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Weapons of Mass Destruction (WMD)

FIELD MANUAL
NO. 8-10-7

*FM 8-10-7
HEADQUARTERS
DEPARTMENT OF THE ARMY
Washington, DC, 22 April 1993

FM 8-10-7

HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT

Table of Contents


CHANGE 1, 26 November 1996

Preface

CHAPTER 1 - MEDICAL THREAT AND NUCLEAR, BIOLOGICAL, AND CHEMICAL WARFARE

1-1. General

1-2. Medical Threat

1-3. Nuclear, Biological, and Chemical Threat--The Health Services Perspective

CHAPTER 2 - NUCLEAR, BIOLOGICAL, AND CHEMICAL WEAPONS EFFECTS

2-1. General

2-2. Physical Effects of Nuclear Weapons

2-3. Physiological Effects of Nuclear Weapons

2-4. Biological Effects of Thermal Radiation

2-5. Physiological Effects of Ionizing Radiation

2-6. Effects of Biological Weapons

2-7. Behavior of Biological Weapons

2-8. Effects of Chemical Weapons

2-9. Behavior of Chemical Weapons

2-10. Characteristics of Chemical Agents

CHAPTER 3 - COMMAND AND CONTROL

3-1. General

3-2. Survival of Initial Effects

3-3. Management of Residual Effects

3-4. Movement/Management of Contaminated Facilities

3-5. Leadership on the Nuclear, Biological, and Chemical Battlefield

CHAPTER 4 - MEDICAL ASPECTS OF NUCLEAR, BIOLOGICAL, AND CHEMICAL WARFARE

Section I - NUCLEAR

4-1. General

4-2. Management of Nuclear Patients

4-3. Handling and Managing Radioactively Contaminated Patients

Section II - BIOLOGICAL

4-4. General

4-5. Management of Biological Warfare Patients

Section III - CHEMICAL

4-6. General

4-7. Management of Chemical Agent Patients

CHAPTER 5 - ECHELONS I AND II HEALTH SERVICE SUPPORT

5-1. General

5-2. Medical Planning Factors

5-3. Unit-Level Health Service Support

5-4. Division-Level Health Service Support

5-5. Actions Before a Nuclear, Biological, or Chemical Attack

5-6. Actions During a Nuclear, Biological, or Chemical Attack

5-7. Actions After a Nuclear, Biological, or Chemical Attack

5-8. Logistical Considerations

5-9. Personnel Considerations

5-10. Disposition of Treatment Elements

5-11. Civilian Casualties

5-12. Nuclear Environment

5-13. Medical Triage

5-14. Biological Environment

5-15. Chemical Environment

5-16. Operations in Extreme Environments

5-17. Medical Evacuation in a Nuclear, Biological, and Chemical Environment

CHAPTER 6 - HOSPITALIZATION

6-1. General

6-2. Protection

6-3. Decontamination

6-4. Emergency Services

6-5. General Medical Services

6-6. Surgical Services

6-7. Nursing Services

CHAPTER 7 - OTHER HEALTH SERVICE SUPPORT

Section I - PREVENTIVE MEDICINE SERVICES

7-1. General

7-2. Disease Incidence Following the Use of Nuclear Weapons

7-3. Preventive Medicine Section

7-4. Environmental Sanitation Detachment

7-5. Entomology Detachment

Section II - VETERINARY SERVICES

7-6. General

7-7. Food Protection

7-8. Animal Care

7-9. Food Decontamination

Section III - LABORATORY SERVICES

7-10. General

7-11. Echelon II

7-12. Echelon III

7-13. Echelon IV

7-14. Zone of Interior

7-15. Field Samples

7-16. Biological Specimens

Section IV - DENTAL SERVICES

7-17. General

7-18. Mission in a Nuclear, Biological, or Chemical Environment

7-19. Dental Treatment Operations

7-20. Patient Treatment Considerations

7-21. Patient Protection

Section V - COMBAT STRESS CONTROL

7-22. General

7-23. Leadership Actions

7-24. Individual Responsibilities

7-25. Mental Health Personnel/Combat Stress Control Responsibilities

Section VI - HEALTH SERVICE LOGISTICS

7-26. General

7-27. Protection of Supplies in Storage

7-28. Protection of Supplies During Shipment

7-29. Organizational Maintenance

APPENDIX A - GUIDELINES FOR HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT

A-1. General

A-2. Predeployment

A-3. Mobilization

A-4. Establishing a Medical Treatment Facility

A-5. Operate a Medical Treatment Facility Receiving Contaminated Patients

A-6. Preventive Medicine Services

A-7. Veterinary Services

A-8. Dental Services

A-9. Combat Stress Control

A-10. Medical Laboratory Services

A-11. Health Service Logistics

APPENDIX B - FIELD EXPEDIENT PROTECTIVE SYSTEMS AGAINST NUCLEAR, BIOLOGICAL, AND CHEMICAL ATTACK

B-1. General

B-2. Protection Against Radiation

B-3. Expedient Shelters Against Radiation

B-4. Expedient Shelters Against Biological and Chemical Agents

APPENDIX C - PATIENT DECONTAMINATION PROCEDURES

C-1. Prepare Patient Decontamination Chlorine Solutions

C-2. Decontaminate a Chemical Agent Litter Patient

C-3. Decontaminate an Ambulatory Chemical Agent Patient

C-4. Decontaminate Biological Agent-Contaminated Patients

C-5. Decontaminate Biological Agent-Contaminated Litter Patients

C-6. Decontaminate Biological Agent-Contaminated Ambulatory Patients

C-7. Decontaminate Nuclear-Contaminated Patients C-12

C-8. Decontaminate a Nuclear-Contaminated Litter Patient

C-9. Decontaminate a Nuclear-Contaminated Ambulatory Patient

APPENDIX D - EMPLOYMENT OF CHEMICAL AND BIOLOGICAL COLLECTIVE PROTECTION SHELTER SYSTEMS BY MEDICAL UNITS

D-1. Types of Collective Protection Shelter Systems

D-2. Battalion Aid Station

D-3. Division Clearing Station

D-4. Battalion Aid Station in a Chemical Biological Protected Shelter

D-5. Division Clearing in a Chemical Biological Protected Shelter

D-6. Collective Protection in a Deployable Medical System-Equipped Hospital

D-7. Hardening the International Organization for Standardization Shelter

D-8. Establish Collective Protection Shelter with the M20E1 Simplified Collective Protection System

D-9. Patient Decontamination

D-10. Entry and Exit Guidelines

D-11. Decontamination of Area Around Entrance

D-12. Procedures Prior to Entry

D-13. Entry/Exit for the Collective Protecton Shelter System

D-14. Resupply of Protected Areas

APPENDIX E - DETECTION AND TREATMENT OF CONTAMINATED WATER

E-1. General

E-2. Detection of Contamination in Water

E-3. Procedures on Discovery of Contamination in Water

E-4. Treatment of Contaminated Water

APPENDIX F - FOOD CONTAMINATION AND DECONTAMINATION

F-1. General

F-2. Protection of Food From Contamination

F-3. Nuclear

F-4. Biological

F-5. Chemical

APPENDIX G - BIOLOGICAL SPECIMEN COLLECTION

G-1. General

G-2. Specimen Collection, Preservation, and Transport

GLOSSARY

REFERENCES

AUTHORIZATION LETTER


DISTRIBUTION RESTRICTION:Approved for pubilc release; distribution is unlimited.

*This publication supersedes TC 8-12, 31 May 1983 and TM 8-215, 30 April 1969.



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