PROTECTIVE MEDICINE PLAN
[DETAIL IDENTIFIER - ENGAGEMENT REF]
The Protective Medicine Plan is the per-engagement medical planning standard for an unarmed protective detail. Where the detail carries no lethal-force option, medicine is its highest-leverage crisis capability: the single response most likely to change the outcome of an emergency is competent first aid delivered in the first minutes and a pre-decided route to definitive care. This plan is built at the advance, before first principal movement, and is carried by the detail through the engagement. It feeds the medical content of the Emergency Action Plan (EP-012) and is executed as the medical drill in the Crisis Actions Playbook (EP-025). All engagement-specific values are bracketed placeholders. Do not assert fictional findings or invent facilities, phone numbers, or medical data.
Document Control
| Field | Value |
|---|---|
| Report Reference | [REF-YYYY-###] |
| Date of Report | [YYYY-MM-DD] |
| Classification / Handling | [internal / CONFIDENTIAL - CLIENT EYES ONLY] |
| Client | [CLIENT NAME] |
| Requesting Party | [REQUESTER NAME / ID] |
| Prepared By | [ANALYST INITIALS] |
| Reviewed By | [REVIEWER INITIALS] |
| Approving Officer | [APPROVER INITIALS] |
| Version | [0.1.0] |
| Distribution | [NAMED RECIPIENTS] |
Handling & Legal Caveat
Handling: [internal / CONFIDENTIAL]. Disseminate only to assigned detail personnel and the retained medical director, if any. This plan and its annexes may contain personal medical data on the principal: store and transmit per the data-processing agreement and the need-to-know matrix in EP-001 Section 10.
Nature of this product: This is an operational medical plan, not medical advice and not a scope-of-practice authorization. It does not authorize any operator to render care beyond their certified responder level. Operators act within the certification they hold and the Good Samaritan or civil-liability protection and scope-of-practice law of the area of operations (AO), as recorded in the region package legal annex. Where the firm retains a medical director, that director’s standing orders govern within their scope; absent one, care is bystander-level first aid within individual certification. All actions render to lawful effects: treat, stabilize, transport, and hand off to competent authority.
Sourcing & verification: Facility, contact, and activation data are pulled from the corresponding ART-region-package and the advance (EP-002, EP-022) and verified at the dates recorded in Annex A. An ungraded or unverified facility entry is treated as unconfirmed and is not relied on for a transport decision.
Detail Snapshot
| Field | Value |
|---|---|
| Plan Reference | [ ] |
| Area of Operations | [REGION PACKAGE / RGN-###] |
| Detail Medic (highest certification held) | [INITIALS - CERTIFICATION LEVEL] |
| Retained Medical Director (if any) | [NAME / ID or NONE RETAINED] |
| Primary Trauma Center (this instance) | [FACILITY - Annex A] |
| Verification Date | [YYYY-MM-DD] |
Table of Contents
- Purpose and Scope
- Medical Direction and Legal Basis
- Reference Products
- Principal Medical Profile: Custody, Consent, and Privacy
- Medical Threat Assessment
- Facility Capability Mapping Standard
- Medevac Decision Tree
- Equipment Standard
- Casualty Management Drill Interface
- Documentation and Aftermath
- Readiness and Certification Currency
- Maintenance and Review
- Annex A: Facility Matrix (Engagement Instance)
- Annex B: Grading Matrices
1. Purpose and Scope
Instructional tradecraft: State what this plan governs and where it stops. It is a planning standard authored once per engagement at the advance, not a drill and not a training curriculum.
- Purpose: Fix, before any principal movement, the medical profile handling rule, the medical threat picture, the graded facility set, the transport decision rule, and the kit standard that the detail will use under stress. A medical decision made during a crisis is a decision made late; this plan moves every decision that can be pre-made into planning.
- Scope: Covers the full engagement lifecycle from advance through reconstitution, across all venues, routes, and lodging in the itinerary. Applies to the principal, the detail, and any accompanying family or staff carried on the same movement.
- Boundary: This plan holds the medical planning standard and data; EP-012 Section 7 (Medical Plan) restates the operative subset for crisis execution and EP-025 Section 3.2 (Medical Emergency drill) holds the rehearsable behavior. This plan does not set certification or training requirements (EP-029) and does not itself constitute an after-action process (EP-017).
- Update Trigger: Any change of venue, route, or lodging; any change to the region package; any change in the principal’s medical status (EP-001 Section 5); or a gap surfaced by an EP-025 medical drill or an actual activation.
2. Medical Direction and Legal Basis
Instructional tradecraft: Fix the ceiling on what any operator may do. This plan never authorizes practice beyond certification, and the ceiling is set by the AO’s law, not by the firm’s preference.
- Certified Responder Level: Each operator’s medical scope is the certification they hold (e.g., [Wilderness First Aid / EMR / EMT / TCCC-equivalent]), recorded against the operator roster. No operator renders care, administers a medication, or performs an intervention outside that certification, regardless of the severity of the casualty.
- Medical Director: Where the firm retains a medical director or supervising physician, that person issues the standing orders and protocols this plan operates under, recorded at [NAME / ID]. Where none is retained, care defaults to first-aid-level intervention within individual certification and local Good Samaritan protection; this is stated explicitly in the pre-engagement brief.
- Good Samaritan / Scope-of-Practice Law (per AO): Civil-liability protection for rendering aid and the scope-of-practice ceiling vary by jurisdiction. The governing statute and its practical limits (e.g., duty-to-act rules, licensure reciprocity for out-of-jurisdiction certifications) are recorded in the region package legal annex and briefed to the detail before first movement.
- Limitation Statement: This plan is a coordination and readiness document. It does not create a physician-patient relationship, does not substitute for a retained medical director’s protocols where one exists, and does not authorize any operator to practice medicine.
3. Reference Products
Instructional tradecraft: This plan does not stand alone; it draws its data from named upstream artifacts and its content is consumed by named downstream deliverables. Record the seam so a reviewer can verify closure.
| Identifier | Product | Relationship to this plan |
|---|---|---|
| ART-medical-loadout (SYS-012) | Medical Loadout | Required input. Kit baseline (component list, tiers) that Section 8 organizes by echelon. |
| ART-region-package | Region Package | Required input. Source of medical infrastructure data, endemic/environmental threat data, and emergency activation numbers used in Sections 5, 6, and 7. |
| EP-012 | Emergency Action Plan | Downstream consumer. This plan’s transport rule and facility set are restated as EP-012 Section 7 (Medical Plan) for crisis-time execution. |
| EP-025 | Crisis Actions Playbook | Downstream consumer. EP-025 Section 3.2 (Medical Emergency drill) and Section 6 (Casualty Management and Evacuation) execute this plan’s decision rules under contact. |
| EP-001 | Principal Profile | Referenced, not restated. Section 5 (Medical Annex) of EP-001 is the sealed record of the principal’s individual medical data; see Section 4 below. |
| EP-002 / EP-022 | Advance Survey Report / Advance Mission Playbook | Referenced. Source of the per-venue medical infrastructure findings (Section 5.4 of EP-002) that this plan aggregates into Annex A. |
| EP-011 | Communications Plan (PACE) | Referenced. Governs the net and call formats used in Section 9. |
| EP-017 | After-Action Report | Downstream consumer. Any activation of this plan’s transport rule is documented per Section 10. |
| EP-028 | Kidnap Response Runbook | Referenced. Family/client notification channel for a medical incident occurring inside a crisis of that class follows the matrix there. |
| EP-029 | Training and Readiness Program | Referenced. Owns certification currency requirements; see Section 11. |
4. Principal Medical Profile: Custody, Consent, and Privacy
Instructional tradecraft: This plan governs handling, not content. The principal’s individual medical data lives in exactly one place; do not copy it here.
- System of Record: The principal’s blood type, allergies, chronic conditions, regular medications, physician contacts, and insurance or medevac-membership data are held in EP-001 Section 5 (Medical Annex), the sealed medical annex to the Principal Profile. This plan references that annex by pointer; it does not restate the data.
- Handling: CONFIDENTIAL. Access follows the need-to-know matrix at EP-001 Section 10.1: full access for the Team Leader, Detail Leader, and active PPO (life-safety basis); blood type and allergies only for the driver; full access for the detail intel officer for compartmentation purposes only, not operational use.
- Consent and Privacy Constraints: Collection and storage of the principal’s medical data requires documented consent (or the client’s authorized signature on the principal’s behalf) recorded at intake, and is subject to the data-protection law of the AO and any jurisdiction where the data is stored or transmitted (e.g., GDPR/CCPA-class regimes where applicable), per the data-processing agreement. Advance-directive status (DNR, medical power of attorney) is recorded in EP-001 Section 5 and is binding on any operator rendering care to the extent lawful in the AO; where advance-directive status is unresolved, default to full resuscitative effort.
- Insurance / Medevac Membership: Membership numbers and activation procedures for any medevac or travel-medical insurance the principal holds are recorded in EP-001 Section 5; this plan’s Section 7 (Medevac Decision Tree) references activation by pointer to that record, never by restating the number here.
5. Medical Threat Assessment
Instructional tradecraft: Source every line from the region package driving assessment; do not assert a threat the package does not carry. Grade each line per Annex B.
| Threat Category | Specific Hazard | AO Basis (region package section) | Mitigation | Admiralty Grade |
|---|---|---|---|---|
| Endemic disease | [e.g. vector-borne, waterborne illness present in AO] | [Region package Annex / section reference] | Prophylaxis, vaccination status, water discipline | [A-F/1-6] |
| Environmental - heat | [Heat index / exertion risk by season] | [Region package Annex reference] | Hydration protocol, activity pacing, heat-illness recognition | [A-F/1-6] |
| Environmental - altitude | [Altitude-related risk if applicable, or NOT APPLICABLE] | [Region package Annex reference] | Acclimatization window, altitude-illness recognition | [A-F/1-6] |
| Environmental - water/food | [Potable water status, food-safety risk] | [Region package Annex reference] | Bottled/treated water rule, vetted food sources | [A-F/1-6] |
| Venue-specific hazard | [Structural, crowd-density, industrial, or weather hazard at a named venue] | [EP-002 venue survey reference] | Venue-specific mitigation | [A-F/1-6] |
| Activity-specific risk | [Risk from a scheduled activity, e.g. water sport, motorsport, remote travel] | [Itinerary / EP-022 reference] | Activity-specific medical staging | [A-F/1-6] |
6. Facility Capability Mapping Standard
Instructional tradecraft: This section is the standard, not the instance. It fixes the criteria and the matrix fields; the populated matrix for this engagement lives in Annex A, built from the region package baseline and refined by the advance (EP-002 Section 5.4, EP-022).
- Grading Criteria: Every facility entered into Annex A is graded on the fields below. A facility missing a field is marked unconfirmed for that field, never left blank without a status.
| Field | What it captures |
|---|---|
| Trauma Level (or nearest equivalent) | Formal trauma designation where the AO has one; otherwise the nearest functional equivalent (e.g. dedicated 24/7 ED with on-call trauma surgeon, ICU, in-house blood bank) per region package criteria |
| Cardiac Capability | Cath lab / cardiac ICU presence or nearest equivalent |
| English-Speaking Staff | Confirmed / Not Confirmed / Not Available, per region package and advance verification |
| Helipad | Yes/No plus coordinates if yes |
| Blood Bank | In-house / Off-site (with routing) / Unknown |
| Ambulance Response Reality | Verified dispatch-to-scene time at the advance, not the nominal published figure |
| Distance and Drive Time | Nominal and peak-traffic drive time from the principal’s location |
| ER Contact | Direct emergency-department line, not a main switchboard |
| Verification Date and Admiralty Grade | When and how confirmed |
- Aggregation Rule: One facility set is built per venue and per route segment in the itinerary; a facility appears once in Annex A even if it serves multiple venues, with a role tag (Primary Trauma / Secondary-Specialty / Route Waypoint) per instance.
- Boundary: This plan defines the standard and carries the aggregated matrix; the raw per-venue survey that feeds it is recorded once, at the advance, in EP-002 Section 5.4 and EP-022.
7. Medevac Decision Tree
Instructional tradecraft: The transport decision is made here, at planning, not at the casualty’s side. The decision rule below is what the Detail Leader executes; it is not improvised per EP-025 Section 6.
| Scenario Class | Decision Criteria | Decision | Rationale |
|---|---|---|---|
| Stable, minor injury or illness | Ambulatory, no red-flag mechanism, no airway/breathing/circulation compromise | Self-transport or hold for scheduled care | Fastest safe resolution without disrupting posture |
| Unstable / high-acuity, ground transport faster | Mechanism or acuity indicates life threat; detail ground transport to the graded primary facility is faster than EMS arrival plus scene time by [N] minutes | Self-transport (detail vehicle) to the pre-designated primary facility | Time-to-definitive-care is the controlling variable |
| Unstable / high-acuity, EMS faster or scene must be held | EMS arrival plus transport is faster than detail ground transport, or extraction/entrapment requires EMS equipment, or scene safety requires responder control | Call and wait for local EMS; detail maintains care and scene control until handoff | EMS resourcing (airway management, extrication) exceeds detail capability |
| Ground transport time to any graded facility exceeds [N] minutes, terrain/traffic precludes ground movement, or injury pattern requires a capability not present at the nearest graded facility | Air medevac activation criteria met per the region package | Activate air medevac per the activation number and procedure held in the region package | Ground option does not close within the survivable window or does not reach the required capability |
| Mass casualty (more than one casualty exceeding on-scene capacity) | More casualties than the detail can manage with on-hand kit and personnel | Activate local EMS/mass-casualty response immediately; triage within trained scope while awaiting | Scale exceeds detail medical capacity by design |
- Fixed Rule: The destination facility for each venue and route segment is pre-decided in the advance (EP-022, EP-002) and recorded in Annex A. The Detail Leader selects among the pre-decided options at the moment of the incident; the Detail Leader does not select a facility not already graded in Annex A.
- Activation Numbers: Air and ground medevac activation numbers, and any membership/authorization codes required to trigger them, are held in the region package emergency-services annex; this plan references them by pointer and does not restate them.
8. Equipment Standard
Instructional tradecraft: Organize the kit baseline from ART-medical-loadout (SYS-012) by echelon. State who checks what, and how often, in the same table.
| Echelon | Kit | Custodian | Daily Check | Resupply / Expiry Trigger |
|---|---|---|---|---|
| Individual | IFAK (individual first-aid kit) | Each operator, worn on person | Self-check at shift start | Any item used or past expiry |
| Detail | Detail medical bag (extended trauma/first-aid) | Detail medic or designated PPO | Detail medic at T-24h and at shift handover | Post-use restock same day; monthly full inventory |
| Vehicle | Vehicle kit (lead and follow) | Assigned driver | Driver at T-24h pre-movement | Post-use restock; quarterly full inventory |
| Residence | Residence/RON kit | Post-in-charge at the residence | Daily at post handover | Post-use restock; quarterly full inventory |
- Baseline: Component list, tiers, and specification for every kit above trace to ART-medical-loadout (SYS-012); this plan does not restate the bill of materials, only the echelon assignment and check discipline.
- Controlled / Prescription Items: Any controlled substance or prescription item carried in a kit (including the principal’s emergency medications per EP-001 Section 5.1) is subject to the destination jurisdiction’s customs and controlled-substance import rules. No such item crosses a border without the documentation that jurisdiction requires (prescription, physician’s letter, import permit as applicable); confirm the requirement against the region package legal annex before movement, and route any ambiguity to counsel. Absent confirmed documentation, the item does not travel.
- Principal Emergency Medications: Verification of the principal’s carried emergency medication (e.g., auto-injectors) is a named daily task per EP-001 Section 5.1, performed by the PPO at T-15m before detail kickoff; this plan’s daily-check column above is the corresponding kit-level control.
9. Casualty Management Drill Interface
Instructional tradecraft: This section is the handoff point to EP-025. State the interface, not the drill itself; the drill’s step-by-step behavior lives in EP-025 Section 3.2 and Section 6.
- Drill Ownership: EP-025 Section 3.2 (Medical Emergency) is the rehearsed behavior that executes this plan; this plan supplies the data the drill reads (facility set, transport rule, kit locations) and EP-025 supplies the sequence operators run from memory.
- Handover Format (MIST): Verbal handover to responding EMS or receiving facility staff uses MIST: Mechanism of injury/illness, Injuries/findings, Signs (vitals, level of consciousness), Treatment given and time. The escorting operator delivers MIST at handoff and again at the receiving facility.
- Communications: The medical declaration and flash SITREP follow the formats and net architecture in EP-011; the drill call (“MEDICAL + who + location”) and the flash SITREP timing are set in EP-025 Sections 2 and 4, not restated here.
- Coverage Rule: Rendering care to a casualty never reduces protective coverage of the principal below the floor set in EP-025 Section 6; this plan does not alter that floor.
10. Documentation and Aftermath
Instructional tradecraft: Every activation leaves a paper trail. State what is recorded, by whom, and where it routes.
- Treatment Record: The treating operator or detail medic records what was found, what was done, by whom, and when, as soon as the casualty is in definitive care or the scene is secured; this record is factual only, no reconstruction after group discussion.
- Insurance / Medevac Activation: Where medevac or travel-medical insurance was activated, the activation reference, time, and receiving facility are logged against the membership record in EP-001 Section 5; billing and cost-recovery follow the firm’s standing insurance protocol.
- Family / Client Notification: Notification of the client and, where applicable, family follows the notification matrix and channel owner (Team Leader, not from the scene) set in EP-025 Section 7, with the crisis-class-specific channel in EP-028 where the medical incident occurs inside or alongside a kidnap/abduction-class event; routine medical notification (no criminal nexus) follows EP-012’s client-contact procedure.
- After-Action: Any activation of this plan’s transport rule, whether self-transport or EMS/air medevac, triggers an After-Action Report per EP-017 within the mandated window, including a review of whether the pre-decided facility and transport decision held under actual conditions.
11. Readiness and Certification Currency
Instructional tradecraft: This plan states the certification floor it depends on; it does not own training design. Currency tracking and curriculum are EP-029’s.
- Certification Floor: Every operator assigned a medical custodian role in Section 8 holds, at minimum, the certification recorded against that role on the roster; an operator whose certification has lapsed is not assigned a medical custodian role until re-certified.
- Delegation: Certification currency requirements, renewal cadence, and the training curriculum that produces and maintains these certifications are governed by EP-029 (Training and Readiness Program); this plan consumes the roster’s current certification status and does not restate the training standard.
- Pre-Engagement Check: Certification currency for every assigned operator, and the presence of a retained medical director if applicable, is confirmed at the readiness gate (EP-020) before the engagement’s first principal movement.
12. Maintenance and Review
Instructional tradecraft: An unmaintained medical plan is stale on the day it is needed.
- Verification Cadence: Re-verify Annex A facility grades and activation numbers at [cadence, e.g. each phase change or every 72h] and immediately on any change of venue, route, or lodging.
- Update Triggers: Change of venue or lodging; change in the region package; a new or resolved medical threat indicator (Section 5); a change in the principal’s medical status (EP-001 Section 5); any activation of this plan or a gap surfaced by an EP-025 medical drill.
- Owner: Detail medic or designated PPO compiles; Detail Leader approves; Team Leader confirms before the readiness gate (EP-020).
13. Annex A: Facility Matrix (Engagement Instance)
Instructional tradecraft: Populate one row per graded facility per venue/route role, per the standard in Section 6. Grade every row; an ungraded row is unconfirmed and is not a valid transport destination under Section 7.
| Facility | Role (Primary Trauma / Secondary-Specialty / Route Waypoint) | Trauma Level or Equivalent | Cardiac Capability | Blood Bank | English-Speaking Staff | Helipad | Distance / Drive Time (Nominal, Peak) | Ambulance Response Reality | ER Contact | Verified | Admiralty Grade |
|---|---|---|---|---|---|---|---|---|---|---|---|
| [FACILITY 1] | [Primary Trauma] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [YYYY-MM-DD] | [A-F/1-6] |
| [FACILITY 2] | [Secondary-Specialty] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [YYYY-MM-DD] | [A-F/1-6] |
| [FACILITY 3] | [Route Waypoint] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [ ] | [YYYY-MM-DD] | [A-F/1-6] |
14. Annex B: Grading Matrices
NATO Admiralty source reliability (A-F): A Completely reliable · B Usually reliable · C Fairly reliable · D Not usually reliable · E Unreliable · F Reliability cannot be judged.
NATO Admiralty information credibility (1-6): 1 Confirmed by other sources · 2 Probably true · 3 Possibly true · 4 Doubtful · 5 Improbable · 6 Truth cannot be judged.
Risk scoring key: Likelihood (1-5) x Impact (1-5) = 1-25; 1-5 Low · 6-10 Moderate · 11-15 Elevated · 16-20 High · 21-25 Critical.
END OF REPORT
Model wiring
Generated from cell frontmatter at publish time.