Section VI. HEALTH SERVICE LOGISTICS

5-24. General

As in all combat situations, the protection of medical supplies and equipment on the integrated battlefield is a must. Without medical supplies and equipment, HSS will be greatly diminished. Thus, the flow of supplies must continue to forward units as they are requested, including during NBC operations. For detailed information on providing health service logistics see FM 4-02.1 and FM 8-10-9.

5-25. Protecting Supplies in Storage

Protecting supplies can be accomplished by placing them under tents, using plastic wraps, or providing storage warehouses with CB filtered-conditioned (heated or cooled) air systems. Wrapping supplies in two layers of plastic material provides protection from most agents for a short period of time; the thicker the plastic material, the longer the protection. Effectiveness of protective procedures can be checked by placing M9 tape on supplies and between layers of the covering. Protection from the thermal and blast effects of nuclear detonations requires much more elaborate measures. Placing the supplies in trenches, inside earthen berms, behind stonewalls, or in other field expedient facilities will enhance the protective posture of supplies from the nuclear effects. Even when taking these protective measures, a quantity of supplies will become contaminated and must be replaced. Plans should be in place for replacement of lost items.

5-26. Protecting Supplies During Shipment

During shipment, supplies are protected by placement inside MILVANs, in covered enclosed vehicles, or by wrapping them in several layers of plastic, in tarpaulins, or in other protective material. To monitor exposure of supplies to chemical agents during shipment, place M9 detector paper between the wrappings. If exposure is limited to the outer layer, simple removal of this layer may be all that is required to eliminate the contamination. Decontamination is much easier when the supplies and equipment have been protected by multilayers of over-wraps.

5-27. Organizational Maintenance

Maintenance on vehicles, equipment, and medical equipment will become much more complex under NBC conditions. Most chemical agents are soluble in organic solvents such as gasoline, motor oils, and lubricants. The agent may be removed from the equipment by these solvents, but exposure to the contaminated solvents will produce the same effects as exposure to the agent on the equipment. The agents may seep down around the threads of bolts, in cracks and crevices of the equipment, and inside the cabinets or enclosures of equipment. These potential contamination sources produce an increased hazard to maintenance personnel. Decontamination of some items, especially medical equipment, may be a problem for maintenance personnel. The use of standard decontamination agents will cause damage beyond repair to most medical equipment and electronic equipment. In some instances, removal of chemical agents will require aging (off-gassing) of the agent. Turning the equipment on and running it, or just exposing the equipment to warm air will speed the off-gassing process. Maintenance personnel must perform all procedures in MOPP Level 4 until decontamination is completed. Radiation will penetrate the metal structures of vehicles and other equipment; radioactive material will be absorbed into the lubricants and fuels. Decontamination of this type of contamination is very difficult, if not impossible. Personnel must use radiation detection equipment to determine the extent of contamination and decontaminate the items as much as possible. Dusting or washing with water can remove any fallout on the surface of vehicles and nonelectrical/electronic components of equipment. Removal of radioactivity absorbed into metals or mixed in lubricants and fuels is beyond the capabilities of unit personnel. See FM 3-5 for decontamination procedures.