Which of the following must approve modifications to treatment protocols?

The approval of modifications to treatment protocols typically falls under the purview of the Commanding Officer. This is because the Commanding Officer is responsible for the overall management and operational effectiveness of their unit, which includes ensuring that all medical and treatment policies are adhered to and that any modifications align with the mission and guidelines set forth by higher authorities.

The Commanding Officer has the authority to assess the implications of changes to treatment protocols, considering both the safety of personnel and the operational readiness of the unit. Their approval is vital as it ensures that changes are implemented within the framework of the larger strategic and medical approach the organization follows.

While other roles, such as the DMO (Direct Medical Officer), Medical Officer, or Safety Officer, may provide input or recommendations regarding treatment protocols, the ultimate authority and responsibility to approve modifications rest with the Commanding Officer. This hierarchical structure emphasizes the importance of leadership and accountability in medical decision-making within a military context.