text: Appendix A
  scale ground combat operations require the execution of multiple tasks synchronized and converged across
  multiple domains to create opportunities to destroy, dislocate, disintegrate, and isolate enemy forces.
  A-9. Army forces defeat enemy organizations, control terrain, protect populations, and preserve joint force
  and unified action partner freedom of movement and action in the land and other domains. Commanders are
  directly concerned with those enemy forces and capabilities that can affect their current and future operations.
  Medical command and control gives subordinate medical units at all echelons the freedom to provide a rapid
  response to acquire wounded, injured, and ill personnel clearing the battlefield of casualties and facilitating
  and enhancing the tactical commander's freedom of movement and maneuver.
  A-10. Large-scale ground combat operations place a significant burden on medical resources due to the
  magnitude and lethality of the forces involved. Medical units must anticipate large numbers of casualties in
  a short period of time due to the capabilities of modern conventional weapons and the possible employment
  of weapons of mass destruction. These mass casualty situations can rapidly exceed the capabilities of medical
  assets. Careful planning and coordination is necessary to minimize the extent to which medical capabilities
  are overwhelmed. Casualty evacuation must occur concurrently with operations. Units that cease aggressive
  maneuver to evacuate casualties while in enemy contact are likely to both suffer additional casualties while
  stationary and fail their mission. Effective management of mass casualty situations depends on established
  and rehearsed unit-level mass casualty plans. There are a number of other variables which can ensure the
  success of a unit's mass casualty response. These include, but are not limited to:
  * Coordination of additional medical support and augmentation of- medical evacuation support,
  forward resuscitative and surgical detachments, combat support and field hospitals, casualty
  collection points, ambulance exchange points, and established Class VIII resupply.
  * Rapid clearance of casualties from the battlefield (independent of MEDEVAC).
  * Providing effective tactical combat casualty care for the injured.
  * Continuous flow of casualties to the MTFs at the next higher role of care.
  * Use of alternative assets when the number of casualties overwhelms the capacity of available
  medical evacuation systems.
  A-11. The AHS support during large-scale ground combat operations include but not limited to:
  * Provide organic Roles 1 and 2 medical treatment and on an area basis.
  * Provide Role 3 medical treatment.
  * Medical evacuation and/or CASEVAC from POI to MTF.
  * Intra/Intertheater patient movement (between medical treatment facilities).
  * Provide forward resuscitative surgery to stabilize nontransportable patients for evacuation out of
  theater.
  * Emergency movement of Class VIII (to include blood), medical personnel, and medical
  equipment.
  * Coordinate medical evacuation plan with the combat aviation brigade for air ambulance support.
  * Coordinate with United States Air Force for strategic aeromedical evacuation and medical
  regulating.
  * Manage patient movement items.
  * Conduct medical and OEH surveillance.
  * Conduct health risk assessment and communications.
  * Provide veterinary medical treatment for MWDs and government-owned animals.
  * Force rotation (reception, staging, onward movement, and integration).
  * Sustainment of AHS support operations (possible nontraditional sources of support from other
  Services, multinational forces, or host nation without habitual support relationships).
  * Unit reconstitution may be accomplished using modular teams.
  * Care for detainees (increased requirements for public health support, primary care, care of chronic
  diseases/conditions).
  A-12. See Figure A-3 for an example depiction of AHS support during large-scale ground combat operations.