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CHAPTER 1
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MEDICAL THREAT AND NUCLEAR, BIOLOGICAL, AND CHEMICAL WARFARE
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Paragraph
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1-1. General
1-2. Medical Threat
1-3. Nuclear, Biological, and Chemical
Threat:The Health
Services Perspective
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CHAPTER 2
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NUCLEAR, BIOLOGICAL, AND CHEMICAL WEAPONS
EFFECTS
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Paragraph
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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
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CHAPTER 3
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COMMAND AND CONTROL
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Paragraph
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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
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CHAPTER 4
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MEDICAL ASPECTS OF NUCLEAR, BIOLOGICAL, AND
CHEMICAL WARFARE
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SECTION I
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NUCLEAR
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4-1. General
4-2. Management of Nuclear
Patients
4-3. Handling and Managing
Radioactively Contaminated
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SECTION II
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BIOLOGICAL
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4-4. General
4-5. Management of Biological Warfare
Patients
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SECTION 111
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CHEMICAL
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CHAPTER 5
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ECHELONS I AND II HEALTH SERVICE SUPPORT
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Paragraph
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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
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CHAPTER 6
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HOSPITALIZATION
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Paragraph
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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
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CHAPTER 7
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OTHER HEALTH SERVICE SUPPORT
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SECTION I
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PREVENTIVE MEDICINE SERVICES
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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
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SECTION II
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VETERINARY SERVICES
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7-6. General
7-7. Food Protection
7-8. Animal Care
7-9. Food Decontamination
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SECTION III
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LABORATORY SERVICES
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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
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SECTION IV
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DENTAL SERVICES
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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
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SECTION V
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COMBAT STRESS CONTROL
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7-22. General
7-23. Leadership Actions
7-24. Individual Responsibilities
7-25. Mental Health Personnel/Combat
Stress Control Responsibilities
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SECTION VI
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HEALTH SERVICE LOGISTICS
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7-26. General
7-27. Protection of Supplies in
Storage
7-28. Protection of Supplies During
Shipment
7-29. Organizational Maintenance
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APPENDIX A
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GUIDELINES FOR HEALTH SERVICE SUPPORT IN A
NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT
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Paragraph
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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
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APPENDIX B
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FIELD EXPEDIENT PROTECTIVE SYSTEMS AGAINST NUCLEAR, BIOLOGICAL, AND
CHEMICAL ATTACK
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Paragraph
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B-1. General
B-2. Protection Against Radiation
B-3. Expedient Shelters Against
Radiation
B-4. Expedient Shelters Against
Biological and Chemical Agents
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APPENDIX C
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PATIENT DECONTAMINATION PROCEDURES
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Paragraph
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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-8. Decontaminate a
Nuclear-Contaminated Litter Patient
C-9. Decontaminate a
Nuclear-Contaminated Ambulatory Patient
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APPENDIX D
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EMPLOYMENT OF CHEMICAL AND BIOLOGICAL COLLECTIVE PROTECTION SHELTER
SYSTEMS BY MEDICAL UNITS
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Paragraph
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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 Station 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
Protection Shelter System
D-14. Resupply of Protected Areas
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APPENDIX E
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DETECTION AND TREATMENT OF CONTAMINATED WATER
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Paragraph
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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
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APPENDIX F
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FOOD CONTAMINATION AND DECONTAMINATION
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Paragraph
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F-1. General
F-2. Protection of Food From
Contamination
F-3. Nuclear
F-4. Biological
F-5. Chemical
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APPENDIX G
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BIOLOGICAL SPECIMEN COLLECTION
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Paragraph
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G-1. General
G-2. Specimen Collection, Preservation,
and Transport
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GLOSSARY
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Glossary-1
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REFERENCE
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References-1
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INDEX
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Index-1
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