Page 142 - Journal of Special Operations Medicine - Summer 2014

ELOs: ELOs:
• Identify likely operational hazards, including but not • Describe the signs and symptoms of acute stress reaction
limited to, hostile threats, environmental threats, safety and PTSD
risks, infectious risks, and CBRNE/HAZMAT threats. • Describe the available resources for the prevention and
• Describe mitigation strategies for likely operational mitigation of acute stress reaction and PTSD
hazards • Describe the appropriate response for an acute stress
• Analyze internal and external assets to determine medi- reaction
cal capabilities
Medical Provider TLO 11.2.1: Understand the importance
• Describe the process of preplanning and coordinating of an effective health monitoring and surveillance program
with other agencies and organizations within opera-
tional security guidelines ELOs:
• Describe how to plan appropriate medical treatment and • Describe the need for documentation and routine cap-
evacuations for a tactical scenario (e.g., locations of ca- ture of health data for team members
sualty collection points and landing zones) • Identify the data that are pertinent to capture as part
• Identify medical needs associated with special popula- of an effective health monitoring and surveillance pro-
tions and the unique equipment or capabilities they may gram (e.g., allergies, prescription medication, chronic
require conditions)
• Identify the social needs, such as adult and child protec- • Describe the importance of updating the medical director
tive services, potentially required by some populations and team commander
and their impact on the operation • Describe the need for secure but ready access to health
• Define the inherent risks in mission execution (to include data
infiltration, actions at the objective, and exfiltration) and • Describe the importance of appropriate documentation,
their impact on medical planning reporting to medical director and commander, and fol-
• Demonstrate the ability to incorporate all of these com- low-up of illness and injury
ponents into a medical plan and conduct a briefing
Medical Provider TLO 11.2.2: Describe the signs and symp-
toms of acute stress reaction and PTSD and immediate and
DOMAIN 11: Force Health Protection
long term interventions
Competency 11.1: Monitoring work/rest/sleep cycles ELOs:
Operator TLO 11.1.1: Understand the importance of sleep
management and work/rest cycles in the tactical setting • Describe the signs and symptoms of acute stress reaction
and PTSD
ELOs: • Describe the available resources for the prevention and
• Describe how to identify personal and team fatigue that mitigation of acute stress reaction and PTSD
may limit effectiveness • Describe the appropriate response for an acute stress
• Communicate potential degradation in capability to reaction
medical provider and chain of command
• Describe the importance of work/rest/sleep cycles in sus- Competency 11.3: Preventive medicine
Operator TLO 11.3.1: Identify the importance of preven-
tained operations and environmental extremes
tive medicine for the individual and team readiness
Medical Provider TLO 11.1.1: Understand the importance ELOs:
of sleep management and work/rest cycles in the tactical setting
• Recognize the importance of participating in a preven-
ELOs: tive medicine program on team functioning
• Describe how to identify personal and team fatigue that Medical Provider TLO 11.3.1: Identify the importance of
may limit effectiveness preventive medicine for the individual and team readiness
• Communicate potential degradation in capability to
chain of command ELOs:
• Describe the importance of work/rest/sleep cycles in sus- • Identify pertinent immunizations and chemoprophylaxis
tained operations and environmental extremes (e.g., malaria prophylaxis) for a given team and setting
• Describe how to assess fatigue that may limit effectiveness • Describe the importance of hydration and nutrition in-
• Describe methods for the management of fatigue includ- cluding the implications of an extended operation
ing the potential use of medications during sustained • Describe the importance of food safety, and sanitation
operations including the implications of an extended operation
• Describe the importance of strategies to prevent environmen-
Competency 11.2: Health monitoring and surveillance tal injury (e.g., heat and cold injuries, insect bites, sun burn)
Operator TLO 11.2.1: Identify the importance of an effec-
tive health monitoring and surveillance program • Recognize the importance of monitoring the team’s phys-
ical fitness and mental well being (e.g., excessive alcohol
ELOs: use, suicide risk) and developing intervention strategies
• Describe the importance of communicating injuries, ill-
nesses, and health data to medical director or provider Competency 11.4: Injury prevention (e.g., personal protective
equipment (PPE))
Operator TLO 11.2.2: Describe the signs and symptoms of Operator TLO 11.4.1: Identify the importance of injury
acute stress reaction and PTSD and the immediate and long prevention for the individual and team readiness
term interventions
(continues)

132 Journal of Special Operations Medicine Volume 14, Edition 2/Summer 2014