R 091800Z MAR 15
MARADMIN 111/15
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC DMCS(UC)/F002//
SUBJ/MARINE CORPS HEAT AND COLD STRESS INJURY PREVENTION PROGRAM//
REF/A/DOC/CMC WASHINGTON DC SD/28JUL2011//
REF/B/DOC/CMC WASHINGTON DC SD/26NOV20014//
REF/C/DOC/CHIEF BUMED WASHINGTON DC/12FEB2009//
REF/D/DOC/CHIEF BUMED WASHINGTON DC/JUNE1991//
REF/E/DOC/CMC WASHINGTON DC/7JAN2005//
REF/F/CHIEF BUMED WASHINGTON DC/27SEP2011//
REF/G/DOC/CO NMCPHC PORTSMOUTH VA/MAY2011//
NARR/REF A IS MCO 5100.29B, MARINE CORPS SAFETY PROGRAM. REF B IS MCO 3500.27C, RISK MANAGEMENT. REF C IS NAVMED P-5010-3, MANUAL OF NAVAL PREVENTIVE MEDICINE HEAT AND COLD STRESS INJURIES (ASHORE, AFLOAT, AND GROUND FORCES). REF D IS MANUAL OF PREVENTIVE MEDICINE, CHAPTER 9, PREVENTIVE MEDICINE FOR GROUND FORCES, SECS. V AND VI. REF E IS MCO P5102.1B W/CH 2, NAVY AND MARINE CORPS MISHAP AND SAFETY INVESTIGATION, REPORTING, AND RECORD KEEPING MANUAL. REF F IS BUMEDINST 6220.12C, MEDICAL SURVEILLANCE AND MEDICAL EVENT REPORTING. REF G IS NMCPHC-TM 6220.12, MEDICAL SURVEILLANCE AND MEDICAL EVENT REPORTING TECHNICAL MANUAL.//
POC/RUFUS GODWIN/CMC WASHINGTON DC (SD)/TEL: 703-604-4387/TEL: DSN 664-4387/EMAIL: RUFUS.GODWIN(AT)USMC.MIL//
GENTEXT/REMARKS/1.  WITH THE ADMINISTRATIVE CANCELATION OF MCO 6200.1E, MARINE CORPS HEAT INJURY PREVENTION PROGRAM, AND MCO 3470.1A, PREVENTION OF COLD WEATHER INJURIES BY MARADMIN 627/12, THERE IS NO ACTIVE GUIDANCE ON HEAT AND COLD STRESS INJURY PREVENTION. ACCORDINGLY, THIS MARADMIN PROVIDES INTERIM GUIDANCE FOR COMMANDERS (CDRS) AND OFFICERS-IN-CHARGE (OICS) FOR PLANNING AND EXECUTING HEAT AND COLD STRESS INJURY PREVENTION UNTIL THIS GUIDANCE IS FORMALLY INCORPORATED IN THE NEXT REVISION OF REFERENCE (A). USING RISK MANAGEMENT PRINCIPLES CONTAINED IN REFERENCE (B), CDRS AND OICS WILL IMPLEMENT HOT AND COLD STRESS INJURY PREVENTION APPROPRIATE FOR OPERATIONAL AND TRAINING ACTIVITIES PER REFERENCES (C) AND (D).
2.  ACTION
    A.  CDRS AND OICS
        (1) PER REFERENCE (B), IMPLEMENT THE REQUIREMENTS OF REFERENCES (C) AND (D) TO AVOID UNNECESSARY RISK. ENSURE ALL POTENTIALLY EXPOSED PERSONNEL ARE INITIALLY TRAINED IN THE CAUSES, PREVENTION, AND TREATMENT OF HEAT AND COLD INJURIES.  THIS SHALL INCLUDE AN EXPLANATION OF THE WET-BULB GLOBE TEMPERATURE (WBGT) INDEX, WORK/REST CRITERIA, ACCOMPANYING FLAG WARNING SYSTEM AND WIND CHILL INDEX PER REFERENCES (C) AND (D).  MEDICAL DEPARTMENT PERSONNEL ARE AVAILABLE TO ASSIST WITH HEAT AND COLD STRESS INJURY PREVENTION TRAINING. AFTER INITIAL TRAINING, SUBSEQUENT REFRESHER TRAINING WILL BE CONDUCTED AT THE DISCRETION OF THE CDR/OIC OR WHENEVER PERSONNEL ARE EXPECTED TO BE EXPOSED TO HOT OR COLD ENVIRONMENTS. TRAINING SHALL BE DOCUMENTED ON ATTENDANCE ROSTERS. LOCAL HEAT AND COLD STRESS INJURY PREVENTION POLICIES AND DIRECTIVES WILL NOT BE LESS STRINGENT THAN THE POLICY CONTAINED HEREIN.
        (2) DEVELOP STANDARD OPERATING PROCEDURES (SOPS) FOR TRAINING AND OPERATIONS IN HOT AND COLD WEATHER ENVIRONMENTS, AND THE OPERATION OF WBGT METER PER THE MANUFACTURER’S REQUIREMENTS.
        (3) TAKE WBGT READINGS IN IMMEDIATE AREAS OF OPERATIONS AND COMMUNICATE WBGT INDEX READINGS AND FLAG CONDITIONS TO AFFECTED SERVICE MEMBERS.
        (4) PRIOR TO TRAINING AND OPERATIONS ACTIVITIES, ENSURE PERSONNEL ARE TRAINED, ACCLIMATIZED AND APPROPRIATELY EQUIPPED WITH CLOTHING FOR HOT OR COLD WEATHER CONDITIONS PER REFERENCES (C) AND (D).
            (A) DESIGNATE A SUFFICIENT NUMBER OF TRAINED PERSONNEL TO MONITOR TRAINING ACTIVITIES, ASSIST STRAGGLERS, AND TRANSPORT HEAT/COLD INJURY CASUALTIES IN PROPERLY EQUIPPED VEHICLES.
            (B) NOTIFY THE SUPPORTING MILITARY TREATMENT FACILITY (MTF) OF THE RISK ASSESSMENT AND INCLUDE THE TIME AND LOCATION.
            (C) ENSURE MEDICAL DEPARTMENT PERSONNEL ASSIGNED TO MARINE CORPS UNITS CAN RESPOND APPROPRIATELY AND TIMELY TO A HEAT OR COLD STRESS INJURY AND PROVIDE IMMEDIATE INTERVENTION (RECOGNITION, COOLING OR WARMING AS APPROPRIATE, AND TRANSPORT TO NEAREST MTF).
            (D) ENSURE PERSONNEL ARE PROVIDED ADEQUATE FLUID REPLACEMENT WITH INTERMITTENT REST PERIODS AND WATER BREAKS; USE GUIDELINES FOR HOT OR COLD WEATHER TRAINING PER REFERENCE (C) AND (D); ENSURE INDIVIDUALS WITH HEAT RISK FACTORS SUCH AS A PREVIOUS DIAGNOSIS OF HEAT INJURY, ILL OR TAKING MEDICATION OR DIETARY/FITNESS SUPPLEMENTS, ARE IDENTIFIED, EVALUATED, AND CLEARED BY A MEDICAL PROVIDER AND MONITORED BY A SUPERVISOR AND BUDDY FOR HEAT/COLD STRESS INJURY SYMPTOMS.
            (E) PERSONNEL EXPOSED TO EXCESSIVE HEAT STRESS MAY REQUIRE THE PROFESSIONAL JUDGMENT OF A QUALIFIED HEALTH CARE PROVIDER TO DETERMINE THE PRESENCE OR ABSENCE OF A HEAT-RELATED INJURY. IF THE EVALUATION INDICATES A HEAT-RELATED INJURY, THE HEALTH CARE PROVIDER SHALL NOTIFY THE COMMAND REPRESENTATIVE WHO WILL ENTER THE HEAT-RELATED INJURY INTO THE WEB ENABLED SAFETY SYSTEM (WESS).
            (F) ALL HEAT OR COLD INJURIES WILL BE REPORTED VIA WESS PER REFERENCE (E), AND THROUGH THE DISEASE REPORT SYSTEM INTERNET PER REFERENCES (F) AND (G).
    B.  OFFICERS, STAFF NONCOMMISSIONED OFFICERS, NONCOMMISSIONED OFFICERS AND OTHER SUPERVISORS SHALL ENSURE MARINES, SAILORS, AND CIVILIAN PERSONNEL ARE FAMILIAR WITH HEAT AND COLD STRESS INJURY PREVENTION. EMPHASIZE THE IMPORTANCE OF BUDDY AID – IF SOMEONE LOOKS ILL OR OTHERWISE UNFIT TO PARTICIPATE, ENSURE THOSE INDIVIDUALS REPORT TO MEDICAL DEPARTMENT PERSONNEL FOR ASSESSMENT.
    C.  INSTALLATION, BASE AND STATION COMMANDERS
        (1) OPERATE AND MAINTAIN THE WBGT METER PER THE MANUFACTURER’S REQUIREMENTS.
        (2) TAKE WBGT READINGS IN IMMEDIATE AREAS OF OPERATIONS WITH THE POTENTIAL FOR HEAT STRESS INJURY, AND RAISE/DISPLAY THE WBGT INDEX FLAGS PER REFERENCES (C) AND (D).
        (3) COMMUNICATE TO ALL TENANTS WBGT INDEX READINGS AND FLAG CONDITIONS, AND WIND CHILL INDEX PER REFERENCES (C) AND (D) TO PREVENT HEAT AND COLD STRESS INJURY.
        (4) ASSIST UNITS IN SELF-MONITORING HEAT AND COLD STRESS CONDITIONS PER THE REFERENCES, AND PROVIDE WBGT LOANER EQUIPMENT. ENSURE SOPS EXISTS FOR THE OPERATION AND MAINTENANCE OF IN-HOUSE AND LOANER WBGT METER.
3.  RELEASE AUTHORIZED BY LIEUTENANT GENERAL JAMES B. LASTER, DIRECTOR, MARINE CORPS STAFF.//