BY ORDER OF THE
SECRETARY OF THE AIR FORCE
AIR FORCE TACTICS, TECHNIQUES
AND PROCEDURES 3-42.32
29 JULY 2021
Tactical Doctrine
INSTALLATION MEDICAL ALL
HAZARDS RESPONSE (IMAHR)
ACCESSIBILITY: Publications and forms are available on the e-Publishing website at
www.e-publishing.af.mil for downloading or ordering.
RELEASABILITY: There are no release restrictions on this publication.
OPR: ACC/SGX
Supersedes: AFTTP 3-42.32, 15 October 2013
Certified by: AF/SG3/5X
(Col Colin Smyth)
Pages: 199
The Air Force Tactics, Techniques, and Procedures (AFTTP) 3-42 series of publications is the
primary reference for medical operations. AFTTP 3-42.32 provides tactics, techniques and
procedures (TTP) for installation medical commanders to plan, prepare, and employ their assigned
assets for installation medical response to all hazards to include chemical, biological, radiological,
and nuclear (CBRN) incidents. These incidents include weapons of mass destruction (WMD) as
well as incidents involving the accidental or intentional spill or release of hazardous materials
(HAZMAT) and toxic industrial materials (TIMs) and natural events such as earthquakes,
hurricanes, and the like. This AFTTP provides essential guidance for Air Force Medical Service
(AFMS) personnel’s initial installation medical response utilizing an all-hazards approach to
respond to an incident involving the intentional or accidental release of CBRN. The ability to
respond appropriately is critical to mitigating the consequences of an event. Medical commanders
should be aware of the necessary steps to ensure maximum survivability and to safeguard mission
capabilities.
The doctrine in this document is authoritative but not directive. It applies to all Air Force military
and civilian personnel. It specifically applies to the Installation Medical All Hazards Response
(IMAHR) teams that are provided funded equipment sets for Installation Medical All Hazards
Response (IMAHR). It provides the individual concepts of operations (CONOPS) for the
following Medical Counter-CBRN (MC-CBRN) capabilities: Patient Decontamination Team,
Pharmacy Team, Bioenvironmental Engineering (BE) Team, Laboratory Biological Detection
Team (LBDT), Field Response Team (FRT), Triage Team, Clinical Team, Manpower/Security
Team, and Public Health (PH) Team. Additional IMAHR teams that complement the above teams
