AFTER ACTION RPT REGIMENTAL MEDICAL EXERCISE 7 17 NOV 90

File: 100896_sep96_decls41_0001.txt
Page: 0001
Total Pages: 4

Subject: AFTER ACTION RPT  REGIMENTAL MEDICAL EXERCISE 7  17 NOV 90      

Unit: 11TH MARINES

Parent Organization: 1ST MARDIV  

Box ID: BX600015

Folder Title: COMMAND CHRONOLOGY 11TH MARINES JAN - JUL 1991                                                  

Document Number:        121

Folder SEQ  #:          2









                                                 UNCLASSIFIED


                                       UNITED STATFS MAP,@,, rnppq
                                             ELEVENTH MARINPQ
                                    FIRST MARINE DIVISION (Rein), FMF
                                    FPO San Francisco, CA 96608-5515

                                                                                          RAS
                                                                                       17 Nov 90


           To:   Commanding Officer
           From: Regimental Surgeon

           Subj: AFTER ACTION REPORT    FROM  RE(31MENTAL MEDICAL EXERCISE.i7

           Ref:  After Action discussions with 1/12 LT Spradlin, MC; 3/11 LT        Woods, MC;
                 and 5/11 LCDR Kelso, MC on 15 Nov.

           1. A  NBC medical exercise was conducted with all battalions and HQ elements
           of the eleventh Marines on the 15 Nov 90. Each Bn simulated a chemically
           contaminated coventional casualty scenario. 1/12 sent casualties from a
           battery directly to the HQ FLB for medical decon. 3/11 triaged casualties at
           the scene and BAS medical evacuation to the FLB. 5/11 simulated casualties at
           Quebec Battery with medevac to FLB. Exercise was initiated at 0830.

           2. Both 1/12 and 3/11 notified HQ of chemical casualties and med evac to the
           FLB for medical decon of a small number of patients. No initial Comm with
           5/11 was received.


           Significant Problems:

           1. HQ FLB again needed to instruct new troops for participation just prior to
           casualty arrival. Limited personnel were available because of other
           commitments. All FLB personnel were required for adequate decon staffing.

           2. 5/11 casualties never made it to the HQ FLB for medical decon. Driver and
           personnel were lost for over 2 hours. Quebec battery is less than 10 miles
elay in the simulated casualties in a real situation
           would most likely have led to significant morbidity and mortalities.
           3. 5/11 noted recurrent problems with corpsman focused triaging withou@ the
           "big picture" perspective particularly when senior corpsman are not available.
           During triage, corpsman tend to immediately go to complete/rarer causes for
           symptoms instead of simple, basic, and primary ABC responses (i.e. airway
           obstruction - tracheostomy or chest tube instead of head tilt/airway
           adjustment).

           4. Corpsman/marines still having troubles determining if chemical casualty
         -and proper treatment +or level of severity. Assumptions of nerve gas in all
           patients seen resulted in initial mismanagement of blister agent casualties.
           Proper considerations in a deteriorating patient were eventually handled
           appropriately with coaxing. More rapid determinations need to be made.


                                         UNCLASSIFIED
                                                                                          @A7@

Document 4 f:/Week-36/BX600015/COMMAND CHRONOLOGY 11TH MARINES JAN - JUL 1991/after action rpt regimental medical exercise 7 :10049613410721
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX600015
Unit = 11TH MARINES
Parent Organization = 1ST MARDIV
Folder Title = COMMAND CHRONOLOGY 11TH MARINES JAN - JUL 1991
Folder Seq # = 2
Subject = AFTER ACTION RPT REGIMENTAL MEDICAL EXERCISE 7
Document Seq # = 121
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 = 04-OCT-1996