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Chapter XXXIII: Part III: Chemical. NAVMED P-5059; AFJMAN 44-151V1V2V3. 1

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February 1996.

FM 8-284. _Treatment of Biological Warfare Agent Casualties._
NAVMED P-5042; AFMAN(I) 44-156; MCRP 4-11.1C. 17 July 2000.
(Change 1, 8 July 2002.)

FM 8-285. _Treatment of Chemical Agent Casualties and
Conventional Military Chemical Injuries._ NAVMED P-5041; AFJMAN
44-149; FMFM 11-11. 22 December 1995.

FM 21-10. _Field Hygiene and Sanitation._ MCRP 4-11.1D. 21 June
2000.

=DEPARTMENT OF DEFENSE=

DOD 5100.52-M. _Nuclear Weapon Accident Response Procedures
(NARP)._ September 1990.

DOD Directive 3150.8. _DOD Response to Radiological Accidents._
13 June 1996.

DD Form 1380. _US Field Medical Card._ December 1991.

DD Form 1911. _Material Courier Receipt._ May 1982.

=DEPARTMENT OF THE ARMY FORM=

DA Form 4137. _Evidence/Property Custody Document._ 1 July 1976.

=ARMY PUBLICATIONS=

AR 40-5. _Preventive Medicine._ 15 October 1990.

AR 40-61. _Medical Logistics Policies and Procedures._ 25
January 1995.

AR 40-66. _Medical Records Administration and Health Care
Documentation._ 3 May 1999.

AR 40-400. _Patient Administration._ 12 March 2001.

FM 3-06.11. _Combined Arms Operations in Urban Terrain._ 28
February 2002.

FM 3-7. _NBC Field Handbook._ 29 September 1994.

FM 3-50. _Smoke Operations._ 4 December 1990. (Change 1, 11
September 1996).

FM 3-101. _Chemical Staffs and Units._ 19 November 1993.

FM 3-101-4. _Biological Detection Platoon Operations--Tactics,
Techniques, and Procedures._ 9 June 1997. (Reprinted with basic
including Changes 1-2, 1 September 2000.)

FM 4-02.1. _Combat Health Logistics._ 28 September 2001.

FM 4-02.4. _Medical Platoon Leaders' Handbook--Tactics,
Techniques, and Procedures._ 24 August 2001.

FM 4-02.6. _The Medical Company--Tactics, Techniques, and
Procedures._ 1 August 2002.

FM 4-02.10. _Theater Hospitalization._ 29 December 2000.

FM 4-02.17. _Preventive Medicine Services._ 28 August 2000.

FM 4-02.19. _Dental Service Support in a Theater of
Operations._ 1 March 2001.

FM 4-25.12. _Unit Field Sanitation Team._ 25 January 2002.

FM 8-10. _Health Service Support in a Theater of Operations._ 1
March 1991.

FM 8-10-1. _The Medical Company--Tactics, Techniques, and
Procedures._ 29 December 1994.

FM 8-10-6. _Medical Evacuation in a Theater of
Operations--Tactics, Techniques, and Procedures._ 14 April 2000.

FM 8-10-8. _Medical Intelligence in a Theater of Operations._ 7
July 1989.

FM 8-10-9. _Combat Health Logistics in a Theater of
Operations--Tactics, Techniques, and Procedures._ 3 October
1995.

FM 8-10-14. _Employment of the Combat Support
Hospital--Tactics, Techniques, and Procedures._ 29 December
1994.

FM 8-10-15. _Employment of the Field and General
Hospitals--Tactics, Techniques, and Procedures._ 26 March 1997.

FM 8-10-18. _Veterinary Service--Tactics, Techniques, and
Procedures._ 22 August 1997.

FM 8-10-24. _Area Support Medical Battalion--Tactics,
Techniques, and Procedures._ 13 October 1993.

FM 8-10-25. _Employment of Forward Surgical Teams--Tactics,
Techniques, and Procedures._ 30 September 1997.

FM 8-10-26. _Employment of the Medical Company (Air
Ambulance)._ 16 February 1999. (Change 1, 20 May 2002.)

FM 8-30. _Veterinary Food Inspection Specialist._ 12 August
1986.

FM 8-42. _Combat Health Support in Stability Operations and
Support Operations._ 27 October 1997.

FM 8-50. _Prevention and Medical Management of Laser Injuries._
8 August 1990.

FM 8-51. _Combat Stress Control in a Theater of
Operations--Tactics, Techniques, and Procedures._ 29 September
1994.

FM 8-55. _Planning for Health Service Support._ 9 September
1994.

FM 8-250. _Preventive Medicine Specialist._ 27 January 1986.
(Reprinted with basic including Change 1, 12 September 1986.)

FM 8-500. _Hazardous Materials Injuries: A Manual for
Pre-Hospital Care. Edition 4._ 17 January 1997.

FM 10-52. _Water Supply in Theaters of Operations._ 11 July
1990.

FM 21-11. _First Aid for Soldiers._ 27 October 1988. (Reprinted
with basic including Changes 1-2, 4 December 1991.)

FM 22-51. _Leaders' Manual for Combat Stress Control._ 29
September 1994.

FM 31-71. _Northern Operations._ 21 June 1971.

FM 90-3. _Desert Operations._ FMFM 7-27. 24 August 1993.

FM 90-5. _Jungle Operations._ 16 August 1982.

FM 90-10. _Military Operations on Urbanized Terrain (MOUT)._ 15
August 1979.

STP 8-91 W15-SM-TG. _Soldier's Manual, Skill Levels 1/2/3/4/5
and Trainer's Guide, MOS 91W, Health Care Specialist._ 10
October 2001.

TC 8-13. _Deployable Medical Systems--Tactics, Techniques, and
Procedures._ 7 December 1990.

TM 3-4240-288-12&P. _Operator's and Unit Maintenance
Manual including Repair Parts and Special Tool List for
Collective Protection Equipment NBC, Simplified M20 (NSN
4240-01-166-2254)._ NAVFAC P-475. 20 August 1987. (Reprinted
with basic including Changes 1-2, 3 May 1989.)

TM 10-5410-228-10. _Operator's Manual for Chemical Biological
Protective Shelter System._ 31 August 2001.

TM 10-5410-283-14&P. _Operator's Unit, Direct Support,
and General Support Maintenance Manual (Including Repair
Parts and Special Tools Lists) for Chemically Protected
Deployable Medical System (CP DEPMEDS) (NSN 5410-01-479-9730)
(5410-01-479-9727) and CP DEPMEDS Training Set
(6910-01-479-2464)._ 30 November 2001.

INDEX

References are to paragraph numbers unless otherwise indicated.

advanced trauma management, 3-1_e_, 3-9

Allied medical publications, viii, D-1, D-3_d_, D-11_b_, D-19_e_

animals
consumption, for, 5-8, J-3_a_(5), J-3_b_(5), J-5_c_(9)
contamination of, J-3
decontamination of, 5-8, J-3_d_, J-4_d_, J-5_d_(9)
government-owned, 5-5, 5-8, C-7
protection of, 5-8, J-3_a_(5)
specimens, from, 5-9, 5-14, J-5_b_(4)
treatment of, 5-5, 5-8

area of operations, 1-3_b_(4)

attack, nuclear, biological, or chemical actions
after, 2-6_a_, 3-1_c_, 3-7
before, 3-5
detection of, 5-7, A-1, F-14, I-2, J-1, J-3_b_, J-4_b_, J-5_b_
during, 2-6a, 3-6, 3-9, 3-10b
monitoring, 3-10_d_, 4-2_d_(2)(_a_), 4-7_h_, 5-7, A-6_a_, C-4--5,
Appendix E, F-4, F-15_b_, G-10_f_, J-3_b_, J-4_b_, J-5_b_
personnel considerations, 3-9
prediction for, D-3_d_, D-26_b_
responsibilities, 2-3, 2-6_a_, 5-22, 5-23
supplies, 3-5_b_, 3-8_b_, 4-1--2, 5-2_a_, 5-3, 5-5--6, 5-14, 5-24--26,
C-2--3, C-5--12
survey, 3-7, 3-14_c_, C-4, D-4_c_, G-11_j_(4), J-3_b_, J-5_b_(4)
treatment, 3-7, 4-1_a_(3), 4-4, 4-7_g_
disposition, 3-10, 3-15b
elements, 2-1_b_(3), 3-10
operations, 2-2_a_

battlefield, 1-3_a_, 2-1, 2-2_a_, 2-3, 2-5_a_, 2-6, 3-1, 3-9, 3-12, 4-1,
5-1, 5-5, 5-15, 5-24, A-1, D-3, D-19, G-3, H-2
contaminated, 1-3_a_, 2-1, 2-6_a_, 3-1_e_, 3-9, 3-12_d_, 4-1, 5-1,
5-5, 5-15, 5-24, A-1, D-3, D-19f, D-25, G-8, J-5_a_
conventional, 3-1_a_ and _e_, 3-10

care, in unit, D-7, D-15, D-23

casualties
biological, C-2, C-5, D-1, D-20
chemical, D-1
civilian, 3-11
estimates, D-3_b_, D-11
mass casualties, 2-1
nuclear, 3-7, A-6, D-1, D-6_b_, D-8
requirements estimation tool, D-2

chemical, biological, radiological, nuclear, and high-yield explosive,
5-28, C-1

collective protection systems
advanced simplified, F-2_c_, F-10
alternate facilities, 2-5_b_(4)
available, 2-5_b_
decontamination of entrance area, F-13
employment
battalion aid station, 3-2_b_, F-2_a_, F-3
division clearing station, 3-3_c_, F-2_a_, F-4
forward surgical team, 3-4, F-2_a_, F-5
in DEPMEDS hospital, 4-1_a_, F-2_b_, F-6--9
operation, entry, and exit guidelines, 3-2_b_, F-12
procedures, 3-2_b_, 3-3_c_, 3-4
entry/exit, F-14--15
ambulatory patients, 3-2_b_, F-15
litter patient, 3-2_b_, F-15_b_
establish, 2-5_b_(1), F-3--6
radiation exposure, 3-12_b_ and _d_, 5-3, A-6_a_
resupply of protected areas, F-16
shielding, 4-2_b_(2)(_b_)
water supply, in, F-6_b_

combat operational stress control, 3-3_a_, 5-20, C-9
effects of, 3-1_a_, 5-20
leadership actions, 3-1_b_, 3-3_a_, 5-21
preventive, 5-23_b_
reactions, 5-23_c_
responsibilities, 5-20, 5-22, 5-23
sleep plans, 5-21_f_

command and control, 2-1, 2-5_a_, 4-1_a_
appraisal of the support mission, 2-3
health service support units, 2-4
homeland security, 2-7
leadership, 2-6, 3-1_b_
operations, 2-2_a_, 2-4--5, 2-6_b_
planning considerations, 2-2

communications, 2-4, 3-1_c_

contaminated
environment, 4-1_a_
facility, 2-5_c_
patients, A-6

contamination, 3-1_d_, 5-3
avoidance, 2-5_c_, 3-1_d_, 3-17_e_
control, 2-5_c_, 3-14_c_
detection, 3-1_d_, I-2
food, 4-1_a_, A-9_c_, J-1
free area, 3-2_b_, 3-3_b_, 3-10_d_, 3-15
hinder HSS operations, 3-1_d_
persistency, 2-1_b_(2)
water, 4-1_a_, A-9_c_, I-1

decontamination
augmentation, 3-5_c_, 4-1_a_(3), 4-4_a_, C-4, G-3_b_, G-4_b_, G-5, G-6
biological, A-10_c_, D-12_a_, D-13_b_, G-12
ambulatory patients, G-14
litter patient, G-13
chemical
ambulatory patients, G-11
litter patients, G-10
clothing removal, G-1O_c_, G-11_a_ and _i_, G-13_c_, G-14_b_, G-17_b_
collocation with thorough decontamination, G-3
complicating factors, 4-4_a_
dental, 3-3_a_, 3-15, C-8
facility, 2-5_b_(9), 3-1_c_, 4-1_a_(2), 4-3--4, G-3_f_
Field Medical Card, G-2, G-10_a_(4), G-11_f_, G-13_b_, G-14_b_
food, 5-7
gross contamination removal, G-10_a_, G-11_h_
heat injury prevention, during, G-8
immediate, G-2
litter, G-10_e_
mask, 4-2_b_(4), G-10_a_(1), G-11_e_
materials needed, 2-5_d_, 4-3, G-1_c_
medical treatment facility, at, G-4--6
monitor for completeness, G-10_g_, G-11_j_, G-15
nuclear, 4-4_a_-_c_, A-6_c_, G-15
ambulatory patients, G-17
litter patients, G-16
operations, G-1, G-3_a_, J-5_c_(5)
patient protective wrap, G-11_c_
patients, 2-5_b_(2) and (4), 2-5_d_, 3-2_b_, 3-14_d_, 3-15_c_,
4-1_a_(2), F-11, G-1_a_, G-8, G-13
personal effects, G-10_c_, G-13_a_, G-14_a_, G-16_a_, G-17_a_
personnel/equipment, 2-5_b_(2), 3-2_b_, 3-9, 4-3, G-11_d_, G-14_a_
shuffle pit, G-10_g_, G-11_l_, G-13_e_, G-14_e_, G-16_d_, G-17_d_
skin, G-10_a_ and _f_, G-11, G-13_d_, G-14_d_, G-16_c_, G-17_c_
solution preparation, G-1_c_, G-7
spot, 3-2b, 4-3c, G-10_f_, G-11_g_
treatment during, G-10, G-11_a_ and _k_(2)
bandages, G-10_c_(2) and f(2), G-11_k_(2)
splints, G-10_c_(2) and f(2), G-11_k_(2)
tourniquet, G-10_c_(2) and _f_(2), G-11_k_(2)
unit, G-2
waste, dispose of, G-10f(4), G-11_k_
water, G-7

defense, 3-14_b_

dental services, 3-3_a_, 5-15, C-8
decontamination, 5-17--18, C-8
mission, 5-16
operations, 5-17
patient protection, 5-19
treatment, 3-3_a_, 5-16, 5-17, 5-18

detection, 3-1_d_

diseases, 1-3_b_(4), 5-1, 5-2_b_, 5-3, A-8_b_(5), D-12_c_, D-17_b_

emergency medical treatment, 3-1_e_, 3-2_b_, 3-3_c_, 3-4, 3-7, 3-9,
3-15_b_, 4-1_a_(3), D-4_a_, D-12_a_

enemy prisoners of war, 2-2_a_

environment
biological, 3-14
chemical, 3-15
nuclear, 3-12
operations in extreme environments, 3-16
desert, 3-16_d_
jungle, 3-16_c_
mountain, 3-16_a_
NBC, 3-16
snow and extreme cold, 3-16_b_
urban terrain, 3-16

evacuation, 3-17, D-6, D-9, D-12_a_, D-14, D-22
aircraft, 3-17_b_ and _e_
contaminated areas, in, 3-17_b_
ground vehicles, 3-17_b_
nonmedical vehicles, 3-17_b_(1), 4-1_a_(3)
personnel, 3-17_b_

facilities, 2-5_b_(9), 3-1_c_
clean, 3-1--3, 3-10, 3-15, 3-17b(4)
contamination, 3-2, 3-3_c_, 3-15_a_(4)
move
alternate facilities, 2-1_b_(4), 3-1_d_
decision to, 2-1_b_(3)
mobility, 4-1_a_, 4-2_a_, D-6_a_, D-14_a_, D-23_a_, F-1
patients, 2-1_b_(3)
protection available, 2-1_b_(1) and (4)
principles, 4-2_b_(4)(_d_)

field expedient protective systems, H-1, H-4
foxholes and trenches, H-3
protection
biological agent, against, H-4_a_
chemical agent, against, H-4_a_
factors, H-2
radiation, against, H-2
shielding, H-2
shelters, expedient, H-1, H-3--4
building of opportunity, 2-1_b_(1), H-3
cave, 2-1_b_(1), H-3
culverts, H-3
ditches, H-3
dozer trenches, H-3
dug-in tents, H-3_d_
engineer support, H-3_c_
overpasses, H-3
sandbagging, H-3_e_
tents, H-3_e_
tunnels, 2-1_b_(1), H-3

Field Medical Card, G-2, G-10_a_(4), G-11_f_, G-13_b_, G-14_b_

first aid, 3-1_a_, 3-2_a_, 3-9, D-7_b_
buddy aid, 3-1_a_, 3-2_a_, D-4_a_, D-7_b_, D-12_a_, D-20_c_
combat lifesaver, 3-1_a_, 3-2_a_
self-aid, 3-1_a_, 3-2_a_, D-4_a_, D-7_b_, D-12_a_, D-20_c_

food
animal, J-3_c_(5)
considerations, J-3_d_
contamination avoidance, J-1_c_(1)
contamination of, 4-1_a_, J-3_a_, J-4_a_, J-5_a_
countermeasures, J-1_b_
decontamination of, J-1_a_, _c_(3), and _d_, J-3_c_, J-4_d_, J-5_c_
detection in, J-1_a_, J-4_b_, J-5_b_
disposition of, J-1_a_, J-5_d_(9)
monitoring, J-3_b_
operational rations, J-2_a_
priorities, J-1_c_
protection of, J-1_a_, J-2
storage
bulk, J-2_b_
expedient, J-2_b_
fresh food, J-2_b_
susceptibility of, J-1_a_

forward surgical team, 3-4

guidelines
chemical, biological, radiological, nuclear, and high-yield explosives,
C-1
conduct operations, A-2
evacuation, A-7
health service support planning, C-1
mobilization, for, A-2
operational exposure, 3-12_d_
planning, A-1
predeployment, A-2

health service logistics, 5-24, A-11
organizational maintenance, 5-27
protection of supplies
shipment, during, 5-26
storage, in, 5-25, A-11

health service support, D-9, D-12_a_
appraisal, 2-3
casualty collection point, 3-1_c_
conventional operations, 2-4
evacuation, 2-2_b_, 2-5_b_(5), 3-2--3, 3-16_a_, 3-17, 4-1, 4-2b(_2_),
4-7_i_, A-7, A-14_b_, A-15_b_, D-1--2, D-4_a_, D-6, D-7_b_, D-8,
D-12_a_, D-13_b_, D-14, D-16, D-19_a_, D-20_c_, D-22, D-24,
D-26_d_, Appendix E, F-2_a_, F-3, F-5, G-2, G-10, G-11_c_, G-14_e_,
G-17_d_
factors, medical planning, 2-3
levels of, 3-2, 3-3, 4-1_a_
operations in NBC, 2-2_g_, 2-5, 2-6_b_, 3-1--4, 3-17_d_, 4-1_a_
personnel protection, 2-6_a_, 3-8
planning, 3-8
proximity, 3-1_c_
replacements, 3-1_c_
survival, 3-5a, 3-16_c_, 5-15, 5-22_a_, D-7_b_
technical channels, 3-1_c_
treatment, 3-7, 4-1_a_(3)

heat stress, 2-6_a_

homeland security, 2-7, 5-28, C-12

hospitalization
bed requirements, D-8, D-16, D-24
blood services, 5-11
conventional operations, 4-8
decontamination, 4-1_a_(5)
defensive measures, 4-1_b_
emergency services, 4-4
general medical services, 4-5
integrated battlefield, on, 4-1_a_
intensive care, 5-11
locations, 4-1_a_(1)
logistics support, 4-1_b_(2), A-11
nursing services, 4-7
protection, 4-1_a_(5) and _b_(2), 4-2_b_(2)(_b_), 4-4
protective procedures, 4-1_a_(5) and _b_(1)
biological, 4-1_b_(3)
chemical, 4-2_b_(4)
MOPP levels, 4-1_b_
nuclear, 4-2_b_(2)
response, 4-2_a_
surgical services, 4-6, 5-11
warning system, 4-1_b_(4)

initial effects
alternate operational sites, 3-10
detection, 3-1_d_, 5-7, 5-27, A-1, C-2, C-4, C-6--7, C-11, Appendix E,
F-12_c_, F-14, I-2, J-1, J-2_a_, J-4_b_

installation medical authority, 5-28

International Standardization Agreements, D-1
STANAG 2475, p. viii, D-3
STANAG 2476, p. viii, D-11
STANAG 2477, p. viii, D-19

laboratory services, 5-9--11, A-1O_a_, Appendix E
biological specimens, 5-11, 5-14
chain of custody, 5-14
clinical, 5-11
levels, 5-11
samples, 5-10
animals, small, 5-14
environmental, 5-14
field, 5-14
food, 5-14
soil, 5-14
vegetation, 5-14
support, 5-11
theater Army medical laboratory, 5-11

leadership

logistics, 2-6, 3-8, 4-2b(4)(_c_), 5-6, D-9, D-12_a_, D-17, D-25,
Appendix E

main supply routes, 3-5_c_

mass casualties, 2-1, 5-15--16, 5-29, A-10_b_, A-14_b_, A-15_b_, D-4_a_,
D-12_a_, D-20_b_

medical equipment sets
chemical agent patient decontamination, 3-8_b_, 4-3_c_(3), C-2, C-4
chemical agent patient treatment, 3-8_b_, 4-3_c_(3), C-2, C-4

medical evacuation, 2-5_b_(3) and (5), 3-1_c_ and _e_, 3-2_a_, 3-3_a_,
3-10_b_, 3-12_b_, 3-17, 4-1, 5-28

medical surveillance, 3-3_a_, 3-14_f_

medical treatment facility, 2-1, 2-2_a_, 2-5_b_, 3-3_c_

mission-oriented protective posture
clothing, 2-5_b_, 3-1_a_--_b_, 3-9--10, 3-15_a_, 5-19_b_, 5-21_e_, C-3,
F-2_a_
equipment, 2-5_b_
performance degradation, 2-6

movement and management of contaminated facilities, 2-5_b_, 3-10_d_

nuclear, biological, and chemical battlefield
considerations, C-1
defense, 3-1b, 5-21
leadership, 2-6, 3-1, 3-6, 3-17_a_, 5-21, Appendix E
operational exposure guide, nuclear, 2-5_a_, 3-1_b_
operations in, 1-3_b_(4), 2-2_a_, 2-4--5, 3-5_a_, 3-9, 3-12_d_, 3-16,
4-2b(1)(_c_), (2), and (4)(_c_), 4-3_a_, 5-14--15, 5-17, A-7, C-2,
C-11, Appendix E, F-4--5
strikes, 4-1_a_
warning and reporting system, 4-1_b_

nursing services, 4-7, A-10

operational
exposure guide, nuclear, 2-5_a_, 3-1_b_, 3-12_d_, 3-17_b_
plans, 2-5_a_, 3-1_a_

operations, 4-2_b_(1)(_c_) and (2)(_a_), 4-3_a_(2), A-1, A-7, C-1, C-5,
C-11, D-3_d_, F-3--5, F-11--12, G-1_a_, J-1_d_, J-5_c_(5)
security, 4-1_b_(1), 4-2_b_

passive defense measures, 3-14_b_

patient
chemical agent, A-14
contaminated, 3-10_c_, 3-12, 4-1_a_(3), C-5
decontamination, 3-3_b_, 3-10, 4-1_a_(3) and _b_, A-14_c_, A-15_c_
externally contaminated, 3-12_a_
holding, 3-3_a_
internally contaminated, 3-12_a_
irradiated, 3-12_a_
management of, A-10_c_
number of, 2-1_b_(3)
protective wrap, 3-17_f_, F-15_b_(2)(_a_), G-11_c_
stability operations and support operations, in, A-7
types of, 2-1_b_(3), 3-12_b_, C-4

personnel
protection of, 2-1_b_(9), 2-6_a_
replacement of, 3-1_c_

planning
considerations for, D-4, D-20_a_
estimates, D-2, D-4, D-11_c_, D-17, D-19
health service support, 3-9
medical force, for, D-10, D-18, D-20, D-26
medical NBC staff officer, Appendix E
mobilization, C-2--3
NBC, 3-5_c_, p. D-1
predeployment, C-2
tool, medical, D-2

plans
establish a medical treatment facility, C-1
HSS, 3-17_d_
load, C-3
movement, C-3
operation, 2-5_a_, 3-1_a_
tactical, 3-17_d_

preventive medicine
arthropods, 5-2_b_, 5-3
climate, 5-2_a_
detachments, 5-4
determining factors, 5-1, 5-2_a_
disease, 5-1
divisional, 3-3_a_, 5-3
field hygiene and sanitation, 5-3
field sanitation team, unit, 5-3--4
immunizations, 5-3, D-11_f_
incidents and morbidity, 5-2_b_
measures, 3-1e, 5-1, 5-4, 5-11--12
medical surveillance, 5-4
occupational and environmental health threat, 5-3--4
operations, 5-1--2, 5-4
pest management, 5-2_b_, 5-4
prophylaxis, D-11_f_
services, 3-3_a_, 5-1, 5-14, C-6, Appendix E
water and food, 5-2_a_, 5-3--4

protection
buildings of opportunity, use of, 3-1_d_, 3-5_b_, 3-12
collective, 3-1_d_, 3-2_b_, 3-3_b_, 3-4, 3-10_a_, 3-15, 4-7, C-2, C-4
covers, 3-1_d_, 3-12
environmental, 4-2_b_(2), 4-5, 4-6_a_ and _c_, 4-7_c_
hospital, 4-2_a_
individual, 4-2_b_, 5-21_d_
mask-only, 4-2_b_(4)(_a_), 4-7_b_
materiel, 3-1_d_, 4-2_b_(4)(_d_)
overhead, 3-1_d_, 3-12
patient, 3-5d, 4-2b(4)(_c_), A-6
personnel, 3-5_b_, 4-2b(4)(a)
proximity, 3-1_c_
shielding, 3-5_b_, 4-2_b_(2)
site selection, 3-12
supplies, 3-5_b_
types of, 3-1_d_
warning system, 4-2_b_(4)
expedient, 2-5_b_(1), 3-5_b_, 3-12
shielding, 4-2_b_(2)(_b_)3

radiation exposure status, 3-12_d_, 3-17_b_

radiological dispersal devices, 1-1_a_, 4-1_a_, A-1

rations, F-6_b_, J-5_a_(4)

reporting, Appendix E

return to duty, 3-1_e_

samples, 5-3--4, 5-9, C-6--7, C-10, Appendix E
analysis of, B-1--2
chain of custody, 5-9, 5-14_a_ and _b_(1), C-6--7
documentation, 5-9
collection, 5-9, B-1--2, B-4_b_
description of, B-2
environmental, 5-9, 5-14, B-1, B-3_b_, B-5
air, 5-12_b_(1), 5-14, B-1, B-8
soil, 5-12_b_(1), 5-14, B-1, B-10
vapor, B-8
vegetation, 5-12_b_(1), 5-14, B-1, B-4
water, 5-12_b_(1), 5-14, B-1, B-3_c_, B-9
food, 5-9_b_(1), 5-14, J-4_b_(1), B-1, B-3_d_
handling, 5-9
history of, B-2
identification, 5-9_b_(1), 5-13
labeling, 5-9, 5-13, B-4_b_
preservation, 5-9_b_(1), B-2, B-4_b_, C-6--7
transportation, 5-9_b_(1)

sleep loss, 2-6_a_

special medical response teams, 5-28--29

specimens, Appendix E
analysis, 5-10--11, 5-12_b_, A-10, B-1--3
ante mortem, B-3_a_
background documents, B-18
biological, 5-3--4, 5-9, A-10, B-1, B-5, B-12--13, p. C-6--7
chain of custody, 5-9_a_, 5-11--12, 5-14_b_(1), B-4, B-17, C-6--7,
C-10--11
civilians, from, B-1_b_, B-13
collection of, 5-3--4, 5-9_b_(1), 5-10--12, 5-14, B-1, B-4_b_,
B-12--13, C-7, C-10--11
description of, B-2
documentation of, B-2
field, 5-14
history of, B-2, B-15
identification, 5-9b(1), 5-12_b_, 5-13, A-10_a_
post mortem and forensic, B-3_b_, B-14
preservation, 5-9_b_(1), 5-11--12, B-2--3, B-4_b_, B-15--16, C-6--7,
C-10--11
reporting, 5-12_b_, B-15, B-17
transportation, 5-9_a_ and _b_(1), 5-12
types of, B-3

stability operations and support operations, A-7

Standardization Agreement (STANAG). See International Standardization
Agreements.

stress, 2-6_a_

supply, Class VIII

tactical standing operating procedures, C-2

threat, 1-1_a_
biological warfare, 1-2, 1-3_b_, 3-14
chemical, biological, radiological, nuclear, and high-yield explosive,
1-2
chemical warfare, 1-2, 1-3_c_
directed energy, 1-2
medical, 1-2
nuclear, 1-2, 1-3_a_
radiological dispersal device, 1-2, 1-3_a_
toxic industrial material, 1-1_b_, 1-3_d_

toxic industrial material, 1-1_b_, 1-2, 3-1_a_ and _d_, 4-1_a_, 5-3, A-1,
A-15, Appendix E

training, 3-1_b_, C-3

treatment, 3-1--2, 3-7, 3-9--10, 3-13--16, 5-29, A-3_a_(3), A-6_e_,
A-10_d_, A-14_d_, A-15_d_, Appendix E
advanced trauma management, 3-1_e_, 3-9
clean area, 3-1--3, 3-10, 3-15, 3-17_b_(4)
emergency medical treatment, 3-1_e_, 3-3_b_, 3-7, 3-9, 3-15_b_,
4-1_a_(3), D-4_a_, D-12_a_

triage, 2-3, 3-13, 4-1_a_(3) and _b_, 4-4_b_, 5-20, 5-29, C-2, C-5,
D-4_a_, D-5, D-12_a_, D-13, D-21

veterinary services, 5-5, 5-14, C-7, Appendix E
animal care, 5-8
food protection, 5-6

waste disposal, F-6_b_

water supply, 4-1_a_, C-2, F-6_b_, I-1--4
actions to protect, I-3
detection in, I-2
treatment of, I-4

weapons, 1-3, 3-1_b_ and _c_, 4-1_a_, A-1
biological, 4-2_b_(3), 5-2_b_, A-8, D-11_e_, D-12_b_
agents, A-8
behavior, A-9
dispersion, A-8--9
effects, 3-7, A-7, A-10, D-11_c_
incubation period, A-8_a_(3)
individual, F-14
infection, A-8_a_(2)
live agents, A-8_a_
spore-forming, A-8_b_
toxins, A-8_c_
categories
nonpersistent, A-12_a_(2)
persistent, A-12_b_(1)
protection against, 3-10
vapor hazard, 3-10_d_
chemical, 4-2_b_(4)
agents, 3-7, A-11_b_
attacks types of, A-11_b_
behavior, A-12
blister, Table A-12, A-13_b_, D-20_e_
blood, Table A-12, A-13_d_
characteristics, A-12--13
incapacitating, A-12_a_, Table A-12
lung damaging, Table A-12, A-13_c_
nerve, Table A-12, A-13_a_
effects, 3-5_b_, A-11
employment of, A-1
nuclear, 4-2_b_(2)
biological effects, A-4
blast, 3-7, 3-12_a_, A-2_c_, A-3_a_
burns, A-4
detonation of, D-3_e_
effects of, D-3_d_
electromagnetic pulse, A-2_a_, D-4_d_
eye injuries, A-4_c_
fallout, 3-12_b_
overpressure, A-3_a_(2)
physical effects, A-2
physiological effects, A-3, A-5
radiation injury, 3-7, 3-12_a_
thermal injury, 3-7, 3-12_a_, D-4_a_
radiological dispersal device, 1-1_b_, 1-3, A-1, A-3
threat, 1-1, 3-1_a_, 3-2_b_

work/rest cycles, 2-6_a_

FM 4-02.7 (FM 8-10-7)
1 OCTOBER 2002

By Order of the Secretary of the Army:

ERIC K. SHINSEKI
_General, United States Army_
_Chief of Staff_

Official:

JOEL B. HUDSON
_Administrative Assistant to the
Secretary of the Army_
0225424

DISTRIBUTION:

_Active Army, U.S. Army Reserve and Army National Guard_: To be distributed in accordance with the initial distribution Number, 114899, requirements for FM 4-02.7.

TRANSCRIBER'S NOTE

Italic text is denoted by _underscores_. Blank space in some sample
documents in the text is also denoted by ____.

Bold text is denoted by =equal signs=.

Superscripts are denoted by ^ eg abc^{TM}.

Subscripts in chemical formulae are denoted by _ eg CO_{2}.

Footnotes are all within a specific Table, including the Table of
Contents. They are positioned at the bottom of that Table, as in the
original text, and are denoted by [*] or [**].

Obvious punctuation errors have been corrected after careful
comparison with other occurrences within the text and consultation
of external sources.

Column headings in Tables, all bolded in the original text, are
unbolded here for clarity.

Fractions in the original text are mostly full-height format, eg 1/2,
and have been left in that form. Some are half-height and have been
converted to Unicode fractions eg ½ ¾ whenever possible.

Except for those changes noted below, all misspelling in the text, and
inconsistent or archaic usage, have been retained.

Chapter-Paragraph:
2-1. 'thermoberic' replaced by 'thermobaric'.
3-3. 'proves' replaced by 'provides'.
3-8. 'company's' replaced by 'companies'.
4-3. 'are also' replaced by 'is also'.

Appendix:
Table A-1. 'RADIATON' replaced by 'RADIATION'.
Table A-7. 'Cal/cm2/sec' replaced by 'Cal/cm^2/sec'.
Table A-10. '0.8%-2% CANCER.' replaced by '0.8%-2%'.
Table A-13. 'Characteristics' replaced by 'Characteristics of'.
Para B-11. 'handsful' replaced by 'handful'.
Para B-18. 'BLUFFED VISION' replaced by 'BLURRED VISION'.
Para J-5. 'modify to M43' replaced by 'modify the M43'.

Index:
heat injury prevention. '6-10_g_(4)' replaced by 'G-8'.
monitor for completeness. '6-10_f_' replaced by 'G-10_g_'.

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Health Service Support in a Nuclear, Biological, and Chemical EnvironmentChapter XXXIII: Part III: Chemical. NAVMED P-5059; AFJMAN 44-151V1V2V3. 1

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