Attachment 9_37-TE-0033 Medical Support.pdf

Training and Evaluation Outline Report

Status: Approved 15 Jun 2022

Effective Date: 15 Jun 2022

Task Number: 37-TE-0033

Task Title: Provide Civil Support Team (CST) Medical Support

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This training product cannot be used to instruct international military students.

Supporting Reference(s):

Conditions: A terrorist attack or an intentional or unintentional event involving chemical, biological, radiological, nuclear, and high-yield explosives ( CBRNE) or natural disaster is threatened or has occurred within a dynamic operational environment against a single threat. CST is ordered to provide medical support at the incident site. All required personnel, equipment, and reference materials are available for the operation. Some iterations of this task should be performed in MOPP 4.

Standards: CST provides medical support in accordance with (IAW) ATP3-11.46, the Weapons of Mass Destruction-Civil Support Team (WMD-CST) medical section performs, manages, or coordinates required occupational medical surveillance; vaccination, hearing, vision, dental, and respiratory protection programs; and examinations for assigned personnel. Ensures that pre-entry and post entry medical monitoring is accomplished. Accounts for sensitive items and expenditures. In a live training environment 75% of the leadership and 80% of Soldiers are present at training against their authorized strength. The element attains 80% on performance measures, 100% of critical performance measures, and 85% on leader performance measures achieving a T (Fully Trained). Note: Leaders are the Commander, Deputy Commander, First Sergeant, Operation Officer, and Section Leader.

Live Fire: No

Step Number Reference ID Reference Name Required Primary Source Information

ATP 3-11.46 (Change 001, April 06,2015)

Weapons of Mass Destruction - Civil Support Team Operations https://armypubs.us.army.mil/doctrine/DR_p ubs/dr_c/pdf/atp3_11x46.pdf

Yes Yes

ATP 4-02.55 ARMY HEALTH SYSTEM SUPPORT

PLANNING

Yes No

ATP 4-02.7 MULTI-SERVICE TACTICS, TECHNIQUES,

AND PROCEDURES FOR HEALTH

SERVICE SUPPORT IN A CHEMICAL,

BIOLOGICAL, RADIOLOGICAL, AND

NUCLEAR ENVIRONMENT

Yes No

UNIT SOP Unit / Unit's Standard Operating Procedure

SOP

Yes No

UNCLASSIFIED//CAC-T//FOR OFFICIAL USE ONLY

Remarks: None

Notes: Applicable definitions for the Operational Environment:

Static: Aspects of Operational variables PMESII-PT (political, military, economic, social, information, infrastructure, physical environment and time) needed to stimulate mission variables METT-TC (mission, enemy, terrain and weather, troops, and support available, time available, civil considerations) are fixed throughout the unit’s execution of the task.

Dynamic: Operational variables PMESII-PT and threat TTPs (tactics, techniques, and procedures) for assigned counter-tasks change in response to the execution of BLUFOR's task.

Complex: Requires a minimum of four (Terrain, Time, Military (Threat), and Social (Population)) or more operational variables; brigade and higher units require all eight operational variables (PMESII-PT) to be replicated in varying degrees based on the task being trained.

Single Threat: Regular, irregular, criminal, or terrorist.

Hybrid Threat: The diverse and dynamic combination of regular forces, irregular forces, terrorist forces, and/or criminal elements unified to achieve mutually benefiting effects.

Objective Task Evaluation Criteria Matrix:

Plan and Prepare Execute Assess

Operational Environment

SQD & PLT

T raining

E nvironm ent (L/V

/C

Leaders P resent at T raining/R equired

P resent at

T raining/R equired

E xternal E val

P erform ance M easures

C ritical

P erform ance M easures

Leader P erform ance

M easures

E valuator's O bserved T ask P roficiency

R ating

C om m ander's

A ssessm ent

Dynamic (Single Threat)

Static (Single Threat)

D ay

IA

W unit C A

T S statem ent. W

M D

-C S

T evaluations, training and operational m issions are conducted during hours of darkness and/or environm ents of lim ited visibility supported by artificial lighting system s during D

S C

A operations. N ight tim e or hours of darkness environm ental conditions are only a function of the tim e required to com plete a C

S T

D S

C A task, and not the absence of light as required by tactical, security or other com bat related reasons.

>=75%

0%

60-74%

0%

<=59%

>=80%

0%

60-79%

0%

<=59%

Y es

N o

>=80%

0%

65- 79%

0%

<=65%

All

<All

>=85%

0%

75- 84%

0%

<=74%

T

T-

P

P-

U

T

T-

P

P-

U

Safety Risk: Low

Cue: CST is ordered to provide medical support at the incident site.

Task Statements

DANGER

Leaders have an inherent responsibility to conduct risk management to ensure the safety of all Soldiers and promote mission accomplishment.

WARNING

Risk management is the Army's primary decision-making process to identify hazards, reduce risk, and prevent both accidental and tactical loss. All Soldiers have the responsibility to learn and understand the risks associated with this task.

CAUTION

Identifying hazards and controlling risk across the full spectrum of Army functions, operations, and activities is the responsibility of all Soldiers.

Performance Steps and Measures

NOTE: Assess task proficiency using the task evaluation criteria matrix.

NOTE: Asterisks (*) indicate leader steps; plus signs (+) indicate critical steps.

STEP/MEASURE GO NO-GO N/A

+ 1. The medical section conducts operational phase operations:

a. Establishes and conducts medical operations.

+ b. Ensures that pre-entry and post entry medical monitoring is accomplished.

c. Provides technical and situational information to the nuclear medical science officer, commander, and operations officer to aid in situational awareness.

d. Coordinates and tracks the care of Weapons of Mass Destruction-Civil Support Team (WMD- CST) personnel transported off-site for medical issues and ensures that the chain of Command is informed.

e. Gathers medical situational awareness from first responders and/or casualty interviews.

+ f. Performs medical and health safety briefing(s) on-site including:

(1) Initial

(2) Update

(3) Signs and symptoms of potential exposures.

g. Provide input or recommendations for the management of contaminated victims.

h. Maintains situational awareness of emergency decontamination operations.

i. Performs medical liaison functions with local, tribal, state and federal treatment facilities and officials.

j. Conducts heat stress monitoring and makes recommendations to the commander regarding work-and-rest cycles based on environmental conditions.

k. Monitors personnel for signs of illness, thermal strain, or injury.

l. Performs emergency medical care to team personnel.

(1) Manages medical emergencies.

(2) Triages and provides initial emergency treatment.

(3) Prepares patients for evacuation.

(4) Contacts the receiving medical treatment facility.

(5) Provides appropriate medical information.

(6) Forwards the appropriate medical documentation with the patient.

m. Prepares and maintains medical documents.

n. Provide safety/hazard information to the survey entry team as required.

o. Provides input and recommendations for the selection of Personal Protective Equipment (PPE).

p. Provides medical section input for the termination packet.

q. Maintains the physical security of Class VIII supplies (narcotics).

2. The medical section conducts post operational phase operations:

a. Accounts for sensitive items and expenditures.

b. Performs medical and health safety briefings:

(1) Final medical briefs consisting of long and short-term effects.

(2) Follow-up care.

c. Coordinates follow–up care as needed.

d. Files pertinent medical records.

e. Resumes the mission cycle.

Mission(s) supported: None

MOPP 4: Sometimes

MOPP 4 Statement: Depending on the projected hazard encountered, this task is performed in some level of personal protection, which may include MOPP4 or higher levels of protection as defined in National Fire Protection Association (NFPA) 472, Standard for Competence of Responders to Hazardous Materials/Weapons of Mass Destruction Incidents.

NVG: Never

NVG Statement: None

Prerequisite Collective Task(s): None

Supporting Collective Task(s): None

OPFOR Task(s): None

Supporting Individual Task(s):

Task Performance Summary Block

Training Unit ITERATION

_________________________________________________ 1 2 3 4

Date of Training per Iteration:

Day or Night Training: Day / Night Day / Night Day / Night Day / Night

Total Leaders Authorized % Leaders Present

Total Soldiers Authorized % Soldiers Present

Total Number of Performance Measures

% Performance Measures 'GO'

Total Number of Critical Performance Measures

% Critical Performance Measures 'GO'

Live Fire, Total Number of Critical Performance Measures

% Critical Performance Measures 'GO'

Total Number of Leader Performance Measures

% Leader Performance Measures 'GO'

MOPP LEVEL

Evaluated Rating per Iteration T, T-, P, P-, U

Supporting Drill(s): None

Supported AUTL/UJTL Task(s):

TADSS

Equipment (LIN)

Materiel Items (NSN)

Environment: Environmental protection is not just the law but the right thing to do. It is a continual process and starts with deliberate planning.

Always be alert to ways to protect our environment during training and missions. In doing so, you will contribute to the sustainment of our training resources while protecting people and the environment from harmful effects. Refer to the current Environmental Considerations manual and the current GTA Environmental-related Risk Assessment card. .

Safety: In a training environment, leaders must perform a risk assessment in accordance with current Risk Management Doctrine. Leaders will complete the current Deliberate Risk Assessment Worksheet in accordance with the TRADOC Safety Officer during the planning and completion of each task and sub-task by assessing mission, enemy, terrain and weather, troops and support available-time available and civil considerations, (METT-TC).

Note: During MOPP training, leaders must ensure personnel are monitored for potential heat injury. Local policies and procedures must be followed during times of increased heat category in order to avoid heat related injury. Consider the MOPP work/rest cycles and water replacement guidelines IAW current CBRN doctrine. .

Step Number Task Number Title Proponent Status 081-000-0005 Treat a Seizing Patient 081 - Medical (Individual) Approved

081-000-0008 Assess a Patient's Respirations 081 - Medical (Individual) Approved

081-000-0011 Measure a Patient's Temperature 081 - Medical (Individual) Approved

081-000-0016 Treat a Casualty for a Heat Injury 081 - Medical (Individual) Approved

081-000-0017 Treat a Casualty for a Cold Injury 081 - Medical (Individual) Approved

081-000-0018 Perform Basic Life Support 081 - Medical (Individual) Approved

081-000-0019 Perform Rescue Breathing 081 - Medical (Individual) Approved

081-000-0038 Initiate an Intravenous Infusion 081 - Medical (Individual) Approved

081-000-0039 Manage an Intravenous Infusion 081 - Medical (Individual) Approved

081-000-0043 Initiate Treatment for Hypovolemic Shock 081 - Medical (Individual) Approved

081-000-0055 Perform Casualty Triage 081 - Medical (Individual) Approved

081-000-0064 Control Bleeding 081 - Medical (Individual) Approved

081-000-0116 Treat a Blister Agent Casualty (Mustard, Lewisite, Phosgene Oxime)

081 - Medical (Individual) Approved

081-000-1015 Load Casualties onto Ground Ambulances 081 - Medical (Individual) Approved

081-000-1032 Irrigate Eyes 081 - Medical (Individual) Approved

081-68C-1034 Obtain an Apical Pulse 081 - Medical (Individual) Approved

081-68W-0275 Treat a Nerve Agent Casualty 081 - Medical (Individual) Approved

081-68X-1002 Perform Trauma Casualty Assessment 081 - Medical (Individual) Approved

081-WY8-2017 Treat Patient with Acute Anaphylaxis 081 - Medical (Individual) Approved

Task ID Title ART 6.8.4.2 Support Chemical, Biological, Radiological, Nuclear Incident Recovery

TADSS ID Title Product Type Quantity No TADSS specified

LIN Nomenclature Qty No equipment specified

NSN LIN Title Qty No materiel items specified