text: Army Health System Command and Control
  * Identifying commander’s critical information requirements, priority intelligence requirements,
  essential elements of friendly information, and friendly forces information requirements as they
  pertain to the health threat; ensuring they are incorporated into the command’s intelligence
  requirements.
  * Coordinating for foreign humanitarian assistance, disaster relief, and medical response to weapons
  of mass destruction or terrorist incidents, and defense support of civil authorities, when authorized.
  * Advising commanders on AHS CBRN defensive actions (such as immunizations, use of
  chemoprophylaxis, pretreatments, and barrier creams).
  * Ensuring individual informed consent is established before the administration of investigational
  new drugs as described in AR 40-7.
  * Assessing special equipment and procedures required to accomplish the AHS mission in specific
  environments such as urban operations, mountainous terrain, extreme cold weather operations,
  jungles, and deserts. Requirements are varied, depending upon the scenario, and could include:
   Obtaining pieces of equipment or clothing not usually carried (piton hammers, extreme cold
  weather parka, jungle boots, or the like).
   Adapting medical equipment sets for a specific scenario to include adding items based on the
  forecasted types of injuries to be encountered (such as more crush injuries and fractures in
  urban operations or mountain operations). In certain scenarios (such as urban operations),
  some medical supplies and equipment may not be carried into the fight initially (such as sick
  call materials), but rather brought forward by follow-on forces. In mountain operations, bulky
  or heavy items (such as extra tentage) may not accompany the force because of the difficulty
  in traversing the terrain.
   Having individual Soldiers carry additional medical items, such as bandages and intravenous
  fluids.
  * Recommending disposition instructions for captured enemy medical supplies and equipment.
  Under the provisions of the Geneva Conventions, medical supplies and equipment are protected
  from intentional destruction and should be used to initially treat sick, injured, or wounded
  detainees. Refer to Chapter 3 for additional information on the Geneva Conventions.
  * Submitting to higher headquarters those recommendations on medical problems/conditions that
  require research and development.
  * Recommending theater policy for medically evacuating contaminated patients.
  * Coordinating and monitoring patient decontamination operations to include:
   Theater policies on patient decontamination operations.
   Layout and establishment of patient decontamination site.
   Use of collective protection.
   Use of nonmedical Soldiers to perform patient decontamination procedures under medical
  supervision.
  This paragraph implements STANAG 2132.
  2-149. The command surgeon is responsible for the standard of care (scope of practice) which is provided
  to sick, injured, and wounded Soldiers by subordinate medical personnel, he—
  * Ensures that standardized protocols for the alleviation of pain (to include the administration of
  pain relief medications by nonphysician health care providers) are established and disseminated.
  Further, he must ensure and certify that each military occupational specialty 68W Soldier (combat
  medic), working under the supervision of a physician, has received sufficient training to—
   Recognize when pain management measures and medications are required.
   Provide pain management measures (elevation, immobilization, and ice [when available]).
   Select the appropriate medication (such as acetaminophen, ibuprofen, or morphine sulfate);
  determine the mode of administration (oral or parenteral); be knowledgeable of the possible
  side effects and how to treat them; and administer the appropriate medication.