Prerequisits: ETM Professional/Academic/ Theory/ "Crisis Management"
                         ETM Professional/Academic/ Theory/ "Strategic"

1. National executive management
2. Intermediary Management
3. Direct Combatants
4. Combatant's family, associates, friends
5. Public

An assumption in this description is that following an event, military force is applied and security, emergency medical, and crisis communications needs are met in parallel paradigms. They are not subjects of this management focus.

Sections of this chapter address reversal of trauma etiology for non organizational (non government employees) people like family members, friends and interested members of the public. Although acceptance of ETM or any therapy by such people cannot be assumed, the pertinent part of the ETM plan is presented within the notion that all people will eventually study, evaluate, and through other means decide on the course of trauma response that is individually and collectively appropriate. In that regard, ETM is adequately competitive to instill confidence in any group who would apply themselves so rigorously to understand, reconcile, resolve and reverse trauma's deleterious individual and systemic effects.

Purpose/Goals

ETM's humanitarian purposes are to find and reverse individual and systemic trauma etiology.

ETM's strategic purposes are to

1. Preempt/remove the collective and deleterious symptoms of psychological trauma caused by the event. They include (not limited to)
• extraordinary and pathological divisiveness - intra-system conflict alters focus from the opposition
• fusion between team members that detracts from objective performance
• low moral
• hysteria
• stockholm syndrome effect (where team members support the opposition)
• leadership deception
• over constraint of civil liberty
• home front attacks on military personnel personages
• rationalizing mission goals
• abandonment of the mission
2. Strengthen system collective decisionmaking; prevent trauma's symptoms from impairing
• analysis
• learning
• option delineation
• choice

1. identify (beginning with the greatest and progressing outward to the lesser affected) all individual and system etiology.
2. reverse individual and system trauma etiology.

Obstacles

But systemic benefits (later) of ETM's individual applications to the first three categories (National executive management,
intermediary management, direct combatants) can be expected to have a positive effect on the last two groups' (family - friends and the public) addresses of psychological trauma etiology. Moreover, preparedness information supplied to families and the public can assist both to understand the trauma response protocols being administered. And the more skilled the ETM administrators are at reversing trauma etiology within the clinical setting, the more successful they will be at indirectly assisting those who are not part of that setting.

Following the ETM Standard (Trauma) Operations protocols, pre-combat training regarding combat trauma and its reversal can objectify the etiology reversal process. Explain ETM's reversal process and its purpose -- relationship to the combatant's ability to continue to do his or her job.

ETM Command

Combatants

1. Secure (remove from exposure to attack) the affected unit(s) within 90 days -- it should not have to provide primary protections for itself or others.
2. No social drug (alcohol) use (until ETMN Fast Help Immediate and Intermediate Protocols have been administered.)
3. Once the affected combat unit is secured, deploy (to the unit) ETM teams one and two.
4. Using ETMN Fast Help Immediate Trauma Response Protocols (Etiology Identification and Grading form -- Protocol #6), the ETM teams collect etiology identification information. Interview:
• Corpsmen, medics, chaplains
• Unit officers and non commissioned officers
• Combat unit members
• the wounded; no matter where they were sent, have a team member find them and collect the etiology identification information
5. Send ETM team 3 to administer ETMN Fast Help Intermediate Trauma Response Protocols. Using etiology identification information collected by teams 1 and 2,
• Schedule etiology reversal
• Reverse etiology in accordance with the schedule
6. Depending on the degree of the trauma affecting the event (acquire ETM team and command recommendations), hold combatants from combat duty for a reasonable period following etiology reversal. "Reasonable" could be 7 to 30 days.
7. Absent wounded, return the entire team to regular combat duty.
8. At the end of the tour, or following removal of the affected combat unit to its home, return wounded to the original team, or ensure in some fashion that the group is able to see each other as they were constituted during the combat episode(s).
9. Upon return home, team 3 members facilitate reintegration (regarding the event) with family. See "Family, Friends, and Associates" later.

National Executive Management

1. Identify on whom the attack has had the greatest impact. It should be upon:
• those who supported the mission (leading to the battle) most vigorously
• the final decisionmaker(s) (highest authority).
• any close associates of the combatants who directly experience the battle or who are killed in the event.
2. Apply ETM Fast Help Immediate Trauma Response Protocols for scheduling etiology reversal.
3. Apply ETM Fast Help Intermediate Trauma Response Protocols for reversing identified trauma etiology.

Combatant's Family, Associates, Friends

1. Apply ETM Fast Help Immediate Trauma Response Protocols
2. Apply ETM Fast Help Intermediate Trauma Response Protocols for reversing identified trauma etiology.

Intermediary Management

1. Apply ETM Fast Help Immediate Trauma Response Protocols
2. Apply ETM Fast Help Intermediate Trauma Response Protocols for reversing identified trauma etiology.

Public