CONCEPT OF OPERATIONS BUMEDINST 3400 1

File: 123096_sep96_decls22_0001.txt
Page: 0001
Total Pages: 3

Subject: CONCEPT OF OPERATIONS BUMEDINST 3400 1                          

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box  ID: BX303801

Folder Title: VARIOUS BUMED DOCUMENTS FOLDER 1                                                                

Document Number:         17

Folder Seq  #:          1









        BUMEDINST 3400.1


                               CONCEPT OF OPERATIONS

        1. General Considerations. Effective HSS of the Operating
        Forces in a CB environment must be predicated on a realistic
        concept of operations. This concept includes sufficient Tnanpow-
        er, facilities, equipment, and training. The concepts which
        follow encompass the treatment, handling, and evacuation of
        chemically contaminated casualties. Their injuries may be
        chemical, traumatic, or both. Figure I shows a five echelon
        approach which has been overlaid on the traditional continuum of
        care as outlined in reference (d), and is based on levels of care
        available in each echelon. The criteria for each echelon of care
        are described in the following paragraphs. Medical judgement
        continues to play a significant role in the handling of CB
        casualties.

            a. Echelon 1. Care encompasses first aid, self-aid, or
        buddy-aid, proviied at the forward line of own troops (FLOT).
        Skilled medical intervention by company or ship's corpsman may be
        available, but only limited lifesaving measures can be provided
        in a contaminated environment because the medical provider and
        the casualty will be in IPE. in amphibious operations, the
        company corpsman and the battalion aid station provide first
        echelon care. Casualties exposed to nerve agents self-administer
        one atropine and one 2-PAM antidote autoinjectors. The decision
        for and administration of additional autoinjectors is made by a
        buddy. If a casualty is incapacitated, three atropine and three
        2-PAM autoinjectors shall be administered consecutively if
        available. If the casualty is demonstrating convulsions, the
        buddy shall administer the casualty's diazepam autoinjector. The
        casualty shall then wait for assistance from medical personnel.
ted (hasty decontamination)
        with a personal skin decontamination kit such as the M291, if
        possible, before evacuation.

            b. Echelon 2. Capability broadens emergency lifesaving
        procedures and stabilization of casualties until evacuation is
        possible. Such emergency measures would include: resuscitation,
        administration of intravenous fluids, control of bleeding, treat-
        ment of shock and emergency surgery. Maintaining airways and
        other procedures can only be performed when casualties have been
        decontaminated and are in a collective protective system (CPS)
        environment or in facilities located in noncontaminated areas.
        Examples of echelon 2 facilities include: collecting and clear-
        ing companies, surgical support companies, casualty receiving and
        treatment ships (CRTS), battle dressing stations aboard ship, or
        fixed MTFs with no surgical capability. Treated or stabilized
        patients are placed in individual patient protective wraps to
        prevent contamination while being transported to the next echelon
        of care.





                                         I                    Enclosure (1)

Document 3 f:/Week-37/BX303801/VARIOUS BUMED DOCUMENTS FOLDER 1/concept of operations bumedinst 3400 1:12179609563221
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303801
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS BUMED DOCUMENTS FOLDER 1
Folder Seq # = 1
Subject = CONCEPT OF OPERATIONS BUMEDINST 3400 1
Document Seq # = 17
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996