CASUALTY EVACUATION OPERATIONS PURPOSE The purpose of this

CASUALTY EVACUATION OPERATIONS PURPOSE The purpose of this

CASUALTY EVACUATION OPERATIONS PURPOSE The purpose of this briefing is to provide an overview of casualty evacuation procedures and to provide you the information necessary to set up a SOP for casualty evacuation procedures at

your respective sites TASK: Conduct cas-evac operations CONDITIONS: In a field environment, given an injured soldier, a radio, a combat lifesaver bag, and the desire to save their buddys life. STANDARDS: Soldiers must demonstrate a general knowledge of cas-evac operations, properly format

and submit a med-evac request utilizing the nine line format. REFERENCES FM 8-10-4, Medical Platoon Leaders Handbook (TTPs) FM 7-20, The Infantry Battalion CTC Trends, JRTC, Nov 97, No. 97-19 CALL Newsletter, Jul 99, No. 99-6 CMTC Trends Compendium Apr 98

FM 21-11, First Aid for Soldiers AGENDA REDUCING COMBAT DEATHS CHS LIFESAVING MEASURES IMPORTANCE OF THE CLS PLANNING CONSIDERATIONS

MEDICAL TREATMENT FACILITIES TRANSPORTATION OF CASUALTIES CATEGORIES OF PRECEDENCE THE MEDEVAC REQUEST REDUCING COMBAT DEATHS Majority of combat deaths occur on The battlefield before evacuation Takes place 80% of combat deaths occur within

First hour after initial injury 50% of combat deaths are a result of the soldier bleeding to death Of these 50% of combat deaths, 40% could have lived had the bleeding been stopped CHS LIFESAVING MEASURES SELF-AID BUDDY AID COMBAT LIFESAVER

COMBAT MEDIC TREATMENT SQUAD WHAT IS A COMBAT LIFESAVER? A MEMBER OF THE SQUAD OR CREW TRAINED, EVALUATED & CERTIFIED IN MEDICAL SKILLS EXPERTISE BEYOND BASIC FIRST AID

COMBAT LIFESAVERS ROLE ADDITIONAL LIFESAVING EXPERTISE AT THE SQUAD/CREW LEVEL EXTENSION OF THE PLATOON MEDIC USES SKILLS & EQUIPMENT CONSISTENT WITH HIS SECONDARY MISSION PRIMARY MOS IS FIRST RESPONSIBILITY Basic Planning Considerations Medical Evacuation

Medical Treatment Facilities Planning Medical Evacuation Medical evacuation requirements and units available are listed to include their locations, missions, and attachments. Location of casualty collecting points and ambulance exchange points are placed on overlays. Identify routes, means and schedules

(if any) of evacuation and responsibilities. Evacuation request procedures and channels. Medical Treatment Facilities Medical treatment facilities (aid stations, hospitals). Locations and missions of appropriate medical treatment facilities.

EXECUTION: Casualty evacuation is a team effort. The primary duty of a combat lifesaver is the mission. Treatment of casualties is secondary. Appropriate ground and air evacuation techniques should be used based on METT-T and on patient categories of precedence (URGENT, PRIORITY, and ROUTINE). COMMUNICATIONS: Redundant communications are important to timely casualty evacuation. SAFETY:

Leaders must retain common sense and attention to safety considerations despite their concern for casualties. Transportation of Casualties When the situation is urgent you may have to transport the casualty. For this reason, you must know how to transport him without increasing the seriousness of his condition. Transporting a casualty by litter is

safer and more comfortable for him than by manual means; it is also easier for you. Manual transportation, however, may be the only feasible method because of the terrain or the combat situation. Standard Evacuation Types UH-60A/Q Ambulance

*An M113 series Armored Ambulance can carry 4 litters UH-60Q Interior Non-Standard Evacuation Types Casualty Evacuation TTPs USE

SPECIALIZED EQUIPMENT POLELESS LITTER SKED LITTER DESIGNATE AND TRAIN AID AND LITTER TMS The rapidly employable lightweight litter, referred to as the SKEDS litter, is designed to be used as a rescue

system in most types of terrain, including mountains, jungle, waterborne, and on snow or ice. Manual Carries One-man carries Two-man carries Manual Carries (One Man)

Firemans Carry Support Carry Arms Carry Pistol-belt Carry and Drag Neck Drag TWO-MAN SUPPORT CARRY

TWO-MAN SUPPORT CARRY (cont) Manual Carries (two man) Two man support carry Two man arms carry Two man fore-andaft carry Two hand seat carry CATEGORIES OF PRECEDENCE FOR

EVACUATION URGENT-PATIENT WHO SHOULD BE EVACUATED AS SOON AS POSSIBLE AND WITHIN TWO HOURS TO SAVE LIFE, LIMB, OR EYESIGHT. PRIORITY-PATIENT WHO SHOULD BE MOVED WITHIN FOUR HOURS OR HIS/HER CONDITION WILL DETERIORATE TO SUCH A DEGREE THAT HE WILL BECOME URGENT. ROUTINE-PERSONNEL WHOSE

CONDITION IS NOT EXPECTED TO WORSEN SIGNIFICANTLY AND WHO WILL REQUIRE EVACUATION IN THE NEXT 24 HOURS. MEDEVAC REQUEST FORMAT LINE ITEM/BREVITY CODES 1 Location of pickup site 2 Frequency/Call sign of

pickup site 3 Number of patients by precedence C - SMOKE C - PRIORITY E - OTHER Special equipment

B - HOIST C - EXTRACTION EQUIPMENT 8 Patient nationality and status A - US MILITARY B - US CIVILIAN C - NON US MILITARY D - VENTILATOR

D - NON US CIVILIAN Number of patients by type E - EPW L + # LITTER 6 BPYROTECHNICS

D - NONE A - NONE 5 A - PANELS A - URGENT D - ROUTINE

4 7 Method of marking pickup site 9 NBC contamination A + # AMBULATORY N - NUCLEAR

Security of pickup site B - BIOLOGICAL N - NO ENEMY C CHEMICAL P - POSSIBLE ENEMY E - ENEMY IN AREA X - ARMED ESCORT NEEDED

LINE 1 LOCATION OF THE PICKUP SITE LINE 2 RADIO FREQUENCY/CALL SIGN AND SUFFIX SOI and ANCD

LINE 3 NUMBER OF PATIENTS BY PRECEDENCE BREVITY CODES: A- URGENT C -PRIORITY D -ROUTINE LINE 4

SPECIAL EQUIPMENT REQUIRED BREVITY CODES: A NONE B HOIST C EXTRACTION EQUIPMENT D VENTILATOR LINE 5 NUMBER OF

PATIENTS BY TYPE BREVITY CODES: L + #Patients Litter A + #Patients Ambulatory LINE 6 SECURITY OF PICKUP SITE (WARTIME) BREVITY CODES: N NO ENEMY P POSSIBLE ENEMY TROOPS IN

AREA (APPROACH WITH CAUTION) E ENEMY TROOPS IN AREA (APPROACH WITH CAUTION) X ENEMY TROOPS IN AREA (ARMED ESCORT REQUIRED) LINE 6 NUMBER AND TYPE OF WOUND, INJURY, OR ILLNESS

(PEACETIME) GIVE SPECIFIC INFORMATION, GUNSHOT WOUND, BLEEDING AND BLOOD TYPE IF KNOWN LINE 7 METHOD OF MARKING PICKUP SITE BREVITY CODE: A PANELS

B PYROTECHNIC SIGNAL C SMOKE SIGNAL D NONE E OTHER LINE 8 PATIENT NATIONALITY AND STATUS ENCRYPT BREVITY

CODE: A US MILITARY B US CIVILIAN C NON-US MILITARY D NON-US CIVILIAN E EPW (Detainee) LINE 9 NBC CONTAMINATION (Wartime) ENCRYPT BREVITY

CODE: N B C NUCLEAR BIOLOGICAL CHEMICAL LINE 9 TERRAIN DESCRIPTION

(PEACETIME) INCLUDE DETAILS OF TERRAIN FEATURES IN AND AROUND PROPOSED LANDING SITE Example Badger03 this is Badger76 MEDEVAC 9 line followsover This is Badger03 send it over line 1-- UV 8945 4452 line 2-- 30300 in the red, badger76 line 3-- 1C

line 4-- A line 5-- 1A line 6-- N line 6-- 1, broken ankle compound fracture (peacetime) line 7-- C line 8--A line 9-- NONE line 9-- Open field no power lines. (peacetime) Over This is Badger03 roger out

SUMMARY REDUCING COMBAT DEATHS CHS LIFESAVING MEASURES IMPORTANCE OF THE CLS PLANNING CONSIDERATIONS MEDICAL TREATMENT FACILITIES

TRANSPORTATION OF CASUALTIES CATEGORIES OF PRECEDENCE THE MEDEVAC REQUEST

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