ATP-4-90 Brigade Support Battalion Download
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Chapter 8 8-6 ATP 4-90 18 June 2020 The BSMC oversees its organic elements and maintains OPCON of medical augmentation elements. A forward resuscitative and surgical team may augment the BSMC with a forward surgical capability when required based upon mission requirements or mission variables. The BSMCs organic to the IBCT, ABCT, and SBCT consist of a company headquarters, preventive medicine section, behavioral health section, medical treatment platoon, medical evacuation platoon, and a brigade support medical office. The BSMC receives, triages, treats, and determines the disposition of patients based upon their medical condition. Role 2 care includes all of the capabilities and functions of Role 1 care. The BSMC provides Role 2 medical care for the BCT with an increased medical capability above Role 1 with the addition of x-ray, laboratory, combat operational stress control, and dental services. The company has 20 cots for holding patients up to 72 hours. Company Headquarters The company headquarters section provides unit-level administration, general supply, and CBRN operations support. The company also provides and coordinates medical equipment maintenance for the medical platoons and medical sections in the BCT. The BSMC commander advises the BSB commander on medical aspects of battalion operations and on the health of supported personnel. The medical company commander ensures that the medical annex of the operations order includes procedures to process and treat CBRN contaminated casualties and provisions for CBRN collective protective shelter systems and decontamination augmentation. The annex should list provisions for supporting air and ground ambulances, augmentation of medical support assets for contingency operations, detainee operations, customer assistance on obtaining class VIII, and for medical representation on casualty damage assessment sections. The first sergeant is the company’s senior NCO and normally its most experienced Soldier. The first sergeant is the commander’s primary logistics and tactical advisor. The first sergeant collaborates with the commander and XO to plan, coordinate, and supervise all internal logistics activities that support the company mission. The first sergeant is located wherever the duties require. The company XO is the principal assistant to the company commander on internal company logistics and the tactical employment of the company. The considerations which influence the employment of medical assets in the brigade are dependent on the brigade commander’s plan, the anticipated patient load, expected areas of casualty density, and the medical treatment and evacuation resources available. Brigade Medical Supply Office The brigade medical supply office (BMSO) is responsible for materiel management and distribution of medical supplies, maintenance of medical equipment, and coordinating and synchronizing medical support operations for the BCT. The BMSO performs the following activities: supply planning, requirements validation, asset visibility, medical equipment maintenance, distribution, redistribution and retrograde of class VIII. The BMSO must integrate class VIII distribution into the BSB distribution plan. The BMSO must determine the types, quantity, and priority of class VIII to be distributed and communicate this to the BSB SPO materiel management and distribution integration personnel. In some instances, the BMSO may distribute class VIII via ambulances. The BMSO can be collocated with the BSB’s SSA or serve independently as part of the BSMC as a forward distribution point to dispense class VIII medical supplies. The BMSO also synchronizes medical logistic support for medical equipment and its maintenance in the BCT. The office deploys with a three day basic load and preplans resupply sets for the next seven days. The BMSO will bring in and maintain resupply sets of class VIII for the BCT as required. The BMSO also has limited critical line items of ASL to support the brigade support medical company’s Role 2 medical elements and maneuver battalion’s Role 1 medical platoon and battalion aid station requirements. The ASL is a basic load of class VIII supply for the BCT managed as a safety stockage level and released to support the brigade when routine replenishment fails to meet mission requirements or wait times. Upon arrival in theater, a medical logistics company or higher echelon unit will resupply the BMSO through push-packages until line item requisitioning is available. The BMSO routes these medical