ATP 4-02.25 — The Medical Detachment, Forward Resuscitative And Surgical (this Item Is Published W/ Basic Incl C1)

ATP 4-02.25 governs training, establishing, employing, and sustaining the forward resuscitative and surgical detachment.

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  • Publication number: ATP 4-02.25
  • Title: THE MEDICAL DETACHMENT, FORWARD RESUSCITATIVE AND SURGICAL (THIS ITEM IS PUBLISHED W/ BASIC INCL C1)
  • Date: 12/07/2020
  • Proponent: T2COM
  • Status: ACTIVE

View ATP 4-02.25 on armypubs.army.mil


ATP 4-02.25 covers the detachment’s mission, damage control resuscitation and surgery, organization, capabilities, training, deployment, blood support, and disposition of remains. It addresses setup, caseload, surgery timing, rest, resupply, equipment maintenance, and facility configuration requirements.

Applies to: ATP 4-02.25 applies to the Active Army, Army National Guard/Army National Guard of the United States, and the United States Army Reserve unless otherwise stated.

Topics covered

  • Damage control resuscitation and surgery
  • Forward resuscitative section
  • Forward surgical section
  • Trauma training
  • Blood and blood support
  • Surgical facility configuration
  • Displacement and redeployment

Questions and answers

How many forward resuscitative and surgical detachments are allocated to a brigade combat team?

The basis of allocation for the FRSD is one (1) per Armored Brigade Combat Team (ABCT), one (1) per Committed Infantry Brigade Combat Team (IBCT) (not including IBCT Airborne), and one (1) per BCT assigned to a theater conducting stability and reconstruction operations. (paragraph 1-12)

How long does a forward resuscitative and surgical detachment take to set up?

Detachment requires a minimum of two (2) hours to set up and become functional. (paragraph 4-1)

What is the maximum caseload for a forward resuscitative and surgical detachment in 24 hours?

Maximum caseload per 24 hours equals 10 cases (medical equipment set can only support a combination of 30 resuscitation and surgical cases without rest and resupply). (paragraph 4-1)

When must a forward resuscitative and surgical detachment not begin surgery?

Must not begin surgery unless sufficient time to safely begin and complete necessary procedures and permit adequate post-operative recovery time for patient to survive evacuation (approximately six (6) hours). (paragraph 4-1)

How many blood storage units is the FRSD authorized?

The FRSD is authorized 4 blood storage units which can be set for frozen or refrigerated storage. (paragraph 4-11)

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