The general medical officer, flight surgeon, and undersea/diving medical
officer serves in many operational commands by providing tip-of-the-spear medical care for
military operations in peacetime, war, and during operations other than war. Whether on an
amphibious assault ship in the Persian Gulf, in the field with Marines, with Seabees in
Europe, or assigned to a branch medical clinic stateside, the GMO meets the challenges of
providing quality medical care for Sailors and Marines worldwide.
The medical officer serving in the fleet understands the differences between fixed
facility medicine and clinical care while on deployment. Onboard ship, the medical officer
will eat, work, relax, and sometimes share a compartment with patients and potential
patients. Working in close quarters increases the physicians knowledge and
understanding of their shipmates and the environment in which they work. This unique
experience challenges the medical officer and enhances their future career as a naval
officer and specialist.
This fourth edition of the GMO Manual continues to provide an operational approach to
the management of commonly encountered medical conditions and administrative topics. By
bridging the gap between the hospital environment and the operational setting, the GMO
Manual fills a niche in the operational medical officers reference library. The
updated manual has been trimmed, reorganized, and rewritten with a focus on ease of use
and enhancing the clinical practice of the general medical officer.
Exhaustive efforts have been made to ensure this reference is as accurate and current
as possible. As new information becomes available, changes in policy, medical research,
military operations, and medical care may necessitate further research by the reader. The
medical officer should individualize patient therapy while considering local resources and
operational constraints. This manual is not meant to replace training, experience, or
clinical judgement. Check with the instructions, other resources, and the chapter
author/reviewers annotated at the end of each chapter for additional information.
NEW TO THIS EDITION
- The format is redesigned to allow users easier access the clinical and administrative
- New administrative chapters have been added for the following subjects:
- Medical Planning for Liberty and Working Port Visits
- Navy Personnel Command References
- New clinical chapters have been added for the following subjects:
- Acute Altitude Illnesses
- Acute Diverticular Disease
- Acute Scrotal Pain
- Anthrax Vaccine Immunization Program
- Command-Directed Mental Health Evaluations
- Environmental Health for Ground Forces
- Motion Sickness
- Submersion Injuries
- Urinary Tract Infections
- All chapters have undergone some form of minor or major revision.
- Some chapters have been deleted because of redundancy or changes in policy.
- Color graphics and additional charts have been added throughout the manual.
I wish to thank the over 80 authors, reviewers, and subject matter experts for
their time and effort in providing inputs and recommendations for the 4th
edition of the manual. All contributors are recognized at the end of each respective
chapter. I also wish to thank Rear Admiral Potter, Rear Admiral Arthur, Mrs. Barbara
Gates, and the entire staff at the Office of the Chief Medical Corps for their support and
assistance with this project. Comments and recommendations are welcomed and may be
directed to Chief, Medical Corps, CODE 00MC, Bureau of Medicine and Surgery, 2300 E. St.
N.W., Washington, D.C. 20372-5300. COMM: 202-762-3064 DSN: 762-3064 FAX: (202) 762-1626.
LT Denis Ashley, MC, USNR
Editor, GMO Manual
GMO Policy and Plans
Office of the Chief, Medical Corps
Bureau of Medicine and Surgery
· Administrative Section
· Clinical Section
General Medical Officer Manual , NAVMEDPUB 5134, January 1, 2000
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C.,
web version of The General Medical Officer Manual, NAVMEDPUB 5134 is provided by
The Brookside Associates
Medical Education Division. It contains original contents from the
official US Navy version, but has been reformatted for web access and
includes advertising and links that were not present in the original version.
This web version has not been approved by the Department of the Navy or the
Department of Defense. The presence of any advertising on these pages does not
constitute an endorsement of that product or service by either the Department of
Defense or the Brookside Associates. The Brookside Associates is a private
organization, not affiliated with the United States Department of Defense. All
material in this version is unclassified. This formatting © 2006
Medical Education Division,
Brookside Associates, Ltd.
All rights reserved.
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