Health Service Support in a Nuclear, Biological, and Chemical Environment Tactics, Techniques, and Procedures

A practical guide for military medics, medical planners, and emergency responders, this manual lays out the fundamentals of delivering health‑service support when nuclear, biological, or chemical threats are present. It explains how to assess the medical threat, integrate health services into overall command structures, and coordinate movements of contaminated units. The opening chapters also set the legal and doctrinal framework that governs operations in extreme hazard environments.

The core of the work details the step‑by‑step tactics, techniques, and procedures for Levels I and II health‑service support. Readers learn how to establish forward surgical teams, conduct medical triage, and manage patient care during an active attack, as well as the protocols for decontamination, evacuation, and treatment in hostile conditions. Each section balances clinical considerations with the logistical challenges of protecting equipment, supplies, and personnel.

Later chapters expand the scope to include preventive medicine, veterinary and dental services, mental‑health support, and broader logistics that keep the system running. The text also addresses homeland‑security response, offering guidance on coordination with civilian agencies and the handling of toxic industrial materials. Overall, the manual equips its audience with a comprehensive, ready‑to‑use reference for protecting lives on a contaminated battlefield.