Page 225 - 2022 Ranger Medic Handbook

Predeployment Requirements

The 75 th Ranger Regiment has very specific predeployment Soldier readiness processing (SRP) requirements, allowing the
unit to be deployed on a compressed time sequence anywhere in the world. Prior to any deployment or assumption of
OPALERT, unit Medics should review the current Regimental Medical SOP (RTC 350-29) that outlines SRP requirements.
Rangers will be briefed on the medical threats and preventive medicine measures that will keep them healthy in a particular
area of operations. If a compressed time sequence deployment, Rangers will be briefed on critical preventive medicine
measures significantly different than normal operating procedures. Also, during the predeployment phase is the time to
conduct predeployment inspections of individual Ranger’s IFAKs, Advanced-RFR Bags, active Ranger O Low Titer (ROLO)
rosters (battalions conduct ROLO within 30 days prior to assuming OPALERT; active ROLO roster is valid for 90 days), and
squad casualty evacuation equipment serviceability and to verify the ability to draw medical chemical defense material
(MCDM)from the installation MTF and blood products from the partnering blood donor center.
Medical Threat Assessment
The medical planner must assess all medical threats the unit may face during the operation. This assessment includes
environmental health hazards as well as specific threats from enemy weapons systems. Through the medical threat as-
sessment, the medical planner will identify preventive measures the unit can employ to minimize these threats. Once the
preventive measures appropriate to the mission have been selected, medical planners must be prepared to make recom-
mendations to unit commanders, leaders, and Rangers on how to employ them. The overall goal is to have healthy Rang-
ers ready to perform a mission, keep them healthy during the mission, and safely bring Rangers back home.
Identify the Area of Operations (AO). The medical planner must develop a clear understanding of medical threats and
assets in the countries, regions, and environments where the operation will be conducted. The locations of targets, stag-
ing bases, etc. must be known in order to adequately plan for medical threats. The most important area to assess is the
target area. This is the area or region in which the unit will be conducting tactical missions. The host country or staging
area must also be evaluated. This is the secure region used as a base of operations. The threats here may or may not be
the same as those of the target area.
When identifying the AO and confirming the Aerial Port of Embarkation, planners must identify COVID personnel entry
requirements. The following websites are good sources for determining host nation clearance guidelines:
Electronic Foreign Clearance Guide (NIPR): https://www.fcg.pentagon.mil; (SIPR): https://www.fcg.pentagon.smil.mil
Identify Medical Intelligence and Health Threats. Medical Intelligence is a key component of all training and contingency
operations. Information on hazardous plants & animals, prevalent diseases, required immunizations & chemoprophylaxis,
climatology, and medical & hospital capabilities in the areas involved should be gathered. The National Center for Medical
Intelligence (NCMI) is a primary source for medical intelligence. NCMI collects and disseminates information on disease
occurrence, medical capabilities, health services, and environmental health hazards specific to regions around the world.
The unclassified NIPR internet address for the NCMI is https://www.intelink.gov/ncmi/index.php. The classified SIPR inter- SECTION 7
net address for NCMI is http://www.afmic.dia.smil.mil
Another good open source website for determining host nation sustainment preparation and medical infrastructure is
https://www.pixtoday.net
MEDCOP (health services placemat) – (SIPR): https://hqsaid01.ds.centcom.smil.mil/medcop/# (health services placemat),
is helpful for determining current conventional and SOF medical assets in theater.
Some other sources for medical intelligence are:
Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/
U.S. State Department Travel Warnings & Consular Information https://www.state.gov/travel/
World Health Organization (WHO) Homepage http://www.who.int/en/
U.S. Army Public Health Command (formerly known as the Army Center for Health Promotion and Preventive Medicine)
NIPR: http://phc.amedd.army.mil/ SIPR: https://phc.army.smil.mil
The medical planner must also maintain an awareness of the unit’s medical readiness status. A review of immunization and
health records should be conducted well before the operation begins.
The types of enemy weapons the unit may encounter, including chemical and biological weapons must also be deter-
mined. The planner will make recommendations to prevent and treat the injuries these weapons may inflict, such as the
use of body armor, chemoprophylaxis, or protective masks.

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