Comprehensive Guide to Army Medical Support Operations, Exams of Nursing

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AMEDD BOLC FINAL EXAM Questions &

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BSMC - ANSWERSbrigade support medical company assigned to brigade support battalion (BSB) supports BCTs located in BSA (brigade support area) BSB - ANSWERSbrigade support battalion 3 types of BCTs - ANSWERSarmored infantry stryker MCAS - ANSWERSmedical company area support provides role 2 support within its assigned AO, as well as role 1 in attached units with no organic role 1 capability assigned to medical brigade attached to MMB (multifunctional medical battalion) supports units with no organic assets from AHS (army health system) MMB - ANSWERSmultifunctional medical battalion Medical treatment squad: area - ANSWERSbase medical treatment facility of role 2 MTF MTF - ANSWERSmedical treatment facility evacuation squad: forward - ANSWERSprovide ground evacuation to patients from forward units to BSMC evacuation squad: area - ANSWERSevacuation within BSA BSA - ANSWERSbrigade support area or between AXP and BSA AXP - ANSWERSambulance exchange point BAS - ANSWERSbattalion aid station

receiving point FLA - ANSWERSfield litter ambulance flow of casualties in theater in BSA (brigade support area; in support of BCTs) - ANSWERSBSMC (brigade support medical company; out on front lines) -> FLA (field litter ambulance) *BSMC located in BSA (brigade support area) FLA -> BAS (battalion aid station) BAS -> AXP AXP -> ASS ASS -> back to the BSA ASS - ANSWERSarea ambulance section TLPs - ANSWERS1. receive the mission

2. issue WARNO
3. make tenative plan (mission analysis, terrain analysis, COA analysis)
4. initiate troop movement
5. conduct recon
6. complete the plan (plan convoy ops)
7. issue OPORD
8. supervise and refine optimum size of convoy interval distance average speed - ANSWERS30 vehicles 75-100m 20-55mph MEDBDE - ANSWERSmedical brigade HQ and HQ company MMB - ANSWERSmultifunctional medical battalion provide planning and synchronization to medical companies and smaller units

flexible, scalable, modular medical mission command *only the battalion HQ and HQ detachment is organic organic vs attached - ANSWERSorganic: always assigned in this certain way attached: much more flexibility in assignments medical units: - ANSWERSmedical company ground ambulance: ground evacuation medical detachment blood support: collection, storage, distribution of blood medical logistics company: class VIII, maintenance, NO blood capabilities medical company area support (MCAS): provides role 2 support within its assigned AO, also role 1 care in attached units without organic role 1 capacity FHP in theater - ANSWERSdental, combat operational stress control, preventative medicine, veterinary services, laboratory strategic level - ANSWERSacquisition, assembly and fielding of medical supplies and equipment determines material requirements CONUS operational level - ANSWERSlink between strategic and tactical with medical logistic units forward positioned distributes class VIII supply OCONUS - not in theater tactical level - ANSWERSresupply and maintenance; identifies unit requirements to ensure availability of medical material and equipment to sustain uninterrupted support satisfy immediate needs OCONUS - in theater roles 1, 2 and 3 true or false: role 3 does not support BCT MEDLOG - ANSWERStrue - BCT MEDLOG support comes from MLC (medical logistics company) BSMO - ANSWERSbrigade medical supply office

medical logistics for BCTs provide forward distribution of class VIII and maintenance SPO - ANSWERSsupport operations support brigade AHS plan FDT - ANSWERSforward distribution team support to front lines MLC - ANSWERSmedical logistics company support for BCTs and EAB medical units role 1 - ANSWERSmedical platoon class VIII resupply requested through BMSO through DCAM role 2 - ANSWERSBCT preventative medicine, pharmacy, medical maintenance, blood, budget, dental, laboratory, radiology role 3: combat support hospital - ANSWERSBCT support operations DMLSS role 4 - ANSWERSBAMC or Landstuhl Battle task - ANSWERScollective task a platoon or lower echelon trains that supports a company MET determined by PL and PSG, approved by company commander provides platoon battle focus 8 step training model - ANSWERS1. plan the training event

2. train and certify leaders
3. recon training sites
4. issue the event OPORD
5. rehearse
6. execute the training
7. conduct AAR
8. conduct retraining

battle drill - ANSWERScollective action where soldiers and leaders rapidly process information, make decisions and execute without a deliberate decision-making process crew drill - ANSWERScollective action that the crew of a weapon or piece of equipment must perform to use the weapon or equipment lane training - ANSWERScompany and below training technique for practice, observation, evaluation of individual tasks, collective tasks, battle drills hip-pocket training - ANSWERSindividual tasks and crew-based skills trained when there are inactive periods (down-time) during scheduled training sergeant's time training - ANSWERSscheduled training time set aside by unit commanders for NCOs to train their soldiers in specified tasks and skills avoid communication breakdown - ANSWERSprevention recognition reaction Navy HSS medical capabilities of carrier striker groups: big to small size ships what is the Army equivalent to the capability of these ships? - ANSWERSUSS Carl Vinson (CVN 70) Ticonderoga Class (CG) Perry Class (FFG) Role 2 (medical company + FST) expeditionary assault group: Navy what is the Army equivalent to the capability of these ships? - ANSWERSRole 2 (medical company + FST) Navy hospital ship Army equivalent? - ANSWERSRole 3 (combat support hospital) MAGTF - ANSWERSMarine Air Ground Task Force combined arms force for a mission How they are organized, what the attachments and assets are, etc. 4 core elements to MAGTF - ANSWERSCE: command element ACE: air combat element (role 1 & role 2)

GCE: ground combat element (role 1) LCE: logistics combat element (roles 1 and 2) CE (combat element) of MAGTF - ANSWERSHQ for MAGTF command and control ACE (air combat element) - ANSWERSrole 1 capabilities GCE (ground combat element) - ANSWERSrole 1 capabilities for MAGTF BAS (battalion aid station) LCE (logistics combat element) - ANSWERSrole 1 and 2 capabilities composed of 2 types of companies: H&S and Forward Surgical Company H&S company of LCE - ANSWERSforward surgery triage/trauma evacuation preventative medicine dental, laboratory, pharmacy, radiology Forward Surgical Company of LCE - ANSWERSsame as H&S 2 primary missions of USAF health service support - ANSWERSaeromedical evacuation (AE) expeditionary medicine ATC - ANSWERSair transportable clinic front line medical care of Air Force EMEDS - ANSWERSAir Force expeditionary medical support rapidly deployable forward stabilization and essential medical care has an HRT (health response team) HRT for EMEDS - ANSWERSbasically, same as FST but for the Air Force role 2 level care no ancillary (preventative medicine/labs/radiology/dental)

12 hours to get patient to higher level care EMEDS +10 - ANSWERSsame as HRT but role 3 level care ancillary available 36 hours to get patient to higher level care EMEDS +25 - ANSWERSsame as EMEDS +10 but role 3 level care ancillary available specialty UTCs (idk what UTC means) 60 hours to get patient to higher level for care AFTH - ANSWERSAir Force Theater Hospital includes all EMEDS +25 plus medsurg, critical care, ancillary and logistics capabilities AHS planning focus - ANSWERSthe focus of the medical planning process should be to quickly develop a flexible, tactically sound, fully integrated and synchronized plan that supports the tactical commander's mission 10 AMEDD functional areas - ANSWERS1. medical treatment

2. evacuation & medical regulating
3. preventative medicine
4. medical logistics & blood management
5. medical mission command
6. hospitalization
7. combat and operational stress control
8. laboratory
9. veterinary
10. dental Principles of the Army Health System - ANSWERS1. conformity
11. proximity
12. flexibility
13. mobility
14. continuity
15. control conformity - ANSWERSensures the comprehensive AHS support plan conforms to tactical plans proximity - ANSWERSprovide medical support at right place and right time

flexibility - ANSWERSability to shift AHS resources to meet the changing battlefield requirements mobility - ANSWERSAHS assets must remain within a supporting distance continuity - ANSWERSpatient moves through progressive, phased roles of care control - ANSWERSresources are efficiently employed in a way that ensures quality medical treatment medical estimate - ANSWERScontinuous process that systematically examines all aspects of operations BLUF: creates task org and execution of medical support on the battlefield 7 major areas of medical analysis - ANSWERS1. enemy situation

2. friendly situation
3. characteristics of the area of responsibility (AOR)
4. strengths to be supported
5. health of the command
6. facts and assumptions
7. specified, implied and essential tasks strengths to be supported - ANSWERSlooking at all the medical requirements of the units in the areas that need medical support: joint services, allied forces, coalition forces, refugees, EPW, civilians, DoD personnel health of the command - ANSWERSmedical readiness of each soldier facts and assumptions - ANSWERSin absence of facts, consider these areas: resupply rates, host nation support, time frame Who does the casualty estimates including KIA, WIA, MIA? - ANSWERSS medical COA development - ANSWERSthe medical plan must support the Commander's intent and enable the accomplishment of the mission for the tactical COA developed each medical COA must meet these criteria (4) - ANSWERS1. suitable
8. feasible
9. acceptable
10. complete COA comparison and evaluation - ANSWERSas the tactical staff compares "wargames," or, feasible COAs, the medical planner compares the medical plan of each

COA to determine which maneuver COA can be best supported from a medical perspective MEDEVAC definition - ANSWERSthe timely and effective movement of wounded, injured or ill to and between medical treatment facilities on dedicated and properly marked medical platforms with en route care provided by medical personnel 2 types of MEDEVAC support - ANSWERSdirect area direct support - ANSWERSrequires a force to support another specific force and authorizing it to answer directly to the supported force's request for assistance area support - ANSWERSa method of logistics, medical support, and personnel services in which support relationships are determined by the location of the units requiring support Primary tasks of the MEDEVAC (4) - ANSWERS1. acquire and locate

2. treat and stabilize
3. intra-theater medical evacuation
4. emergency movement of medical personnel, equipment and supplies MEDEVAC vs. CASEVAC - ANSWERSMEDEVAC: dedicated, medically equipped, standardized MEDEVAC platforms to provide en route care CASEVAC: movement of casualties aboard nonmedical vehicles or aircraft without en route medical care at the unit level, who is responsible for evacuation of human remains of assigned and attached personnel to the nearest mortuary affairs facility? - ANSWERScommander which is the ONLY factor used to determine the evacuation precedence? - ANSWERSthe patient's medical condition who makes the decision to request a MEDEVAC and the level of precedence for the MEDEVAC? - ANSWERSthe senior medical personnel on scene/senior ranking military officer on scene priority I - ANSWERSURGENT evacuation ASAP - not necessarily surgical maximum of 1 hour for survival priority IA - ANSWERSURGENT-SURGICAL

evacuation ASAP who must receive surgery to save life maximum 1 hour for survival Priority II - ANSWERSPRIORITY prompt medical care needed; patient's condition expected to deteriorate to URGENT precedence evacuation needed within 4 hours for survival Priority III - ANSWERSROUTINE evacuation needed, but the patient's condition is not expected to deteriorate significantly evacuation within 24 hours Priority IV - ANSWERSCONVENIENCE evacuation is a matter of convenience rather than necessity Line 1 - ANSWERSlocation of pickup site minimum 4 digit grid coordinates required Line 2 - ANSWERSradio frequency, call sign and suffix Line 3 - ANSWERSnumber of patients by precedence A = URGENT B = URGENT-SURG C = PRIORITY D = ROUTINE E = CONVENIENCE Line 4 - ANSWERSspecial equipment needed A = none B = hoist C = extraction equipment D = ventilator Line 5 - ANSWERSnumber of patients by type L = litter A = ambulatory

Line 6 - ANSWERSsecurity of pickup site (wartime) N = no enemy in area P = possible enemy E = enemy present X = enemy present, armed escort needed number and type of wound (peacetime) Line 7 - ANSWERSmethod of marking pickup site A = panels B = pyrotechnic C = smoke D = none E = other Line 8 - ANSWERSpatient nationality A = US military B = US citizen C = non-US military D = non US citizen E = POW Line 9 - ANSWERSCBRN (wartime) terrain description (peacetime MC4 - ANSWERSmedical communications for combat casualty care offers units that are deployed an EHR DCAM - ANSWERSDMLSS customer assistance module EHR used by deployed units M3PT - ANSWERSmedical material mobilization planning tool web-based application used for inventory GCSS-A - ANSWERSglobal combat support system - Army proper accountability and maintenance for equipment 3 types of combat brigades - ANSWERSinfantry stryker armored

medical platoons organized into - ANSWERSmanuever battalions calvary battalions field artillery battalions medical platoon organization - ANSWERSHQ treatment squad (role 1 care) evacuation/ambulance squad combat medic squad 5 steps of risk management - ANSWERS1. identify hazards

2. assess hazards
3. develop controls and make decisions
4. implement controls
5. supervise and evaluate 5 levels of probability - ANSWERSunlikely seldom occasional likely frequent 4 levels of severity - ANSWERSnegligible moderate critical catastrophic 2 applications of risk management - ANSWERSdeliberate: ample time for 5 step risk management process real-time: immediate risk management with hazards as they occur squad - ANSWERS2-3 teams led by SGT/SSG platoon - ANSWERS3-5 squads led by LT company - ANSWERS3-5 platoons led by CPT battalion - ANSWERS3-5 companies led by LTC brigade - ANSWERS7 battalions led by COL

division - ANSWERS4+ BCTs led by LTG corps - ANSWERS2-4 divisions led by GEN S shop - ANSWERSbrigade or battalion level commanded by COL or LTC G staff - ANSWERSdivision, corps, army J staff - ANSWERSjoint staff S1 - ANSWERSpersonnel S2 - ANSWERSintelligence S3 - ANSWERStraining S4 - ANSWERSlogistics S5 - ANSWERSmid-long range planning S6 - ANSWERSsignal G8 - ANSWERSfinance S9 - ANSWERScivil affairs CTCP - ANSWERScombat trains command post battalion aid station located here S4 officer located here FTCP - ANSWERSfield trains support company fall under BSBs (brigade support battalions) 2 types of bounding - ANSWERSsuccessive alternating 3 types of traveling formation - ANSWERStraveling traveling overwatch

bounding overwatch 3 types of individual movement techniques - ANSWERSlow crawl high crawl rush 4 gun truck functions - ANSWERS where is role 1 care usually located - ANSWERSCTCP (combat training command post) what unit has organic medical platoons in BCTs? - ANSWERSmaneuver, cavalry and fires which of the following do not have split capabilities? maneuver, cavalry and fires - ANSWERSfires which section of the 4 sections of the medical platoon is responsible for FHP? - ANSWERSHQ who trains non-medical soldiers in medical capabilites? - ANSWERScombat medic section how many TCMCs does a treatment squad have? - ANSWERS look at military symbols - ANSWERS difference between secure and seize - ANSWERSsecure: do not need to occupy the location seize: need to occupy location what does "on order" mean? - ANSWERSyou are required to follow the necessary action what is an example of a sustainment control measure? - ANSWERScivilian collection point? what is DD form 2977? - ANSWERSDRAW deliberate risk assessment worksheet look at Sarah's question document - ANSWERS 5 war fighting functions - ANSWERSmission command movement and maneuver protection sustainment

fire support which war fighting function does FHP fall under? - ANSWERSprotection which war fighting function does HSS fall under? - ANSWERSsustainment which BCT does not have a BSMO section? - ANSWERSStryker Does MCAS have a BSMO? - ANSWERSno does MCAS have physical therapy capability? - ANSWERSno how long can the medical treatment SQD operate without base unit? - ANSWERS hours how long is patient hold care? - ANSWERS72 hours