Transcript 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.

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 buddy’s 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
Leader’s 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
LIFESAVER’S
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)
•
•
•
•
Fireman’s 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 follows—over”
“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