TAVB CD 04 Medical Planning

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TAVB CD 04 Medical Planning

• LT Steven A. Newman
• MC USN
• GMO MALS-14

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Objectives

• To plan and execute a medical system which will
  support the medical needs of Marine Detachment,
  SS WRIGHT during CAROLINA DRAGON 04.
• To apply appropriate preventive medical
  procedures to keep illness and injury to a
  minimum.
• To provide the most expedient treatment at the
  appropriate level of care to all casualties.
•  Participation in combined/joint casualty care as
  directed.
•  To ensure all phases of medical support conform
  to provisions set forth by DOD and AMA.

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General Concepts

• Medical personnel will provide echelon I medical
  care aboard SS WRIGHT. Military and Civilian
  treatment facilities may be used for echelon II
  care when deemed appropriate by the medical
  officer.
• Use of Military and Civilian Medical Facilities
  should be coordinated. The evacuation policy
  will be determined by the Chief Medical Officer.
  It will be the responsibility of medical
  personnel aboard SS WRIGHT to triage all
  casualties. All information on casualties
  recommended for evacuation will be sent to the
  COT, SS WRIGHT.

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Medical Care Capabilities

• The medical facilities aboard SS WRIGHT will be
  capable of providing echelon I medical care. No
  lab, X-ray or advanced cardiac life support will
  be available aboard SS WRIGHT.
•  The Medical Officer will determine proper
  (higher) echelon of care requirements.
•  The Medical Officer will be the sole source for
  prescription medications all other medicines
  will be dispensed by authorized corpsman.

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Daily Tasking

• AM Sick-call
• Medical Supply Inventory
• Health and Welfare Inspection of Heads, Showers,
  Food Handling Facilities, and Berthing
• Clean and Stock Medical Facility daily
• Other duties as assigned

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Emergency Response Teams

• SS WRIGHT will require a minimum of two
  ERTs-four members to each team. The HQ, Aviation
  Supply Department and Aviation Maintenance
  Departments will provide bodies for the ERTs.
• Personnel with prior emergency medical training
  who will not have other taskings in a mass
  casualty situation are preferred for these
  positions. ERTs will predetermine access and
  escape routes aboard the ship.
•  The Medical Officer will coordinate daily drills
  for the ERT. Summary training in CPR and BLS will
  be provided by the medical department.
•  Medical gear required
• Litters
• Block and tackle

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Mass Casualty

• After notifying the ODO the Medical Officer will
  perform the following steps
•   Recall all Medical personnel not involved with
  the Mass Casualty
• Determine the most appropriate casualty staging
  area
• Deploy all possible medical assets to the
  staging area expediently, anticipating evacuation
  of the casualties to the next higher echelon of
  care
•   Appoint an Administrative Chief to track
  movement of patients evacuated from the site and
  to coordinate security measures.
• Appoint a Triage Officer who will assign Injury
  Classification and determine Queue for medical
  care and evacuation

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Medical Supply

• Medical supplies for COT, SS WRIGHT to be ordered
  from MEDLOG
• 699 Block (Aid Station Equipment), which
  includes defibrillator and basic acute
  rescusitation and monitoring equipment, as well
  as wide range of standard outpatient medications
  and antibiotics
• Supplemental medications based on prior
  operational experiences

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WEIGHT DIMENSION DIAGRAM AMAL BLOCK

• WT. 546 lbs.
• HT. 4 ft 1 in.
• WD. 4 ft. 3 in.
• CU. FT. 64 cu. ft.
• of containers 5 cans

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Preventive Medicine

•  Purpose. To provide guidance for a program of
  preventive medicine to conserve the personnel
  assets of COT, SS WRIGHT. The major threats will
  be environmental.
•  Tasks. Commanders are responsible for providing
  personnel protection.
•  Refuse and Garbage Disposal in designated
  containers. Gathering areas should be maintained
  in a sanitary manner. Areas will be inspected
  daily by Medical.
•  Medical Waste Disposal. Collected by medical
  personnel in color coded bags and delivered to
  designated receptacles.

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Preventive Med (contd)

• Food Services Sanitation shall be conducted per
  NAVMED P5010 Ch 1. Mess facilities will be
  inspected daily. Temperature charts on all bulk
  storage/refrigerated areas must be updated at
  least twice a day. Foods not requiring
  refrigeration will be stored in a cool dry space.
•  Personal Hygiene. Commanders are to enforce
  strict hygiene practices among all personnel and
  are to make sure all possible means for proper
  hygiene practices are available. All personnel
  are to wear shower shoes in showers. Medical
  Department Representatives are to conduct daily
  sanitation inspections of all berthing, lounge,
  and bathing areas.

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Industrial Hygiene

• Commanders shall ensure all personnel who are
  working in or are assigned to potentially
  hazardous positions have the proper personal
  protective equipment.
• Hearing protection (Circumaural muffs, ear
  plugs). Should be worn if decibel levels exceed
  85. Double hearing protection if the noise level
  is expected to exceed 104 db
•  Eye Protection (Safety goggles) should be worn
  in eye-hazard areas/operations.
•  Foot Protection (Steel-toed boots) should be
  worn in loading operations and other evolutions
  involving heavy equipment.
•  Hand Protection (Gloves) should be worn in
  loading operations and other evolutions involving
  heavy equipment.
• Head Protection (Hard hat) should be worn in
  loading operations and evolutions involving heavy
  equipment.

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Summary of Topics

• Objectives
• Medical Care Capabilities
• Daily Taskings
• Emergency Response Teams
• Mass Casualty

• Medical Supplies
• AMAL Specs
• Preventive Medicine
• Industrial Hygiene