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Medical Education Division |
Operational Medicine 2001
Field Medical Service School
Student Handbook
BATTALION
AID STATION PROCEDURES
FMST
0501 17
Dec 1999
TERMINAL
LEARNING OBJECTIVES: 1.
Given a
combat environment (day and night), perform Battalion Aid Station (BAS)
procedures, per the student handbook. (FMST.05.01) 2.
Given a
combat environment (day and night) with designated medical table of equipment
and supplies, utilize Class VIII Medical Supplies, per the student handbook.
(FMST.05.02) 3.
Given a
daytime and night time combat environment and the T/E designated equipment and
supplies, employ T/E designated tentage correctly.
Identify and employ appropriate T/E designated tentage. (FMST.05.03) ENABLING
LEARNING OBJECTIVES: 1.
Without
the aid of reference materials, and given a list, identify the mission of the
BAS, per the student handbook. (FMST.0501a) 2.
Without
the aid of reference materials, and given a list, identify the four areas of the
BAS, per the student handbook. (FMST.05.01b) 3.
Without
the aid of reference materials, and given a list, identify BAS medical support
capabilities for an Infantry Battalion, per the student handbook. (FMST.05.01c) 4.
Without
the aid of reference materials and given a list of basic supply outfits,
identify the proper supply terminology, per the student handbook. (FMST.05.02a) 5.
Without
the aid of reference materials and given a list of basic supply outfits,
identify the types of Authorized Medical Allowance List (AMAL's), associated
with the Battalion Aid Station, per the student handbook. (FMST.05.02b) 6.
Without
the aid of reference materials and given a list of basic supply outfits,
identify the types of Authorized Dental Allowance List (ADAL) associated with
the basic dental sick-call block, per the student handbook. (FMST.05.02c) 7.
Without
the aid of reference materials and given a list of re-supply procedures, under
combat conditions, select the procedures for re-supply, per the student
handbook. (FMST.05.02d) OUTLINE: Health Service Support (HSS) of today's Marine Corps
Operational Forces emphasizes the provision of far-forward, mobile, medical
support in the stabilization and evacuation of casualties.
The BAS is the HSS unit that will deliver these services to our Marine
Corps Forces (MARFOR) in sustaining the combat power of the force. A.
MISSION
of the BAS:
Provide direct support to company corpsmen and provide advanced level of care to
minimize the effects that wounds, injuries, and disease have on unit's
effectiveness, readiness, and troop morale.
The system provides HSS from the point of wounding, injury, or illness to
the evacuation of the casualty to the appropriate Medical Treatment Facility (MTF).
a.
Health
Maintenance
- routine sick call, physical examinations, preventive medicine, dental
maintenance, and record maintenance and reports submission. b.
Casualty
Collection
- selection of and manning of locations where casualties are collected, triaged,
treated, protected from further injury, and evacuated. c.
Casualty
Treatment
- triage and treatment (self-aid, buddy aid, and initial resuscitative care. d.
Casualty
Evacuation
- movement and ongoing treatment of the sick, wounded, or injured while in
transit to medical treatment facilities. All
Marine units have an evacuation capability by ground, air, or sea. 2.
BAS
SECTIONS:
The BAS is broken down into 4 internal sections, which operate as a whole in
providing HSS to the Marine Infantry Battalion.
a.
INTERNAL
SECURITY:
Provides perimeter security for the immediate BAS area, searches patients for
weapons, munitions, booby traps prior to being admitted to the triage area.
At no time will any weapon or
munition be allowed into the medical treatment areas. b.
TRIAGE:
Sorts and records all incoming patients prior to entry into treatment area. Provides emergency first aid and fluid replacement.
Initiates and/or continues DD-1380 entries.
Provide comfort/ease of pain to the dying. c.
TREATMENT
AREA:
Usually the General Purpose Tent (GP) but could be any secure area assigned by
the Battalion Surgeon to treat patients. Perform
ATLS treatment/procedures as directed by the Medical Officer or Senior Medical
Department Representative. d.
EVACUATION:
Triage patients for evacuation, monitor patients, continued care, casualty
reporting and coordinates MEDEVAC requests.
Establish a temporary morgue/holding area (away from patient contact) and
ensure the evacuation of Killed in Action (KIA) and Died of Wounds (DOW)
casualties at the earliest convenience. B.
MEDICAL
SUPPORT CAPABILITIES OF THE INFANTRY BATTALION:
a.
PERSONNEL - Consist
of 2 general duty medical officers and 65 corpsmen during wartime.
44 of these corpsmen are assigned to the line companies (11 corpsmen per
company). The remaining 21 corpsmen
and 2 medical officers comprise the makeup of the BAS.
Figure-1
Medical Platoon Table of Organization b.
MEDICAL
SUPPLIES - There
are two designated Authorized Medical Allowance List (AMAL blocks) assigned to
the BAS. These two AMAL's are the
standard medical supply blocks for operations with additional supplies available
upon request, i.e. mission specific - environmental or humanitarian operations.
The standard BAS AMAL blocks are: 1.
AMAL 635
- Aid Station Equipment 2.
AMAL 636
- Aid Station Supplies (consumables) c.
EQUIPMENT - In
order to be compact and highly mobile, a mimimum amount of garrison equipment is
utilized by the BAS: 1.
2 - M996
Field Ambulance 2.
2 - GP
Tents (general purpose, medium) 3.
2 - CP
Tents (command post) 4.
Camouflaged
Netting (SL3 complete) C.
RESPONSIBILITIES:
a.
Organizing/Assignment
of medical platoons personnel. b.
Preparing
HSS appendix to battalion's operational plan. c.
Supervising
and assisting in the collection, treatment, and evacuation of the sick and
injured. d.
Develop
HSS Standing Operation Procedures (SOP) in accordance with guidance by higher
authority. e.
Conduct
medical sanitation inspections. f.
Maintaining
and submitting appropriate records and reports. g.
Train
medical personnel in subjects relating to HSS. h.
Supervise
instruction for non-medical personnel in; personal hygiene, preventive medicine,
field sanitation, litter bearing, and first aid/buddy aid. i.
Ensure
that medical supplies and equipment are properly managed, and that a responsive
re-supply system is established to ensure adequate re-supply at garrison and
combat levels. C.
CONCEPT
OF EMPLOYMENT:
The BAS is most commonly employed through Marine Air Ground Task Force (MAGTF)
operations. It is structured to be
able to split its personnel and supplies into two BAS's (Alpha and Bravo) and
"leapfrog" ahead as the battlefield advances, (see figure 5-2).
As Alpha BAS advances with the battalion, Bravo BAS will remain behind
and continue to provide medical care/evacuations until all patients have been
medevaced, or until relieved by medical support elements such as Medical
Battalion Shock Trauma Platoon (STP). This
allows for continuity of care as the unit advances.
Once the STP assumes all casualties, Bravo BAS, personnel and supplies
will rejoin Alpha BAS to form the full compliment BAS. D.
BAS
LOGISTICS: a.
Concept
of operation/scheme of maneuver. b.
Combat
intensity. c.
Duration
of the operation. d.
Casualty
estimates 2. SUPPLY
TERMINOLOGY a.
ALLOWANCE
AND SOURCE OF LOGISTICS:
The MAGTF surgeon will advise on all matters regarding medical and dental
support. Allocations of materials
are documented in the table of equipment (T/E).
The total HSS T/E is designed to support a Marine Expeditionary Force (MEF)
in an estimated worst case scenario for a 60-day period of combat.
A unit's T/E includes items necessary for basic support of the
organization and include: 1.
Tentage. 2.
Vehicles 3.
Tools 4.
Communications
equipment 5.
Nuclear,
biological and chemical (NBC) gear 6.
Office
equipment and supplies b.
AUTHORIZED
MEDICAL/DENTAL ALLOWANCE LIST CLASS VIII AMALS and ADALS are specialized equipment and supply
assemblages for medical and dental elements to provide combat HSS.
AMALS/ADALS are maintained and re-supplied by Medical Logistics Company,
Supply Battalion, at the Force Service Support Group level.
These AMALS/ADALS (commonly called Blocks) have the capability to provide
the following services: 1.
Trauma
management 2.
Resuscitative
surgery 3.
Laboratory 4.
Pharmacy 5.
X-ray 6.
Dental 7.
Preventive
medicine 8.
NBC
treatment 9.
Patient
holding 10.
Sick call 11.
Environmental
supplements 12.
HSS test
and repair systems c.
TYPES
OF AMALS/ADALS 618 (FMF) LABORATORY EQUIPMENT d.
DD
FORM 1348: A standard form to requisition materials.
The form is used to requisition supplies, in the supplemental re-supply
or ordering materials not listed in the AMALS/ADALS. e.
NAVAL
MEDICAL AND DENTAL MATERIEL BULLETIN (NMDMB): The NMDMB is an on-line publication, which provides
information on authorized additions or deletions to AMALS/ADALS.
It also provides information on expiration dates, drug recalls, excess
material, defective materials, and disposition and modification instructions.
Monthly review of the NMDMB should be incorporated into the HSS
logistical management of the T/E AMALS/ADALS assigned. f.
NAVAL
MEDICAL LOGISTICS COMMAND:
NMLC provides worldwide medical and dental support to Navy Medicine and
the Operating Forces. It provides and coordinates medical and dental materiel
management and logistical support to the operating forces, U.S. Marine Corps and
shore activities. The NMLC also assists other Offices, Commands and Agencies on
Medical Materiel and Logistical Support matters and performs other related tasks
as directed by higher authority.
a.
635
EQUIPMENT ITEMS:
Aid Station Equipment and reusable materiel supporting HSS of the BAS.
Examples are: 1.
Litters 2.
Litter
stands 3.
Blankets b.
636
CONSUMABLE ITEMS:
Aid Station Supply. Consumable
supplies required to provide HSS to the BAS; initial resuscitation, and
stabilization of 50 casualties with major wounds prior to evacuation, and
re-supply to the company line corpsmen. Examples
are: 1.
Medications 2.
Bandages 3.
IV
solutions c.
662
FIELD DENTAL OPERATORY:
Equipment and reusable materiel required establishing a dental clinic in the
field. Consumable supplies required
providing emergency, diagnostic, and preventive maintenance dental care for 400
patients. 4. MARKING AND INSPECTION OF AMALS/ADALS: For embarkation purposes all AMALS/ADALS and their
associated items must be properly marked. These
markings are standardized throughout the MARFOR for all Class materials assigned
to the unit's T/E. In addition to
embarkation of materials, it provides inventory management, and internal control
of T/E items. a.
STOWAGE
DESIGNATOR:
Indicates the type and location of stowage in accordance with the designator.
(Location: Top left corner) Yellow Disk
- Designates troop space cargo. White Disk - Designates hold stowage on the same ship as
the unit Red Disk
- Designates that item must accompany the unit, but does not need to be stowed
on same ship as owning unit b.
BOX
NUMBER:
Unit assigned four-digit number, consecutive within a unit/section. (location: Under
stowage designator) c.
TACTICAL
MARKINGS:
Indicates ownership of the material. (Location:
Center) d.
WEIGHT
AND CUBE:
Exact weight of item and cubic feet.
Ensure correct weights and measurements are marked.
DO NOT ESTIMATE (Location: Top right corner) e.
AMAL
AND SERIES NUMBER:
Specific AMAL number (635) and series
number 635-001.
Each HSS unit is assigned a specific series number by medical logistics
company. The owning HSS unit
of that series will conduct quarterly inventories to ensure all materials are
accounted for and that any expired or recalled medications are replaced.
(Location: Bottom left
corner) f.
INDIVIDUAL
CAN NUMBER:
Each AMAL has different configuration in accordance with specific usage. The Pharmacy AMAL 629 for example has only two cans,
629-001-001 and 629-001-002 (AMAL-SERIES-CAN#), while the Operating Room Supplies 640 has
over 20 cans (640-001-001 through
640-001-020).
Each AMAL will have an inventory sheet, sorted by can number, noting all
items assigned to that can number. (Location: Bottom left corner)
Figure
5-3 g.
INSPECTION/PRE-LIMITED
TECHINCAL INSPECTION (LTI) AND POST-LTI OF AMALS/ADALS:
In addition to quarterly inspections of HSS assigned AMALS/ADADALS, pre-LTI's
and post-LTI's will be completed on all AMALS/ADALS. 1.
PRE-LTI: Prior to deployment of assigned AMALS a pre-LTI will be
conducted. Ensure that all dated
items have a shelf life of six months (upon deployment) or better; preventive
maintenance of equipment items is completed and insure that all items are
accounted for and have not deteriorated. 2.
POST-LTI: Upon return from deployment a post-LTI will be completed to
account for all items expended, expired, damaged or missing.
Once identified by the using HSS medical logistics company will replenish
the expended AMAL for future use. 4.
MEDICAL
SUPPLY AND REPLENISHMENT: HSSE's deploy with their initial issue and the days of supply as
prescribed by the MAGTF commander. Beyond
the first 60 days of operations, Class VIIIA material for the MEF are maintained
by the combat service support element (CSSE) and supplemented by the single
integrated medical logistics manager (SIMLM). a.
ROUTINE
RE-SUPPLY:
Re-supply requisitions will be forwarded to their unit's supply section. The supply section will, in turn, pass the requisition to the
supported supply system management unit, or if deployed, the supply section of
the CSSE. The CSSE orders,
receives, and distributes the required material. b.
COMBAT
RE-SUPPLY:
During embarkation planning, HSS planners determine the number and type of AMALS/ADALS
required to support the assault phase of the operation.
Additional Class VIIIA consumable material will be positioned for
deployment with the supply section of the CSSE. After or in the event that the AMALS/ADALS are expended, or
when directed, re-supply will be accomplished by normal line item requisition
from the supporting CSSE. When the
stockpiles of the MAGTF are expended, Class VIIIA will be obtained through the
designated SIMLM provider. c.
INDIVIDUAL/LINE
COMPANY CORPSMEN:
Hospital corpsmen assigned to combat support units of the MAGTF are assigned a
complete medical kit as part of the field gear.
The corpsmen's parent unit supply section is responsible for ensuring
that the contents of the medical kit are maintained in good condition, and that
medications have not exceeded their shelf life. REFERENCE
(S):
1.
Health Services Support Operations (MCWP 4-11.1) Field Medical Service School Approved for public release; Distribution is unlimited. The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. Operational Medicine 2001 Home · Military Medicine · Sick Call · Basic Exams · Medical Procedures · Lab and X-ray · The Pharmacy · The Library · Equipment · Patient Transport · Medical Force Protection · Operational Safety · Operational Settings · Special Operations · Humanitarian Missions · Instructions/Orders · Other Agencies · Video Gallery · Phone Consultation · Forms · Web Links · Acknowledgements · Help · Feedback
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