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

1. Purpose This publication establishes doctrinal multiservice tactics, techniques, and procedures (MTTPs) for health service support (HSS) units operating in a chemical, biological, radiological, and nuclear (CBRN) and toxic industrial material (TIM) environment. It is the intent of this document to inform the combatant commanders (CCDRs), joint force commanders (JFCs), joint force medical commanders and medical planners, and component commanders and their staffs on the tools available to provide the best quality of force health protection (FHP) and HSS in a CBRN environment to enhance mission success. This publication bridges the gaps between Service and joint HSS publications. 2. Scope a. This publication provides information for use by the component commanders and their staffs, command surgeons, medical planners, and individuals responsible for FHP and HSS in a CBRN environment. Commanders have the direct responsibility for protecting their forces within a CBRN environment. On future battlefields, failure to properly plan and execute CBRN defensive operations may result in significant casualties, disruption of operations, and even mission degradation. Further, the commander’s mission and execution plans must address the implications of HSS in a CBRN environment.