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Appendix G
Leader Checklist for Health Service Support and Preventive Medicine


G-1. The following are predeployment medical considerations:

  • Provide vaccinations as required.
  • Ensure standards of fitness (PULHES) prior to deployment. This will decrease issues once deployed and may reduce individual redeployments.
  • Take malaria prophylaxis (if required), and other prophylaxis measures directed by military medical authority, before, during, and after deployment.
  • Know your Soldiers. Be aware of their health issues, for example, prior heat injury.
  • Continuously maintain Soldier dental and medical fitness of Soldiers.


G-2. The following are predeployment training and preparation considerations:

  • Train and maintain high levels of physical fitness. High levels of fitness aid in mission accomplishment while reducing the potential of injury.
  • Train all Soldiers in first aid, self-aid, and buddy-aid.
  • Train all Soldiers in immediate treatment, use of tourniquet, casualty evacuation, and calling in MEDEVAC while maintaining focus on the primary mission.
  • Select and train combat lifesavers; then, ensure their assignment into all teamssquads. Prepare to cross-level combat lifesavers once deployed, ensuring they are maintained in every team/squad.
  • Make training using realistic scenarios and drills for assigned combat medics a top priority. Once deployed, use them in health and preventive medicine duties. They will be very busy maintaining the health of the unit and in preventing the unnecessary loss of duty time by unit personnel.
  • Train all Soldiers in heat and cold injury prevention, identification, and treatment.
  • Train all personnel in proper field expedient personal hygiene.
  • Ensure training is conducted in unit field sanitation and proper waste management. Form and train field sanitation teams. Every Soldier has a role in field sanitation. Field sanitation teams cannot function effectively without command emphasis and Soldier participation.
  • Review FM 21-10 in areas such as field expedient waste management, field sanitation, water purification, control of vectors and mess sanitation prior to deploying into an area with minimal civilian or military infrastructure.
  • Conduct briefings for all Soldiers regarding sexually transmitted diseases.
  • Brief Soldiers on the effects and consequences of the abuse of drugs and alcohol.
  • Train Soldiers in stress management techniques and how to identify stressed Soldiers.
  • Conduct stress management training for leaders.
  • Train leaders and Soldiers in the specific environmental considerations for the anticipated deployment area, such as high altitude considerations, desert terrain, tropical areas, and cold weather conditions. Ensure personnel are properly equipped and prepared.
  • Use the DOD insect repellent system as a personal protective measure depending on the mission profile. Treat uniforms with the standard military clothing repellent (permethrin) prior to deployment.
  • Brief deploying personnel on indigenous wild and domestic animals, plants, and specific local precautions for the deployment area. Maintain command focus and medical management of injury, poison, and illness avoidance.
  • Ensure medical personnel are prepared to continually train the unit in appropriate medical, health, and first aid subjects at home station, during pre-deployment and while deployed.
  • Ensure medical personnel continue training when not performing assigned duties. Continual refresher training of medical personnel is a priority for the medical unit. This is a priority at home station, during predeployment, and during deployment, when the mission profile allows.


G-3. The following are deployment medical considerations:

  • Make frequent and timely field sanitation inspections by qualified personnel.
  • Once deployed, Soldiers apply 33 percent time-release DEET (insect repellant) as appropriate, as ordered.
  • Take precautions are taken reference climatic conditions, heat or cold injury prevention, high-altitude exposure, cold weather, and other environmental conditions, for example, intake of fluids, consumption of meals, application of sun screen, wearing of proper clothing, layering of clothing, utilizing eye protection, adequate rest, and other techniques as suitable.
  • Ensure personal preventive medicine practices are properly employed. Leaders and authorized personnel should ensure the use of proper techniques regarding potable water (only from approved sources, both unit or field expedient), safe food, and personal hygiene.
  • Maintain appropriate prophylaxis, for example, malaria prophylaxis and any other preventive measures directed by command and medical authority.
  • Medical personnel conduct random health checks of personnel and keep leaders informed concerning the unit health status.
  • Medical personnel and unit field sanitation teams perform frequent and timely inspections on a periodic basis of the unit's food-water acquisition, preparation, and distribution system, the unit and personnel waste and trash disposal methods, and any other areas deemed necessary and appropriate regarding field sanitation issues.
  • Medical care and facilities are accessible and properly employed in the current and anticipated AOs.
  • Coordinate, plan, and train for MEDEVAC and casualty evacuation. Reinforce throughout the unit that all personnel must know and understand MEDEVAC request procedures.
  • Coordinate with the higher command to ensure the prompt availability of evacuation resources.
  • Plan and coordinate for Class VIII resupply.
  • Monitor stress management and use the buddy system.


G-4. For more information concerning preventive health measures, see the US Army Center for Health Promotion and Preventive Medicine website at .

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