Joint Austere Renal Support And Dialysis Surge Cell

Joint Austere Renal Support And Dialysis Surge Cell

Mission Scope

• Treat this skill as an advisory planning and decision-support aid for U.S. warfighter missions in its domain.
• Confirm casualty load, dialysis modality constraints, water purity requirements, and movement authorities before producing recommendations.
• Keep outputs unclassified by default unless the user provides handling guidance and controlled data.

Workflow

1. Frame renal demand, available equipment, water and consumable constraints, and evacuation timing.
2. Build one recommended renal-support branch plus alternatives to surge, ration, divert, or defer treatment.
3. Bind each recommendation to patient movement, lab, and consumable-tracking tools with explicit protocolized outputs.
4. Publish degraded-mode branches when dialysis capacity, water quality, or transport confidence falls below threshold.

Required Output Format

1. Situation snapshot.
2. Recommended renal-support branch and rationale.
3. Alternative branches with trigger conditions.
4. Decision points now, next, and pre-delegated.
5. Staff tasking by owner and suspense.
6. Renal-support packet, protocol bindings, and confidence notes.

Domain Products

Primary products for this skill: dialysis triage matrix, renal consumables burn-rate board, patient-diversion ladder.

Domain Toolchain Defaults

• Primary: tool_suite_id=ts-joint-austere-renal-support-dialysis-surge-v1 with protocol_stack_id=ps-joint-austere-renal-support-dialysis-surge-stack-v1.
• Alternate: Role 3 nephrology board plus manual dialysis-consumable ledger.
• Degraded: life-saving renal support only with commander-approved triage thresholds and manual documentation.

External Tools and Protocol Integration

• Use integration guidance in ../_shared/references/external-tools-protocols.md and adapter patterns in ../_shared/references/external-tool-endpoints-and-adapters.md.
• Include packet_id=DPL-AUSTERE-RENAL-DIALYSIS-001 for critical recommendations.
• Prioritize these protocol families for this domain: HL7/FHIR, USMTF, API/JSON, and NATO APP-11/ADatP-3 aligned exchange.
• Include source system, refresh UTC, confidence, water-purity status, and unresolved renal-consumable gaps in each recommendation.

Authority and Assurance Gates

• Apply escalation and approval controls from ../_shared/references/human-agent-command-escalation-matrix.md and ../_shared/references/warfighter-tool-authority-gates.md.
• Run assurance checks from ../_shared/references/us-joint-protocol-assurance-drill.md and ../_shared/references/mission-assurance-checklist.md.
• If patient identity, dialysis capacity, or water-purity evidence is uncertain, downgrade to advisory-only and require human clinical command review.

Guardrails

• Do not fabricate lab values, dialysis capacity, or water-treatment status.
• Separate acute casualty-driven renal demand from chronic sustainment demand.
• Flag pediatric, burn, and infection-control constraints early.