The use of "the guide" in this appendix refers to AMedP-8(A), Volume I, II, or III. The AMedP-8(A), Volume I, II, or III, is the text for each of the STANAGs. The contents of this appendix are extracts from Sections 1, 2, and 3 of the guide.
D-2. Medical Planners' Tool
Medical planners' estimates (such as casualty, logistics, evacuation, and personnel cross leveling) must be modified for the NBC environment. Estimates of NBC medical workload can be found in AMedP-8(A). A compact disk containing these documents and an automated version of AMedP-8(A), the Casualty Requirements Estimation Tool (CREST), can be obtained from Headquarters, Department of the Army, ATTN: DASG-HCZ-FD, 5109 Leesburg Pike, Falls Church, VA 22041-3258. The CREST is primarily an Army tool focusing on corps, brigades, and battalions, but also models aerial ports of debarkation, seaports of debarkation, and other units.
This Section Implements STANAG 2475.
Section II. MEDICAL PLANNING GUIDE FOR THE ESTIMATION OF NUCLEAR, BIOLOGICAL, AND CHEMICAL BATTLE CASUALTIES (NUCLEAR)—AMedP-8(A), VOLUME I
D-3. General
a. Volume I of the guide provides estimates of casualties and remaining operational strength after a nuclear detonation in a brigade-sized unit during an out-of-area contingency operation. These estimates include the numbers, injury type (initial nuclear radiation, blast, and thermal injuries), and injury severity of nuclear patients based on several brigade scenarios. The scenarios include three different brigade-sized units, in warned or unwarned posture, which have single detonation of 5, 20, or 50 KT in the unit area.
b. The guide is organized into 10 sections. Section 1 introduces the guide and presents background and medical planning considerations. Section 2 provides information on the methodology used to develop the estimates of fatalities, casualties, and effectiveness of individuals remaining in the unit. Section 3 explores the use of the casualty prediction tables based on combat effectiveness decrements and estimates of the number of casualties categorized by insult level. Sections 4 through 10 contain tables of casualty estimates.
c. A sample of this information is graphically depicted in Tables 1-1 and 1-2 of the guide. The casualty estimates used to prepare these tables are presented in the guide as Tables 6-4 and 10-4 in Sections 6 and 10 respectively. The use of these tables is explained in paragraphs 3.1 through 3.6 of the guide. Paragraphs 3.7 and 3.8 of the guide discuss how to use the guide for situations not explicitly addressed.
d. The effects of residual radiation on personnel are not included in the guide. AMedP-6 and AMedP-7 provide information on planning, operations, and treatment for a residual radiation situation. Also not included is the impact of tumbling; impact of glass shards from windows of vehicles or buildings; crushing deaths from building failure; or COSC casualties; thus causing underestimations on the number of patients. Further, there will be personnel who get radiation doses or burns and do not seek medical care.