELON V ECHELON IV ECHELON III ECHELON II ECHELON I USMC Self/Buddy Aid Collecting & Clearing Company Surgical Support Company Veterans Hospitals Civilian Hospitals (NDMS) Casualty Receiving Treatment Ships Hospital Ship Navy Corpsman Bn Aid Station Wing Support Squadron Aid Station Combat Zone Fleet Hospital Hospital Ship COMMZ Fleet Hospital OCONUS MTF 8

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HEALTH CARE DOCTRINE Echelons of Health Care: Echelon I: Immediate lifesaving measures, disease and non-battle injury prevention, combat stress control preventive measures, casualty collection, evacuation from supported units to supporting medical treatment, treatment provided by designated individuals or treatment squad. Echelon II: Care is administered at an HSS organization by a team of physicians or physician assistants, supported by appropriate medical technical or nursing staff. Echelon III: Care administered requires clinical capabilities normally found in a medical treatment facility (MTF). Echelon IV: Care is not only a surgical capability as provided in Echelon III, but also further definitive therapy for patients in the recovery phase. Echelon V: Care is convalescent, restorative, and rehabilitative and is normally provided by military, Department of Veterans Affairs, or civilian hospitals in CONUS. HEALTH CARE PRINCIPLES Conformity Mobility Proximity Continuity Coordination Flexibility 9

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ARMY HOSPITALIZATION 10

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MEDICAL BATTLEFIELD OPERATING SYSTEMS Command Control and Communication Hospitalization and Surgery Preventive Medicine Veterinary Services Laboratory Blood Dental Services Health Service Logistics Combat Stress Control Patient Evacuation and Regulation Area Medical Support 11

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Medical Brigade Personnel: 64 (HHD only) Mobility: 50% BOA: One Per Corps Components: CSH/ASMB/EVAC Bn/FSTs/CSC Det/Med Co (DS)/Med Det (VS)/PM Dets MISSION: Provides command and control for assigned or attached Corps level medical units. CAPABILITIES: 1. Tasks organizes medical assets on the battlefield. 2. Plans HSS operations 3. Oversees logistical operations for the group’s units 4. Serves as radio control net for group units 5. Performs medical regulation between group units 6. Coordinates external support for group units COMPONENTS: HHD Internal Admin/Supply/Maint Support S-1 Group Personnel Actions S-2/3 Ops, Planning, NBC, MRO, Security, Intell, Training, TOC Operations S-4 Property Accountability, Group Supply Operations, Medical Resupply, Transportation Support, Maintenance Tracking, ALOC Operations S-6 Group Communications CN Nursing Education, Professional Svcs Chap Unit Ministry Team Operations 12

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Combat Support Hospital Personnel: 606 Mobility: 15% (without patients) BOA: 100% of projected beds in CZ Components: 1 Hospital Unit Base (HUB) 1 Hospital Unit Surgical (HUS) MISSION: Provide hospitalization, resuscitative surgery, and acute care to all categories of patients within the combat zone. CAPACITY: 296 Beds BREAKDOWN OF BEDS: Type of Ward # Beds Intensive Nursing Care Intermed Nursing Care Neuro-Psych Care Minimal Care SURGICAL CAPABILITIES: MODULE # O/R TABLES SURG HOURS PER DAY HUB HUS ADDITIONAL CAPABILITIES: Pharmacy, Laboratory, Blood Bank, Radiology, Nutrition Care Services, Physical Therapy, Dental Treatment to Staff and Patients, Oral Surgery Support on Area Basis TERRAIN REQUIREMENTS: 450m x 300m Near MSR, Well-drained Terrain, Helipad < 10% Grade in Terrain 8 96 7 140 1 20 1 40 4 48 4 96 13

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Field Hospital Personnel: 428 Mobility: 35% (without patients) BOA: Two per division Components: 1 Hospital Unit Base (HUB) 1 Hospital Unit Holding (HUH) MISSION: Provides hospitalization for general classes of patients for reconditioning and rehabilitating services for those patients who can return to duty within the theater evacuation policy. CAPACITY: 504 Beds BREAKDOWN OF BEDS: Type of Ward # Beds Intensive Nursing Care Intermed Nursing Care Neuro-Psych Care Minimal Care Patient Spt Sections SURGICAL CAPABILITIES: MODULE # O/R TABLES SURG HOURS PER DAY HUB ADDITIONAL CAPABILITIES: Pharmacy, Laboratory, Blood Bank, Radiology, Nutrition Care Services, Physical & Occupational Therapy, Dental Treatment to Staff and Patients, Oral Surgery Support on Area Basis TERRAIN REQUIREMENTS: 375m x 375m (20acres) Near MSR, Well-drained Terrain, Helipad < 10% Grade in Terrain 2 24 7 140 1 20 2 40 7 280 2 24 14

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Mobile Army Surgical Hospital Personnel: 131 Mobility: 100% (without patients) BOA: 2 per Corps Components: 1 Hospital Unit, Surgical Main Base (HUSM) 1 Hospital Unit, Surgical Forward (HUSF) MISSION: Provides hospitalization for patients requiring resuscitative surgical care and stabilization for further evacuation to other hospitals. evacuation policy. CAPACITY: 30 Beds BREAKDOWN OF BEDS: Type of Ward #Beds HUSM (Acute Nursing Care) 20 HUSF (Acute Nursing Care) 10 SURGICAL CAPABILITIES: MODULE # O/R TABLES SURG HOURS PER DAY HUSM 2 40 HUSF 1 20 ADDITIONAL CAPABILITIES: Pharmacy, Laboratory, Radiology, Blood, Central Material Services, Nutrition Care Services TERRAIN REQUIREMENTS: 250m x 150m Near MSR, Well-drained Terrain, Helipad < 10% Grade in Terrain 15

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Medical Battalion (Evacuation) Personnel: 47 Mobility: 80% BOA: One Bn per every 3 to 7 evac companies Components: Headquarters and Headquarters Detachment 3 x Air Ambulance Companies (15 x UH-60) 1 x Ground Ambulance Company (40 x M997) MISSION: Provides command and control of all air and ground medevac units within the TO. CAPABILITIES: 1. C2 of operations, training, and administration of all ground and air ambulance companies 2. Staff and technical supervision of aviation operation, safety, unit maintenance with the air ambulance companies 3. Coordination of medevac operations and communication functions on a 24 hour, two-shift basis 4. Medical supply support to attached units 5. Level I CHS and aviation medicine 16

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Medical Company (Ground Amb) Personnel: 117 Mobility: 85% BOA: One per division supported in CZ Components: Headquarters Platoon 4 x Ground Ambulance Platoons MISSION: Provides ground evacuation of patients within the theater of operations. CAPABILITIES: 1. Provides 40 HMMWV 4xLitter ambulances with a single lift capability of 160 litter or 320 ambulatory patients. 2. Conducts ground evacuation from divisional medical companies to combat zone hospitals. 3. Reinforces/reconstitutes/replaces forward deployed medical evacuation assets. 4. Transfers patients among hospitals, MASFs, railheads, seaports in both Corps AO and COMMZ. 5. Provides emergency transportation of medical personnel/ equipment/supplies. KEY EQUIPMENT: 40 x M998 HMMWV Ambulances (4 x Litter) 17

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Medical Company (Air Amb) Personnel: 130 Mobility: 100% (without patients) BOA: One per division supported MISSION: Provides aeromedical evacuation and support within the theater of operations. ground evacuation of patients within the theater of operations. CAPABILITIES: 1. Provides movement of patients between hospitals, ASF’s, hospital ships and casualty receiving/treatment ships, seaports, and railheads within the Corps and Communications Zone. 2. Emergency movement of medical personnel/equipment/supplies. 3. Combat search and rescue operations as directed. 4. Air crash rescue support. 5. Provides enroute medical care for patients. KEY EQUIPMENT: 15 x UH-60 Air Ambulances 18

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Medical Detachment (PM) Personnel: 11 Mobility: 100% BOA: One unit per every 22,500 troops Assigned To: Medical Group MISSION: Provide preventive medical support and consultation in the areas of disease and disease nonbattle injury prevention, field sanitation, sanitary engineering, and epidemiology. DETACHMENT CAPABILITIES: 1. Can divide detachment into three (3) forward deployable teams. 2. Provides services and consultation to minimize the effects of vector-borne diseases, enteric diseases, environmental injuries. KEY EQUIPMENT: Medical Laboratory Set Entomological Collecting Field Kit Industrial Hygiene Survey Set Water Quality and Analysis Set, Purification Water Quality Analysis Set, PM Water Testing Set, Bacteriological Backpack Sprayer (3 each) Sprayer Insecticide, Manual, 2 Gallon (3 each) Sprayer Insecticide, DC (3 each) 22

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Medical Detachment (CSC) Personnel: 24 Mobility: 100% BOA: One unit per division Assigned To: Medical Group MISSION: Provide combat stress control services, to include consultation, reconstitution, neuropsychiatric triage, stabilization, and restoration. DETACHMENT CAPABILITIES: 1. Provides command consultation and outreach briefings, to include unit command climate surveys and critical event debriefings. 2. Provides mental health support for the integration of a newly reconstituted unit or the reconstitution of combat stress casualties in their unit. 3. Provide outpatient mental health services. 4. Provide intensive treatment for combat stress casualties not requiring medical evacuation, but not responding to prevention team treatment at unit level. TEAM CONFIGURATION: Detachments deploy three (3) prevention and one (1) restoration teams forward to the supported division. 23

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Medical Logistics Battalion (FWD) Personnel: 226 Mobility: HHD: 63%/Log Spt Co: 53%/Dist Co 88%/Med Det 75% BOA: One per corps or three division sized elements. Assigned To: Medical Brigade MISSION: Provides class VIII supplies, optical fabrication, medical equipment maintenance support, and blood storage and distribution to divisional units operating in the supported corps. MED LOG BN CAPABILITIES: 1. Provides class VIII supply, optical fabrication, med equip maint to a maximum force of 160,252 soldiers. 3. Log Spt Co receives, classifies, issues 148.6 STON of Class VIII daily, stores up to 1,486 STON of Class VIII, provides DS med maint, coordinates Class VIII distribution, coordinate emergency Class VIII resupply using aeromedical and ground evacuation assets. 4. Distribution Co receives, classifies, issues 103.2 STON of Class VIII daily, can provide support forward with two organic forward support platoons, provides mobile support teams capable of delivering unit-level med maint, provides DS med maint, coordinates Class VIII resupply. 5. Med Log Spt Det augments the unit with Class VIII, optical fabrication, and med maint spt. Receives, classifies, and issues Class VIII. KEY EQUIPMENT: 7 x 4,000lb forklifts 7 x 6,000lb forklifts 4 x 10,000lb forklifts 25

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Main Support Medical Company Personnel: 114 Mobility: 100% BOA: One per division, operates in DSA Assigned To: Forward Support Battalion, DISCOM MISSION: Provide Echelon I & II HSS to units operating in the division support area (DSA) and to provide reinforcement/reconstitution of supported FSMC elements. MSMC CAPABILITIES: 1. Provide triage, initial resuscitation, and stabilization. 2. Prepares sick/injured/wounded patients for further evacuation. 3. Performs emergency/sustaining dental care and limited preventive dentistry. 4. Provides limited medical laboratory and radiology services. 5. Provides patient holding, up to 40 patients who will return to duty with 72 hours. 6. Reconstitutes/Reinforces FSMC’s. 7. Provides ground ambulance support to units within the DSA. 8. Provides mental health support (limited psychiatric care) to combat stress casualties, evaluates effects of battle fatigue, operates the division mental health program. 9. Provides preventive medicine services to division units. 10. Provides optometry support, to include routine eye examinations, emergency treatment for eye injuries, and fabricates/repairs single-vision lens devices. 11. Operates the Division Medical Supply Office (DMSO), procuring/storing/distributing medical supplies for the division and performs maintenance on biomedical equipment. 26

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Forward Support Medical Company Personnel: 64 Mobility: 100% BOA: One per FSB, operates in BSA Assigned To: Forward Support Battalion, DISCOM MISSION: Provide Echelon II HSS for organic and attached brigade elements and other units operating in the Brigade Support Area. FSMC CAPABILITIES: 1. Provide triage, initial resuscitation, and stabilization. 2. Prepares sick/injured/wounded patients for evacuation. 3. Performs emergency/sustaining dental care and limited preventive dentistry. 4. Provides limited medical laboratory and radiology services. 5. Provides patient holding, up to 40 patients who will return to duty with 72 hours. 6. Provides ground ambulance support from BAS to FSMC an to units within the BSA. 7. Reconstitutes/Reinforces Battalion Aid Stations. ORGANIZATION: Company HQ Treatment Platoon Plt HQ Treatment Squad x 2 Area Support Section (Area Treatment/Pt Holding/Area Support) Ambulance Platoon Platoon HQ Wheeled Ambulance Sqd Tracked Ambulance Sqd (Heavy/Cav Division Only) 27

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Battalion Aid Station Personnel: 40 Mobility: 100% BOA: One unit per maneuver battalion Assigned To: Battalion MISSION: Provide Echelon 1 HSS to assigned battalion and attached sliceelements. BAS CAPABILITIES: 1. Prevention of disease and illness through applied preventive medicine programs. 2. Acquisition and immediate treatment of the sick/injured/wounded. 3. Clinical stabilization of the critically injured or wounded. 4. Provision of routine medical care (sick call) and the immediate return to duty of soldiers fit to fight. ORGANIZATION: Headquarters Section Treatment Squad (A & B) Ambulance Section Combat Medic Section (Line Medics) Mechanized Infantry/Armor: 8 x M113 Armored Ambulances Light Infantry/Airborne: 8 x M997/998 HMMWV Ambulances 28

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MEDCOM SMART Teams Personnel: Mission Driven Mobility: 100% Assigned To: US Army Medical Command, Each Regional Medical Command sponsors selected teams. MISSION: Provide short duration, medical augmentation to regional domestic, Federal and Defense agencies responding to disaster, civil-military cooperative action, humanitarian and emergency incidents. SMART TM CAPABILITIES: 1. Deploys within 12 hours of receipt of Warning Order 2. Provides technical assistance in area of specialty 3. Assists in determining follow on support requirements 4. Assists in transition of operations to follow on units or local civil authorities COMPONENTS: SMART-TCC (Trauma/Critical Care) SMART-NBC (Nuclear/Chemical/Biological) SMART-SM (Stress Management) SMART-MC3T (Med Command/Control/Comms/Telemedicine) SMART-PM (Preventive Medicine/Surveillance) SMART-B (Burn) SMART-V (Veterinary) SMART-HS (Health Systems Assessment and Assistance) 29

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Aeromedical Evacuation Coordination Center MISSION: Serves as the operations center where overall planning, coordinating, and directing of AE operations are accomplished. CAPABILITIES: 1. Advises the senior airlift commander on AE issues 2. Coordinates the selection and scheduling of theater airlift aircraft allocated for AE mission 3. Monitors AE crews 4. Coordinates special medical equipment/supplies 5. Maintains statistical data/provides reports 6. Monitors resupply for subordinate AE units 7. Monitors field equipment maintenance 8. Serves as the HF radio net control station 1 x Flight Surgeon on 100% Tactical/ 80% Strategic 2 x Nurses 3 x Aeromedical Technicians USAF Command and Control Aeromedical Evacuation Control Element MISSION: Serves as the functional manager for AE operations at a specific airfield. CAPABILITIES: 1. Supervises ground handling and on/off loading of patients 2. Manages special equipment requirement tracking 3. Arranges for casualty in-flight feeding 4. Coordinates mission prep, to include aircraft configuration. 5. Maintains comms between AECC, ASF, and MTFs 30

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Aeromedical Evacuation Teams Personnel: 5 Mobility: 100% Assigned To: USAF Aeromedical Evacuation Squadron Mission: Provide in-flight supportive nursing care, 1 per 50 patients. Ensures aircraft is properly configured and loaded for aeromedical evacuation. Personnel: 1 x Flight Surgeon on 100% Tactical/ 80% Strategic 2 x Nurses 3 x Aeromedical Technicians USAF Transport Teams Critical Care Transport Teams Personnel: 3 Mobility: 100% Assigned To: USAF Medical Group Mission: Augments the traditional aeromedical evacuation team. Enhances in-flight capability without depleting forward medical resources. Personnel: 1 x Critical Care Physician 1 x Critical Care Nurse 1 x Respiratory Technician 31 Small Portable Expeditionary Aeromedical Rapid Response (SPEARR) Personnel: 10 Mobility: 100% Assigned To: USAF Medical Group Mission: Enhance global health by providing force health protection for up to 500 contingency/disaster support personnel or a 500 population at risk for initial period of 5 to 7 days. Scope of Care: Initial disaster medical assessment, public health/preventive medicine, emergency/flight/primary medicine, emergency surgery/critical care, patient transport preparation, communications

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USAF Liaison Teams/Clinic Aeromedical Evacuation Liaison Team MISSION: Provides a direct HF radio communications link and immediate coordination between the user service requesting aeromedical evacuation and the AECC. CAPABILITIES: 1. Coordinates casualty movement requests and movement activities between the AECC and the user service. 2. Determines the time factors involved for the user service to transport patients to the designated staging facility. 3. Determines requirements for special equipment and/or medical attendants to accompany casualties during flight. PERSONNEL: 2 x MSC’s 1 x Nurse 3 x RTO’s Air Transportable Clinic Mobility: 100%, 1 463L Pallet, 2.1 short tons Assigned To: Line Squadron MISSION: Provides Echelon II outpatient medical support and ATLS support for 300-500 personnel assigned to line squadron. PERSONNEL: 1 x Flight Surgeon 1 x General Practitioner 3 x Aeromedical Technicians 32

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Aeromedical Staging Facility Mobility: Non-Mobile, Fixed Facility Location: Located on or near an enplaning/deplaning airbase or airstrip. Strategic Aeromedical Evacuation. CAPABILITIES: 1. 50 to 250 bed holding facility 2. Has physicians assigned. 3. Can hold patients for up to 24 hours. 4. Provides patient reception, administrative processing, ground transportation, feeding, and limited medical care for patients entering, en route to, or departing the aeromedical evacuation system. USAF Staging Facilities Mobile Aeromedical Staging Facility Assigned To: OPCON to AECC or AECE Mobility: Mobile and Tactical Location: Near runways/taxiways of forward airfields or operating bases. Tactical Aeromedical Evacuation. CAPABILITIES: 1. 25-50 beds, 4-6 hour holding capability 2. Staffed by flight nurses/AE technicians, and RTOs 3. Notifies AECC when AE aircraft has departed. 4. Prepares patient manifests 5. Assist in configuring aircraft for patients. USAF Elements Do Not Exchange Blankets and Litters! 33

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Air Transportable Hospital MISSION: Provides triage, trauma/DNBI casualty management, resuscitative, pharmacy, lab, x-ray, general and ortho surgical stabilization, medical/dental in and out patient care, basic psychiatric services, and evacuation preparation for forward locations. PACKAGES: 1st Increment (Coronet Bandage) Personnel: 9xMC/9xNC/2xMS/17xMed Techs Operating Rooms: 1 Beds: 1xICU/2xIntermediate/7xMinimal Mobility: 0%, No organic lift Transportation Requirements: 2xC-141 or 2 x C17 Set Up Time: 24hrs Site Requirements: 26,000sq feet 2nd Increment Personnel: 12xMC/16xNC/2xMS/21xMed Techs Operating Rooms: 2 Beds: 2xICU/3xIntermediate/20xMinimal Mobility: 0%, No organic lift Transportation Requirements: 6xC-141 or 5 x C17 (8 for total package) Set Up Time: 24hrs Site Requirements: 40,000sq feet 3rd Increment Personnel: 12xMC/21xNC/2xMS/33xMed Techs Operating Rooms: 4 Beds: 4xICU/6xIntermediate/40xMinimal Mobility: 0%, No organic lift Transportation Requirements: 2xC-141 or 6 x C17 (10 for total package) Set Up Time: 24hrs Site Requirements: 50,000sq feet AUGMENTATION PACKAGES: Patient Retrieval Team: 4xAmbulances/13 Medical Technicians Patient Decon Team: 19 x Medical Technicians Remember, packages above can deploy in increments or as an entire entity. USAF Air Transportable Assets 34

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US Navy Fleet Hospitals Navy Fleet Hospital 500 Bed Combat Zone Mission: Provide full resuscitation and emergency surgery for acutely wounded patients in the rear of a combat zone. Operating Rooms: 3 Beds: 80xICU/420xAcute Care Personnel: 62xMC/156xNC/28xMS/477xCorpsmen/4xDC/10xDental Techs/232xNon-Med Enlisted Set Up Time: 8-10 Days Land Requirements: 28 Acres Ancillary Capabilities: Lab, X-ray, Pharmacy 500 Bed Combat Zone, MPF (E) Mission: Provides a capability prepositioned for full resuscitation and emergency surgery for acutely wounded patients in rear of combat zone. Operating Rooms: 3 (6 tables) Beds: 80xICU Personnel: 62xMC/156xNC/28xMS/477xCorpsmen/4xDC/10xDental Techs/232xNon-Med Enlisted Set Up Time: 8-10 Days Land Requirements: 28 Acres Ancillary Capabilities: Lab, X-ray, Pharmacy These units are embarked on MPS shipping, forward deployed and configured for immediate use in contingency. Naval Expeditionary Medical Support System (NEMSS) Mission: Provide full resuscitation and emergency surgery for acutely wounded patients in the rear of a combat zone. Operating Rooms: 1 Beds: 5-20xICU/0-96xWard Personnel: 23xMC/33xNC/12xMS/135xCorpsmen/2xDC/2xDental Techs/49xNon-Med Enlisted Set Up Time: 2 Days Land Requirements: 2 Acres 35

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US Navy Medical Assets Naval Environmental & Preventive Medicine Unit Mission: Provide specialized consultation, advice, recommendations, and technical services in matters of environmental health, preventive medicine, an occupational safety to Navy and Marine Corps shore activities and units of the operational forces in designated area of responsibility. Services: Entomology, Environmental Health, Epidemiology, Industrial Hygiene, Consolidated Industrial Hygiene Laboratory Unit Locations: NEPMU-2 (Norfolk, VA) NEPMU-5 (San Diego, CA) NEPMU-6 (Pearl Harbor, HI) NEPMU-7 (Sigonella, Italy) DVECC (Jacksonville, FL) DVECC (Bangor, WA) Hospital Ships (T-AHs) 36 Mission: Provide a mobile and flexible, rapidly responsive, acute care medical capability in support of amphibious and naval forces, disaster, and humanitarian relief operations. Operating Rooms: 12 Beds: 100xICU/400xInt.Care/500xMin Care Personnel: 66xMC/168xNC/20xMS/687xCorpsmen/4xDC/11xDental Techs/244xNon-Med Enlisted Inventory: 2* Land Requirements: 28 Acres Ancillary Capabilities: Lab, X-ray, Pharmacy, CAT Scanner, Blood Storage *USNS MERCY (T-AH-19) USNS COMFORT (T-AH-20)

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US Navy Medical Assets Fleet Surgical Team 37 Mission: Provide Echelon II level surgical support to amphibious operations. Inventory: 9 Composition: 1 x OIC/Cdr, Amphib Task Force Surgeon 1 x General Surgeon 1 x FP/IM/ER/PED 1 x Anesthetist/CRNA 1 x Perioperative Nurse 1 x Charge Nurse 1 x Medical Regulator/AO 1 x General Duty HM 4 x OR Techs 2 x Advanced Lab Tech 1 x Respiratory Therapy Tech

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US Navy Medical Assets Mobile Medical Augmentation Readiness Teams (MMART) 38 Provide rapid short term (less than 180 days) medical augmentation for peacetime contingency operations and lesser regional conflicts. Surgical Support Team: Surgical Unit: 1xGenSurg, 1xAnes.Provider, 1xPerioperative Nurse, 1x OR Tech, 1xAdvanced Hospital Corpsman Surgical Support Unit: 1xMedOfficer, 1xMed/Surg Nurse, 4xGenSvc Corpsman Ancillary Support Unit: 1xMedTech, 2xAdvanced Lab Tech, 1x Advanced X-ray Tech, 1x Respiratory Tech Specialist Support Team: 1xNeurosurgeon, 1xNeurologist, 1xOrthoSurg, 1xOrthoTech, 1xOtolaryngologist, 1xOtolaryngealTech, 1xThoracicSurg, 1xOpthamologist, 1xOcularTech, 1xOralSurg, 1xDental Tech Humanitarian Support Team (HST): 1xObstetrician, 1xPediatrician, 1xFamily Practitioner, 1xFamily Nurse Practitioner, 1xMed/Surg Nurse, 1xMatern/Child Health Nurse, 1xStaff Nurse (Med/Surg), 1xStaff Nurse (Amb. Care), 1xIndependant Duty Corpsman, 8xGen Svc Corpsman Medical Regulating Team: 1xMed Reg Officer, 1 x Chief Hospital Corpsman, 2xGen Svc Corpsman Preventive Medicine Team: 1xEpidemiologist, 1xEnv Health Off, 1xEntomologist, 1xMicrobiologist, 1xIndustrial Hygiene Off, 1xLabTech, 1xPM Tech Special Psychiatric Rapid Intervention Team (SPRINT): 1xPsychiatrist, 1xPsychologist, 1xPsych Nurse, 1xPsych Tech, 1xChaplain, 1xSocial Worker

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USMC Medical Battalion Personnel: 214 Officers/757 Enlisted Mobility: 100% BOA: One per Force Service Support Group Assigned To: Force Service Support Group MISSION: Provide Echelon II medical support to a Marine Expeditionary Force (MEF). COMMAND AND CONTROL: Commanding officer reports to the Commanding General of the Force Service Support Group. ORGANIZATION: 1 x Headquarters and Service Company 3 x Surgical Companies CHARACTERISTICS: Operating Rooms: 9 Laboratories 6 X-ray: 6 Pharmacy: 6 Flow-through Cots: 260 Shock Trauma Platoons: 8 Erect Time: 6 hrs. Maximum Patient Holding Time: 72 hrs. 39

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USMC Dental Battalion Personnel: 76 Officers/160 Enlisted Mobility: 100% BOA: One unit per maneuver battalion Assigned To: Force Service Support Group MISSION: Provides Echelon II dental support to a Marine Expeditionary Force (MEF). COMMAND & CONTROL: Dental battalion Commanding Officer reports to the Commanding General of the Force Service Support Group and is assigned the additional duty as the MEF Dental Officer. ORGANIZATION: Headquarters and Service Company Three x Dental Companies COMPANY ORGANIZATION: Headquarters Section 2 x Dental Officers 4 x Dental Technicians Clinical Section 17 x General Dentists 1 x Comprehensive Dentist 1 x Periodontist 1 x Endodontist 1 x Oral Surgeon 1 x Prosthodontist 44 x Dental Technicians 40

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JOINT MEDICAL PLANNING CHECKLIST WHO IS THE JOINT TASK FORCE SURGEON? WHAT IS THE JTF SURG’S REQUIREMENTS OF THE FOLLOWING? JTF DEPUTY SURGEON HEALTH SERVICE SUPPORT OPERATIONS HEALTH SERVICE LOGISTICS TO INCLUDE JOINT BLOOD PROGRAM ADMINISTRATION HEALTH SERVICES PLANNING DUTY-HOUR COVERAGE WHAT ARE THE SECURITY CLASSIFICATION REQUIREMENTS? WHO WILL COMPRISE THE JOINT SURGEON’S STAFF? WILL THE COMPOSITION OF THE JTF SURG STAFF FACILITATE OPTIMUM EMPLOYMENT AND SYNERGY OF EFFORT FOR THE JOINT MEDICAL FORCES IN THIS OPERATION? HAVE PROVISIONS BEEN MADE FOR ADQUATE OFFICE EQUIPMENT SUCH AS COMPUTERS, FACSIMILE (FAX) MACHINES, AND COMPATIBLE SOFTWARE FOR JOINT OPERATIONS AT THE JOINT OPERATING HEADQUARTERS? WHAT IS THE ORGANIC HSS CAPABILITY FOR THE DEPLOYING FORCES? -PATIENT EVACUATION AND MEDICAL REGULATION (STRAT/TAC) -HOSPITALIZATION -HEALTH SERVICE LOGISTICS, TO INCLUDE BLOOD MANAGEMENT -MEDICAL LABORATORY SERVICES -DENTAL SERVICES -VETERINARY SERVICES -PREVENTIVE MEDICINE SERVICES -COMBAT STRESS CONTROL SERVICES -AREA MEDICAL SUPPORT -COMMAND, CONTROL, COMMUNICATIONS, COMPUTERS, INTELLIGENCE -OTHER? WHAT ARE THE HSS REQUIREMENTS TO ADEQUATELY SUPPORT THE DEPLOYING FORCES (COMMANDER’S CONCEPT OF OPERATIONS) IN THE FOLLOWING AREAS? -PATIENT EVACUATION AND MEDICAL REGULATION (STRAT/TAC) -HOSPITALIZATION -HEALTH SERVICE LOGISTICS, TO INCLUDE BLOOD MANAGEMENT -MEDICAL LABORATORY SERVICES -DENTAL SERVICES -VETERINARY SERVICES -PREVENTIVE MEDICINE SERVICES -COMBAT STRESS CONTROL SERVICES -AREA MEDICAL SUPPORT -COMMAND, CONTROL, COMMUNICATIONS, COMPUTERS, INTELLIGENCE -OTHER? AFTER COMPARING HSS CAPABILITIES OF DEPLOYING FORCES AND HSS REQUIREMENTS, WHAT ARE THE REMAINING SHORTFALLS IN HSS? HAVE THESE SHORTFALLS BEEN IDENTIFIED THROUGH CHANNELS TO THE APPROPRIATE HEADQUARTERS, UNIFIED COMMAND? 41

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JOINT MEDICAL PLANNING CHECKLIST WHAT ARE THE INDIGENOUS/HOST NATION HSS CAPABILITIES? AS HSS UNITS ARE IDENTIFIED FOR DEPLOYIMENT, ARE THE CRITICAL TRANSPORTATION COSTS SUCH AS THE NUMBER OF PASSENGERS, WEIGHT, CUBE, AND 463L PALLETS BEING IDENTIFIED AND COORDINATED WITH THE J4? DOES THE JTF SURG HAVE A COPY OF JOINT PUB 4-02 HS THE CINC/JTF SURG COORDINATED WITH THE CIVIL AFFAIRS STAFFS, NGO’S, AND RELIEF ORGANIZATIONS FOR THE MANAGEMENT OF REFUGEES? CAN THE MEDICAL COMMAND AND CONTROL ELEMENTS COMMUNICATE WITH ALL CRITICAL PARTIES VERTICALLY AND LATERALLY? IF NOT, IS THERE A COMMUNICATIONS HARDWARE FIX? IS THE JOINT MEDICAL REGULATING SYSTEM/THEATER PATIENT MOVEMENT CENTER AND ATTENDANT COMMUNICATIONS EQUIPMENT IN PLACE? DOES THE CONTEMPLATED OPERATION FALL UNDER THE PURVIEW OF AN EXISTING OPLAN OF THE APPROPRIATE UNIFIED COMMAND? DOES THE HSS PORTION OF THE OPLAN REQUIRE REFINEMENT WHEN REVEIWED IN CONTEXT OF THE ABOVE FACTORS? DOES THE COTEMPLATED OPORD FOR THE JOINT FORCES ADDRESS ON CALL NON-MEDICAL TRANSPORTATION AUGMENTATION, AS REQUIRED, TO ACCOMMODATE SURGES IN MEDICAL EVACUATION MISSIONS? DOES THE JOINT SURGEON AND STAFF HAVE MEDICAL INTELLIGENCE ABOUT THE AOR TO INCLUDE BUT NOT LIMITED TO: -ENDEMIC/EPIDEMIC DISEASES -MEDICAL INFRATRUCTURE PUBLIC HEALTH STANDARDS AND CAPABILITIES QUALITY OF HEALTH SERVICES -COMMUNICABLE ZOONOTIC DISEASES -ADEQUACY OF LOCAL FOOD SUPPLIES -NBC THREAT OF OPPOSING FORCES -DIRECTED ENERGY CAPABILITIES OF OPPOSING FORCES -ENVIRONMENTAL DATA (WEATHER, ALTITUDE, TOPOGRAPHY) -POISONOUS FLORA AND FAUNA OF THE AOR -SORUCE OF LOCAL BLOOD DONORS AND QUALITY OF BLOOD TESTING WHAT ARE THE IMMUNIZATIONS/CHEMOPROPHYLAXIS REQUIREMENTS FOR THE AOR? ARE SPECIAL OPERATIONS FORCES INVOLVED? -WHERE WILL THEY BE OPERATING -DOES THE OPORD INCLUDE SUFFICIENT HSS TO COMPLEMENT SOF MEDICAL PACKAGES WHAT IS THE HSS CONCEPT OF OPERATIONS FOR THE MANAGEMENT OF EPW’S? HAVE THE CINC’S STRATEGIC/ENDSTATE GOALS BEEN IDENTIFIED AND CONSIDERED WITHIN THE PLANNING ISSUES? 42

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43 CINC AORs

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CINC SURGEON POCs Joint Forces Command (JFCOM), Norfolk, Virginia http:137.246.33.240:8000/98surgeon.nfs Command Surgeon 757-836-5515 DSN: 836-XXXX Deputy Surgeon 757-836-6371/6380 Chief, Operations 757-836-6383 Central Command (CENTCOM), Tampa, Florida http://www.centcom.mil/organizations/surgeon/Current/index.htm Command Surgeon 813-828-6397 DSN: 968-XXXX Deputy Surgeon 813-828-5801/5802 Chief, Operations 813-828-6402 European Command (EUCOM), Vaihingen, Germany http://www.eucom.mil/hq/ecj4/ecj4-mr/ Command Surgeon 49-711-680-5374 DSN: 430-XXXX Deputy Surgeon 49-711-680-8374 Chief, Operations 49-711-680-7166 Pacific Command (PACOM), Smith Barracks, Hawaii http://www.pacom.mil Command Surgeon 808-477-6181 DSN: 477-XXXX Deputy Surgeon 808-477-1021 Chief, Operations 808-477-1024 Southern Command (SOUTHCOM), Miami, Florida http://www.southcom.mil Command Surgeon 305-437-1327 DSN: 567-XXXX Deputy Surgeon 305-437-1331 Chief, Operations 305-437-1330 Special Operations Command (SOCOM), Tampa, Florida http://www.socom.mil Command Surgeon 813-828-6347 DSN: 968-XXXX Deputy Surgeon 813-828-7651 Chief, Operations 813-828-2719 Transportation Command (TRANSCOM), Scott AFB, Indiana http://214.3.17.158/missions/tcsg.html Command Surgeon 618-256-3231 DSN: 576-XXXX Deputy Surgeon 618-256-2895 Chief, Operations 618-256-2895 44

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CASUALTY EVACUATION CHECKLIST S1, MED CO CDR, MED PLT LDR PREPARE CASEVAC OPLAN THAT IS COORDINATED WITH CO XO/1SG’S ANTICIPATE CASUALTIES, PRIORITIZE ASSETS, MOVE BN ASSETS TO MAIN EFFORT USE NON-STANDARD GROUND EVAC (NOT MED VEHS) FOR LIGHTLY WOUNDED LOCATE BAS & TX TMS AS FAR FWD AS METT-T ALLOWS (CONSIDER EN ARTY/MTR’S) MAINTAIN MOBILITY OF BAS USE STANDARDIZED CHECKPOINT SYSTEM ON OVERLAYS. LET THEM SERVE AS ON ORDER CCP’S - MUST BE KNOWN TO SQUAD LDR LEVEL MUST STOCK ENOUGH CLASS VIII FOR WORSE CASE SCENARIO (MASCAL) TASK ORG & ALLOCATE CASEVAC ASSETS BASED ON PROJ CAS’S, DELIBERATE ATK, ATTACH ADDITIONAL ASSETS TO MAIN EFFORT TO AUGMENT CASEVAC REQUEST ADDT’L CASEVAC & TREATMENT SPT FROM FWD SPT MED CO PLAN & USE AMBULANCE EXCHANGE POINTS (AXP) WHEN EVAC ROUTE TAKES LONGER THAN 30 MINS USE APPROPRIATE GRND/AIR EVAC BASED ON PATIENT CATEGORIES (URGENT/PRIORITY/ROUTINE) & METT-T MAKE MAX USE OF TACTICAL AND LOG VEHICLES FOR CASEVAC (BACK HAUL) USE MEDICAL SUPPORT MATRIX TO MANAGE ASSETS TOC AND TAC MUST KNOW AID STATION LOCATION AT ALL TIMES ATTEMPT TO MOVE AMBULANCES WITH CONVOYS ISSUE LITTERS AND ADDTL CL VIII TO MANEUVER UNITS TO ASSIST IN CASEVAC. HAVE EACH SQUAD CARRY A POLELESS LITTER (NSN 6530-00-783-7510) FOLLOW & SUPPORT WITH JUMP AID STATIONS. DESIGNATE CHECKPOINTS IN OPORD FOR AID STATIONS TO JUMP ON ORDER AS REQUIRED MUST HAVE REDUNDANT COMMO PLAN USE COLOR CODED TRIAGE SOP: COLORED SIGNS DURING DAY, CHEM LIGHTS AT NIGHT AMBULANCES MUST DO RECONS MED PLT LDR MUST GO FWD TO XO/1SG CP’S & COORDINATE CONTINGENCIES MUST DESIGNATE, TRAIN SQD COMBAT LIFESAVERS, & PROVIDE EQUIP. 2 CBT LIFESAVERS PERS SQD. CARRY EXTRA RINGERS SOLUTION AND IV KITS USE BATTLE ROSTER SYSTEM FOR REPORTING AND MANAGING CASUALTIES ENSURE USE OF 1155/1156 45

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CASEVAC PLANNING FACTORS 46

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CASEVAC PLANNING 47 50 Meters 50 Meters 50 Meters 50 Meters ID Code Panel X Right Wheel/Skid Touches Down Here X X 50 Meters 50 Meters Additional Touchdown Points As Required Field Expedient Landing Zone

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EVACUATION CAPABILITIES Litter Ambulatory USAF C-130 70 85 C-9A 40 40 (15 Litter + 24 Amb) C-141 103 147 C-5 70 C-17 48 44 48

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MEDEVAC REQUEST LINE 1 - Location of Pickup Site (8 Digit Grid Coordinate) LINE 2 - Radio Frequency, Call Sign, and Suffix LINE 3 - Number of Patients by Precedence A. URGENT B. URGENT - SURG C. PRIORITY D. ROUTINE E. CONVENIENCE LINE 4 - Special Equipment Needed A - None B - Hoist C - Extraction Equip D - Ventilator LINE 5 - Number of Patients by Type Litter - L + # of patients Ambulatory - A + # of patients LINE 6 - Security of Pick Up Site (Wartime Only) N - No enemy troops in area P - Possible enemy troops in area (use caution) E - Enemy troops in area (use caution) LINE 7 - Method of Marking Pick Up Site A - Panels B - Pyrotechnic Signal C - Smoke D - None E - Other LINE 8 - Patient’s Nationality and Status A - US Military B - US Civilian C - Non US Military D - Non US Civilian E - EPW LINE 9 - Terrain Description (Peacetime) 49

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CONUS GPMRC, Scott AFB DSN 576-6362/6161 Commercial: 1-800-874-8966 23d Med Gp, Pope AFB DSN 424-2182, ext 2650 375th AES, Scott AFB DSN: 576-5837 EUCOM Ramstein, Joint Medical Regulating Office DSN 480-8042/43 Landstuhl, Aeromedical Staging Facility DSN 486-7374 86th AES, Ramstein Air Base DSN: 480-2264/2643 PACOM Yokota, Joint Medical Regulating Office DSN 225-6675 Yokota, Aeromedical Staging Facility DSN 225-3581/82/83 374th AES, Yokota DSN: 225-4700/4707 ACOM works through EUCOM, SOUTHCOM, or GPMRC CENTCOM works through EUCOM (peacetime) and TPMRC CENTCOM Surgeon (wartime) SOUTHCOM Joint Rescue Coordination Center, Howard Air Force Base, Panama DSN 284-3545 Patient Movement Contacts 50

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HEALTH SERVICE SUPPORT ESTIMATE CLASSIFICATION Copy ___ of ___ Copies Issuing Headquarters Place of Issue DTG of Signature Message Reference Number Health Service Support Estimate of the Situation References: 1. MISSION: (Statement of the Overall HSS Mission) 2. SITUATION AND CONSIDERATIONS A. Enemy Situation. (1) Strength and Disposition (2) Combat Efficiency (3) Capabilities (4) Logistic Situation (5) State of Health (6) Weapons B. Friendly Situation. (1) Strength and Disposition (2) Combat Efficiency (3) Present and Projected Operations (4) Logistic Situation (5) Rear Area Protection Plan (6) Weapons C. Characteristics of the Area of Operations. (1) Terrain (2) Weather and Climate (3) Dislocated Civilian Population and EPWs (4) Flora and Fauna (5) Disease (6) Local Resources (7) Nuclear, Biological, and Chemical and DE Weapons D. Strengths to Be Supported. (1) United States Uniformed Services (a) US Army (b) US Navy (c) US Marines (d) US Air Force (e) US Coast Guard Continued CLASSIFICATION 51

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HEALTH SERVICE SUPPORT ESTIMATE CLASSIFICATION (2) Department of Defense Civilians (3) Allied Forces (4) Coalition Forces (5) Enemy Prisoners of War (6) United States National Contract Personnel (7) Indigenous Civilians and Third Country Personnel (8) Detainees (9) Internees (10) Others E. Health of the Command (1) Acclimation of Troops (2) Presence of Disease (3) Status of Immunizations (4) Status of Nutrition (5) Clothing and Equipment (6) Fatigue (7) Morale (8) Status of Training (9) Other, as Appropriate F. Assumptions. G. Special Factors (Mention items of special importance in the particular operation to be supported such as unique conditions to be encountered in NBC/DE warfare or the impact of patients suffering from combat stress will have on the HSS system). 3. HEALTH SERVICE SUPPORT ANALYSIS A. Patient Estimates (Indicate rates and numbers by type unit/division) (1) Number of Patients Anticipated (2) Distribution Within the AO (3) Distribution in Time During the Operation (Evacuation Time) (4) Areas of Patient Density (5) Possible Mass Casualty (6) Lines of Patient Drift and Evacuation B. Support Requirements (1) Patient Evacuation and Medical Regulation (2) Hospitalization (3) Health Service Logistics, to Include Blood Management (4) Medical Laboratory Services (5) Dental Services (6) Veterinary Services (7) Preventive Medicine Services Continued CLASSIFICATION 52

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HEALTH SERVICE SUPPORT ESTIMATE CLASSIFICATION (8) Combat Stress Control Services (9) Area Medical Support (10) Command, Control, Communications, Computers, & Intelligence (11) Others, as Appropriate C. Resources Available (1) Organic Medical Units and Personnel (2) Attached Medical Units and Personnel (3) Supporting Medical Units (4) Civil Public Health Capabilities and Resources (5) Enemy Prisoner of War Medical Personnel (6) Health Service Logistics (7) Medical Troop Ceiling D. Courses of Action (As a result of the above considerations and analysis, determine and list all logical, COA which will support the commander’s OPLAN and accomplish the HSS mission. Consider all SOPs, policies, and procedures in effect. Courses of action are expressed in terms of what, when, where, how, and why). 4. EVALUATION AND COMPARISON OF COURSES OF ACTION A. Compare the probable outcome of each COA to determine which one offers the best chance of success. This may be done in two stages: (1) Determine and state those anticipated difficulties or difficulty patterns which will have a different effect on the COA listed. (2) Evaluate each COA against each significant difficulty or difficulty pattern to determine strengths and weaknesses inherent in each. B. Compare all COA listed in terms of of significant advantages and disadvantages, or in terms of major considerations that emerged during the above evaluation. 5. CONCLUSIONS A. Indicate whether the mission set forth in paragraph 1 can/cannot be supported. B. Indicate which COA can best be supported from the HSS standpoint. C. List the limitations and deficiencies in the preferred COA that must be brought to the commander’s attention. D. List factors adversely affecting the health of the command. /s/_______________ Surgeon (Command) Annexes: (As Required) Distribution: CLASSIFICATION 53

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MEDICAL PLANNING CHECKLIST 54

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CHS SYNCH MATRIX 55

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MEDICAL INTELLIGENCE CHECKLIST MEDICAL PRIORITY INTELLIGENCE REQUIREMENTS Conditions concerning people or animals Epidemiological information, flora, fauna, and sanitary conditions Enemy’s field medical delivery system New weapons systems or employment methods that could alter CHS planning factors Medical aspects of the employment, weapon fills, and contamination from NBC weapons The enemy’s state of health 56 POST-DEPLOYMENT Outbrief to AFMIC Personnel (Provide photos, patient census, SITREPS, daily log) Conduct thorough After Action Review (Invite all players, to include rear det) Provide all information to historian for documentation Provide all information to Center for Army Lessons Learned Adjust FSOPs based on lessons learned ASPECTS OF MEDICAL INTELLIGENCE Endemic and epidemic diseases, public health standards and capabilities, and the quality/availability of health services Medical supplies and blood products, health service facilities, and the number of trained medical personnel Location, specific diseases, strains of bacteria, lice, mushrooms, snakes, fungus, spores, and other harmful organisms Foreign animal and plant diseases, especially those diseases transmittable to humans Health problems relating to the use of local food and water supplies Medical effects of radiation and prophylaxis for chem/bio weapons Possible casualties from newly developed foreign weapons systems The health and fitness of the enemy’s force and special use of antidotes Areas of operations such as altitude, heat, cold, swamps that may affect the health of troops

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SPECIAL OPERATIONS CHS PLANNING 57

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COMBAT HEALTH SUPPORT TO NONCOMBATANT EVACUATION OPS How many of the noncombatants are known to require medical care? Where are these noncombatants and is there a published plan addressing their collection prior to evacuation? Is a permissive or non-permissive NEO anticipated, and how best can it be medically supported? Are there any civilian casualty projections for the NEO? What is the medical evacuation policy for NEO casualties? Has the Department of State authorized pets to accompany NEO evacuees? Are any animals prohibited from entry into the United States by the Food and Drug Administration (FDA) or other agency? What will be done with pets brought to evacuation control points? If any humanitarian, civil, or security assistance (SA) medical requests have been made by foreign governments, how can they be supported? Are there any medically significant treaties, or legal, host nation, or status-of-forces agreements between the United States and involved foreign governments? Are there any OPLANs or conceptual OPLANs (CONPLAN) for the area or situation? What type of foreign military or civilian medical infrastructure is established within the JOA? What and where are its key elements? 58 Primary focus is supporting deployed US Forces Nature of operations may require supporting coalition forces and host nation support (Detained Personnel/Civilians) Environmental threat Special medical equipment/immunization requirements Combat Stress Control personnel to debrief US Forces Preventive medicine issues Cultural differences Force protection Transition from peacekeeping to peace enforcement to war MEDICAL SUPPORT TO SASO

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PREVENTIVE MEDICINE CHECKLIST Immunizations Health Threat Briefing -Endemic Diseases -Water and Food Consumption -Field Sanitation -Personal Protective Measures -Personal Hygiene -Environment Exposure Hazards/Ecological Changes Caused by Disaster -Plants/Animals -Disruption of Public Utilities and Public Health Services Infectious Diseases of Concern and Changes of Pre-existent Disease Levels -Acute Diarrheal Disease -Sexually Transmitted Diseases -Insect/Arthropod Transmitted Diseases -Others Injuries -Recreational/Sports -Motor Vehicle Accidents -Training Pets/Mascots Policy DNBI and Environmental Surveillance Program Communications Requirements Linkage to Line Organizations Special Instructions -DNA Collection -HIV Screening -TB Screening -Deployment Health Assessments 59

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CORPS LEVEL MEDICAL UNIT DAILY SUPPLY USAGE FOR PLANNING PURPOSES ONLY 60

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MEDICAL LOGISTICS (BLOOD) o BLOOD REPORT Line 1: Day time group of blood report Line 2: Name, designator code of reporting unit Line 3: Reporting unit’s activity brevity code letter Line 4: Unit location in latitude/longitude (LAT/LONG), universe Mercator (grid), or place name Line 5; Naval Vessels Only: Projected location in LAT/LONG or place name for delivery of blood products Line 6: Naval Vessels Only: Estimate time of arrival (day, time, time zone, month, year at projected location) Line 7: Name or designator code of the unit/activity reporting the status of blood supplies if other than message originator Line 8: Reporting unit’s activity brevity code letter if other than message originator Line 9: Number and code of each blood product on hand Line 10: Number and code of each blood product required. Line 11: estimate of total number of blood products by group to expire in next 7 days Line 12: Estimate of total number of blood groups required for resupply in the next 7 days Line 13: Narrative: Number of units received, transfused, shipped, destroyed, and expired in last 24hrs Line 14: Message hour-minute-zone when required Line 15: Authentication IAW JTF procedures 61 o BLOOD SHIPMENT REPORT Line 1: ASOFDTG (Day Time Group of the Blood Shipment) Line 2: Name, designator code, and activity brevity code of reporting unit Line 3: Location of reporting unit Line 4: Blood product codes/number of units shipped/total number of units shipped Line 5: Blood shipment or air bill control numbers/aircraft flight number/estimated time of arrival at destination/number of boxes shipped Line 6: Contact name from shipping location (rank, phone number, location) Line 7: Additional closing comments (CLOSTEXT) such as when the blood will require icing Line 8: Message downgrading instructions BLOOD COMPONENT RBC (LIQUID) RBC (FROZEN) FFP PLATELETS STORAGE TEMPERATURE 1 to6o C 065o C or Colder -18o C or Colder -10 to 24o C STORAGE SHELF LIFE 35 Days 21 Years 12 Months 5 Days

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NSN NOMENCLATURE QTY 6505010171625 Acetaminophen tablets 2 BT 6510009268882 Adhesive tape, surgical, porous, woven 1 SP 6515003002900 Airway pharyngeal, large adult 1 6515013652076 Airway pharyngeal, small adult 1 6505009269083 Atropine injection aqueous type 5 6510009137909 Bandage adhesive 3/4 X 3 inches flesh 18 6510011642694 Bandage gauze elastic, 5 yd X 2 in 4 6510002011755 Bandage muslin compressed brown 4 6545009129870 Case medical instrument and supply 1 6515012824878 Catheter & needle unit, d12 I.V. 2 6505012740951 Diazepam injection USP, 5 6510001594883 Dressing first aid field camouflaged 4 6515001817449 Gloves, patient exam med-lrg (latex) 3 6515001150032 Intravenous inj set, 7 comp 2 6510010100307 Pad povidone-iodine impre, 12 6505001187096 Povidone-iodine oint USP 10 % 8 6505001490098 Pseudoephedrine hydrochloride tablets 1 CO 6505011549922 Ringer’s injection lactate USP 500ml plastic bag 2 6515009357138 Scissors bandage 1.5" Cut lg 7.25" O/a lg both blades blunt crs 1 6515012254681 Splint universal 36 X 4.5" malleable alum radiolucent ltwt 1 6515011467794 Tourniquets nonpneumatic adult 14 X 1 blood taking dsgn rubber 2 COMBAT LIFESAVER BAG PACKING LIST 62

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FEDERAL RESPONSE PLAN 63

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OFFICE OF FOREIGN DISASTER ASSISTANCE 64

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OFDA EMERGENCY INDICATORS MALNUTRITION EMERGENCY INDICATORS o 10% of <5 age group moderately malnourished with nutritional diseases o Severe malnutrition for <5 age group MUAC>11.0cm WFH/WFL < 70% Z-Score < -3 o Moderate malnutrition for <5 age group MUAC > 11.0 and < 13.5cm WFH/WFL > 70% and < 80% Z-Score > -3 & < -2 MUAC=Middle Upper Arm Circumference; WFH/WFL=Weight for Height/Length 65

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MEDICAL MOS 66

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MEDICAL MOS 67

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STAFF OPERATIONS 68 Be convinced that to be happy means to be free and that to be free means to be brave. Therefore do not take lightly the perils of war. Thucydides

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STAFF ESTIMATE FORMAT 1. MISSION. Restated mission resulting from the mission analysis. 2. SITUATION AND CONSIDERATIONS. A. Characteristics of area of operations. (1) Weather. How will different military aspects of weather affect specific staff area of concern and resources? (2) Terrain. How will aspects of the terrain affect specific staff areas of concern and resources? (3) Other Pertinent Facts. Analyses of political, economic, sociological, psychological, and environmental infrastructure, as they relate to the area. B. Enemy Forces. Enemy dispositions, composition, strength, capabilities, and COAs as they affect specific staff area of concern. C. Friendly Forces. (1) Friendly courses of action. (2) Current status of resources within staff area of responsibility. (3) Current status of other resources that affect staff area of responsibility. (4) Comparison of requirements versus capabilities and recommended solutions. (5) Key considerations (evaluation criteria) for COA supportability. D. Assumptions. 3. ANALYSIS. Analyze each COA using key considerations (evaluation criteria) to determine advantages and disadvantages. 4. COMPARISON. Compare COAs using key considerations (evaluation criteria). Rank order COAs for each key consideration. Comparison should be visually supported by a decision matrix. 5. RECOMMENDATIONS AND CONCLUSIONS. A. Recommended COA based on the comparison (most supportable from specific staff perspective). B. Issues, deficiencies, and risks with recommendations to reduce their impacts. 69

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DELIBERATE DECISION MAKING PROCESS 70

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MILITARY DECISION-MAKING PROCESS Commander’s Responsibility RECEIPT OF MISSION Issue cdr’s initial guidance MISSION ANALYSIS Approve restated mission State commander’s intent Issue cdr’s guidance Approve CCIR COA DEVELOPMENT COA ANALYSYS (War Game) COA COMPARISON COA APPROVAL Approve COA Refine cdr’s intent Specify type of rehearsal Specify type of order ORDERS PRODUCTION Approve Order REHEARSAL EXECUTION & ASSESSMENT Commander’s Estimate (continual process) Staff Estimates (continual process) Staff Coordination is Continual, Up and Down Commander May Conduct Phases Independently or in Conjunction with Staff 71

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72 ABBREVIATED DECISION MAKING PROCESS TASK RECEIVED Information to Commander Information to Staff Mission Analysis Proposed Restated Mission Mission Analysis Restated Mission Commander’s Guidance COA Development COA Analysis, Comparison & Recommendation (Decision if Possible) COA Decision Brief (If Required) Prepare OPORD/FRAGO OPORD/FRAGO Approval Issue OPORD/FRAGO Execution

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COA BRIEFING FORMAT 1. Consists of 2 Briefings - The wargame brief & decision brief. 2. WARGAME BRIEF: A. Prior to wargaming, the staff must know - -The terrain analysis for the area of operation -Enemy situation and capabilities -The friendly & enemy COA to wargame -The friendly forces available -What combat multipliers are available -The assumptions used -The list of critical events -The wargame technique to be used -The recording model B. The briefing should include the - -Intent of higher headquarters -Updated intell estimate -Enemy COA wargamed -Assumptions -Visualization of the entire operation 3. DECISION BRIEF: A. Briefer should be familiar with and have available - -The assumptions -The COA sketches and statements -Staff estimates B. The decision briefing format includes - -The intent of higher headquarters -The restated mission (S3) -The status of own forces (S3) -The updated intell estimate (S2) -Own courses of action, including: -Assumptions used in planning -Results of staff estimates -Recommended COA 73

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WARGAMING SEQUENCE 1. Gather Tools 2. List All Friendly Forces 3. List the Assumptions 4. List Known Critical Events and Decision Points 5. Select the Wargaming Method 6. Select a Technique to Record and Display Results 7. Wargame the Battle and Assess the Results ANALYSIS OF COURSES OF ACTION 1. Exploits enemy weaknesses 2. Takes weather into account 3. Uses best avenue of approach 4. Provides enough maneuver space 5. Provides fields of observation and fire 6. Provides cover and concealment 7. Support scheme of maneuver 8. Helps command and control 9. Forces provide mutual support 10. Responds to maneuver elements and reserve 11. Considers obstacles and key terrain 12. Helps speed of execution 13. Logistically supportable 74

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METT-T CHECKLIST 75 MISSION Specified Tasks Implied Tasks Essential Tasks Restated Mission Constraints ENEMY Type Location Organization Identification Strength Morale Capabilities Likely Courses of Action Intentions TERRAIN AND WEATHER Observation/Fields of Fire Avenues of Approach Key Terrain Obstacles Cover/Concealment Trafficability Visibility Weather Forecast Effect on Soldiers Effect on Equipment TROOPS Number and Type Task Organization State of Training/Discipline Strength-Personnel Strength-Material Morale Past Performance Location and Disposition State of Maintenance and Supply CSS Available Effect of Leadership TIME Planning and Preparation Rehearse Line of Departure Movement Start/Critical/Release Points Secure or Seize Key Terrain Enemy Reaction

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COMMAND RELATIONSHIPS ORGANIC: A unit that forms an essential part of an army unit an is listed in its table of organization and equipment or its table of distribution and allowances. ASSIGNED: A unit that is placed in an organization on a permanent basis and is controlled and administered by the organization to which it is assigned for its primary function or the greater portion of its functions. ATTACHED: A unit that is placed in an organization on a temporary basis, subject to limitation specified in the attachment order. OPERATIONAL CONTROL (OPCON): A unit that has been provided to another commander to accomplish specific missions or tasks that are usually limited by function, time, or location. The commander may deploy the unit concerned and retain tactical control or he may assign tactical control of the unit to the subordinate commander. OPCON does not include administrative and logistic responsibility, discipline, internal organization, and unit training. SUPPORT RELATIONSHIPS DIRECT SUPPORT: A unit in DS of a specific unit is required to give priority of support to that unit. The supporting unit will take support request directly from the supported unit. A unit in DS has no command relationship with the supported unit and therefore cannot be suballocated, reassigned, or reorganized by the supported force. GENERAL SUPPORT: A unit in GS will provide support to the total force and not to any particular subdivision of the supported force. Subdivisions and/or subordinate units may request support through the supported force headquarters, but only the supported force headquarters can determine the priorities and can assign missions to GS units. GENERAL SUPPORT-REINFORCING: GSR is used primarily with arty units. The GSR arty unit is required to support the force as a whole and to provide reinforcing fires to another arty unit as a second priority. REINFORCING: Reinforcing is also used primarily with artillery units. The reinforcing unit is required to give the priority of support to another artillery unit. 76

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77

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BATTLE INFORMATION MANAGEMENT BATTLE PREPARATION PHASE DEFENSIVE OPERATIONS o CL III/IV/V status o Obstacle completion status o Combat power o Survivability status o Engagement area (EA) and repositioning rehearsals o Target reference point (TRP) emplacement o Subordinate units order issue and rehearsal status EXECUTION PHASE o Combat power o Unit locations and activities o CL III/V status o Enemy contacts, locations, and movements o Enemy BDA o Main and forward aid station locations o Brigade or division assets in sector (GSR, MPs, etc) o Status of adjacent units POST BATTLE PHASE o Unit equipment readiness o Unit personnel strength o Resupply status of CL III/IV/V o Unit locations o Consolidations and reorganization status o Maintenance and casualty collection status 78

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LIAISON OFFICER/NCO RESPONSIBILITIES 1. GENERAL: When required, the battalion will send liaison teams with vehicles and radios to the Bde TOC, flank TF TOCs, and forward covering force TF TOC. The XO will designate and control liaison parties. 2. LNO Packet: Each liaison party will have the following minimum essential items prior to departure: a. SOI b. KY-13 with CNV loaded c. Maps of area of operation d. Bn/TF SOP e. Complete OPLAN with all overlays f. Updated Cdr’s SITREPS to Co/Tm level 3. LNO Duties: a. Maintain a continuous exchange of information between the two HQ’s b. Insure XO’s at both HQ know LNO whereabouts at all times c. Keep informed on locations, dispositions, and plans of own unit and make this information available to the visited HQ d. Answer all requests for information in a timely manner e. Maintain a journal and situation map f. Be aggressive in seeking out information g. Stay available to visited HQ’s h. Stay in communications with own TOC on the TF Cmd Net 79

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LIAISON OFFICER CHECKLIST Prior to Departing from Assigned Unit: Clearly understand the mission and duties expected of you as LNO. Know the current situation of your assigned unit, including concept of operations, unit locations, combat power status, and status of critical supplies. Possess current graphics. Obtain information and liaison requirements from each staff section. Upon Arrival at Supported Headquarters: Report to the Commander or XO, be prepared to brief unit situation. Establish communications with assigned unit. Visit each staff section and exchange information as required. During Liaison Tour: Keep abreast of the situation of assigned unit and provide updated to supported Headquarters. Monitor and assist in the planning process of supported unit. This includes: -Advise staff on how to best employ assets of assigned units -Record all critical information and pass to unit as soon as possible. Include specified/implied tasks, mission-essential tasks,constraints/limitations -Receive and pass all enemy SITEMPs and other intelligence products as soon as possible Conduct adjacent unit coordination as appropriate. Upon Return to Assigned Headquarters: Immediately brief Commander/XO/S-3 on information received. Exchange information with appropriate staff sections. Assist unit in conducting the TDMP. Be prepared to respond to additional liaison responsibilities. 80

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REHEARSAL CHECKLIST TYPE REHEARSALS (Note: Planning process MUST allow time for rehearsals) o Briefbacks o Map o TEWT o Radio/Commo o Sand Table o Full Dress PURPOSE OF REHEARSALS o REINFORCE CONCEPT OF OPERATION o IMPROVE UNDERSTANDING, SYNCHRONIZATION o IDENTIFY CONTINGENCIES o VERIFY RESPONSIBILITIES & TIMING OF ACTIONS o CLARIFY BACK UP PROCEDURES o REFINE PLAN, DEVELOP/IMPROVE SYNCH MATRIX REHEARSALS SEQUENCE o HAVE PREPARED REHEARSAL KIT o GET KEY BOS LEADERS TOGETHER, CDR MUST LEAD o ESTABLISH RECORDER TO UPDATE/DEVELOP SYNCH MATRIX o ALWAYS PREP BLOW UP SKETCH OF OBJ, DEPICTING CONTROL MEASURES o FSO PASSES OUT FIRE SPT EXECUTION MATRIX (TO PLT LEVEL), ENSURES ALL KNOW FS PLAN & CONTINGENCIES o S2 REFERS TO DST, PLAYS THE ENEMY & VERBALIZES EN ACTIONS & REACTIONS o CHALK TALK/WALK THROUGH o FOCUS ON OBJECTIVE FIRST, THEN OTHER KEY EVENTS & TIMING o LDRS STATE WHAT THEY DO DURING EACH CRITICAL EVENT o COUNTER ACTION TO EACH ENEMY ACTION IS IDENTIFIED o CONTINGENCIES ARE IDENTIFIED o REFINED PLAN MUST BE COMMUNICATED TO ALL KEY PLAYERS ASAP o REHEARSE FROM VANTAGE POINT DURING DEFENSE o QUICK LDR, FSO, EN BACKBRIEF IN ASSAULT POISON, PRIOR TO ATK 81

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DAILY COMMANDER’S UPDATE S-3 1. Mission/Intent of Higher 2. Summary of Past Ops in AO 3. Current Ops/Unit Mission & Intent 4. Projected Future Ops 5. Status of OPLANS & FRAGOS 6. Security/Fire Support Available 7. Task Organization 8. Recommendations to Cdr Information is Power Don’t Keep It to Yourself! 82

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Operations Order Format CLASSIFICATION Copy ___ of ___ Copies Issuing Headquarters Place of Issue DTG of Signature Message Reference Number OPERATION PLAN/ORDER NUMBER (Code Name) References: Time Zone Used Throughout Order: Task Organization: 1. SITUATION A. Enemy Forces. B. Friendly Forces. C. Attachments and Detachments. D. Assumptions (OPLAN Only). 2. MISSION 3. EXECUTION A. Concept of Operations. (1) Maneuver (2) Fires (3) Reconnaissance and Surveillance (4) Intelligence (5) Engineer (6) Air Defense (7) Information Operations B. Tasks to Maneuver Units. C. Tasks to Combat Support Units. (1) Intelligence (2) Engineer (3) Fire Support (4) Air Defense (5) Signal (6) NBC (7) Provost Marshal/MP (8) PSYOP (9) Civil Military Continued CLASSIFICATION 83

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Operations Order/Plan Format CLASSIFICATION D. Coordinating Instructions. (1) Time or Condition When a Plan/Order Becomes Effective (2) CCIR (3) Risk Reduction Control Measures (4) Rules of Engagement (5) Environmental Conditions (6) Force Protection 4. SERVICE SUPPORT A. Support Concept. B. Materiel and Services. C. Medical Evacuation and Hospitalization. D. Personnel. E. Civil Military. 5. COMMAND AND SIGNAL A. Command. B. Signal ACKNOWLEDGE: Name (Commander’s Last Name) Rank (Commander’s Rank) OFFICIAL: Name Position ANNEXES: CLASSIFICATION 84

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Operations Order/Plan Annex Sequence Annex A Task Organization Annex B Intelligence Appendix 1 Initial IPB Tab A Modified Combined Obstacle Overlay (MCOO) Tab B Enemy Situation Template Tab C Analysis of AO Appendix 2 Collection Management Annex C Operation Overlay Annex D Fire Support Appendix 1 Air Support Appendix 2 Field Artillery Support Appendix 3 Naval Gunfire Support Annex E Rules of Engagement Annex F Engineer Appendix 1 Engineer Overlay Appendix 2 Environmental Considerations Annex G Air Defense Annex H Signal Annex I Service Support Appendix 1 Service Support Overlay Appendix 2 Traffic Circulation and Control Tab A Traffic Circulation Overlay Tab B Road Movement Table Tab C Highway Regulations Appendix 3 Personnel Appendix 4 Legal Appendix 5 Religious Support Annex J Nuclear, Biological, and Chemical (NBC) Operations Annex K Provost Marshal Annex L Reconnaissance and Surveillance Operations Annex M Deep Operations Annex N Rear Operations Annex O Airspace Command and Control (AC2) Annex P Command and Control Warfare (C2W) Annex Q Operations Security (OPSEC) Annex R PSYOP Annex S Deception Annex T Electronic Warfare (EW) Annex U Civil-Military Operations (CMO) Annex V Public Affairs Per FM 101-5, Dated 31MAY97 85

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BATTLEFIED OPERATING SYSTEMS 86 People sleep peaceably in their beds at night only because rough men stand ready to do violence on their behalf. George Orwell

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BATTLEFIELD OPERATING SYSTEMS MANEUVER FIRE SUPPORT AIR DEFENSE INTELLIGENCE MOBILITY AND SURVIVABILITY COMBAT SERVICE SUPPORT COMMAND AND CONTROL ELEMENTS OF OFFENSIVE OPERATIONS DEEP OPERATIONS RECONNAISSANCE AND SECURITY OPERATIONS MAIN AND SUPPORTING ATTACKS RESERVE OPERATIONS REAR OPERATIONS ELEMENTS OF DEFENSIVE OPERATIONS DEEP OPERATIONS SECURITY FORCE OPERATIONS MAIN BATTLE AREA RESERVE OPERATIONS REAR OPERATIONS 87

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FIRE SUPPORT CHECKLIST Establish “Get Set” time with arty, ammo, and FO’s in place Targeting based on thorough IPB (use S-2’s situational template) FSO must determine trigger points Send FO’s with Scouts on infiltration attack and defense Use AC-130, must have rehearsed commo plan Detailed clearance of fires procedures Company FS execution matrix must be based on company scheme of maneuver Bn and company mortars must be used: Bn FSO C2 81mm MTRS from TOC Use Q36 radar to protect BSA and AVN TF Use dedicated FSO for BSA and Convoy FS plan ADAM (AP)/RAAM Plan FA S-2 and Bde FSO must exchange info with Bde S-2 FSO must briefback cdr’s mission and intent After initial wargame, recon, then wargame again Use “top down” planning and “bottom up” refinement FS execution matrix must be event driven, not time driven FSO must coordinate airspace with USAF LNO, AVN TF S-3, and S-3 Air Redundant observers required on top priority targets Rehearsal of fire support plan critical to mission accomplishment 88

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CALL FOR FIRE 1. Identification - Call Sign of Observer 2. Method of Fire - “Adjust Fire” or “Fire for Effect” 3. Target Location - Shift from a known point or 6 digit grid coordinate 4. Target Description - Troops, tanks, trucks, etc. and type of cover (in bunkers, in trenches, in the open, etc.) 5. Method of Engagement - Use “Danger Close” if target within 600m of friendly troops and type of ammunition (HE, Delay, VT, WP) 6. Method of Control - “At my command” “When Ready” or “TOT” Arty Freq:_______ Arty Call Sign:________ 89

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TARGET LIST Target # Description Location 90

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Enemy Weapon Systems Range Type Description Range D-30 122mm Howitzer 15,300m M-46 130mm Field Gun 27,490m M-1938 107mm Rocket System 6300m Type 59-1 130mm Field Gun 27,490m M65/G5 155mm Howitzer 14,995m M59 155mm Gun 23,500m D20 152mm Gun Howitzer 17,410m APR40 132mm MLRS 20,400m BM21 120mm MLRS 20,400m 2S9 122mm SP Howitzer 7,000-12,000m 2S3 152mm SP Howitzer 17,230m BM 21 122mm MRL 20,500m FROG 7 Arty Rocket System 70,000m SS-1C Scud-B 180-300km 2B14-1 82mm Mortar 4,000m SS40 Astros Rocket Launcher 35,000m 2A65 152mm Gun 30,000m 2B9 82mm Auto Mortar 5,000m 91

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AIR DEFENSE WARNING RED YELLOW WHITE Attack is IMMINENT or IN PROGRESS Attack is PROBABLE Attack is IMPROBABLE WEAPONS CONTROL STATUS Wpns FREE Wpns TIGHT Wpns HOLD Fire at any aircraft not identified as friendly Fire only at aircraft positively identified as Hostile Fire only in self defense Passive Air Defense 1. Use covered and concealed routes and stationary positions 2. Cover glass and camouflage vehicles; do not skyline or outline 3. Maintain COMSEC and air guards 4. Specify visual and audible air warning signals in unit SOP 5. Enforce noise, light, litter discipline 92

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INTELLIGENCE CHECKLIST CDR MUST GIVE GUIDANCE, DEVELOP, SYNC, AND APPROVE RECON PLAN INTEL PREP OF BATTLEFIED & INTEL COLLECTION MUST FOCUS ON MISSION FOCUS ASSETS ON OBJECTIVE COUNTERRECON REQUIRES CENTRALIZED C2 MUST GET ACCURATE 6 DIGIT GRID ON ENEMY W/ OBSERVED FIRE SOP: IF SCT PLT LDR CAN’T TALK TO CDR, HE MUST MOVE SCTS MUST BE EXPERTS AT COMMO, MUST USE DIRECTIONAL ANTENNAS SCOUTS/RECON UNITS MUST HAVE REDUNDANT COMMO CDRS, S2, AND S3 MUST FOCUS ON ENEMY TACTICS, WEAKNESSES OR BATTLE DRILLS & HOW TO COUNTER THEM IF POSSIBLE, HAVE MOBILITY FOR SCOUTS REDUNDANT EYES ON OBJECTIVE/ CONTINGENCY PLAN FOR COMPROMISE AGGRESSIVELY SEEK ALL AVAILABLE INFO: ARTY, S2, FSO, AC-130, ADA, CIVILIANS, PATIENTS, HIGHER HQ’S MUST HAVE PATROL PLAN SHOW ENEMY DECISION POINTS ON DST. HAVE PLAN TO COUNTER THEM S2 INTERVIEWS ALL PATIENTS FOR INTEL ID CHOKE POINTS IN BATTLE AREA TO DETERMINE HIGH CASUALTY AREAS MONITOR AVIATION NET FOR INTELL ON BATTLE ANALYZE TERRAIN FOR EVAC ROUTES, AFFORDING HIGH COVER AND CONCEALMENT AND TRAFFICABILITY KNOW THE ENEMY TEMPLATE 93

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INTELLIGENCE PREPARATION of the BATTLEFIELD TEMPLATES Doctrinal Description: Enemy doctrinal deployment for various types of operations without constraints imposed by the weather and terrain. Composition, formations, frontages, depths, equipment numbers and ratios, and HVTs are types of information displayed. Purpose: Provides the basis for integrating enemy doctrine with terrain and weather data. When Prepared: Threat Evaluation Situation Description: Depicts how the enemy might deploy and operate within the constraints imposed by the weather and terrain. Purpose: Used to identify critical enemy activities and locations. Provides a basis for situation and target development and HVT analysis. When Prepared: Threat Integration. Event Description: Depicts locations where critical events and activities are expected to occur and where critical targets will appear. Purpose: Used to predict time-related events within critical areas. Provides a basis for collection operations, predicting enemy intentions, and locating/tracking HVT. When Prepared: Threat Integration. Decision Support Description: Depicts decision points and target areas of interest keyed to significant events and activities. The intelligence estimate is in graphic form. Purpose: Used to provide a guide as to when tactical decisions are required relative to a battlefield event. When Prepared: Threat Integration. 94

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INFORMATION MANAGEMENT 95 Commander’s Critical Information Requirements (CCIR) Information the commander requires that directly affects his/her decisions and dictates the successful execution of operations. Situation dependent Events or activities that are predictable Specified by the commander for each operations Time sensitive information that must be immediately reported to the commander, staff, and subordinate commanders Always included in an OPORD or OPLAN Transmitted by a communications system specified in the SOP Priority Intelligence Requirements (PIR) Information the commander needs to know about the enemy and terrain. Friendly Forces Information Requirements (FFIR) What the commander needs to know about the combat capabilities of his/her or adjacent units (both tangible and intangible capabilities). Essential Elements of Friendly Information (EEFI) What the commander needs to know to determine how he must protect the force from the enemy’s information gathering systems. Information Display Display symbols, graphics, and terminology consistent with FM 101-5-1 Display essential information. Display information clearly and understandably. Display information accurately, reliably, and in a timely manner. Be able to be changed promptly and easily as the information is update. Be easily distributed to higher, lower, and adjacent units.

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NBC CHECKLIST ENSURE NBC EQUIPMENT IS FUNCTIONAL FOR OPERATION/ALL MTOE EQUIP OH UNITS TRAINED ON CHEM CAS CARE/MES’S OH ID ALL TRAINED DECON TMS IN TF ALL SM’S HAVE IPE OH PRIOR TO DEPLOYMENT RAD/BIO/CHEM DETECTION TM TRAINED AND ID’D SMALL UNIT LEADERS NBC KNOWLEDGE IS THE KEY TO SUCCESS SEPARATE CASUALITES/HAVE PLANS FOR NBC CASEVAC MONITIOR MOPP STATUS CLOSELY COORDINATE DECON/SMOKE OPERATION AT BDE/BN/CO/PLT LEVEL ENSURE SUBORDINATE UNITS ARE ALERTED FOR POSSIBLE ATTACK ENSURE CHEMICAL DEFENSE EQUIPMENT IS DISTRIBUTED & OPERATIONAL CONDUCT MOPP ANALYSIS & ESTABLISH MINIMAL MOPP LEVEL. DISSEMINATE TO SUBORDINATE UNITS. ALERT NBC TEAMS (M8 ALARM OPERATORS, M256 DETECTION TMS, NBC MARKING TMS) TO PREPARE EQUIP ALERT UNIT TO CONDUCT AUTOMATIC MASKING UPON RECEIVING ARTY ATK RECON FOR POSSIBLE DECON SITE & ALERT SUPPORTING DECON SITE ESTABLISH A PLAN FOR NBC CASEVAC, NOTIFY BAS AND RTOC COVER EXPOSED EQUIPMENT AND SUPPLIES DISPERSE, DIG IN AND MAKE MAX USE OF OVERHEAD COVER MOPP LEVEL BDO BOOTS MASK GLOVES 1 2 3 4 WORN CARRIED CARRIED CARRIED WORN WORN CARRIED CARRIED WORN WORN WORN CARRIED WORN WORN WORN WORN 0 CARRIED CARRIED CARRIED CARRIED 96

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NBC-1 REPORT LINE ITEM B C D E H Position of Observer Direction of Attack from Observer DTG of Detonation Location of Attack Type of Burst/Agent (Air/Surface) UNMASKING PROCEDURES 97

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PATIENT DECON/TREATMENT SITE 98

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RAMP/ROE CHECKLIST RULES OF ENGAGEMENT CONDITIONS ROECON GREEN Applies when no discernable threat of hostility exists. Places force in a routine security posture. Involves minimal arming, and protection only of the force and key facilities. ROECON AMBER Applies when there is a discernible threat of hostile activity, but not enough of a threat to justify ROECON RED. Does not generally apply where higher HQ has formally identified a hostile force. Provides for arming additional key personnel, establishment of roadblocks and barriers, security patrols, and increased availability of ordnance. ROECON RED Applies when an actual attack on US forces occurs, a threat of imminent attack exists, or higher HQ has formally identified a hostile force in theater. Directs the force to continue the protection measures detailed in the lower ROECONs, while arming all levels of approval authority on select weapon systems. Group will supplement the soldier’s RAMP by providing specific hostility criteria to assist in implementing the “A - Anticipate” attack principles. * This checklist supplements Fort Bragg Regulation 350-41, Chapter 22. 99

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ADVON/QUARTERING PARTY OPERATIONS MISSION: To establish operations base camp and integrate all subordinate units into the base defense plan. Command and control for the advanced/quartering party will be provided by the XO and S-3. PRIORITY OF WORK: 1. Establish Security 2. Establish Comms with TF Main 3. Establish Initial Defense 4. Stake Ground for Hospital 5. Determine Locations for Follow on Elements 6. Act as Guides for Main Body Arrival ORGANIZATION: Advance Party Command and Control: (a) Operations OIC and NCOIC (b) Radio Operator Team Security: Minimum of 8 personnel Hospital Staking Team: (a) Team Leader (b) Minimum of 9 personnel (3 PLX, 5 Med Co, 1 S-4) (c) Equipment: Tape measure/550 cord/marking equip Quartering Party (a) TF XO (b) TF personnel as determined by mission requirements NBC Team (a) TF NBC NCO (b) 1 x NBC equipment operator (c) Equip: AN/PRD27, IM93, IM174, M8, M256, Markers Mine Clearing Force (a) NCOIC (b) 2 personnel (1 operator, 1 marker) (c) Equip: Mine detector, markers, non-metallic probe 100

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ADVON/QUARTERING PARTY CHECKLIST PERSONNEL A. Full accountability of personnel B. Mission briefing completed C. Soldiers backbrief OIC D. Packing list checked INTELLIGENCE A. All maps posted B. Soldiers Know Challenge/Password C. Leaders have list of sensitive items D. Vehicle bumper numbers are covered NBC A. MOPP gear serviceable B. Soldiers know MOPP level and alert procedures C. NBC NCO has team briefed and equipment on hand COMMUNICATIONS A. ANCD has been filled B. Radio checks completed on all radios C. Personnel know call signs VEHICLES AND EQUIPMENT A. Weapons clean, ammo on hand B. Load plans verified C. Water and fuel cans filled D. Tow bar on hand E. Vehicles dispatched/drivers licensed F. PMCS completed on all vehicles G. Rations provided to all personnel REHEARSE, REHEARSE, REHEARSE! 101

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ADVON/QUARTERING PARTY ACTIONS OIC establishes fire support plan for route Party departs NLT 12hrs prior to main body movement Party travels on prescribed route as outlined in opord Upon arrival at assembly area, party halts, establishes local security Security, NBC, and mine detector teams move forward and secure location Upon receiving all clear, remainder of team moves into area Comms established with TF Main Perimeter security is overseen by S-3 Security force mans LP/OPs Staking team begins laying out hospital 102 TROOP LEADING PROCEDURES Receive mission Issue warning order Make tentative plan Start needed movement Recon Complete plan Issue orders Supervise, refine, and rehearse

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TACTICAL OPERATIONS CHECKLIST 1. Planning and Administration Warning order issued to subordinate commanders Route reconnaissance accomplished and reported Quartering party dispatched Quartering party report for units with communications capability March table, march order, graph, and strip map prepared Additional transportation requested to move unit (if required) Load plans checked Personnel and equipment inspection completed Serial/convoy commanders/leaders identified Personnel briefed on the operation Preparatory maintenance completed Weight markings on all vehicles Situational awareness of individual soldiers Communications checked Weapons checked First and last vehicles of convoy properly marked Area secured during planning Safety briefing conducted Strip maps issued Convoy numbers issued Vehicle fuel tanks filled Compliance with readiness requirements of higher HQs for unit deployment 103

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TACTICAL OPERATIONS CHECKLIST 2. Convoy Training Procedures Entrucking Assembling of column Cross the start point (SP) on schedule Control of column and communications Halts (timing and location) Security during march and halts Maintenance plan enroute and at halts Guides and route markings established Rate of march Adherence to local traffic regulations Accident reporting Passive defense measures during march and halts Proper distance between vehicles Cross release point (RP) on schedule 3. Occupation and Organization for Defense Action of quartering party at bivouac site Smoothness and discipline of operation Dispersion of personnel and vehicles Detrucking Initial security outposting Organization and coordination for ground fire plan Continued 104

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TACTICAL OPERATIONS CHECKLIST Rapidity of operation, interior arrangements: supply, mess, command post, latrines, and slice elements Adequacy of defense and warning systems Use of natural cover and concealment Communication and control within the perimeter Maintenance undertaken on arrival in operational areas Vehicles refueled Vehicles tactically parked Unit SOP or prearranged plan for occupying field location Active defense measures including password/challenge Passive defense measures 4. Tactical Road March Dissemination of situational information to subordinate leaders Entrucking/detrucking of personnel Proper loading of cargo carriers Timely clearance of area March safety precautions Proper formation of columns Light and noise discipline Adequacy of prearranged plans and/or SOP Guides and/or route markers posted Driver proficiency Coordination and control of columns Security of march column Continued 105

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TACTICAL OPERATIONS CHECKLIST Adherence to march column Knowledge of situation by individual soldiers Selection of SP, critical points, and RP Passive defense measures during march and at halts Proper distance between vehicles in columns Reports properly prepared and submitted Unit’s capability to perform mission after march 5. Roadblocks Personnel react IAW convoy SOP Dismounting of personnel Dispersion of vehicles Organization for reaction to roadblock Movement and deployment of squads Roadblock and vicinity checked for mines and booby traps Mines and booby traps cleared correctly Disposition of removed mines and booby traps Emergency treatment of assessed casualties Reporting of casualties, equipment damage, and SITREP to higher HQs Reorganization and continuation of march 6. Occupation and Organization for Tactical Operations Action of quartering party handling of incoming column CONTINUED 106

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TACTICAL OPERATIONS CHECKLIST Smoothness and speed of complexing for technical operations Suitability of location for control, coordination, and supervision of assigned units Interior arrangements: CP, supply, latrines, mess, and others Local communications installation Use of natural concealment features (passive defense) Organization and control of ground fire plans Coordination with adjacent units on area defense plans Adequacy of perimeter defense and warning system Vehicle dispersion and maintenance operations Vehicles refueled Vehicles tactically parked Unit SOP for prearranged plan for occupying field location Unit SOP for patient security during attack Unit SOP for unloading ground/air evacuation vehicles Handling of wounded enemy prisoners of war Handling of contaminated patients Handling of psychiatric patients Handling of patients requiring quarantine 107

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COMBAT SERVICE SUPPORT CHECKLIST CASUALTY EVACUATION - HAVE AN OPLAN THAT INCLUDES BOS SYNCHRONIZATION SUPPLY OF CLASS IV REQUIRES DETAILED C2 AT DISTRIBUTION XO OR 1SG MUST KEEP TRACK OF CLASSES OF SUPPLY & ALL PERSONNEL MEDEVAC’D AVOID PEICEMEALING DEDICATED TRANS ASSETS OUT TO MANEUVER COs STANDARDIZE SUPPORT TO ALL ATTACHMENTS - HAVE SOP SPT PKGS HAVE A PLAN TO RESUPPLY SQD/PLTS W/ REPLACEMENTS SENT FWD DRIVERS TRAINING PROGRAMS MUST INCLUDE SELF/LIKE RECOVERY STAFF JOURNAL MAINTAINED ROAD CLEARANCES REQUESTED FOR ALL CONVOYS PARKING PLAN ESTABLISHED CASUALTY LOG ESTABLISHED & MAINTAINED (USE TACCS) A/L ESTABLISHED AS NCS. NET DISCIPLINE ENFORCED FIELD SANITATION/TRASH DISCIPLINE/DISPOSAL PLAN PREWRITTEN ORDER FORMATS FOR ADVON/QTR PARTY/CONVOYS CSS COORD W/ FWD/ADJACENT/REARWARD/INTERNAL UNITS MP MISSIONS PRIORITIZED CSS FOCUSED ON MAIN EFFORT MAXIMIZE AIR RESUPPLY RACO: BOS PLAN (FIRE SPT/ADA SPT/REACTION FORCE/ENGINEER PLAN) S1 MUST HAVE DETAILED CMO PLAN: CLUSTER POINTS/EVAC PLAN/USE OF CA TEAMS/PLAN FOR HUMINT ALL CONVOYS MUST BE BOS SYNCHRONIZED ALL CP VEHICLES MUST CARRY CL IV AS PART OF THEIR BASIC LOAD BN RPTS MUST MATCH BDE RPTS IN CONTENT & AS OF TIMES 108

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Classes of Supply Class I Subsistence Class II General Supplies and Equipment Class III POL Class IV Construction Class V Ammo Class VI Personal Demands Class VII Major End Items Class VIII Medical Material Class IX Repair Parts Class X Non Military Items GROUND EQUIPMENT RECORDS SF 91 Operator Report on Motor Vehicle Accidents DD 314 Preventive Maintenance Schedule and Record DA 2401 Organizational Control Record for Equipment DA 2404 Equipment Inspection & Maintenance Worksheet DA 2405 Maintenance Request Register DA 2407 Maintenance Request DA 2408-4 Weapon Record Data DA 2408-20 Oil Analysis Log 109

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CONVOY OPERATIONS 1. Request convoy clearance and SP time 2. Verify route security with S-3 3. Recon route from AA to SP 4. Conduct convoy brief 5. PMCS vehicles, top off, conduct commo checks 6. Rehearse actions on ambush and occupation of new AA 7. Link up with MP escort if available CONVOY BRIEF 1. Convoy route, speed, and interval between vehicles 2. Actions on ambush 3. Location of leaders within convoy 4. Issue map overlays or strip maps, ID checkpoints, RP 5. Identify air guards 6. Assumption of command if convoy splits 7. Enemy threat (NBC markings) 8. Rules of engagement 9. Civilian traffic on route 10. Priority of work upon arrival in new AA REQUEST CLEARANCE FROM S-3 PRIOR TO CROSSING LINE OF DEPARTURE. CALL IN ALL CHECKPOINTS. REHEARSE, REHEARSE, REHEARSE! 110

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COMMAND, CONTROL AND COMMUNICATIONS CHECKLIST KEEP STAFF & SLICE TOGETHER UNTIL PLAN IS COMPLETE, S-4 COMES TO TOC RIGIDLY ENFORCE TIME SCHEDULE. MUST MAKE TIME FOR BACK BRIEFS & REHEARSALS WARGAME CDR’S COA & DEVELOP DST & SYNCH MATRIX BOS BRIEFBACK: MISSION, INTENT, INITIAL CONCEPT IMMEDIATELY AFTER OPORD INTEGRATE C2 MEASURES, MANEUVER, OBSTACLES, AND FIRES IN DETAIL DURING REHEARSALS USE OPSKEDS DROP TO INTERNAL NETS IF UNITS DO NOT ANSWER KEEP RADIO ON OLD FREQUENCY TO POLICE UP UNITS WHO DID NOT CHANGE CROSS TALK BETWEEN COMPANY CDRS IS A PREREQUISITE FOR SUCCESS KNOW ANTI-JAMMING CODEWORD & SOP KNOW SOI, VINSON COMPROMISE CODEWORD & SOP OPERATION ON O/I OR OTHER NET & CHANGE TO CMD FREQ 2 HRS BEFORE MISSION EXECUTION IN CASE EN HAS LOCKED ONTO YOUR FREQUENCY PRECOMBAT INSPECTION REQUIREMENTS IN OPORDS HAVE “FILL IN THE BLANK” WARNING ORDERS, FRAGOS, OPORDS ON FILE TAC ROE IN OPORD FACE TO FACE COORD WITH LDRS, ADJACENT UNITS WHENEVER POSSIBLE TOC DESTRUCTION SOP MAKE ALOC MONITOR THE BATTLE: C2 REDUNDANCY 111

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CIVIL MILITARY OPERATIONS CENTER CHECKLIST Screen, validate, and prioritize UN/PVO/NGO/IO military support request. Act as intermediary, facilitator, and coordinator between JTF/TF elements and UN/PVO/NGO/IO. Explain JTF/TF policies to UN/PVO/NGO/IO and conversely explain UN/PVO/NGO/IO policies to JTF/TF. Screen and validate UN/PVO/NGO/IO requests for available passenger airlift space. Administer and issue identification cards (for access into military-controlled areas). Convene ad hoc mission planning groups when complex military support or numerous military units and POV/NGO/IO are involved. Provide JTF/TF operations and general security information to UN/PVO/NGO/IO as required. Facilitate or coordinate activities such as airlift and sealift to avoid duplication and inefficiency of efforts and to increase safety. Assist in the creation and organization of food logistics systems when requested. Provide liaison between JTF/TF and other humanitarian coordination groups or centers. Exchange information. 112

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RADIO TROUBLESHOOTING 1. Check frequency setting 2. Check battery 3. Check antenna 4. Check ALL connections from battery to antenna 5. Check ALL power and positions switches 6. Replace CVC or handset 7. Check position for terrain mask 8. Check antenna top section; repair if needed DEVELOP COMMO PLAN 1. Conforms to format IAW FM 101-5 2. Supports the commo requirements of all specified and implied missions of the command 3. Is consistent with unit capabilities 4. Provides for maintenance support 5. Provides for interface with higher, lower, and adjacent units 6. Provides for COMSEC 7. Anticipates electronic warfare threat 8. Ensures that all signal/commo policies are followed as directed in SOI and OPLAN 113

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TOC OPERATIONS 114 Hard pressed on my right. My center is yielding. Impossible to maneuver. Situation excellent. I am attacking. Ferdinand Foch Battle of the Marne

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TOC FUNCTIONS RECEIVE INFORMATION Receive Messages, Reports, and Orders from Subordinate Units and Higher Headquarters. Monitor Tactical Situation. Maintain a Journal of All Significant Activities and Reports. Maintain and Update Unit Locations and Activities. Maintain a Status of Critical Classes of Supplies. DISTRIBUTE INFORMATION Submit Reports to Higher Headquarters. Serve as a Communications Relay Between Units. Publish Orders and Instructions. Process and Distribute Information to Appropriate Units or Staff Sections. ANALYIZE INFORMATION Consolidate Reports. Anticipate Events and Activities, Taking Appropriate Action as Required. Conduct Predictive Analysis Based on the Tactical Situation. Identify Information Relating to the Commander’s Critical Information Requirements (CCIRs). Conduct the Tactical Decision Making Process. Identify the Need to Execute Contingency Plans Based on the Current Situation. RECOMMEND Submit Recommendations to the Commander Based on the Information Available and Analysis Conducted. INTEGRATE RESOURCES Coordinate the Integration of Combat Multipliers. SYNCHRONIZE RESOURCES Coordinate the Synchronization of Combat Multipliers. 115

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TOC LANES EXECUTIVE OFFICER Supervising and Coordinating the Staff During the TDMP. Supervising the Analysis and Assessment of All Information and Submitting Recommendations to the Commander Accordingly. Supervising and Ensuring Proper Information Flow within the TOC. Anticipating and Synchronizing Operations from the TOC. BATTLE CAPTAIN Supervising the Efforts of Staff NCOs within the S3 Section. Conducting Analysis and Assessment of Available Information. Assisting in the Review and Dissemination of Information within the TOC. Assisting in Monitoring the Location and Activities of Friendly Units. Serving as the TOC OIC During the Absence of Field Grade Officers. Assisting the S3 During the TDMP. OPERATIONS NCO/SHIFT NCO Ensuring Reports and Messages are Distributed Properly. Updating Unit Statuses on Maps and Charts. Supervising the Publication of Orders and Graphics. Supervising the Setting Up and Dismantling of the TOC. Supervising All Enlisted Personnel Assigned to the S3 Section. Managing Guard Rosters, Sleep Plans, and Shift Schedules. Assisting in Developing and Wargaming COAs During the TDMP. Serving as a Recorder During the TDMP. RTO/CLERK Monitoring the Radio. Receiving and Recording Reports. Updating Status Charts as Necessary. Assisting in the Publications of Orders and Graphics. Assisting in Setting Up and Dismantling the TOC. Serving as Recorders During the TDMP. Cleaning and Preparing Charts and Overlays for the TDMP. 116

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TOC OIC CHECKLIST o Current Graphics Posted o Fire Support Overlay O/H o CSS Overlay O/H o A2C2 Overlay O/H o Large Grid Designators Posted o Wind Direction Arrow o Map Posted w/ -All TOC/TAC Locations -Subordinate Units -BSA/DSA/CSA/MSR’s o S-2 -Enemy Situation Template -Enemy Arty Ranges -Timelines o Sync Matrix Posted o LD/LC/FLOT Posted o Bde Status Chart Updated o All OPORDERs O/H o Current FRAGO O/H o Current INSUM O/H o Threatcon Level Posted o Alert Warnings Posted o MOPP Level Posted o ADA Condition/Status Posted o Current CDM Posted o Task Organization Posted o Cdr’s Intent Posted o Call Signs/Freq Verified o Staff Journal Updated o Map Symbols O/H o Freqs for CAS o Sector Sketch Posted o Brief Sequence /Times Posted o Pwr Gen Maint Posted o Remotes Labeled o Field Desks Restocked o Charts Standardized o Wall Clocks Posted o Weather Update Posted o Light Data Posted o A/C Mission Chart o Report Suspense Updated o Commo Checks Completed o Key Personnel Sleep Plan/Location o Classified Waste Destroyed o TOC Clean Up Plan o Fresh Coffee O/H o TA 3-12 Lines Checked o Fax/MSRT/MCS/DNVT Up o Briefing Tent Organized/Clean o TOC Cleaned up o Chow Times/Ration Cycle o Weapon Accountability o Correct Uniform In TOC o Vehicle PMCS Completed o Keep It In Perspective 117

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TOC NCOIC CHECKLIST o Inspect Fighting Positions o Enforce Sleep Plan o Coordinate LogPac/Resupply o Enforce Soldier Standards -PMCS Equipment -Hygiene -Correct Uniform o Enforce Noise/Light Discipline o SM/Equip Accountability o Coordinate Local Security o Post Locations of Key Units o Track BDA o Post Maint Status o Post Supply Status o Post Enemy Activities o Enforce TOC Rules o Rehearse Immediate Actions o Supervise Freq Changes o Coordinate Shift Change o Ensure Reports Are Submitted o Conduct TOC Site Recon o Conduct PCIs Prior to Movement o Distribute Strip Maps o Designate Fighting Positions o Ensure Convoy Security o Control TOC Access o Tie In Security With Units In AO o Lead JUMP TOC o Generators Sandbagged o Vehicles/Gen Refueled o Constant Area Improvement o KEEP THE BATTLE CAPTAIN OUT OF TROUBLE! OPERATION PLANNING DUTIES o Assist in COA Formulation o Prep Materials For Briefings o Assist In Briefings o Distribute OPORDS To Units o Publish Plans. Orders, And Reports o Develop Target List o Develop Obstacle Plan o Coordinate Rehearsals o Prepare Order Briefs o Coordinate Casualty Evacuation o Consolidate Orders Input o Establish Deception Plan o Plan Hasty Dislocation o Coordinate IPB o Maintain Publications o Monitor Computer/Disk Use o Oversee OPSEC In TOC o Control Map Board o Radios Operational & Manned o Fighting Positions Designated o TOC Duty Shifts Established o Prepare Area For Rehearsals 118

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TOC CHECKLIST 4 TOC SYSTEMS IN PLACE: RULES, REFERENCES & BACKGROUND DATA, STATUS BOARDS, TOC JOURNAL TOC RULES: SHIFT CHANGEOVER BRIEFS, SHIFT HOT WASHES (LESSONS LEARNED PASSED TO NEXT SHIFT), OIC/NCOIC STAYS OFF RADIO AND LETS RTO DO HIS JOB, BN TRACKING, PLT LOCATIONS & CBT EFFECTIVENESS, TOC JUMP SOP, SOP FOR CHEM LIGHTS (NO GENERATOR), FIRE EXTINGUISHERS O/H/ DAILY CDR’S UPDATES, NO EATING, SMOKING, SLEEPING IN TOC OPS, FIRE SPT, S2 MAP NEXT TO EACH OTHER STANDARDIZED OVERLAYS WITH STANDARDIZED GRID REFERENCE MARKS NCOIC/OIC/TOC SHIFT CHART (W/ DESIGNATED SLEEP PLAN & SLEEP LOCS) FIELD FOOT LOCKER W/ SOP PACKING LIST POSTED AND UPDATED LESSONS LEARNED CHART FILL IN THE BLANK OPORDER FORMS ON HAND WEAPONS LIMITATION AND BASIC DATA CHART FOR PLANNING MEDEVAC PROCEDURES CHART POSTED ABOVE RTO’S DESK FIRE ESCAPE PLAN FORMS FILE ALPHA ROSTER/BATTLE ROSTER/EQUIPMENT MATRIX CHART RTO CHEAT SHEETS PREPARED AND UPDATED FREQUENCY CHANGE OVER PLAN W/ ONE RADIO ON OLD FREQ TO POLICE UP NET SOI COMPROMISE/ANTI-JAMMING SOP NBC TEAMS IDENTIFIED, TRAINED, AND USING EQUIPMENT DEFENSIVE SECTOR SKETCH WITH RANGE CARDS AUTOMATIC WPNS ON HIGH SPEED AVENUES OF APPROACH 119

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TOC CHECKLIST CONTINUED WEATHER POSTED & ANALYZED W/ FRIENDLY & EN EFFECTS OUT TO 72 HRS LOCATIONS CHARTS ON HAND & UPDATED MANDATORY REPORTS CHART ON HAND & UPDATED BY TOC OIC/NCOIC COMMO STATUS CHART ON HAND & UPDATED BY SIGO CONTINUITY BOOK ON HAND & UPDATED (TOC LAYOUT, LOAD PLANS, JOB DESCRIPTIONS, RECURRING ACTIONS) ARTEP/MTP & OTHER REQ’D REFERENCE DATA ON HAND COMBAT STATUS CHARTS ON HAND & UPDATED: EQUIPMENT, MISSIONS, MOS & PROJECTED SHORTFALLS/GAINS WITHIN 72 HRS, CBT EFFECTIVENESS CIRCLE CODE CHARTS (PERSONNEL/LOGISTICS/EQUIPMENT/COMMO) TOC JOURNAL o 3 PART FOLDER: CURRENT LOG, JT MESSAGE FORM, PAST JOURNAL LOG o UPDATED & CORRECTLY COMPLETED BY NCO o MSG FROM (DD173) INITIALED BY TOC OIC TO INDICATE ACTION WAS CORRECT, INFO POSTED & DISTRIBUTED BY PERSONNEL o ACTION TAKEN - NEVER USE THE WORD LOGGED! PASSIVE AIR DEFENSE MEASURES (CAMO, LIGHT DISCIPLINE, OPSEC) RADIOS TURNED DOWN, EVERYONE TALKS IN LOW VOICE TOC REACTION DRILLS o ARTY ATTACK o AIR ATTACK o NBC ATTACK o ENEMY ATTACK o CASEVAC 120

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TOC OIC/NCOIC DUTIES 1. Insure all commo is operational to include fax. Have SIGO update commo status chart 2. Work with the Ops SGM to establish TOC shifts - fill in the charts, estab sleep plan, know where everyone is sleeping, nigh shift recons sleeping areas to find key pax if necessary. 3. Monitor reports hourly. 4. Insure TOC shifts are organized as follows: Current ops, future ops, SLICE OIC, and TOC NCOIC. 5. Current Ops should consist of TOC Officer, TOC NCOIC, FSO, S2 Officer, Slice (1) Update current Ops maps (map NCO) (2) Update Intel map (S-2) (3) Update FSO and Engineer map (FSO & Engineer) 6. NCOIC: Handles all message traffic, run TOC log, insure all RTO’s are monitoring all nets, supervise map NCOs, insure reports are timely, all charts updated, area kept clean, develop sleep plan for shifts, coordinates with HHC Cdr for TOC security to include OPSEC, TOC battle drills, and TOC reaction force. 7. SLICE OIC: Backbrief TOC officer on current status of special staff, as required 8. FUTURE OPS OFFICER: Insure a planning map is updated and planning area is kept neat and orderly. Immediately begin to build shell orders based on assumptions for future ops. 9. TOC officer is the orchestrate, not the worker bee. Should be seated in the ops center. Has following people report to him: SLICE, NCOIC, S2, and future ops officer. NOTE: The TOC officer is not an RTO. He lets the RTO’s do the talking, with the OPS SGM supervising the RTO’s. 10. TOC officer must learn and execute the commander’s intent. 11. Overlays must be standardized. 12. Make sure the SIGO has the multichannel phonebook acetated and posted and the RTO cheat sheets are updated. This includes instructions for MEDEVAC, to include call sign and frequency. 13. Monitor battery changes for the remotes. Insure DTG of batter change is logged on each radio. 14. TOC officer should personally draft the CDR’s SITREP and have it approved by the XO, S3, or Commander. 15. TOC officer insures the engineer overlay and the FS overlay are integrated. 16. TOC officer insure NCOIC wakes everyone who is involved in the CDR’s daily staff briefs. 17. TOC OIC personally reads all message traffic, insures correct action is taken, and initials the message form indicating he has done this. 121

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BATTLE CAPTAIN RUCK PACKING LIST Medical Operations Handbook Alcohol Markers Alcohol Wipes Grease Pencils Pens/Mechanical Pencils Notebook Required Maps Map Protractor Compass GPS Computer with CD Drive Selected FMs on CD Digital Camera Satellite Phone Short-wave Radio Mini-Mag Flashlight Additional AAA Batteries 550 Cord 100mph Tape VS-17 Panel Strobe Light Signal Mirror Chem Lights Waterproof Matches Water Purification System MRE Extra Socks Work Gloves Hygiene Kit Passports (Official/Tourist) Yellow Shot Record Host Country Phrase Book 122

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TOC BATTLE DRILLS CIVILIAN ON BATTLEFIELD STEP 1 - Take positive control of persons, check ID card, verify with S-2 STEP 2 - Detain (blindfold/flexicuff if hostile), keep outside of wire STEP 3 - Notify the TOC STEP 4 - Guard until QRF/TOC personnel arrive STEP 5 - Do not discuss anything with persons STEP 6 - TOC personnel take control, notify higher S-2 and local authorities SIGNAL: “VERBAL ALERT” 123

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TOC BATTLE DRILLS GROUND ATTACK STEP 1 - All personnel man fighting positions STEP 2 - Positively identify enemy STEP 3 - Engage IAW Rules of Engagement STEP 4 - Report/Treat/Evacuate Casualties STEP 5 - Remain in positions until given all clear SIGNAL: “CIRCLE THE WAGONS” CHEMICAL ATTACK STEP 1 - Mask STEP 2 - Go to MOPP4 STEP 3 - NBC NCO sends NBC1 report to higher STEP 4 - Detect contamination, determine type of agent, mark area STEP 5 - Conduct hasty decon following determined priority STEP 6 - Conduct MOPP gear exchange as needed STEP 7 - Unmask only when directed by appropriate authority SIGNAL: “VERBAL, M8, HAND SIGNALS” SNIPER STEP 1 - Take cover STEP 2 - Report to TOC on CMD Net (provide direction of fire) STEP 3 - Return fire IAW Rules of Engagement STEP 4 - Remain under cover until all clear given SIGNAL: “SNIPER!” 124

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GRAPHIC REFERENCES 125 Every man thinks meanly of himself for not having been a soldier. Samuel Johnson

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Precombat Checks 1. Complete prepare to fire weapons checks 2. Complete preoperations PMCS; resolve problems 3. Load vehicles/rucks per load plans 4. Clean/function check individual & crew served weapons 5. Top off vehicles 6. Stow basic load of Class I and V 7. Fill canteens, water & oil cans as needed 8. Index battlesights 9. Check radio freqs and operation 10. Check speech security equip 11. Check personnel; brief mission 12. Rehearse Crew Checklist PERSONNEL o Soldiers briefed on mission, know checkpoints and rally points o Morale of section o Full staff O/H PERSONAL EQUIPMENT o Dog tags present and O/H o ID Card O/H, Geneva Convention Card O/H, Red Cross Armband o Proper field uniform o Weapons cleaned and secured, ammunition issued o SQD leader has listing of all serial numbers for weapons and sensitive items o NBC equipment O/H INTELLIGENCE o All overlays/map updates O/H o All soldiers know sign/countersign o Soldiers have strip maps o Threat brief/rules of engagement brief received 126

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ARM PIT DEPTH SLOPE GRENADE SUMP ONE E-TOOL WIDE AND DEEP TWO PERSON FIGHTING POSITION 127

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TRIPLE STRAND CONCERTINA Ensure job site security Organize work into three crews First crew lays pickets Second crew lays out wire. Place one roll on enemy side at every third picket and two rolls on enemy side at every third picket Third crew installs all pickets Reorganize party into four soldier crews Install wire Ensure wire is properly tied and all horizontal wire properly installed x x x x x x x x x x x x x x x 1 Meter Picket Installation 128

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RANGE CARD MAGNETIC NORTH May be used for all types of direct fire weapons SQD PLT CO DATA SECTION Position Identification Date Weapon Each Mark Equals ___________ Meters Remarks: No. Direction/ Reflection Elevation Range Ammo Description - - - - - - - - - - - - 129

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SECTOR SKETCH OUTPOST CHEM ALARM LIKELY AVE OF APPROACH M16 M60 M2 TRIP WIRE FLARE F TRP ROAD BLOCK XX UNIT: DEAD SPACE/TREES Magnetic North 130

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131

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C2 Relationship vs Mission Unit Configuration Ad Hoc Attached Elements Organic 2 1 0 Leaders Rest vs Prep Time Leaders Rest Time for Mission Prep Extensive Adequate Minimal Less 4 Hrs 6 Hrs 8 Hrs 2 1 0 3 2 1 4 3 2 Soldier Condition vs Terrain Terrain VISIBILITY/MOISTURE GOOD 8 Hrs ADEQUATE 6 Hrs Minimal 3 Hrs Dangerous Challenging Normal 2 1 0 3 2 1 6 4 8 Day Night Special Hazard MISSION 3 2 1 4 3 2 RISK ASSESSMENT LOW MODERATE HIGH 1 11 12 23 24 31 *What are your risk reduction actions? *Cdr must approve HIGH risk operations. 132

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C-130 Usable Dimensions: 102” High 115” Wide w/out dual rails 105” Wide w/ dual rails Axle Limitations: Station 257-337 = 6,000lbs Station 682-742 = 6,000lbs Station 337-683 = 13,000lbs Ramp = 3,500lbs single axle or 2,500lbs each axle Aisleway: Pallets 3 - 4 = over 36” requires 6” aisleway Pallet 6 = 18” aisleway Planning ACL = 25,000lbs Pallet Limitations: Pallet 1: 10,355lbs @ 76” Pallet 2-4: 10,355 @ 96” Pallet 5: 8,500lbs @ 96” Pallet 6: 4,664lbs @ 76” Pax: 90 Maximum/74 Over Water Cargo widths up to 76” allows pax on both sides of aircraft Cargo widths 76”-96” allows pax on one side of aircraft Cargo widths over 96” allows no pax on either side of aircraft Runway Requirements: 3,000 ft Range: 2,356 miles Crew: 5 AIRCRAFT INFORMATION 133

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C-5 Usable Dimensions: Front: 150” High Front: 144” Wide Aft: 106” High Aft: 214” Wide Axle Limitations: Station 517-724 = 20,000lbs in any 40” length Station 1884-1971 = 20,000lbs in any 40” length Station 724-1458 = 36,000lbs in any 40” length Station 1458-1884 = 36,000lbs in any 40” length Station 1458-1518 = 25,000lbs per axle Ramp = 3,600lbs in any 20” length Aisleway: Pallets 1,2, 35, & 36 requires 14” aisleway Planning ACL = 130,000lbs Pallet Limitations: Pallet 1-2: 7,500lbs @ 96” Pallet 3-34: 10,355 @ 96” Pallet 35-36: 7,500lbs @ 70” Pax: 73 permanent seats, 267 Airbus for total of 340 pax Runway Requirements: 5,000 ft Range: 3,434 miles Crew: 5+ AIRCRAFT INFORMATION 134

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C-141 Usable Dimensions: 103” High 117” Wide Axle Limitations: Station 322-678 = 10,000lbs Station 682-742 = 10,000lbs Station 678-998 = 20,000lbs Ramp = 7,500lbs single axle or 5,000lbs per individual wheel Aisleway: None Planning ACL = 90,000lbs Pallet Limitations: Pallet 1: 10,355lbs @ 76” Pallet 2 - 12: 10,355lbs @ 96” Pallet 13: 7,500lbs @ 76” Pax: 200 Maximum, 153 Over Water Cargo widths up to 80” allows pax on both sides Cargo widths 80”-96” allows pax on one side only Cargo widths over 96” allows no pax on either side Runway Requirements: 5,000 ft Range: 2,800 miles Crew: 4 AIRCRAFT INFORMATION 135

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C-17 Usable Dimensions: 142” High 210” Wide Axle Limitations: Station 347-577 = 27,000lbs Station 1037-1165 = 27,000lbs Station 577-1037 = 36,000lbs Ramp = 27,000lbs Aisleway: None Planning ACL = 90,000lbs Pallet Limitations: All pallets: 10,355lbs at 96” Pax: 112 Maximum, 102 Over Water Runway Requirements: 3,000 ft Range: 2,760 miles Crew: 3 AIRCRAFT INFORMATION 136

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CONVERSIONS 137

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Key References: FM 3-7, NBC Field Handbook, 29 September 1994 FM 8-10, Health Service Support in a Theater of Operations, 1 March 1991 FM 8-10-4, Medical Platoon Leaders Handbook, 16 November 1990 FN 8-10-6, Medical Evacuation in a Theater of Operations, 31 October 1990 FM 8-10-7, Health Service Support in a Nuclear, Biological, and Chemical Environment FM 8-27, Veterinary Service, 30 September 1983 FM 8-42, Combat Health Support in Stability and Support Operations FM 8-43, Combat Health Support to Special Operations Forces FM 8-55, Planning for Health Service Support, 15 February 1985 FM 101-5, Staff Organizations and Operations, 1997 MD0420, Combat Health Support Doctrine, AMEDD Center and School Field Operations Guide, US Agency for International Development CGSC Student Text 101-6, G1/G4 Battle Book, 1JUN94 Joint Pub 4-02 Combat Leaders’ Guide, Leader Handbook, Army Research Institute The Medical NBC Battlebook, Draft FY97, USACHPPM 55th Medical Group RSOP 1st Medical Group Smartbook XVIII Airborne Corps RSOP 3rd Bn, 12th In, 8th Infantry Division, TACSOP, 1991 Center for Army Lessons Learned AMEDD Lessons Learned Division

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