text: Medical Support During Multinational Operations
  HEALTH THREAT ASSESSMENT
  6-10. The health threat assessment is a composite of several conditions:
  • Ongoing or potential enemy actions.
  • Adverse environmental, occupational, and geographic and meteorological conditions.
  • Endemic diseases.
  • The use of CBRN weapons or accidental release of CBRN substances.
  • Specific training and equipment requirements for environment (such as altitude or extreme cold
  weather).
  Each of these conditions has the potential to affect the short- or long-term health (including psychological
  impact) of personnel. The health threat assessment can preserve the effectiveness of the multinational force
  by mitigating wounds, injuries, diseases, and psychological stressors.
  MEDICAL SUPPORT POLICIES AND ISSUES
  6-11. The multinational force surgeon establishes medical support policies to cover medical support in
  multinational operations. The multinational force surgeon establishes policies with medical officers of troop
  contributing nations.
  6-12. The multinational force policy and coordination should include—
  • Medical care eligibility for noncombatants, contractors, dislocated persons, dislocated civilians, and
  indigenous civilians plus appropriate reimbursement for nations.
  • Medical support coordination provided to or received from a multinational force or other friendly
  nations including using host-nation facilities.
  • A mass casualty response plan including options for limited resource challenges.
  • Liaison establishment with each nation’s surgeon.
  • Medical regulations, to include evacuating patients to non-national medical treatment facilities.
  • Policies on medical countermeasures and vaccinations.
  • Policies on exchanging medical equipment accompanying patients.
  • Policies on transferring a patient from one nation’s medical evacuation system to another.
  • A mechanism for returning patients to their parent nations after medical treatment in another
  nation’s medical treatment facility.
  • Medical support to detainee operations and facilities.
  • Medical support for CBRN patients.
  • An established policy for handling contaminated remains for both temporary storage and transport.
  • Policies for mortuary affairs.
  • An established evacuation system for the theater of operations, including a theater’s holding and
  evacuation policy, mission responsibility, and evacuation control system.
  • A requirement for medical reports, including format, content, and frequency.
  • Clinical documentation, policy format, and the exchange of clinical records that include the
  following:
  ▪ Medical records of the clinical condition with treatment of each patient so that continuing
  treatment in relation to past events and post-deployment actions.
  ▪ Information to notify the patient’s next of kin.
  ▪ Information to units for preparing personnel strength returns.
  ▪ Statistical data for planning purposes and historical records.
  ▪ Materials for medical research.
  ▪ Translation of foreign care records.
  ▪ Information to track patients whose whereabouts are unknown.
  • Policies on blood supply source, screening standards, storage, and use.
  • Policies on pharmaceutical source, acceptance standards, storage, and use.
  • Policies on collecting, sharing, exchanging, and archiving occupational and environmental health
  surveillance data and reports. Data and reports include—