ATP-5-0-2-1 Staff Reference Guide Volume 1 Download
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Sustainment Planning Factors 07 December 2020 ATP 5-0.2-1 287 Behavioral health and neuropsychiatric treatment. Treatment of chemical, biological, radiological, and nuclear patients. Hospitalization. Medical logistics (including blood management). G-169. The concept of medical care in theater is developed and adhered to by medical commanders and their staffs in conjunction with the command surgeon at each echelon. The medical plan in each operation order includes care by echelon, MEDEVAC procedures, and CASEVAC procedures. ARMY HEALTH SYSTEM PRINCIPLES G-170. Enduring principles underpin the AHS’ delivery of health care in a field environment. These principles guide medical planners in developing operation plans that are effective, efficient, flexible, and executable. AHS plans are designed to support the operational commander's scheme of maneuver while retaining a focus on the delivery of health care. The AHS principles are— Conformity. Conformity with the operation order provides the most basic element of effective AHS support. Proximity. Proximity provides AHS support to sick, injured, and wounded Soldiers at the right time and the right place and keeps morbidity and mortality to a minimum. Flexibility. Flexibility is health care personnel prepared and empowered to shift AHS resources as requirements change. Mobility. Mobility ensures that AHS assets remain in proximity to support maneuvering forces. Continuity. Continuity in care and treatment moves the patient through progressive, phased roles of care, extending from the point of injury or wounding to the CONUS-support base. Continuity of care is an attempt to maintain the role of care during movement between roles at least equal to the role of care at the originating role (FM 4-02). Control. Control ensures that scarce AHS resources are efficiently employed and support the operational and strategic plan. ROLES OF MEDICAL CARE G-171. A basic characteristic of organizing modern AHS support is the distribution of medical resources and capabilities to facilities at various levels of command, diverse locations, and progressive capabilities— these are referred to as roles of care. As a general rule, no role will be bypassed except in instances of medical urgency, efficiency, or expediency. The rational for this rule is to ensure the stabilization/survivability of the patient through tactical combat casualty care (TCCC), advanced trauma management, and far forward resuscitative surgery. The four roles of medical care are— Role 1—First medical care a Soldier receives. Role 2—Advanced trauma management and TCCC. Role 3—Resuscitative surgical intervention. Role 4—Medical care at CONUS-based hospitals and other safe havens. G-172. Role 1 care is performed expediently by self and battle buddies (first aid), nearby combat lifesavers (enhanced first aid), and combat medics. These personnel are referred to as first responders and their capabilities as TCCC. Tactical combat casualty care occurs during a combat mission and is the military counterpart to prehospital emergency medical treatment. Tactical combat casualty care uses a strictly limited range of interventions and focuses on the most likely and serious threats, injuries, and conditions encountered in combat. G-173. Tactical combat casualty care consists of three phases: Care under fire. Only lifesaving interventions that must be performed immediately are undertaken during this phase. Tactical field care. Interventions directed at other life-threatening conditions, resuscitation, and other measures to increase the comfort of the patient may be performed. Physicians and physician assistants at battalion aid stations or during tailgate medical support also provide