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NATO UNCLASSIFIED Releasable to the INTERNET
NATO Staff Maritime Medical CourseLO-3 Manage the Recognised Maritme Medical Picture
RECOGNIZE HEALTH THREATS
CAPT Jeffery Paulson and CAPT Frank ChapmanUS Fleet Forces Command and US NAV EUR
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Recognize Health Threats
IntroductionObjectives
Anticipate ThreatsPrepare to preventPrepare to respond
Summary
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Initial Data to Recognize Health Threats
Planned operational environmentCombatNon-Combat
Know the POEOperations at SeaOperations on ShoreEngagements ashoreLiberty
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Medical Intelligence and the Threat Assessment
ALLIED JOINT MEDICAL DOCTRINE FOR MEDICAL INTELLIGENCE, AJMedP-3
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Planned Operational Environment
Questions to ask: Who is going?What are they doing?When are they going?Where are they going?How are they doing it?
Open-ended
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Threats Afloat
War Damage from Combat ActionsMines, Missiles, Explosives
Sea EnvironmentStorms and Sea StateCollisions at SeaGroundingsMan Overboard
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Combat
Opposing forces Conventional Warfare
Small ArmsExplosives
Asymmetrical WarfareIEDs
Ashore vs Afloat
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Environmental
Heat and ColdSmoke and Inhalation injuriesChemical ContaminationAnimal Bites – Rabies, InfectionSnake Bites – VenomMarine Animal Bites and Venom
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Alcohol and Illicit DrugsPrescribed Drugs Operational Stress
Behavioral Threats
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Non Combat Trauma
MVA’sMotorcycle – ScootersBoatingOther Recreational Activities
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Health Risks – Biological
Infectious diseaseFood Borne illnessesSafe Food and Water are critical
Disease can degrade a fighting force quickly and for a prolonged time
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Infectious Disease
Pandemic Illness Influenza as exampleSARS and others
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Food Borne
Food SourcesFood Acquisition Policy
Food HandlingFood Storage (frozen, chilled, dry)Food Preparation (hepatitis and other
human vector disease)
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Vector Borne
Port callsTravel or Deployment Ashore
Malaria, Rabies, Dengue, JEV
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Operating Environment at Sea
INDUSTRIAL HIGH RISK ENVIRONMENT
High Risk Evolutions:Underway ReplenishmentVertical ReplenishmentRe-fueling at SeaCargo and personnel transfer
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Occupational Safety
Electrical WorkSmall Boat OperationsHelicopter OperationsFuels, Including Otto Fuel IIFiresWelding, Cutting, BrazingMachinery maintenance and operationsHeavy Weather Operations
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Ship Distress at Sea
Abandon ship – Immersion Injuries
Oil on SeaBurning Oil Fire
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Survival in the Water
Windchill Non freezing cold injury Freezing cold injury Heat illness and sunburn Seasickness in the life raft Osmotic Diarrhea Oil Contamination Skin Ulcers Toxic Chemicals Triage of Survivors Psychological considerations
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Urgency
Balance: Risk to SailorThreats
Urgency vs Operational Tasking
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Biological Chemical and Radiological
Ship capabilities?Detection of exposureConfirmation of agentAir boundariesCountermeasures - washdown?Treatment
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Stress Management
Management of critical stress and traumatic stress
Stress reactions, PTS, Suicide Resources?
Medical, Chaplain, Chain of Command, Friends
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Threat Assessment Summary
Threat Analysis can provide the commander information critical to mission accomplishment.
Mitigation of potential threats increases chance of mission success.
Medical threats are a critical piece of a proper threat analysis and must not be overlooked in mission planning.
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Helge Barstrand, Cdr SG, NOR Navy, MSc, KCLJ,(N43) Branch Head Medical, Medical Plans & Concepts, MC Northwood UK
+44 (0) 1923 956 675 Email: [email protected]
Questions?