Sect 2-Pnc Chs Ech i&II

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U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL LP WVBN-04BAMEDD NONCOMMISSIONED OFFICER ACADEMY 0196 BASICNONCOMMISSIONED OFFICER COURSE

LESSON TITLE: Principles of Combat Health Support (CHS) ECHELONS Iand II

THIS LESSON IS USED IN THE FOLLOWING COURSES:COURSE NUMBERS COURSE TITLE(S)6-8- C40 AMEDD NCO BASIC (NCOES)

SECTION I. - ADMINISTRATIVE DATA

TASK(S) TAUGHT OR SUPPORTED: NATASK NUMBER TASK TITLE081TTSB-K5 Principles of CHS,

Echelons I and IITASK (S) REINFORCED:TASK NUMBER TASK TITLE

None

ACADEMIC HOURS:PEACETIME MOBILIZATIONHOURS /TYPE HOURS /TYPE

SMALL GROUP INSTRUCTION 3.0 NATEST CMF NATEST REVIEW CMF NATOTAL HOURS 3.0

LESSON NO

TESTING: CMF

REVIEW OF TEST RESULTS: CMF

PREREQUISITE LESSON(S): Combat Health Support System

CLEARANCE AND ACCESS: UNCLASSIFIED

REFERENCES:NUMBER TITLE PAGES ADDITIONAL INFORMATION

FM 63-2 Division Support Command, AR, INF, Mech IDFM 71-100 Division OperationsFM 8-10-4 Medical Platoon Leaders Handbook, 16 Nov 90

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FM 8-10 Health Service Support in a Theater ofOperations,1 Mar 91FM 8-10-3 DMOC, 1 Mar 91FM 8-10-6 Medical Evacuation in a Theater of Operations,

31 Oct 91FM 8-55 Planning for Health Service Support, 9 Sep 94FM 8-8 Medical Support in Joint OperationsFM 71-101 Infantry, Airborne, and Air Assault Division

Operations

STUDENT STUDY ASSIGNMENT: Read and be prepared to discussSupplementary Reading #1

INSTRUCTOR REQUIREMENTS: Review lesson prior to class

ADDITIONAL SUPPORT PERSONNEL REQUIREMENTS: None

EQUIPMENT REQUIRED FOR THE INSTRUCTION: Overhead projector,screen.

MATERIALS REQUIRED FOR THE INSTRUCTION:

INSTRUCTOR MATERIALS: VGTs (8).

STUDENT MATERIALS: Supplementary Reading #1.

CLASSROOM, TRAINING AREA, AND RANGE REQUIREMENTS: Classroomsuitable for 16 students.

AMMUNITION REQUIREMENTS: None

INSTRUCTIONAL GUIDANCE: This lesson is the second in a series ofthree on Combat Health Support. Echelons III-V follows. Avoidacronyms.

PROPONENT LESSON PLAN APPROVAL AUTHORITY:NAME RANK POSITION DATEPAULETTE H. DUNLAP CSM CMDT JAN 96

AMEDD NCOAcademy

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SECTION II. - INTRODUCTION

NOTE: Read the following terminal learning objective statement tothe students.

At the completion of this lesson you (the student) will:

Identify the organizational structure and capability of

medical assets in the heavy/light divisions IAW FM 8-10, FM 8-10-4,

FM 8-10-3, FM 8-55.

SAFETY REQUIREMENTS: None

RISK ASSESSMENT LEVEL: Low

ENVIRONMENTAL CONSIDERATIONS: None

EVALUATION: CMF

INSTRUCTIONAL LEAD-IN: This three hour class will provide anoverview of the mission, organization, evacuation responsibilities and

employment concepts of medical assets found within Echelon I and

Echelon II combat health support.

SECTION III. - PRESENTATION

Enabling Learning Objectives (ELOs):

1. Identify the mission and characteristics of echelon I combat health

support in the heavy division IAW cited references.

2. Identify the mission, organization and functions of the medical

platoon in the heavy division IAW cited references.

3. Identify the mission of echelon II combat health support in the

heavy division IAW cited references.

4. Identify the structure of the division support command (DISCOM) IAW

cited references.

5. Identify the characteristics of echelon II combat health support in

the heavy division lAW cited references.

6. Identify the mission, organization and functions of the forward

support medical company(FSMC), heavy division, IAW cited references.

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7. Identify the mission, organization and functions of the main

support medical company (MSMC), heavy division, IAW cited references.


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8. Identify the division medical operations center (DMOC) and its

mission IAW cited references.

9. Identify the division support command (DISCOM) and division

surgeons and their roles IAW cited references.

10. Identify the mission, organization and functions of echelonI combat health support in the light division IAW citedreferences.

11. Identify the mission, organization and functions of echelon II

combat health support in the light division IAW cited references.

12. Identify the organization and functions of the forward supportmedical company (FSMC), light division, IAW cited references.

13. Identify the organization and functions of the main support

medical company (MSMC), light division, IAW cited references.

14. Identify the medical support structure of the airborne and airassault divisions IAW cited references.

SEQUENCE OF ACTIVITIES:

INSTRUCTOR NOTE: State the following: Throughout the remainder of thiscourse you will expand your combat health support (CES) knowledge while

planning the support of the Army Division. Since the planning functionrequires a working knowledge of the entire military structure, we will

begin by reviewing some basic elements for the next three periods.

T The contradictory nature of military challenges confronting UnitedStates national interests ranges from high to low intensity conflict.

A low-intensity conflict (LIC) is highly likely but does not present a

catastrophic threat. However,the paradox--we must continue to postureour force to deter all-out war, while realizing that most future

conflicts will be limited in their intensity.4

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Just as the tactical commander influences the outcome of his

mission by concentrating critical assets at critical times on the

battlefield, the health service support planner must provide critical

health services at the appropriate place and time in order to reduce

morbidity and mortality and to maximize opportunities for soldiers to

return to duty.

The heavy/light division employs a modular medical support

system that standardizes all medical treatment subunits within the

division. Far forward care characterizes the design of this system.


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Capabilities are replicated at each level of health care

enabling the medical resources manager to rapidly tailor, augment, or

reinforce medical units in support of battle areas. This support system

is designed to acquire, receive, prioritize for evacuation, provide

emergency medical treatment (EMT), and provide advanced trauma

management (ATM) for division personnel and for personnel in units

attached to the division.

Before we begin, lets look at a diagram of the five echelons of Combat

Health Support. As you know, we will be discussing the first two in

this lesson. Look at figure 1 at the back of your SR.

INSTRUCTOR NOTE: Figure 1 is also at the back of this lesson plan.

Discuss with the students Echelons I and II, unit and division. Also at

the back of the LP and SR is the MF2K graphic (figures 2a and 2b) which

illustrates the location of the types of units. Refer to this graphic

as necessary throughout the lesson.

ECHELON I COMBAT HEALTH SUPPORT: HEAVY

QUESTION: What is the mission of echelon I combat health support inthe heavy division?

ANSWER: Prevent injuries and illness. Provide routine medical

treatment; immediately return the soldier to duty.

Provide EMT and advanced trauma management to stabilize the patient for

evacuation to the echelon of medical treatment required; evacuate the

sick and wounded.

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Characteristics

QUESTION: What are the characteristics of combat health support forthe heavy division?

ANSWER:

Echelon I CHS is provided by medical platoon or section which is

organic to the headquarters and headquarters company of the respective

battalion.

Divisional elements without organic medical support are provided CHS on

an area basis by the nearest medical platoon treatment facility.

The treatment facility is called the battalion aid station (BAS). The

medical platoon is 100% mobile but has no holding capability.

SHOW VGT #1 (heavy division medical elements) Medical Platoon


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QUESTION: Now lets look at echelon I medical elements for the heavy

division. What can you tell me about the first one, the medical

platoon?

ANSWER: Mission: Provide Echelon I CHS to the battalionto which it is organic and, on an area basis, to divisionalelements without organic CHS.

Organization and capabilities: (combat medic, ambulance squad,

treatment squad modules, and platoon headquarters)

Combat medic module consists of:

1 Combat Medical Specialist (91B10)

1 Aid bag (basic load of medical supplies) Combat medics provide the

initial treatment along the forward edge of the battle area/forward

line of own troops (FEBA/FLOT). They are capable of making medical

decisions using their MOSacquired skills. (Combat lifesavers and self-aid/buddy aid serve as extenders of the combat medic.)

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Senior medic establishes a company aid post in the company trains.

Personnel move patients to the company aid post or patient collectionpoints.

Patients are moved from the site of injury to the company aid post by

litter teams, by manual carries, or by available vehicles.

Ambulance Squad Module

QUESTION: What should we remember about the ambulance squad module?

ANSWER:

The ambulance squad module consists of:

2 Aidmen (91B20)2 Drivers (91B10)2 Tracked Ambulances (M113)

It evacuates patients from the company aid post to the BAS. Ambulancesmay be positioned forward with supported maneuver companies or staywith the BAS.


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Pre-positioning enhances response time and reduces communicationrequirements.

Treatment Squad Module

QUESTION: What does the treatment squad module consist of and what doesit do?

ANSWER:

The treatment squad module consists of:

One Platoon Leader (CPT/62B Field Surgeon).One Physicians Assistant (GOOA).Four Medical Specialists; Two EMT NCOs.Two Command Post Carriers (M577).

The squad provides preventive medical support, routine sick call, and

EMT to supported soldiers; operates the BAS.

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The employment of the BAS is determined by the tactical situation. The

treatment squad can be employed as a single unit or it can be splitinto two treatment teams that provide CHS in two different locations at

the same time.

Platoon Headquarters

INSTRUCTOR NOTE: State the following: SGT _____,tell me about the platoon

headquarters. (ensure points below are covered)

The platoon HQ is comprised of:

One Medical Operations Officer (LT/67B)

One Medical Platoon Sergeant (91B40).

The platoon HQ is the command, control, and communications element forthe medical platoon

The platoon HQ manages the evacuation assets, develops the battalion

medical support plan, and develops the medical logistical requirements

for the platoon

The medical platoon BAS is normally employed 4-10 km behind the

FLOT/FEBA in the combat trains within the battalion logistical supportarea.

Medical platoon medical support functions consist of treatment and

evacuation.

REMOVE VGT #1


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ECHELON II COMBAT HEALTH SUPPORT: HEAVY

QUESTION: What is the mission of echelon II combat health support for aheavy division?

ANSWER:

Prevent injuries and illness. Evacuate the sick and wounded and

continue emergency treatment started at Echelon I. Begin initialresuscitative treatment to return the injured or ill soldier to duty.

QUESTION: To improve the command, control, communications, and

operational effectiveness of CHS in the armored and mechanized

divisions, the division support command has been reorganized. How hasthe DISCOM been reorganized?

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ANSWER:The division materiel management center (DMMC) and the headquarters,headquarters company (HHC) are combined into one organization.

The AG and the finance functions are moved to the corps.

The headquarters of the three functional battalions is eliminated andtheir operating companies are placed under the headquarters of the main

support battalion. The main support battalion (MSB) is responsible for

the effective management of logistics assets in the division supportarea (DSA).

The transportation aircraft maintenance company is moved into the

DISCOM.

Three forward support battalions (FSB) that are organic to the DISCOMare created. Each FSB is responsible for the effective management of

logistics assets in the brigade support area (BSA).

The new FSB organization absorbs the forward maintenance, supply, andmedical companies that were assigned to the parent functional

battalions in the DSA.

A commander and a staff provide command and to control the operating

elements of the battalion.

This newly established FSB provides the armored and mechanized division

commanders with a single, responsive, multifunctional point of contact

to meet high-mobility support needs.

Consists of 3 forward support medical companies and a main support

medical company.Characteristics


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CHS within the heavy division is provided by two units.

CHS in the brigade support area (BSA) is provided by FSMC of the

forward support battalions (FSBs).

CHS in the division support area (DSA) is provided by the MSMC of the

main support battalion (MSB).

FSB's and the MSB are under the direct command and control of the

JISCOM commander. The medical companies of the respective battalions

share the same support responsibilities, Echelon II

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and Echelon I CHS, but provide support in different areas of the

battlefield (BSA and DSA respectively.

The medical companies are l00% mobile. The medical company treatment

facility is called the clearing station

Medical companies have the capability to hold up to 40 patients who areexpected to return to duty within 72 hours.

There is no surgical capability at Echelon II.

INSTRUCTOR NOTE: End of first hour (approximate)

SHOW VGT #2 (elements of echelon II)

Forward Support Medical Company

QUESTION: On the screen you see elements of echelon II CHS we are aboutto discuss. Sgt _____,what is the mission of theforward support medical company and how is it organized?

ANSWER:

Mission: Provide echelon II and echelon I CHS support to unitsoperating in the BSA.

The company operates a clearing station in the brigade support area

approximately 15-20 km behind the FLOT/FEBA. The company provides

treatment, evacuation, command and control, dental, lab, x-ray andpatient holding.

Company Headquarters

One Company Commander (MAJ/62B Field Surgeon)One Operations Officer (CPT/67B)


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17 Enlisted Personnel

The commander is dual-hatted as the brigade surgeon for the brigade

supported by the FSB.

QUESTION There is a treatment platoon and two treatment squads in the

FSMC what do we need to know about their organization and functions?10

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ANSWER:Treatment platoon

One Platoon Leader (MAJ/62B Field Surgeon)One Operations Officer (LT/67B)One Platoon Sergeant (91B40)

This nonmodular element provides command and control for the clearing

station. The platoon leader is a physician and also works in the

treatment squad of the clearing station.

There are two treatment squads and each squad is manned and equipped(two M577s, ATLS set, and sick call set) identical to the treatment

squad in the medical platoon (modular design).

These treatment squads facilitate reconstitution or reinforcement of

the medical platoons BAS.

The treatment squad is the modular base of the clearing station which

begins initial resuscitative treatment.

State the following: Three elements remain in the forward supportmedical company, the area support section, patient holding squad and

ambulance platoon headquarters. Lets discuss the components of each.(ensure points below are covered)

Area support section

One Dental Officer (CPT/63A)One Dental Specialist

One Laboratory SpecialistOne X-ray Specialist

This modular element provides ancillary support to facilitate initial

resuscitative treatment, emergency and sustaining dental and limited

laboratory and x-ray services.Patient Holding Squad

One Wardmaster (91C30)One Practical Nurse (91C20)

Two Medical Specialists (91B10)

The modular element that provides patient holding for 40 patients that

are expected to return to duty within 72 hours.11


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Holding capability contributes significantly to the provision of the

resuscitative care and return to duty rate.

The modules of the area support section combine to form the clearing

station.

Ambulance Platoon Headquarters

One Platoon Leader (LT/67B)One Platoon Sergeant (91B40)

This is the nonmodular command and control element of the ambulanceplatoon; planning, coordinating, and prioritizing evacuation missions.

Ambulance squad (tracked)--(three each) identical to medical platoon

ambulance squad, allowing reconstitution/reinforcement of medicalplatoon assets as well as afford equivalent mobility and patient/crewprotection when evacuating from forward areas.

Ambulance squad (wheeled) --(two each) equipped with M997 (MAXI-HMMWV)

vehicles allowing more efficient area coverage of the BSA and supportsfaster evacuation of patients. The personnel structure is identical to

the tracked squad.

Shuttle systems or patient exchange systems can be used to expedite

patient evacuation.

Ambulances assigned to the FSMC have a primary responsibility to

evacuate patients from supported BASs. Their secondary responsibilityis to evacuate patients from units within the brigade support area.

SHOW VGT #3 (MSMC elements)

Main Support Medical Company (MSMC)

QUESTION: What is the mission of the main support medical company, howis it different from the forward support medical company and where is

it employed?

ANSWER:

Mission: Provide Echelon II and Echelon I CHS support to unitsoperating in the division support area.

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The MSMC has expanded support capability not found in the forward

support medical company. It operates a division clearing station in the

DSA approximately 50-60 km behind the FLOT/FEBA.


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QUESTION: Lets look at the first two elements, the division medical

supply section and the preventive medicine section, how are they mannedand what do they provide?

ANSWER:Division Medical Supply Section

One Health Services Material OfficerOne Medical Supply Supervisor

Three Medical Supply SpecialistsThree Medical Equipment Repairers

One Pharmacy Specialist

Procures, stores, and distributes Class VIII (medical) supplies for thedivision. Performs maintenance on biomedical equipment.

Preventive Medicine Section

One Preventive Medicine Officer (MAJ/60C)One Environmental Science Officer (CPT/68N)

Seven Preventive Medicine Specialists

Provides preventive medicine services to divisional elements and

conducts field sanitation team training.

Ambulance Platoon

QUESTION: How is the ambulance platoon organized and what is its

responsibility?

ANSWER:

Ambulance squad (wheeled)--(five each) allows more efficient area

coverage of the DSA and supports faster evacuation of patients. MSMCambulance squads are idential to FSMC wheeled ambulance squads and can

reconstitute/reinforce FSMC squads.

Ambulances assigned to the MSMC have a responsibility to evacuate

patients from units within the DSA. They will also evacuate patientsfrom FSMC clearing stations that require care not available in the BSA,

i.e., optometry.13

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Treatment Squads

QUESTION: How are treatment squads different in the MSMC than in the

FSMC and why?

ANSWER:


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Because of the expanded mission and the number of facilities that may

need reconstruction or reinforcement the number of treatment squads has

been increased from the two that we find in the FSMC to four in the

MSMC.

QUESTION: How are the mental health and optometry sections manned and

what are their capabilities?

ANSWER:Mental Health Section

One psychiatrist (MAJ/60W)One Clinical Psychologist (CPT/685)One Social Work Officer (CPT/68R)

Seven Behavioral Science Specialists

Capability to provide limited psychiatric care to combat stress

casualties.

Evaluates effects of battle fatigue.Establishes and operates divisionmental fitness program.

Optometry Section

One Optometry Officer (CPT/68K)One Optical Laboratory Specialist

One Eye Specialist

Performs routine eye examinations and manufactures single-lens visiondevices.

REMOVE VGT #3

Division Medical Operations Center (DMOC)

QUESTION: What is the division medical operations center (DMOC) andwhat is its mission?

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ANSWER:

Primary staff section of the division support command (DISCOM)Headquarters and Headquarters Company (HHC).

Mission

Develop medical troop basis. (Mission support needs.)

Recommend reallocation of divisional medical assets.

Manage medical logistics priorities for the division.


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Plan and coordinate patient evacuation to corps.

Request corps-level medical support for the division. Prepare medicalsupport annex of the division operation orders/operation plan(OPORD/OPLAN).

QUESTION: Who are the DISCOM and division surgeons and what do they do?

ANSWER:

DISCOM Surgeon

A member of the DMOC who advises DISCOM commander on all mattersrelating to division level health combat support. He assists in the

preparation of the medical portion of the DISCOM operationsplans/orders.

Division Surgeon

The principal staff advisor on medical aspects affecting the command.He advises the division commander on medical matters and provides

technical supervision over division medical matters.

SUMMARY

As we conclude this explanation of CHS of the heavy division, it

becomes apparent that the medical elements must support units that

operate on a wide front and in great depth while maintainingflexibility to accomplish its vital mission.

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It becomes further apparent that this CHS must also maintain a

capability to operate with as much mobility and flexibility as the

division it supports.

INSTRUCTOR NOTE: End of second hour (approximate) SHOW VGT #4(medical platoon, light)

ECHELON I COMBAT HEALTH SUPPORT: LIGHT

QUESTION: How is echelon I combat health support provided andorganized and what is the mission?

ANSWER:

Echelon I medical support is provided through self-aid/buddy aid,

combat lifesaver, and medical personnel assigned to the medical

platoon.


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The medical platoon/section is organic to the headquarters company of

the battalion which it supports. Like its heavy division counterpart,

it has a modular organizational design.

Mission--To provide Echelon I CHS (characterized by prevention,

emergency medical treatment, and evacuation) to the battalion it is

organic to as well as area support to units without organic medicalassets on an area basis.

Combat Medic

QUESTION: Sgt.____, what can you tell me about the first module, the

combat medic?

ANSWER:

These medics provide routine medical treatment to prevent illness and

return soldiers to duty. They also provide emergency medical treatment

to the soldiers of the battalion close to the forward edge of the

battle area (FEBA) and prepare them for evacuation.

The combat medics are assigned to the light infantry battalion based on

one medic per rifle platoon. A combat medic is not assigned to operate

a company aid post.

A casualty collection point is established in the company aid post and

also in the company logistical trains.

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It can be staffed by a medic from the treatment team.

QUESTION: What are the responsibilities of the ambulance squad and the

treatment squad?

ANSWER: Ambulance Squad

Capable of evacuating patients from the site of injury or casualty

collection points to the battalion aid station.

Treatment Squad

Provides Echelon I CHS to the battalion, operates the battalion aid

station, conducts sick call and provides emergency treatment.

The treatment squad is 100% mobile and may operate as close as 400

meters from the forward line of own troops (FLOT)/FEBA.

Because of its close proximity to the battle, and its need for

mobility, the battalion aid station has no patient holding capability.


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The medical platoon is employed in the combat trains of the battalion

they are supporting.

REMOVE VGT #4

ECHELON II COMBAT HEALTH SUPPORT: LIGHT

INSTRUCTOR NOTE: Some references present outdated principles of the

organization of Light Divisions. What will be presented is current

doctrinal information. Reference publications are currently under

revision to meet current applications.

QUESTION: How is echelon II combat health support for the lightdivision organized and what is its mission?

ANSWER:

Echelon II CHS for the light division is the same as that displayed for

the heavy division. Modifications are within the organization

configurations to meet the needs of Light Divisions.

Mission: To provide Echelon II and Echelon I CHS from forward support

bases as required.

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SHOW VGT #5

Forward Support Medical Company (FSMC)

QUESTION: The FSMC organizational structure is similar to the medical

company of the FSB in the heavy divisions: Company HQ, a treatment

platoon, and an ambulance platoon.

Where is the FSMC located and what are the functions of these elements?

ANSWER:

The forward support medical companys operate in the brigade support

areas.


A nonmodular element that provides command and control for the company.As in the heavy division, the company is commanded by a physician who

also serves as the brigade surgeon.Treatment Platoon

The treatment platoon operates Echelon II treatment facility (clearing

station) which is located in the brigade support area. It provides

ancillary support/medical treatment and has a holding capability.

Ambulance Platoon


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The ambulance platoon is comprised of a platoon HQ, led by a 2LT 67B

MSC, an E-7 91B and 4 ambulance squads. The platoons 8 M997 (HMMV)

ambulances evacuate patients from the medical platoon battalion aid

stations in the combat trains to the FSMC clearing station in the

brigade support area. They also evacuate from other units in the BSA to

the FSMC clearing station.

Area Support Sections

QUESTION: What are the area support sections and how do they operate?

ANSWER:The area support sections (three modular elements) area support,treatment, and patient holding. The treatment platoon provides

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routine sick call support and initial resuscitative care to the membersof the brigade and units operating in their area.

The platoon HQ is led by a physician that works in the treatment team

of the area support section.

Treatment squads have several capabilities. Because of their

flexibility, these squads may be used to jump forward or to the rear

to provide continual medical support when the FSMC has to move. They

may also reconstitute or reinforce a treatment squad operating the

medical platoon s battalion aid station.

The area support section has elements that provide the treatment

support. The modules of the area support section make up the clearing

station.

The area support squad provides emergency dental services as well as

limited ancillary lab and x-ray support.

The treatment team provides initial resuscitative care characteristic

of Echelon II CHS as well as routine medical resupply to the medical

platoons. The treatment team has four less medical personnel than the

treatment squad.

The patient holding squad can provide medical care for up to 20

patients with minor injuries that are expected to return to duty within72 hours. Patients who are unable to return to duty within 72 hours are

evacuated as soon as possible for more definitive care.

SHOW VGT #6 (MSMC elements)

Main Support Medical Company(MSMC)

QUESTION: What are the components of the main support medical company?


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ANSWER:

The Main Support Medical Company operates the clearing station in the

DSA.

Is is composed of nonmodular sections: preventive medicine, optometryand mental health.

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In addition to the nonmodular sections, the medical battalion has a

maintenance section capable of providing organizational maintenance

support for vehicles and light equipment such as generators using

contact teams.

SHOW VGT #7 (airborne elements)

Airborne Division Medical Support Structure

Echelons I & II Light

Medical Platoon

Medical platoon/section. Echelon I medical support is provided much the

same as in the other divisions. Medical platoons organic to airborne

battalions consist of the same base modules.

Combat medics provide emergency medical treatment along the FLOT/FEBA

and prepare the patient for evacuation.

Treatment squads/teams provide Echelon I CHS to organic units includingemergency medical treatment and routine sick call support.

Ambulance squads/teams provide evacuation support from casualty

collection points to BASs operated by the treatment elements. The

HMMWVs that are used in the airborne division are the M996 version that

are more air transportable, however, they are limited to 2 litter

patients.

Echelon II CHS for the airborne division is provided by a medical

battalion consisting of three forward support medical companies and a

Main Support Medical Company.

The FSMC provides Echelon I and Echelon II CHS to soldiers operating inthe BSA.

It is structured functionally the same as the FSMC in the light

division.

The area support section has a treatment squad rather than the

treatment team found in the LID FSMC.


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Patient holding squad--capacity increased to 40 patients.

Ambulance platoon--Organized into four distinctive squads equipped with

two M996 ambulances each (8 total) like its medical platoon

counterpart.20

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Main Support Medical Company provides Echelon II support to units

operating in the division and Echelon I CHS from forward support bases

as required.

Like the FSMC, it has some differences in structure and support

capability when compared to the LID due to operational employment

requirements.

The Main Support Medical Company has the identical base structure as

its LID counterpart. Due to the extreme distances the division may be

operating from the corps rear area; it has two organic surgical squads.

Surgical squads are organic modular elements that have the capability

to provide surgical support for up to 40 procedures in a 48 hour

period.

Holding capacity is increased to 40 patients for 72 hours. SHOW VGT #8

(air assault elements)

Air Assault Division Medical Support Structure

Echelons I & II Light

INSTRUCTOR NOTE: Lead a discussion on the air assault division medicalsupport structure. Ensure points below are covered.

Medical platoon/section. Medical support at the unit level is provided

much the same as in the other divisions. Medical platoons organic to

battalions consist of the same base modules.

Combat medics provide emergency medical treatment along the FLOT/FEBA

and prepare the patient for evacuation.

Treatment squads/teams provide Echelon I CHS to organic units including

emergency medical treatment and routine sick call support.

Ambulance squads/teams provide evacuation support from casualtycollection points to BSAs operated by the treatment elements.

The HMMWVs that are used in the air assault division are the M996

version that are more air transportable, however, they are limited to

two litter patients.

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Echelon II CHS for the air assault division is provided by the DISCOM

consisting of three forward support medical companies and a Main

Support Medical Company. Because of its special mission capability of

deep operations, it has an organic air ambulance company.

With few exceptions, the FSMC in the air assault division is structured

functionally the same as that of the light division.

The area support section has a treatment squad rather than the

treatment team found in the light division forward support medical

company.

Patient holding squad--capacity increased to 40 patients.

Ambulance platoon--organized into three distinctive squads equipped

with the M996 ambulance rather than the four squads in the airborne

division. The difference in the number of ground ambulances is due to

the organic air ambulance company unique to the air assault division.

Main Support Medical Company--Surgical squads organic modular elements

have the capability to provide surgical support for up to 40 procedures

in 48 hours.

Holding capacity is increased to 40 patients for 72 hours. MainCompany, air Ambulance--Organized into four elements that includeperational as well as organic support capability.


Flight Operations PlatoonAmbulance Platoon, equipped with 12 UH-60 air ambulances

Aviation Maintenance Platoon

The air ambulance company headquarters, maintenance, and flight

operations are collocated in the DSA within the battalion headquarters

for command and control and operational support and employment.

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0196

Flight sections from the ambulance platoon are placed forward with the

forward support medical companies, battalion aid stations, or aviation


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task force. The number of air ambulances per flight section is based on

mission requirements.

SUMMARY

By contributing to the Armys strategic flexibility, the light

divisions enhance the options available to the national commandauthority to countermand armed aggression. The medical support for

these flexible divisions must be equally aggressive and match the

divisions ability to deploy quickly and to operate in a variety of

environments and close terrain.

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LEGEND

ASMC AREA SUPPORT MEDICAL COMPANY EMT EMERGENCY MEDICAL TREATMENT

ATM ADVANCED TRAUMA MANAGEMENT FSMC FORWARD SUPPORT MEDICAL CO.BN BATTALION FST FORWARD SURGICAL TEAM

BSA BRIGADE SUPPORT AMA MASH MOBILE ARMY SURGICAL HOSPITAL

CBT COMBAT MEDICAL

CLR STA CLEARING STATION MSMC MOBIL SUPPORT MEDICAL COMPANY

COMMZ COMMUNICATION ZONE REGT REGIMENT

CSH COMBAT SUPPORT HOSPITAL SPT BN SUPPORT BATTALION

OSA DIVISION SUPPORT AMA SQDN SQUADRON

EAC ECHELONS ABOVE CORPS TRMT TREATMENT

Figure 1-1. Echelons of combat health support

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Documents

Sect 2-Pnc Chs Ech i&II