text: Chapter 6
  operations and provides C2 through its subordinate medical brigades, medical battalions (multifunctional),
  and Army medical units providing health service support and force health protection to the deployed force.
  (Refer to FM 4-02 for a detailed description of the Army Health System and the deployable Army medical
  units that may be tasked to provide this support.)
  6-5. During multinational operations, the command clearly defines applicable directives command and
  support relationships for providing medical support. The authority creating the multinational force issues
  these directives to each national component commander. The national component commander delegates
  operational (technical) control of national medical support resources to the senior medical officer to help
  coordinate resources in the theater of operations. It may not be possible to establish C2 over all participants.
  Some nations have constraints that limit how much command authority a multinational or national
  commander can exercise over their forces. Command in its formal sense does not exist and a system of
  cooperation exists in its place.
  6-6. During operations, the responsibilities of the commander or surgeon at each level include—
  • Advising the commander on the health of the command.
  • Informing the commander and staff on matters affecting the delivery of healthcare.
  • Developing, preparing, coordinating, and monitoring medical support policy and procedures with
  commanders of National Health Service units.
  • Exploiting medical intelligence data and information derived from national and other Service
  sources.
  • Monitoring the activities of medical support assets assigned to their command.
  • Providing recommendations to minimize health risk to personnel.
  • Providing medical education and training.
  6-7. The commander and the senior medical officer of each nation understand the legal limits of using non-
  national medical treatment facilities and supplies, especially blood, by their nations’ forces. Exchanging
  blood between nations is a sensitive issue and requires early coordination. Mutual medical support complies
  with existing legal directives. During multinational planning, medical staffs address coordination for any lead
  nation, role specialization, or the acquisition and cross-servicing agreement authority. Casualty evacuation,
  especially outside the AO, and using non-national medical treatment facilities requires careful planning and
  an agreement. Even using locally sourced medical materiel, such as regionally unique antivenins, are subject
  to individual national statutory and regulatory standards.
  MEDICAL PLANNING
  6-8. Medical planning occurs at all levels. Medical planning develops a system that provides the best possible
  use of medical support resources in each situation. Considerations include the operational situation
  (commander’s overall mission) and medical threat information including endemic diseases and climate
  appropriate to the theater of operations. Planners and commanders identify issues specific to the operation
  and consider these issues in planning. (Refer to ATP 4-02.55 for detailed information on Army Health System
  support planning.)
  6-9. The following factors are critical aspects of medical planning:
  • Mission and type of operation.
  • Operation concept or plan.
  • Anticipated duration of the operation.
  • Theater evacuation policy.
  • Selection and consideration of the medical support plan.
  • Health threat assessment, including medical countermeasures.
  • Health surveillance.
  • Casualty estimates (provided by the G-1 or S-1).
  • Provision of patient estimates by the staff and effects on health care delivery.
  • Availability of and limitations on resources.
  • Availability of and access to host-nation facilities.
  • C2 requirements and limitations.
  • Medical management of CBRN casualties.