Читать книгу Health Service Support in a Nuclear, Biological, and Chemical Environment - United States. Department of the Army - Страница 20

a. In the brigade, Level II HSS consists of—

 Evacuating patients from the BAS and MEDEVAC on an area support basis from within the brigade support area (BSA).

 Providing area support Level I medical treatment.

 Operating the medical company clearing station (hereafter referred to as the division clearing station [DCS]), which provides a patient holding capability for up to 40 patients for 72 hours. See FM 4–02.6 and FM 8–10-24 for detailed information on Level II conventional operations.

 Providing limited dental service.

 Providing limited PVNTMED support in the areas of medical surveillance, occupational and environmental health surveillance, food service sanitation, water quality control (including NBC contamination surveillance), and communicable disease control.

 Providing limited COSC; these patients are returned to duty as far forward as their condition permits.

b. In the division, HSS is the same as for the brigade, except patients may be evacuated from the BSA DCS, but not evacuated from the BAS.

c. When operating under an NBC threat or when NBC attack is imminent, the DCS must prepare for continuation of its mission. Should an attack occur or a downwind hazard exist the DCS must seek out a contamination free area, or must establish collective protection to continue the mission. The DCS in some medical companies have four CBPS Systems; they are complexed to provide space for DCS operations. These systems are operated in the CB mode when attack is imminent or has occurred. See Appendix F for information on establishing a DCS in CBPS Systems. When operating in the CB mode only patients requiring life- or limb-saving procedures are allowed entry. Patients with minor injuries that can be managed in the contaminated EMT area of the patient decontamination site will receive treatment in this area. After treatment, these patients will have the integrity of their MOPP restored by taping the damaged area and returned to duty. Patients with injuries that require further treatment, but who can survive evacuation to the Level III MTF will have their MOPP spot decontaminated, their injuries managed, and be directed to an evacuation point to await transport to the Level III MTF (example, an individual with a splinted broken arm). When personnel and patients are contaminated or are potentially contaminated, they must be decontaminated before admission into the clean treatment area (see FM 3–5 for personnel decontamination procedures and Appendix G for patient decontamination procedures).