Polish Royal Medical Service

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Royal Medical Service
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Minister of Defense	Antoni Macierewicz
Chief of General Staff	General Henryk Szumski
General Commander	General Franciszek Gągor
Inspector of the Medical Service	Lt General Narcyz Bialik
Headquarters	Warsaw

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Active Personnel: 2,000

Planned Personnel: 5,000

Personnel Makeup

Doctors: 250
Surgeons: 250
Anesthesiologists: 250
Nurses: 1,250

 

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Unit	Location	Personnel (Doctors)	Personnel (Surgeons)	Personnel (Anesthesiologists)	Personnel (Nurses)
1st Field Medical Unit	Various Frontlines	40	40	40	100
2nd Field Medical Unit	Various Crisis Zones	40	40	40	100
1st Combat Support Medical Team	Nationwide (Various Units)	20	20	20	60
2nd Combat Support Medical Team	Nationwide (Various Units)	20	20	20	60
1st Rehabilitation and Recovery Unit	Warsaw	10	10	10	40
2nd Rehabilitation and Recovery Unit	Lublin	10	10	10	40
1st Medical Evacuation Unit	Warsaw, Szczecin, Gdańsk	10	10	10	40
2nd Medical Evacuation Unit	Warsaw, Szczecin, Gdańsk	10	10	10	40
Central Military Hospital	Warsaw	20	20	20	162
Military Hospital of Lublin	Lublin	10	10	10	142
Military Hospital of Szczecin	Szczecin	10	10	10	142
Military Hospital of Gdańsk	Gdańsk	10	10	10	142
Veteran Care Center	Nationwide	10	10	10	40
Royal Pharmacy Corps	Warsaw	10	10	10	20
Psychological Operations Unit	Nationwide	10	10	10	10
Medical Research Institute	Warsaw	10	10	10	112

 

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Kingdom of Poland Ministry of National Defense Royal Medical Command​

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Field Medical Units & Combat Support Medical Teams Operational Doctrine​

Document Code: RMC-FMU-CSMT-OPD-01 Effective Date: May 2025 Supersedes: N/A Classification: RESTRICTED (Operational)​

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1. INTRODUCTION​

This doctrine outlines the structure, roles, responsibilities, and operational guidelines for the 1st and 2nd Field Medical Units (FMUs) and 1st and 2nd Combat Support Medical Teams (CSMTs) of the Kingdom of Poland. It ensures medical readiness and support for both domestic and international missions under the authority of the Royal Medical Command (RMC).

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2. MISSION STATEMENT​

Field Medical Units (FMUs): Deliver intermediate-level care in proximity to conflict zones or disaster areas, capable of stabilizing patients, performing surgical interventions, and coordinating medical evacuation.

Combat Support Medical Teams (CSMTs): Provide immediate life-saving care directly to front-line units and ensure rapid casualty triage and evacuation.

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3. ORGANIZATION & STRUCTURE​

3.1. Personnel Composition​

Unit	Doctors	Surgeons	Anesthesiologists	Nurses
1st Field Medical Unit	40	40	40	100
2nd Field Medical Unit	40	40	40	100
1st Combat Support Medical Team	20	20	20	60
2nd Combat Support Medical Team	20	20	20	60

3.2. Operational Assets​

• Jelcz P882 D.53 Modular Medical Trucks
• Rosomak MEDEVAC Armored Vehicles
• Tatra 815 Utility Trucks
• Honker 4x4 Light Vehicles

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4. PEACETIME OPERATIONS​

4.1. Objectives​

• Maintain 100% personnel medical licensure and certification
• Conduct regular drills, exercises, and joint operations with PRLF
• Collaborate with civilian hospitals and emergency services
• Provide disaster relief within national territory

4.2. Readiness Standards​

• FMUs: Deployable within 72 hours
• CSMTs: Deployable within 24 hours

4.3. Logistics & Training​

• Weekly unit status reports to Royal Medical Command
• Monthly simulation and trauma care rotations
• Interoperability training with allied and civil agencies

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5. DEPLOYMENT OPERATIONS​

5.1. Mission Types​

• Wartime battlefield medical operations
• Humanitarian relief and crisis response
• Coalition/national defense missions abroad

5.2. Operational Functions​

Field Medical Units (FMUs)​

• Establish Role 2 or Role 3 field hospitals
• Provide emergency surgeries, diagnostics, recovery
• Coordinate ground/air medevac and field pharmacy
• Deploy with modular units on Jelcz P882 D.53 platforms

Combat Support Medical Teams (CSMTs)​

• Provide front-line Tactical Combat Casualty Care (TCCC)
• Embedded with combat battalions/brigades
• Enable stabilization and triage for rapid evac
• Operate using man-portable gear and Rosomak MEDEVAC vehicles

5.3. Command & Control​

• All units report to Royal Medical Operations Command (RMOC)
• In joint operations, attach under Polish Expeditionary Command or multinational medical task forces

5.4. Legal & Ethical Compliance​

• Full compliance with Geneva Conventions
• Provision of aid to all parties irrespective of allegiance
• Maintain medical neutrality during conflict and crisis

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6. POST-DEPLOYMENT PROCEDURES​

• Complete after-action reviews and lessons-learned reports within 14 days
• Conduct mental health debriefs and reintegration support
• Equipment reconstitution and restock within 30 days
• Revise training and doctrine based on mission feedback

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7. CONTINUITY & MODERNIZATION​

• Annual doctrine review by Royal Medical Doctrine Board
• Integration of digital health records and telemedicine capabilities
• Transition to containerized hospital modules for enhanced mobility

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Signed:

Gen Franciszek Gągor
Chief Medical Officer
Royal Medical Command
Kingdom of Poland

 

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Royal Medical Service Doctrine: Combat Support Medical Team (CSMT) Vehicle Doctrine​

I. Purpose The purpose of this document is to define the standard vehicle allocation, operational deployment, and logistical framework for Combat Support Medical Teams (CSMTs) within the Royal Medical Service of the Kingdom of Poland. This doctrine shall apply during peacetime training, emergency response, and wartime deployments.

II. Scope This doctrine governs the equipping, deployment, and functional usage of all vehicles assigned to CSMTs to ensure rapid mobility, modular care capacity, and seamless integration into broader military operations.

III. Composition of the CSMT Each CSMT consists of approximately 120 personnel, composed of:

• 20 Doctors
• 20 Surgeons
• 20 Anesthesiologists
• 60 Nurses and Support Staff

IV. Vehicle Roles and Assignments Each vehicle within the CSMT fulfills a specific role aligned with operational goals:

1. Personnel Transport
   • Vehicle: Jelcz 442.32 4x4 Troop Carrier
   • Purpose: Transport of medical staff and support personnel
   • Quantity: 3 per team
2. Field Surgery & ICU Modules
   • Vehicle: Jelcz P882 D.53 8x8
   • Purpose: Housing modular surgical units and intensive care units
   • Quantity: 2 per team
3. Power & Water Supply Unit
   • Vehicle: Jelcz 662D.43 6x6
   • Purpose: Carry water tanks, field generators, and power distribution units
   • Quantity: 2 per team
4. Tactical Ambulance (Armored)
   • Vehicle: Rosomak WEM (Woz Ewakuacji Medycznej)
   • Purpose: Evacuation of wounded from forward positions under fire
   • Quantity: 2 per team
5. Light Ambulance (Non-Armored)
   • Vehicle: Mercedes-Benz Sprinter (Military Specification)
   • Purpose: Rear-area medical transport and civilian casualty movement
   • Quantity: 2 per team
6. Medical Supply & Cargo
   • Vehicle: STAR 266M2 or Jelcz 442.32 Cargo Configuration
   • Purpose: Transport of medical consumables, equipment, tents, and field gear
   • Quantity: 2 per team
7. Command and Communications Node
   • Vehicle: Jelcz 662D.43 with Integrated C4I Shelter
   • Purpose: Enable real-time coordination with higher command and rear hospitals
   • Quantity: 1 per team

V. Operational Deployment Guidelines

• CSMTs shall remain mobile and modular. Deployment configuration must allow rapid breakdown and reassembly.
• Vehicles must maintain spacing during convoy to reduce vulnerability.
• Ambulances (Rosomak and Sprinter) are prioritized for rapid medevac and casualty throughput.
• Power and water units must be deployed centrally in base layout for efficiency.
• Command vehicle must establish and maintain secure communications with both frontline and strategic command.

VI. Optional Enhancements

• Unmanned Aerial Vehicles (UAVs) for battlefield reconnaissance and medevac site marking
• Drone-based comms repeater kits for operations in communications-degraded areas
• Jelcz-mounted sterilization unit for use in high-casualty environments

VII. Maintenance and Readiness

• All vehicles shall be maintained to high operational readiness standards.
• Field repair kits and mobile mechanic teams must accompany each CSMT.
• Fuel and spare parts logistics to be integrated into rear-echelon planning.

VIII. Conclusion The effectiveness of a CSMT relies on high mobility, advanced modular medical capability, and integrated logistics. Proper vehicle assignment and doctrinal usage of these platforms ensure that the Kingdom of Poland's medical personnel are ready to save lives under any conditions.

 

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Field Medical Unit Vehicle Doctrine​

Kingdom of Poland
Ministry of Defense
Royal Medical Command​

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1. Overview​

The Field Medical Unit (FMU) is a critical part of the Kingdom of Poland's military medical support system, responsible for providing immediate medical care, stabilizing casualties, and evacuating them from the battlefield or crisis zones to higher-level medical facilities. This doctrine outlines the role, operation, and vehicle assignments for the FMU in peacetime and combat operations. The vehicles supporting the FMU must ensure rapid mobility, effective casualty evacuation, and the delivery of medical supplies to frontlines in both conventional warfare and peacekeeping missions.

The vehicles detailed within this doctrine are allocated to specific roles within the Field Medical Units, ensuring seamless operations on the battlefield. These vehicles provide direct medical support, enable rapid evacuation, and supply medical infrastructure where it is most needed.

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2. Vehicle Requirements and Roles​

The FMU requires various vehicles for specialized functions, such as casualty evacuation, logistics support, and command and control operations. These vehicles must be capable of performing multiple roles under the dynamic conditions of a battlefield or crisis zone.

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2.1 Casualty Evacuation Vehicles​

Role:
Casualty evacuation vehicles are designed to transport casualties from the frontlines to a treatment facility while providing essential care en route. These vehicles need to be armored for protection and equipped with medical equipment for stabilization.

Vehicle Requirements:

• Capacity: Able to carry multiple casualties, including medical personnel for treatment.
  
  
• Protection: Armored to protect the occupants from small arms fire and shrapnel.
  
  
• Mobility: Must be capable of navigating difficult terrain and ensuring timely movement.
  
  
• Medical Equipment: Must be equipped with basic medical supplies for casualty stabilization.
  

Recommended Vehicles:

• KTO Rosomak WEM (Woz Apteczny – Medical Vehicle):
  
  • Quantity: 12 vehicles
    
    
  • Role: This armored vehicle is designed specifically for casualty evacuation and treatment. It carries up to 5 casualties and is equipped with advanced medical facilities for triage, stabilization, and initial treatment.
    
    
  • Placement: Stationed in areas with heavy combat activity or where rapid evacuation is required. Deployed in support of front-line operations and strategic rear medical hubs.
    
• KTO Rys:
  
  • Quantity: 10 vehicles
    
    
  • Role: A smaller, more maneuverable armored vehicle designed for rapid evacuation and triage in urban or confined environments. It can carry 2-3 casualties and is used for light, rapid evacuations in more mobile units.
    
    
  • Placement: Deployed in urban warfare zones, where agility and quick response are critical, and for evacuating casualties from more volatile or congested environments.
    

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2.2 Field Ambulance Vehicles​

Role:
Field ambulances are used for transporting medical personnel, equipment, and casualties to various points along the evacuation chain, such as forward operating bases (FOBs) or mobile field hospitals.

Vehicle Requirements:

• Cargo Capacity: Adequate room for medical equipment, field kits, and supplies.
  
  
• Armor Protection: Basic armor or ballistic protection.
  
  
• Speed and Agility: Vehicles should be capable of moving through rugged terrain and under fire to quickly respond to frontline needs.
  

Recommended Vehicles:

• Jelcz P882 D.53:
  
  • Quantity: 10 vehicles
    
    
  • Role: A large, 8x8 cargo vehicle with ample space for medical logistics and personnel. It can carry medical teams and supplies and support large casualty evacuations.
    
    
  • Placement: Deployed at rear medical facilities or as part of a medical convoy supporting front-line medical operations.
    
• Iveco M40.12WM
  
  • Quantity: 15 vehicles
    
    
  • Role: This vehicle is highly mobile, capable of moving swiftly through difficult terrains while transporting small medical teams and supplies.
    
    
  • Placement: Used in more mobile scenarios, where speed is critical for delivering medical teams or supplies quickly.
    

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2.3 Medical Logistics Vehicles​

Role:
Medical logistics vehicles transport medical supplies, such as medications, equipment, and spare parts, to the frontlines or evacuation points. They ensure that medical infrastructure is replenished and operational.

Vehicle Requirements:

• Cargo Space: Large cargo compartments for medical materials and field equipment.
  
  
• Mobility: Must be capable of accessing remote or difficult areas where medical resources are in high demand.
  
  
• Durability: The vehicle should be able to operate in harsh weather conditions and provide reliable service for extended periods.
  

Recommended Vehicles:

• Jelcz P882 D.53:
  
  • Quantity: 5 vehicles
    
    
  • Role: Primary vehicle for transporting medical logistics and supplies.
    
    
  • Placement: Assigned to central medical hubs and resupply points along the evacuation route, ensuring that supplies are distributed to frontline medical teams.
    
• Tatra 815:
  
  • Quantity: 5 vehicles
    
    
  • Role: Used for heavier logistical tasks, such as transporting larger medical equipment, field hospitals, or bulk supplies.
    
    
  • Placement: Assigned to remote operational zones where heavy equipment needs to be delivered or medical facilities need to be set up.
    

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2.4 Command and Communications Vehicles​

Role:
Command vehicles provide leadership and coordination for medical units. These vehicles are equipped with communication systems and allow commanders to manage operations, coordinate with military units, and provide reports to higher command.

Vehicle Requirements:

• Communication Systems: Equipped with secure radios and satellite systems.
  
  
• Command and Control: Space for personnel to monitor and manage medical operations in the field.
  
  
• Mobility: Capable of keeping up with the movement of medical teams and providing leadership in the field.
  

Recommended Vehicles:

• Jelcz 6x6 or 8x8 Command Vehicles:
  
  • Quantity: 5 vehicles
    
    
  • Role: Command vehicles with necessary communication systems and space for medical and military commanders to oversee operations.
    
    
  • Placement: Deployed in rear medical bases or forward command posts, depending on operational needs.

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3. Vehicle Integration and Placement​

The vehicles listed above are part of a Field Medical Unit vehicle fleet, which is strategically positioned to maximize efficiency and meet the operational needs of the medical support system. Their placement is based on the anticipated deployment scenarios and the operational structure of the FMU.

1. Field Medical Units (FMU) are typically deployed in support of front-line operations. The KTO Rosomak WEM and KTO Rys vehicles provide casualty evacuation and triage services, while Jelcz P882 D.53 and Tatra 815 vehicles handle logistics and supply operations.
   
   • Total number of vehicles per FMU deployment: 50 vehicles.
     
2. Medical Convoys will be established to carry medical logistics, evacuate casualties, and deliver medical personnel and equipment to different zones. These convoys will be mobile and responsive to evolving battlefield conditions.
   
   • Total number of vehicles per medical convoy: 10-20 vehicles.
     

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4. Operations and Deployment Procedures​

The Field Medical Units and their assigned vehicles will follow established operational procedures during both peacetime readiness and deployment:

4.1 Pre-deployment Operations:

• Vehicles undergo routine maintenance to ensure that all systems are fully operational.
  
  
• Personnel are trained in vehicle operation, especially in combat environments where speed and adaptability are critical.
  

4.2 Deployment Operations:

• Vehicles are deployed to strategic locations based on operational requirements, ensuring that casualty evacuation routes and supply chains are established.
  
  
• Casualty evacuation vehicles like the KTO Rosomak WEM will be stationed at forward medical posts, while Jelcz P882 D.53 and Tatra 815 vehicles are positioned for resupply and reinforcement of forward teams.
  

4.3 Post-deployment Procedures:

• Vehicles undergo post-operation maintenance, checking for any damage or mechanical issues.
  
  
• Medical units conduct debriefs to evaluate operational success and refine future deployment strategies.
  

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5. Conclusion​

The integration of advanced vehicles such as the KTO Rosomak WEM, KTO Rys, Jelcz P882 D.53, and Tatra 815 ensures that the Kingdom of Poland’s Field Medical Units maintain a high level of readiness, mobility, and effectiveness during combat and crisis operations. These vehicles play a crucial role in casualty evacuation, medical logistics, and command and control operations, ensuring that the Kingdom of Poland can provide critical medical support in any operational environment.