Casualty Evacuation Opera
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Transcript of Casualty Evacuation Opera
![Page 1: Casualty Evacuation Opera](https://reader034.fdocuments.net/reader034/viewer/2022042608/55cf98c4550346d033998d54/html5/thumbnails/1.jpg)
CASUALTY
EVACUATION
OPERATIONS
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PURPOSEPURPOSE
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
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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.
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REFERENCESREFERENCES
• 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
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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
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• 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
REDUCING COMBAT DEATHSREDUCING COMBAT DEATHS
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• SELF-AID
• BUDDY AID
• COMBAT LIFESAVER
• COMBAT MEDIC
• TREATMENT SQUAD
CHS CHS LIFESAVING LIFESAVING MEASURESMEASURES
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• A MEMBER OF THE SQUAD OR CREW
• TRAINED, EVALUATED & CERTIFIED IN MEDICAL SKILLS
• EXPERTISE BEYOND BASIC FIRST AID
WHAT IS A WHAT IS A COMBAT COMBAT
LIFESAVER?LIFESAVER?
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• 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
COMBAT COMBAT LIFESAVER’S LIFESAVER’S
ROLEROLE
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• Medical Evacuation
• Medical Treatment Facilities
Basic Planning Basic Planning ConsiderationsConsiderations
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Planning Medical Planning Medical EvacuationEvacuation
• 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.
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Medical Treatment Medical Treatment FacilitiesFacilities
• Medical treatment facilities (aid
stations, hospitals).
• Locations and missions of
appropriate medical treatment
facilities.
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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.
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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.
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Standard Evacuation Standard Evacuation TypesTypes
UH-60A/Q Ambulance
*An M113 series Armored Ambulance can carry 4 litters
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UH-60Q Interior
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Non-Standard Non-Standard Evacuation TypesEvacuation Types
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•USE SPECIALIZED EQUIPMENT
•POLELESS LITTER •SKED LITTER •DESIGNATE AND TRAIN AID AND LITTER TMS
Casualty Evacuation Casualty Evacuation TTPsTTPs
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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.
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Manual Carries One-man carries
Two-man carries
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Manual Carries (One Man)
• Fireman’s Carry
• Support Carry
• Arms Carry
• Pistol-belt Carry and Drag
• Neck Drag
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TWO-MAN SUPPORT
CARRY
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TWO-MAN SUPPORT
CARRY (cont)
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Manual Carries (two man)
• Two man support carry
• Two man arms carry
• Two man fore-and-aft carry
• Two hand seat carry
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CATEGORIES OF CATEGORIES OF PRECEDENCE FOR PRECEDENCE FOR
EVACUATIONEVACUATION
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.
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LINE ITEM/BREVITY CODES
1 Location of pickup site
2 Frequency/Call sign of pickup site
3 Number of patients by precedence
A - URGENT
C - PRIORITY
D - ROUTINE
4 Special equipment
A - NONE
B - HOIST
C - EXTRACTION EQUIPMENT
D - VENTILATOR
5 Number of patients by type
L + # LITTER
A + # AMBULATORY
6 Security of pickup site
N - NO ENEMY
P - POSSIBLE ENEMY
E - ENEMY IN AREA
X - ARMED ESCORT NEEDED
7 Method of marking pickup site
A - PANELS
B - PYROTECHNICS
C - SMOKE
D - NONE
E - OTHER
8 Patient nationality and status
A - US MILITARY
B - US CIVILIAN
C - NON US MILITARY
D - NON US CIVILIAN
E - EPW
9 NBC contamination
N - NUCLEAR
B - BIOLOGICAL
C – CHEMICAL
MEDEVAC REQUEST FORMAT
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LOCATION OF THE
PICKUP SITE
LINE 1LINE 1
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RADIO FREQUENCY/CALL
SIGNAND SUFFIX
LINE 2LINE 2
SOI and ANCD
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LINE 3LINE 3
NUMBER OF PATIENTS BY PRECEDENCE
BREVITY CODES:
A- URGENT
C -PRIORITY
D -ROUTINE
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BREVITY CODES:– A NONE
– B HOIST
– C EXTRACTION EQUIPMENT
– D VENTILATOR
LINE 4LINE 4
SPECIAL EQUIPMENT REQUIRED
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BREVITY CODES:
– L + #Patients Litter
– A + #Patients Ambulatory
LINE 5LINE 5
NUMBER OF PATIENTS BY TYPE
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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 6LINE 6
SECURITY OF PICKUP SITE (WARTIME)
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GIVE SPECIFIC INFORMATION, GUNSHOT WOUND, BLEEDING AND BLOOD TYPE IF KNOWN
LINE 6LINE 6
NUMBER AND TYPE OF WOUND, INJURY, OR
ILLNESS (PEACETIME)
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LINE 7LINE 7
METHOD OF MARKING PICKUP
SITE
BREVITY CODE:– A PANELS– B PYROTECHNIC
SIGNAL– C SMOKE
SIGNAL– D NONE– E OTHER
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LINE 8LINE 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)
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LINE 9LINE 9
NBC CONTAMINATION
(Wartime)
ENCRYPT BREVITY CODE:– N NUCLEAR– B BIOLOGICAL– C CHEMICAL
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LINE 9LINE 9
TERRAIN DESCRIPTION
(PEACETIME)
INCLUDE DETAILS OF TERRAIN FEATURES IN
AND AROUND PROPOSED LANDING SITE
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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 line 6-- 1, broken ankle compound fracture fracture (peacetime)(peacetime)“line 7-- C“line 8--A“line 9-- NONE““line 9-- Open field no power lines.line 9-- Open field no power lines.((peacetime)peacetime)“Over”
“This is Badger03 roger out”
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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
![Page 40: Casualty Evacuation Opera](https://reader034.fdocuments.net/reader034/viewer/2022042608/55cf98c4550346d033998d54/html5/thumbnails/40.jpg)