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NATO UNCLASSIFIED Releasable to the INTERNET L3 NATO Principles Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence.

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Presentation on theme: "NATO UNCLASSIFIED Releasable to the INTERNET L3 NATO Principles Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence."— Presentation transcript:

1 NATO UNCLASSIFIED Releasable to the INTERNET L3 NATO Principles Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence and CIMIC

2 NATO UNCLASSIFIED Releasable to the INTERNET  MARITIME C2  NATO Medical Principles  Maritime Challenges  Planning Matrix  Casualty Estimation  Logisitcs Agenda

3 Current Organization Future Organization Medical Posts in the NATO Command Structure Command and Control 3 NATO UNCLASSIFIED Releasable for EU, PfP

4 NATO UNCLASSIFIED Releasable to the INTERNET  NATO instruction AJP-4.10 (B) DRAFT  Maritime Medical Planning Guidance  Provides Medical Guidance  Mission Types  Mission/Resource Matrix Medical Planning Guidance

5 NATO UNCLASSIFIED Releasable to the INTERNET  Land Operations  Littoral Operations  Sea based Operations  Supporting distances (time and distance)  Resources (capability and range limitations)  Secondary Injury Maritime Missions

6 NATO UNCLASSIFIED Releasable to the INTERNET NATO MARITIME MEDICAL ASSET PLANNING MATRIX MARITIME ACTIVITY SCORE 4481216 336912 22468 11234 1234 UNIT SIZE AND AO SCORE Task Group of 4+ ShipsMARITIME INTERDICTIONS Planning Matrix

7 NATO UNCLASSIFIED Releasable to the INTERNET  Score 1: Nationally mandated capabilities to provide primary care, triage, first aid and evacuation (Role 1)  Score 2-3: Additive of Ships Physician (Role 1)  Score 4-6: Additive of surgical intervention and limited holding capabilities (Role 2 Light Maneuver)  Score 8-12: Additive surgical capability, greater diagnostics, ICU, enhanced holding capability (Role 2 Enhanced)  Score 13-16: Enhanced diagnostics and specialty care, larger holding capacity (Role 3)  Score 8-12: Additive surgical capability, greater diagnostics, ICU, enhanced holding capability (Role 2 Enhanced) Matrix Scores/Planning Requirements

8 NATO UNCLASSIFIED Releasable to the INTERNET  SAG operations  AIREX  UNDEX Sea based Operations

9 NATO UNCLASSIFIED Releasable to the INTERNET UNDEX Video

10 NATO UNCLASSIFIED Releasable to the INTERNET UNDEX Video

11 NATO UNCLASSIFIED Releasable to the INTERNET ICD-9WOUND DESCRIPTIONOccurrences Percent of Casualties 805 Fracture of Vertebral Column Without Mention of Spinal Cord Injury802.0013.14 844.9Sprain of Knee & Leg NOS802.0013.14 847.2Sprains and Strains of Lumbar757.0012.14 824.8FX Ankle NOS-Closed555.009.09 846Sprains and Strains of Sacraliliac Region450.007.37 848.3Other and Ill define sprain and Strain of Ribs450.007.37 959.7Lower Leg Injury NOS402.006.59 843Sprains and Strains of Hip and Thigh323.005.29 851Cerebral Laceration and Contusion259.004.24 845Sprain of Ankle NOS187.003.06 840.9Sprain Shoulder/Arm NOS173.002.83 959.01Head Injury NOS157.002.57 850.9Concussion NOS145.002.38 825Fracture of Calcaneous, Closed141.002.31 847.3Sprains and Strains of Sacrum109.001.79 832.01 Closed Dislocation of Elbow; Unspecified Site62.001.02 853 Other and Unspecified Intercranial Hemorrhage following Injury w/o Open55.000.90 836Tear Med Menisc Knee-Cur41.000.67 833Closed Dislocation of Wrist; Unspecified Part37.000.61 800Fracture Of Vault of Skull34.000.56 836.1Tear Lat Menisc Knee-Cur28.000.46 852 Subarachnoid, Subdural, and Extradural Hemorrhage following Injury 28.000.46 834 Closed Dislocation of Finger; Unspecified part26.000.43 853.1 Other and Unspecified Intercranial Hemorrhage following Injury with Open18.000.29 ICD-9WOUND DESCRIPTIONOccurrences Percent of Casualties 836.2Tear Miniscus Nec-Curren15.000.25 821.1Femur fx-unspecified site, open9.000.15 823.9Tibia/fibula fx-unspecified part, open6.000.10 847Neck sprain6.000.10 823.32Fibula with tibia shaft fx-open5.000.08 800.95 Skull vault fx-with intracranial injury other/unsp, openLOC>24hrs3.000.05 806.21 Thoracic fx-T1-T6 level with complete lesion of cord, closed3.000.05 806.4Lumbar spine fx-closed3.000.05 846.8Other specified sites of sacroiliac sprain3.000.05 847.1Thoracic sprain3.000.05 823.92Fibula with tibia fx-unspecified, open2.000.03 801Fracture of Base of Skull1.000.02 802Nasal Bone FX-Closed1.000.02 806 Fracture of Vertebral Column with Spinal Cord Injury, Cervical, Closed1.000.02 823 Open Fracture of Unspecified Part if Fibula with Tibia1.000.02 848.5Pelvis sprain(symphysis pubis)1.000.02 UNDEX PCOF

12 NATO UNCLASSIFIED Releasable to the INTERNET ICD-9WOUND DESCRIPTIONOccurrences Percent of Casualties 861.2 Injury to Lung w/o Mention of Open Wound into Thorax44.007.17 860 Pneumothorax w/o Mention of Open Wound into Thorax43.007.00 891Open Wound Knee/Leg/Ankle33.005.37 851Cerebral Laceration and Contusion30.004.89 873.4Open Wound of Face NOS29.004.72 850.9Concussion NOS26.004.23 959.01Head Injury NOS26.004.23 879.8Open Wound Site NOS23.003.75 890Open Wound of Hip/Thigh22.003.58 920Contusion of Face, Scalp, and Neck except Eye20.003.26 884Open Wound Arm Mult/NOS19.003.09 924.1Contusion of Knee and Lower Leg19.003.09 904 Injury to Blood Vessels of Lower Extremity and Unspecified Sites17.002.77 910 Superficial Injury of Face Neck and Scalp Except Eye with Abrasion or fric17.002.77 882Open Wound of Hand15.002.44 916 Supericial Injury of Hip Thigh Leg and Ankle with Abrasion or friction bur15.002.44 831.1Dislocation of Shoulder, Open14.002.28 802Nasal Bone FX-Closed13.002.12 959.7Lower Leg Injury NOS13.002.12 941Burn of Face, Head, and Neck11.001.79 844.9Sprain of Knee & Leg NOS10.001.63 916.1 Superficial Injury of Hip thigh Leg and Ankle with Abrasion of friction bur9.001.47 928Crushing Injury of Lower Limb9.001.47 847.2Sprains and Strains of Lumbar8.001.30 823.82 Closed Fracture of Unspecified Part of Fibula with Tibia7.001.14 823.92 Open Fracture of Unspecified Part of Fibula with Tibia7.001.14 825Fracture of Calcaneous, Closed7.001.14 845Sprain of Ankle NOS7.001.14 848.3Other and Ill define sprain and Strain of Ribs7.001.14 ICD-9WOUND DESCRIPTIONOccurrences Percent of Casualties 918Superficial Injury of Eye and Adnexa7.001.14 805 Fracture of Vertebral Column Without Mention of Spinal Cord Injury6.000.98 826Closed Fracture of One or More Phalanges of Foot6.000.98 860.2 Hemothorax w/o Mention of Open Wound into Thorax6.000.98 883Open Wound of Finger6.000.98 886 Traumatic Amputation of Fingers no mention of Thumbs6.000.98 955 Injury of Peripheral Nerves of Shoulder Girdle and Upper Limb6.000.98 873Other Open Wound of Head5.000.81 824.8FX Ankle NOS-Closed4.000.65 873.8Open Wound of Head NEC4.000.65 879.2Open Wound Anterior Abdomen4.000.65 879.6 Open Wound of Other and Unspecified Parts of Trunk4.000.65 860.1Pneumothorax with Open Wound into Thorax3.000.49 861 Injury to Heart w/o Mention of Open Wound into Thorax3.000.49 863Injury to Gastrointestinal Tract3.000.49 887Traumatic Amputation of Arm and Hand3.000.49 894Open Wound of Leg NEC3.000.49 895Traumatic Amputation of Toe3.000.49 823 Open Fracture of Unspecified Part of Fibula with Tibia2.000.33 897Traumatic Amputation to Leg or Legs2.000.33 924.2Contusion of Ankle and Foot Excluding Toes2.000.33 806 Fracture of Vertebral Column with Spinal Cord Injury, Cervical, Closed1.000.16 822.1Fracture of Patella, Open1.000.16 861.1Injury to Heart with open Wound into Thorax1.000.16 880Open Wound of Shoulder1.000.16 881Open Wound of Elbow Forearm and Wrist1.000.16 903Injury to Blood Vessels of Upper Extremity1.000.16 AIREX PCOF

13 NATO UNCLASSIFIED Releasable to the INTERNET  Communication  Sustainment  Evacuation Logistics

14 NATO UNCLASSIFIED Releasable to the INTERNET  So What?  Projected missions  Modular capabilities  Modeling and simulation  Augments  Personnel mix

15 NATO UNCLASSIFIED Releasable to the INTERNET Brian Tolbert, CDR, US Navy, MSC SHAPE Joint Medical Division (JMED), Medical Intelligence and CIMIC +32 65 44 6870 Email: brian.tolbert@shape.nato.int Questions …

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