This Power Point is part of an Enlisted Advancement Program training series for US Navy Corpsman rating provided by Naval Medical Center Portsmouth Virginia Naval Medical Center Portsmouth is a military treatment facility serving active duty service members, their dependents and retirees in the Hampton Roads community of southeastern Virginia and northeastern North Carolina.

1. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Health Service SupportHealth Service Support
OperationsOperations
Ch. 3: OperationsCh. 3: Operations
A presentation by:A presentation by:

2. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
DefinitionsDefinitions
ACE: Air Combat ElementACE: Air Combat Element
CRTS: Casualty Receiving and Treatment ShipCRTS: Casualty Receiving and Treatment Ship
CSSE: Combat Service Support ElementCSSE: Combat Service Support Element
FSSG: Force Service Support GroupFSSG: Force Service Support Group
GCE: Ground Combat ElementGCE: Ground Combat Element
HSS: Health Service SupportHSS: Health Service Support
HSSE: Health Service Support ElementHSSE: Health Service Support Element
HSSO: Health Service Support OfficerHSSO: Health Service Support Officer

3. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
DefinitionsDefinitions
MAG: Marine Aircraft GroupMAG: Marine Aircraft Group
MAGTF: Marine Air Ground Task ForceMAGTF: Marine Air Ground Task Force
MARDIV: Marine DivisionMARDIV: Marine Division
MARFOR: Marine Corps ForcesMARFOR: Marine Corps Forces
MAW: Marine Aircraft WingMAW: Marine Aircraft Wing
MEF: Marine Expeditionary ForcesMEF: Marine Expeditionary Forces
MEU: Marine Expeditionary UnitMEU: Marine Expeditionary Unit
MWSG: Marine Wing Support GroupMWSG: Marine Wing Support Group
MWSS: Marine Wing Support SquadronMWSS: Marine Wing Support Squadron

4. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
The Marine Corps organization for combat is based on its uniqueThe Marine Corps organization for combat is based on its unique
assigned force structure. HSS is a mission area common to everyassigned force structure. HSS is a mission area common to every
MAGTF, regardless of the mission. Definitive operational planning forMAGTF, regardless of the mission. Definitive operational planning for
HSS is always an integral part of all MAGTF operations. The inherentHSS is always an integral part of all MAGTF operations. The inherent
flexibility in the MAGTF and the broad spectrum of potential MAGTFflexibility in the MAGTF and the broad spectrum of potential MAGTF
missions call for equal flexibility in HSS execution. The size, type, andmissions call for equal flexibility in HSS execution. The size, type, and
configuration of HSS capabilities needed to effectively support aconfiguration of HSS capabilities needed to effectively support a
MAGTF will be determined by mission, enemy, terrain and weather,MAGTF will be determined by mission, enemy, terrain and weather,
troops and support available- time available (METT-T). The followingtroops and support available- time available (METT-T). The following
paragraphs provide an organizational framework for command andparagraphs provide an organizational framework for command and
staff cognizance within which all HSS operations are executed.staff cognizance within which all HSS operations are executed.
The Marine CorpsThe Marine Corps

5. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
MEFMEF
MEF commanders are responsible forMEF commanders are responsible for
coordinating and integrating HSS withincoordinating and integrating HSS within
their area of operations (AO).their area of operations (AO).
The MEF surgeon is responsible forThe MEF surgeon is responsible for
establishing HSS requirements andestablishing HSS requirements and
ensuring the HSS systems established byensuring the HSS systems established by
MEF major subordinate commands formMEF major subordinate commands form
an integrated and responsive network ofan integrated and responsive network of
support.support.

6. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
MEFMEF
HSS beyond the organic capabilities of theHSS beyond the organic capabilities of the
GCE and ACE are normally provided byGCE and ACE are normally provided by
task-organized units of the medical andtask-organized units of the medical and
dental battalions of the FSSG.dental battalions of the FSSG.

7. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
MARDIVMARDIV
The medical staff of the divisionThe medical staff of the division
headquarters has a division surgeon,headquarters has a division surgeon,
medical planner/administrator, amedical planner/administrator, a
psychiatrist, and hospital corpsmen.psychiatrist, and hospital corpsmen.
Medical staff responsibilities are similar toMedical staff responsibilities are similar to
the MEF’s but are more specifically relatedthe MEF’s but are more specifically related
to the activities of the GCE.to the activities of the GCE.

8. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
MAWMAW
The medical staff of the MAWThe medical staff of the MAW
headquarters has a wing surgeon, medicalheadquarters has a wing surgeon, medical
planner/administrative officer, anplanner/administrative officer, an
environmental health officer, industrialenvironmental health officer, industrial
hygienist, optometrist, and hospitalhygienist, optometrist, and hospital
corpsmen. Medical staff responsibilitiescorpsmen. Medical staff responsibilities
are similar to the MEF’s but are moreare similar to the MEF’s but are more
specifically related to the activities of thespecifically related to the activities of the
ACE.ACE.

9. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
MAWMAW
A MAW has four MAGs. Each MAG has aA MAW has four MAGs. Each MAG has a
flight surgeon and several hospitalflight surgeon and several hospital
corpsmen. Each MAG is supported by acorpsmen. Each MAG is supported by a
MWSS of the MWSG. The MWSS medicalMWSS of the MWSG. The MWSS medical
staff has a flight surgeon and hospitalstaff has a flight surgeon and hospital
corpsmen. The flight surgeon is thecorpsmen. The flight surgeon is the
squadron commander’s special staffsquadron commander’s special staff
officer responsible for the aeromedicalofficer responsible for the aeromedical
safety and HSS for the squadron.safety and HSS for the squadron.

10. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
FSSGFSSG
The group surgeon advises theThe group surgeon advises the
commander on the health of the commandcommander on the health of the command
and the adequacy of internal FSSG HSS.and the adequacy of internal FSSG HSS.
There is also a (HSSO) who coordinatesThere is also a (HSSO) who coordinates
FSSG HSS support for GCE and ACEFSSG HSS support for GCE and ACE
units requiring medical care that exceedsunits requiring medical care that exceeds
their organic capabilities. The HSSOtheir organic capabilities. The HSSO
serves as the officer in charge of theserves as the officer in charge of the
medical section of the CSSOC duringmedical section of the CSSOC during
exercises or operations.exercises or operations.

11. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
FSSGFSSG
The FSSG has the majority of the MEF’sThe FSSG has the majority of the MEF’s
medical capability. It has a medicalmedical capability. It has a medical
battalion with three surgical companiesbattalion with three surgical companies
(Surg Co) and eight shock trauma(Surg Co) and eight shock trauma
platoons (STPs) to provide initialplatoons (STPs) to provide initial
resuscitative care for casualties.resuscitative care for casualties.

12. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Medical BattalionMedical Battalion
The medical battalion, FSSG is organizedThe medical battalion, FSSG is organized
to execute HSS functions in support of theto execute HSS functions in support of the
MAGTF’s mission.MAGTF’s mission.
The medical battalion provides initialThe medical battalion provides initial
resuscitative HSS support to the MEF andresuscitative HSS support to the MEF and
is the only source of organic Marine Corpsis the only source of organic Marine Corps
medical support above the aid stationmedical support above the aid station
level.level.

13. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Medical BattalionMedical Battalion
Primary mission is to perform thosePrimary mission is to perform those
emergency medical and surgicalemergency medical and surgical
procedures that, if not performed, couldprocedures that, if not performed, could
lead to death or loss of limb or bodylead to death or loss of limb or body
function.function.

14. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Medical BattalionMedical Battalion
Headquarters CompanyHeadquarters Company
– 8 Shock Trauma Platoons (STP)8 Shock Trauma Platoons (STP)
10 Beds10 Beds
3 Surgical Companies3 Surgical Companies
– 3 Operating rooms each3 Operating rooms each
– 60 Beds each60 Beds each
Each Company capable of supportingEach Company capable of supporting
regimental sized operations.regimental sized operations.

15. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Surgical CompanySurgical Company
Composed of:Composed of:
– Headquarters PlatoonHeadquarters Platoon
– Triage/Evacuation PlatoonTriage/Evacuation Platoon
– Surgical platoonSurgical platoon
3 Surgery Squads (24 ops)3 Surgery Squads (24 ops)
– Holding platoonHolding platoon
3 Ward Squads (20 beds each)3 Ward Squads (20 beds each)
– Combat Stress PlatoonCombat Stress Platoon
– Services Platoon (ancillary)Services Platoon (ancillary)
2 Laboratory, 2 Pharmacy, and 2 X-ray Sections2 Laboratory, 2 Pharmacy, and 2 X-ray Sections

16. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Shock Trauma PlatoonShock Trauma Platoon
The STP is the smallest, most mobile medicalThe STP is the smallest, most mobile medical
support platoon of the medical battalion. Cansupport platoon of the medical battalion. Can
serve as a beach evacuation station, reinforce aserve as a beach evacuation station, reinforce a
battalion aid station (BAS), operate as anbattalion aid station (BAS), operate as an
casualty collecting and clearing point betweencasualty collecting and clearing point between
forward medical elements and the Surg Co, orforward medical elements and the Surg Co, or
serve as the forward element of a surgicalserve as the forward element of a surgical
company (i.e., triage/evacuation platoon)company (i.e., triage/evacuation platoon)
preparing to relocate.preparing to relocate.
An STP also provides HSS to a CSSD or MEUAn STP also provides HSS to a CSSD or MEU
service support group (MSSG).service support group (MSSG).

17. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Phasing Ashore MovementPhasing Ashore Movement
During the movement phase of amphibious operations,During the movement phase of amphibious operations,
the commander, amphibious task force (CATF) hasthe commander, amphibious task force (CATF) has
overall responsibility for HSS services to embarkedoverall responsibility for HSS services to embarked
personnel.personnel.
Landing force (LF) HSS personnel aboard ATF shipsLanding force (LF) HSS personnel aboard ATF ships
augment ATF medical and dental departments byaugment ATF medical and dental departments by
providing care to embarked LF personnel using ship’sproviding care to embarked LF personnel using ship’s
company medical facilities and supplies. LF Class VIIIAcompany medical facilities and supplies. LF Class VIIIA
equipment and supplies will not be used aboard shipequipment and supplies will not be used aboard ship
unless authorized by the MAGTF commander in supportunless authorized by the MAGTF commander in support
of an overwhelming emergency.of an overwhelming emergency.

18. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations

19. MCWP 4-11.1 Health Service Support OperationsMCWP 4-11.1 Health Service Support Operations
Any questions?Any questions?