Med threat/IPMM/Unit Level PMM/Field Waste Disposal/Personnel Resp./Prev Med Comm/

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NAVY PMT FIRST ****IN CONSOLIDATED TEST

Collective term used to designate all potential or continuing enemy and environmental conditions

Med threat

Describes a person who is not a battle casualty but who is lost to his/her organization

DNBI(Disease non battle injury)

Occurrence of disease in a population free of disease

Incidence

Defined as "excused from duty for medical reasons"

Medical noneffective

1.Environmental factors: These include humidity, significant elevations above sea level, heat, and cold
2.Disease caused by zoonotic/animal bites
3.Diseases endemic to the area

3 components of medical threat

Heat (which is most lethal)
Cold
Arthopod borne illness
Diarrheal

4 major threats to military operations

Toxic
Noise
Pests and other Arthropods

3 minor military threats to operations

1.Harshness of environment and tactical situation
2.Disruption of the body's natural defenses
3.Breakdowns in basic sanitation
4.Consumption of unauthorized rations including locally procured and scavenged

Four reasons for DNBI(Disease Non battle injuries)

What is a WBGT comprised of

Wet bulb, dry bulb, and globe

High ambient air temperature, low wind velocity, and High humidity

Environmental factors contributing to heat stress

radiant heat(solar load)

Thermal radiation

Rate of body heat loss is inversely proportional to surrounding air temperature(lower the ambient air temperature, the quicker the rate of body heat loss)

Ambient air temperatures effect during cold weather

The higher the moisture content, especially on the skin, the greater the heat loss

Humidity's effect during cold weather

The faster the wind blows, the colder the temperature becomes(wind chill)

Wind velocity

Caution in performing extremely intense physical exertion

White flag <80 degrees

Marginal heat stress limit for all personnel
Discretion required in heavy exercise for unacclimatized personnel

Green flag 80-84.9 degrees

Curtail strenuous exercise and activity for new and unacclimatized personnel for first three weeks of heat exposure

Yellow flag 85-87.9 degrees

Curtail strenuous excercise for personnel with less than 12 weeks training in hot weather

Red Flag 88-89 degrees

Suspend all physical training and strenuous excercise

Black flag >90 degrees

2 types of Non-freezing cold injuries

Hypothermia and Immersion syndrome

Occurs from exposure to ambient or windchill temperature below freezing

Frostbite (freezing cold injury)

What are the four types of heat injuries

1.Heat cramps
2. Heat syncope
3. Heat exhaustion(temp above 104 consider Heat Stroke)
4. Heat stroke

Take all prescribed prophylaxis, use DOD repellent system, apply permethrin to uniforms,practice good personnel hygiene

Specific IPPM for arthropod borne diseases

Avoid food,drink,or ice from unapproved sources, drink approved water,(boiling water does not provide any lasting disinfecting features)

Specific IPPM for Diarrheal diseases

Wear protection in all areas with constant or high level noise, wear ballistic eyewear, use safe approved solvents

Specific IPPM for Non-Battle Injuries

Physical fit personnel are less likely to get sick,use caution when excercising,bathe frequently(genitals,armpits,and feet)

Specific IPPM for poor physical and mental fitness

Cooling and Hydration

Treatment for heat cramps

Cooling,hydration, and IV fluid replacement

Treatment for Heat Syncope

Move patient to a shaded place, cooling, monitor rectal temperature

Treatment for Heat Exhaustion

Cool the body as quickly as possible to lower body temperature

Treatment for Heat stroke

Request medical info from the AO, Confirm all personnel have up 2 date imms, ensure each service member recieves imms

Staff responsiblities before deployment

Maintain medical surveillance, ensure personnel use work rest cycle,coordinate with the suppy and logistics, ensure water is procurred from approved sources

Staff responsibilites during deployment

Ensure personnel continues to take prescribed prophylaxis, monitor personnel for signs of illness, continue post deployment medical surveillance reporting

Staff responsibilties after deployment

Meet with FST members early and regularly to ensure requirements and guidnace are clearly established,ensure required field sanitation devices on hand are operational,reinforce command emphasis regarding prescribed imms

Commands responsibilites prior to deployment(Commander,Excecutive Officer,SEL)

Ensure , incoordination with the FST setup and construction and maintenance of showers, latrines and hand washing devices,Ensure drinking water supply are from US approved sources,rotate personnel with outside exposure to extreme heat or cold

Commands responsibilities during deployment(Commander,Excecutive Officer, SEL)

Reinforce command emphasis regarding continued use of prophylaxsis, monitor personnel for signs of illness,ensuring affected personnel recieve prompt medical attention, ensure FST material are checked and restocked immediately upon return

Command's responsibilities post deployment(Commander,Excecutive Officer,SEL)

1.Human waste
2.Garbage
3.Rubbish
4.Liquid waste
5.Infectious waste

Five types of waste

AR 40-5

Preventive Medicine

NAVMED P-5010, Chptr 9

Navy

FM 21-10

Field Hygiene and Sanitation

FM 21-10-1

Unit field sanitation team

FM 4-02.17

Prev med services

FM 8-33

Control of communicable disease manual

The distances for latrines from gradient water source

100 feet downstream

Distance for latrines from dining facility

100 yards

Latrines must be how many yards from unit area

Reasonably accessible 30yds away

Human waste can be disposed if by

Burial or Burning(which can only be used in the states during combat)

Garbage can be disposed of by

Burial or incineration

Rubbish can be disposed of by

Burial or incineration

Liquid waste can be disposed of by

Grease trap with soakage pit

Infectious waste can be disposed of by

marking with infectious waste,handled by trained professionals and incinerated between 1400-2000 degrees Fahrenheit

Ratios for devices to dispose of human waste for males and females

4% male
6% Female

12inch deep hole
8-12 diameter
used only on march, never overnight

Cat hole latrines

4 foot by 1foot pit thats 2 1/2 feet deep that can accommodate 25 individuals

Straddle trench

6 1/2 feet deep pit that is either 7 1/2 or 3 1/2 feet long and 2 feet wide, uses four or 2 seats and is for temporary camps up to 5 weeks

Deep pit latrine

6 foot deep, 7 1/2 feet long and 2 feet wide used in areas with high water table

Mound latrine

Uses 55gallon drum whole or half and waste is burned daily

Burn out latrine

4X4X4 soakage pit and pipes should be 1 foot in diameter and 36 inches long

Pipe urinal

Dug about 2 feet wide and 3 to 4 feet deep or enough to accomodate garbage for the first day and is extended as required. Suitable for 2 days or more

Continuous trench

What are 2 types of incinerators

Barrel and Inclined plane

2 five gallon cans suspended by ropes that should accompany all waste facilities

Hand washing devices

All urinals must have ...

soakage pits

Preserve unit combat effectiveness

Primary mission of preventive medicine personnel

Field conditions pose greater risk for communicable disease and injury because

-increased exposure
-reduced resistance to disease
- disruption of basic hygiene and sanitation

Contains all information necessary for providing health and service support during the operation by including attachments to specific units,methods supplies and personnel to implement sanitation programs and amount of supplies to be carried by all units

Health service appendix elements of the O-PLAN

Key document in which all occurrences, actions, and results are recorded and contains what two sections

Preventive Medicine Journal
Opening page and Narrative summary section

On deployments less than 6 months you have how long to submit a AAR(after action report)
For deployments of 6 months or more you have how many days

15days and 30 days

Maintain preventive medicine and vector control AMAL for use in MEF sized Opps.

CSSG

Maintains preventive medicine sized AMAL

EPMU or NECE

Responsible for all waste generated in their areas

Unit Commanders

Consists of PMM used by the individual service

Echelon 1

PVNTMED support is provided by the PVNTMED section of all Army divisons,MMB,ACR an seperae brigades

Echelon 2

Small mobile PVNTMED detachments and elements from Aera medical Laboratory and Support

Echelon3

Responsibilites of PVNTMED assests PVNTMED detachment

Echelon 4

Provided by preventive medicine units in CONUS

Echelon 5

comprised of Preventive medicine Officer(MC,MAJ,60C) and EHO or ESO

Division prev med section

comprised of 2 officers and 9 enlisted personnel(EHO or ESO,Sanitary Engineer and entomologist and is completely mobile

Preventive medicine detachments

One PMS is assigned to support deployed forces

ACR(Armed Calvary Regiment)

Comprised of one ESO and EO(engineering),one 68S(E1-E4)

BCT(brigade combat teams)

When was the concept of field sanitation team developed

During WW2

In a field sanitation team, one member must be an..

NCO (CPL or above)

Supports FST, appoints FST, Provides adequate resources to implement program

Commander

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