Agenda. Principles in Logistics (Refresher) Logistics in Subarea COS I -V. Medical Support

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Silvester Jenkins
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1 LtCol HOFFMANN 11dec14

2 Agenda Principles in Logistics (Refresher) Logistics in Subarea COS I -V Medical Support

4 COS I COS II COS III COS IIIA COS IV COS V COS Classes Of Supplies Food, etc. for people/animals Supplies according to table of organization (Clothing, Weapons, Tools, Vehicles,..) POL (Petrol-Oil-Lubricants) POL for aircrafts Supplies not in table of organization (construction material, additional supplies) Ammunition, Explosives

5 Principal procedures Logistics usually national business Homeland (logistic base) via NSE Maneuver Element

6 Principal procedure (example)

7 Maneuver Element (BN) - S4 Division NSE Principal responsibilities - follow-on supply for Coy - assessment logistic situation and meet requirements (request to NSE and/or higher level) - processing of requests - procurement on local market - acceptance of supplies - customs affairs Homeland - link-up supply - transport (homeland theater)

8 Multinational Cooperation Some subareas will be multinational organized e.g. MN Field hospital (Role 2 Role 3) Transport, POL, Catering, e.g. therefore a JLSG will be created is a MN Logistic Unit with different capabilities

9 Multinational Cooperation Logistic Command and Control (C2) The NATO Commander will determine the C2 structure to satisfy the requirements of a specific operation, employing options from both the NATO Command and Force Structures. This will be decided early in the OPP in order that the designated units can undertake the relevant planning and preparation. This flexible approach will allow C2 to be tailored for specific operations. To facilitate this, nations must provide NATO Commanders with the logistic C2 authority and capabilities they require to execute their responsibilities throughout all phases of an operation. It includes coordination, prioritisation and deconflictionof logistics and includes Operational Control (OPCON) over logistic units providing theatrelevel logistic support, such as Multinational Integrated Logistic Units (MILUs)and specific logistic support units identified and provided by nations through the Force Generation Process. This will ensure that effective logistics to support the operation can be planned for and executed. Those assets belonging to the national support chain, including units performing Logistics Lead Nation (LLN) and Logistics Role Specialist Nation (LRSN) missions, should be provided to the NATO Commander at the minimum under LOGCON. NATO will typically deploy a Joint Logistics Support Group (JLSG), which will be responsible to the deployed NATO Commander through the functional staff (CJ4) for the execution of theatre level logistic support, using assigned national, HN and/or commercial resources, and coordination of theatre wide logistic support. Nations will retain C2 of national logistic resources. NATO Logistics Handbook, 2012, Page 54

10 General procedures of logistics out of a camp (e.g. KOSOVO)

11 Logistics out of a camp Principle quite easy! because tasks conducted outside Logistics conducted within the camp depending on the length of task consider what is to take with you

12 Logistics out of a camp

13 General procedure COS I Principle at the Camp for tasks outside combat ration lunch package Storage usually combat ration (DOS)

14 General procedure COS II National business Transport into theatre Replacement Maintenance

15 General procedure COS III Principle at the Camps for long time tasks outside take reserve with you (canisters) organize refuelling Storage What is mentioned in Joint Fortress?

16 Example COS III Storage Betriebsmittelberechnung 1 DOS in Litern Fahrzeug Anzahl bei Bezeichnung IndexNr. 1 DOS in L L im Tank DOS im Tank StbKp 1.Kp 2.Kp 3.Kp 4.Kp (Ulan) PzKp PiKp Art RäderKfz Pandur , Ulan , KPz Leopard , SPz (San) , BPz , Fuchs , Keiler , Dachs , Biber , Fenek , KleinKfz , LKW -5t , LKW -10t , ges. Anzahl Fahrzeuge 1 DOS ges. in L 1 x betanken gesamt Liter

17 General procedure COS IV National business Procurement in theatre otherwise transport into theatre

18 General procedure COS V National business Transport into theatre Replacement Storage!!!

19 All component medical facilities are categorised into four Roles, defined according to the minimum clinical capability available in a facility, not the capacity or manoeuvrability.. Role 1 Role 2 Role 3 Role 4 Medical Support APJ-4.10 (A), par 1030

20 Medical Support Role 1 MTF The Role 1 MTF provides primary health care, specialised first aid, triage, resuscitation and stabilisation. Generally Role 1 medical support is ultimately a national responsibility and it must be readily and easily available to all force personnel Included within the basic Role 1 capabilities are: basic occupational and preventative medical advice to the chain of command, routine sick call and the management of minor sick and injured personnel for immediate return to duty, as well as casualty collection from the point of wounding and preparation of casualties for evacuation to the higher level MTF may include the following: a. Minimal patient holding capacity. b. Primary dental care. c. Basic laboratory testing. d. Initial stress management.

21 Role 2 MTF MC 326/2 significantly recognised the clinical enhancement at Role 2 and defined Role 2 as: A Role 2 MTF is a structure capable of the reception and triage of casualties, as well as being able to perform resuscitation and treatment of shock to a higher level than Role 1. It will routinely include DCS and may include a limited holding facility for the short term holding of casualties until they can be returned to duty or evacuated. It may be enhanced to provide basic secondary care including primary surgery, ITU and nursed beds. differentiate: Medical Support Role 2 Light Manoeuvre (2LM) Role 2 Enhanced (2E)

22 Role 3 MTF Role 3 MTFs are designed to provide theatre secondary health care within the restrictions of the Theatre Holding Policy. Role 3 medical support is deployed hospitalisation and the elements required to support it. It basically includes surgical at primary surgery level, ICU, nursed beds and diagnostic support. Depending on mission characteristics it includes a mission-tailored variety of clinical specialities, focussed on the provision of emergency medical care. This does not exclude nations to include other specialities as well. They can include Medical Support a. Specialist surgery (neuro-surgery, maxillo-facial, burns, etc). b. Advanced and specialist diagnostic capabilities to support clinical specialists (CT scan, arthroscopy, sophisticated lab tests, etc). c. Major medical, nursing specialities (Internal medicine, neurology, intensive care, ophthalmology)

23 Medical Support Role 4 MTF A Role 4 MTF provides the full spectrum of definitive medical care that cannot be deployed to theatre or is too time consuming to be conducted there Role 4 would normally include definitive care specialist surgical and medical procedures, reconstructive surgery and rehabilitation.

24 tokeepin mind (Logistics on Coy-level) If you are in command always think about MAMAFFAC Medical Support Ammunition Maintenance/Recovery Accommodation Fuel Food (Water) Additional Equipment Calculation

25 End ofmission If you want you can copy this presentation, but not for this purpose!!!

FINABEL COORDINATING COMMITTEE Quartier Reine Elisabeth Rue d'evere B-1140 BRUSSELS. 06 May 2009 FIN/SEC/ C

FINABEL COORDINATING COMMITTEE Quartier Reine Elisabeth Rue d'evere B-1140 BRUSSELS 06 May 2009 FIN/SEC/27.274-C Tél Col : 02/701.41.04 Tél Cdt : 02/701.41.03 Tél Srt : 02/701.68.24 FAX : 02/701.71.78