Quiz 5- MEDEVAC, ELO B

Medical Evacuation Requests 4- special equipment needed: (4 categories) D=

D - Ventilator

Categories of Evacuation Precedence Which one needs to happen within 24 hours?

Priority III— ROUTINE 24 hours

Medical Evacuation Requests 3- Number of patients by PRECEDENCE REASON

Required by unit controlling the vehicles to assist in prioritizing missions

Medical Evacuation Requests T/F; the 9 line medevac •The same format is used for both air and ground MEDEVAC requests.

true

Categories of Evacuation Precedence: Priority IV

•Is assigned to patients for whom evacuation by medical vehicle is a matter of medical convenience rather than necessity.

Medical Evacuation Requests The 9 lines of a MEDEVAC request are: 1- ______ of pick up site 2- radio freq, _______, and suffix 3- Number of patients by _____ 4- special _____ needed 5- Number of patients by _____ 6- _____ of pick up site (wartime). OR number and type of wound, _____, or illness (peacetime) 7- method of site 8. patient ______ and status 9. ______ contamination (wartime) OR ______ description (peacetime)

1. location 2. call sign 3. PRECEDENCE 4. equipment 5. TYPE 6. Security; injury 7. marking 8. nationality 9. CBRN; terrain

Medical Evacuation Requests 4- special equipment needed: (4 categories) A=

A - None

Medical Evacuation Requests 7- method of marking site ITEM EXPLANATION

A - Panels B - Pyrotechnic signal C - Smoke signal D - None E - Other

Medical Evacuation Requests 3- Number of patients by PRECEDENCE What are the categories?

A - URGENT B - URGENT-SURG C - PRIORITY D - ROUTINE E - CONVENIENCE If two or more categories must be reported in the same request, insert the word "BREAK" between each category

Ground Medical Evacuation •Medical evacuation resources are also used to: •transfer a patient between MTFs within the ____ and •from an MTF to an en route patient _______ ______ facility for further evacuation out of theater.

AO staging system

Ground Medical Evacuation •Ground evac. may be used for a patient requiring evacuation FROM -the POI/CCP TO -the supporting BAS (Role 1 MTF) WITH •follow-on evacuation to an _____ for •further evacuation to the -Medical Company (Brigade Support) (BSMC) (Role 2 MTF).

AXP

Medical Evacuation Requests 4- special equipment needed: (4 categories) B=

B - Hoist

Medical Evacuation Requests 3- Number of patients by PRECEDENCE A - URGENT B - URGENT-SURG C - PRIORITY D - ROUTINE E - CONVENIENCE If two or more categories must be reported in the same request, insert the word "_______" between each category

BREAK

Unit Level MEDEVAC 7. Air Ambulances •A FSMP (Forward support medevac platoon) •from the supporting GSAB's (general support aviation battalion) medical company (air ambulances) •may provide direct support air ambulance support for the _____ Role 2 MTF.

BSMC

Unit Level MEDEVAC 6. Ground Ambulances •The ambulance teams from the ambulance platoon are •normally collocated with the _______ treatment platoon •for mutual support.

BSMC/MCAS

Medical Evacuation Requests 7- method of marking site WHERE/ HOW OBTAINED

Based on situation and availability of materials

Medical Evacuation Requests 4- special equipment needed: (4 categories) C=

C - Extraction equipment

ELO B:

Describe Army Medical Evacuation

Medical Evacuation Requests 8. patient nationality and status ITEM EXPLANATION E -

Enemy prisoners of war (EPW) The number of patients in each category need not be transmitted.

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) ITEM EXPLANATION E - X - Enemy troops in area (armed escort required)

Enemy troops in area (approach with caution)

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) ITEM EXPLANATION X -

Enemy troops in area (armed escort required)

Medical Evacuation Requests 4- special equipment needed A - None B - Hoist C - ______ equipment D - Ventilator

Extraction

Medical Evacuation Requests 3- Number of patients by PRECEDENCE WHERE/ HOW OBTAINED

From evaluation of patient(s)

Medical Evacuation Requests 5- Number of patients by TYPE WHERE/ HOW OBTAINED

From evaluation of patient(s)

Medical Evacuation Requests 4- special equipment needed: (4 categories) WHERE/ HOW OBTAINED

From evaluation of patient/ situation

Medical Evacuation Requests 5- Number of patients by TYPE ITEM EXPLANATION What are the two types?

L + # of patients - Litter A + # of patients - Ambulatory (sitting)

Medical Evacuation Requests which line is this the reason for? Required so evacuation vehicle knows where to pick up patient. Also, so that the unit coordinating the evacuation mission can plan the route for the evacuation vehicle (if the evacuation vehicle must pick up from more than one location

Line 1: Location of pick up site.

Ground Medical Evacuation •In EAB, •the _____ has organic evacuation assets and •receives augmentation when required from •the medco (ground ambulance) assigned to the MMB

MCAS

Ground Medical Evacuation MCAS and AMB platoon are _____ assets

MMB

Lines 3, 4, 5, 6, 7, 8, 9 (wartime) are all provided by

Medic or senior person present

Medical Evacuation Requests 5- Number of patients by TYPE WHO NORMALLY PROVIDES

Medic or senior person present

Medical Evacuation Requests 3- Number of patients by PRECEDENCE WHO NORMALLY PROVIDES

Medic or senior person present Lines 3, 4, 5, 6 (peacetime), 7, 8, 9 (wartime) are all provided by Medic or senior person present

Medical Evacuation Requests 4- special equipment needed: (4 categories) WHO NORMALLY PROVIDES

Medic or senior person present Lines 3, 4, 5, 6 (peacetime), 7, 8, 9 (wartime) are all provided by Medic or senior person present

Medical Evacuation Requests 7- method of marking site WHO NORMALLY PROVIDES

Medic or senior person present Lines 3, 4, 5, 6 (peacetime), 7, 8, 9 (wartime) are all provided by Medic or senior person present

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) ITEM EXPLANATION

N - No enemy troops in area P - Possibly enemy troops in area (approach with caution) E - Enemy troops in area (approach with caution) X - Enemy troops in area (armed escort required)

Medical Evacuation of Detainees •Detainees are _____ evacuated from the theater for medical treatment.

NOT

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) ITEM EXPLANATION N -

No enemy troops in area

Medical Evacuation Requests 8. patient nationality and status ITEM EXPLANATION D -

Non-US citizen The number of patients in each category need not be transmitted.

Medical Evacuation Requests 8. patient nationality and status ITEM EXPLANATION C - D - Non-US citizen E - Enemy prisoners of war (EPW)

Non-US military The number of patients in each category need not be transmitted.

Medical Evacuation Requests 7- method of marking site ITEM EXPLANATION D -

None

Medical Evacuation Requests Which two lines of the MEDEVAC have options for PEACE and wartime?

Numbers 6 and 9! 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) 9. CBRN contamination (wartime) OR terrain description (peacetime)

Categories of Evacuation Precedence Which one needs to happen within 4 hours

Priority II— PRIORITY (priority is FOUR syllables)

Categories of Evacuation Precedence: Priority II

Priority II— PRIORITY 4 hours

Categories of Evacuation Precedence: Is assigned to patients for whom evacuation by medical vehicle is a matter of medical convenience rather than necessity

Priority IV—CONVENIENCE

Categories of Evacuation Precedence: Priority I

Priority I— URGENT 1 hour

Categories of Evacuation Precedence •Is assigned to emergency cases that should be evacuated as soon as possible and within a maximum of one hour in order to •save life, limb, or eyesight and •prevent complications of serious illness and •avoid permanent disability.

Priority I—URGENT

Categories of Evacuation Precedence Which one needs to happen within ONE HOUR?

Priority I—URGENT AND Priority IA—URGENT-SURG

What are the categories of Evacuation Precedence?

Priority I—URGENT Priority IA—URGENT-SURG Priority II—PRIORITY Priority III—ROUTINE Priority IV—CONVENIENCE

Medical Evacuation Requests 7- method of marking site ITEM EXPLANATION B -

Pyrotechnic signal

Medical Evacuation Requests 5- Number of patients by TYPE ITEM EXPLANATION

Report only applicable information and encrypt the brevity code. If requesting MEDEVAC for both types, insert the word "BREAK" between the litter entry and ambulatory entry. L + # of patients - Litter A + # of patients - Ambulatory (sitting)

Medical Evacuation Requests 5- Number of patients by TYPE REASON

Required so that the appropriate number of evacuation vehicles may be dispatched to the pickup site. They should be configured to carry the patients requiring evacuation

Medical Evacuation Requests 4- special equipment needed: (4 categories) REASON

Required so that the equipment can be placed on board the evacuation vehicle prior to the start of the mission

Medical Evacuation Requests 7- method of marking site REASON

Required to assist the evacuation crew in identifying the specific location of the pickup. Note that the color of the panels or smoke should not be transmitted until the evacuation vehicle contacts the unit (just prior to its arrival). For security, the crew should identify the color and the unit verifies it.

Medical Evacuation Requests What are the 9 lines of a MEDEVAC request?

The 9 lines of a MEDEVAC request are: 1- location of pick up site 2- radio freq, call sign, and suffix 3- Number of patients by PRECEDENCE 4- special equipment needed 5- Number of patients by TYPE 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) 7- method of marking site 8. patient nationality and status 9. CBRN contamination (wartime) OR terrain description (peacetime)

Medical Evacuation Requests 8. patient nationality and status ITEM EXPLANATION

The number of patients in each category need not be transmitted. A - US military B - US citizen C - Non-US military D - Non-US citizen E - Enemy prisoners of war (EPW)

Air Ambulances •Although evacuation by air ambulance is the preferred means for all casualties, when high evacuation workloads exist, •evacuation by air ambulance should be the primary means used for •_____ and _____ patients.

URGENT URGENT-SURG

Categories of Evacuation Precedence: Priority II— PRIORITY •Is assigned to sick and wounded personnel requiring prompt medical care. •This precedence is used when the individual should •be evacuated within four hours OR -•if his medical condition could deteriorate to such a degree that he will become an _______ precedence, or -•whose requirements for special treatment are not available ______, or -who will suffer _______ pain or disability.

URGENT locally unnecessary

Medical Evacuation Requests 8. patient nationality and status ITEM EXPLANATION B - C - Non-US military D - Non-US citizen E - Enemy prisoners of war (EPW)

US citizen The number of patients in each category need not be transmitted.

Medical Evacuation Requests 8. patient nationality and status ITEM EXPLANATION A -

US military The number of patients in each category need not be transmitted.

What are these? 1. MEDEVAC Mission Considerations 2.Patient Acquisition 3.Ambulance Route Selection 4.Ambulance Team Duties 5.Area MEDEVAC Support 6.Ground Ambulances 7.Air Ambulances

Unit Level MEDEVAC

Ground Medical Evacuation ØIf during ground evacuation, the patient's medical condition deteriorates and their MEDEVAC precedence increases, Øan _____ _______ asset could be requested

air ambulance

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) REASON (wartime) Required to assist the evacuation crew in assessing the situation and determining if assistance is required. More definitive guidance can be furnished to the evacuation vehicle while it is en route (specific location of enemy to assist an ______ in planning its approach).

aircraft

Medical Evacuation Requests line 2- radio freq, call sign, and suffix freq of radio at the pickup site, not a relay frequency. the call sign (and suffix if used) of person to be contacted at the pickup site may be transmitted in the _____.

clear

Categories of Evacuation Precedence: Priority III— ROUTINE 24 hours •Is assigned to sick & wounded personnel requiring evacuation but •whose condition is not expected to ______ significantly. •The S&W in this category should be evacuated within 24 hours.

deteriorate

Categories of Evacuation Precedence: Priority IA—URGENT-SURG •Is assigned to pts that should be evacuated as soon as possible and within a max. of 1 hour who •must receive far forward surgical intervention to -•save life, limb, or eyesight & •- stabilize for _______ evac.

further

Unit Level MEDEVAC 6. Ground Ambulances •The ambulance teams from the ambulance platoon are •normally collocated with the BSMC/MCAS treatment platoon •for mutual support. •They establish contact and locate one ambulance team with the medical platoon of each ______ battalion.

maneuver

Categories of Evacuation Precedence: Priority IV—CONVENIENCE Is assigned to patients for whom evacuation by medical vehicle is a matter of medical convenience rather than ______

necessity

Air Ambulances •Air ambulances may fly as far forward as ______ on the battlefield.

possible

Medical Evacuation Requests 3- Number of patients by PRECEDENCE REASON: Required by unit controlling the vehicles to assist in _____ missions

prioritizing

Medical Evacuation Requests line 2- radio freq, call sign, and suffix who normally provides?

radio transmission operator

Medical Evacuation of Detainees •Sick, injured, and wounded detainees are treated and evacuated -•in military police channels when possible. •They must be physically ______ from •U.S. and •multinational patients.

segregated

Medical Evacuation Requests line 2- radio freq, call sign, and suffix Reason: Required so that evacuation vehicle can contact requesting unit while en route (obtain additional information or change in ______ or directions)

situation

Medical Evacuation Requests •The 9-line MEDEVAC request provides •a _______ message format that •helps expedite the medical evacuation process. •The same format is used for both air and ground MEDEVAC requests.

standardized

Medical Evacuation of Detainees •Wounded, sick, or injured detainees in the theater may be -•treated and returned to military police channels for evacuation, OR -•the detainees may be stabilized and moved through medical channels to _____ MTFs for treatment.

theater

Medical Evacuation Requests Who provides Line 1: Location of pick up site.

unit leaders

Evacuation of Military Working Dogs •The _____ unit is responsible for the evacuation of the animal.

using

Medical Evacuation Requests 9. CBRN contamination (wartime) OR terrain description (peacetime) EXPLANATION

war: include this line only when applicable C- Chemical B- Biological R-Radiological N-Nuclear peacetime: Includes details of terrain features in ad around proposed landing site. If possible describe relationship of site to prominent terrain feature (lake, mountain, or tower)

Platform Considerations •The air ambulance operates ______ needed on the battlefield, dependent on risk and ______ factors. •Use of hardened armored MEDEVAC vehicles may be the vehicle of choice for some missions for •short evacuation to an MTF or •to a secure AXP •for transfer to an air or wheeled ground ambulance.

wherever METT-TC

Property Exchange •Whenever a patient is evacuated •from one MTF to another, •or is transferred from one ambulance to another, •medical items of equipment -•(CASEVAC bags [cold weather type bags], blankets, litters, and splints) •remain _____ •To prevent rapid and ______ depletion of supplies and equipment, •the receiving Army element exchanges like property with the transferring element.

with the patient. unnecessary

MEDEVAC Support for ARSOF •Army special operations forces (ARSOF) do not have an organic MEDEVAC system. *•=ARSOF dependent upon the conventional theater MEDEVAC system for this support. What do they have instead?

•The ARSOF does have an organic capability to affect CASEVAC using ARSOF airframes •(those used for infiltration/extraction of ARSOF personnel).

Unit Level MEDEVAC 1. MEDEVAC Mission Considerations: The medical CDR must consider the basic tenets that influence the employment of MEDEVAC assets. These factors include the patient's medical condition and the— •Tactical CDR's plan for __1____ of operational forces • Enemy's most likely __2___ of action • ___3__ patient load • Expected areas of patient __4____ • ___5__ of MEDEVAC resources to include ground and air crews • Availability, location, & __6__ of supporting MTFs •Adherence to the protections afforded to A•medical personnel, B•patients, C•medical _7___, and D•medical transports (•under prov. of the Gen. Con.) • Airspace __8__ plan • Obstacle plans • _9__ support plan (to ensure MEDEVAC assets are not dispatched onto routes and at the times affected by the fire support mission) • Road network/dedicated MEDEVAC routes (contaminated and clean) • Weather conditions

1. employment 2. course 3. Anticipated 4. density 5. Availability 6. type 7. units 8. control 9. Fire

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) WHERE/ HOW OBTAINED

From evaluation of situation-wartime from eval of patients- peacetime

Medical Evacuation Requests Line 1: Location of pick up site explanation

GC of the pickup site should be sent by secure comms. To prevent confusion, grid zone letters are included in message.

Medical Evacuation of Detainees **********•Providing guards for the transport of detainees is NOT the responsibility of MEDEVACs units or the MTF. •Guards for these detainees are provided according to the -•BCT, -•division or -•corps orders and are from ________ medical resources

OTHER THAN

Medical Evacuation Requests 7- method of marking site ITEM EXPLANATION E -

Other

Medical Evacuation Requests 7- method of marking site ITEM EXPLANATION A -

Panels

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) ITEM EXPLANATION P -

Possibly enemy troops in area (approach with caution)

Unit Level MEDEVAC 7. Air Ambulances •The air ambulance crew evacuates •Priority I, URGENT patients •from as far forward as possible •to the BSMC. •When a forward surgical team (FST) or forward resuscitative surgical team (FRST) is collocated with a BSMC, •air ambulances evacuate ______, URGENT-SURG to this facility.

Priority IA

Categories of Evacuation Precedence: Priority IA

Priority IA— URGENT-SURG 1 hour

Categories of Evacuation Precedence: •Is assigned to pts that should be evacuated as soon as possible and within a max. of 1 hour who •must receive far forward surgical intervention to -•save life, limb, or eyesight & •- stabilize for further evac.

Priority IA—URGENT-SURG

Categories of Evacuation Precedence: Priority III

Priority III— ROUTINE 24 hours

Categories of Evacuation Precedence: •Is assigned to sick & wounded personnel requiring evacuation but •whose condition is not expected to deteriorate significantly. •The S&W in this category should be evacuated within 24 hours.

Priority III— ROUTINE 24 hours

Categories of Evacuation Precedence: •Is assigned to sick and wounded personnel requiring prompt medical care. •This precedence is used when the individual should •be evacuated within four hours OR •if his medical condition could deteriorate to such a degree that he will become an URGENT precedence, or •whose requirements for special treatment are not available locally, or •who will suffer unnecessary pain or disability.

Priority II— PRIORITY

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) REASON (wartime)

Required to assist the evacuation crew in assessing the situation and determining if assistance is required. More definitive guidance can be furnished to the evacuation vehicle while it is en route (specific location of enemy to assist an aircraft in planning its approach).

Unit Level MEDEVAC 6. Ground Ambulances •The ambulance teams from the ambulance platoon are •normally collocated with the BSMC/MCAS treatment platoon •for mutual support. •They establish contact and locate one ambulance team with the medical platoon of each maneuver battalion. •The remaining ambulances are used for BCT operations and area support. •The ambulances may be positioned at •AXPs or •CCPs, or •are field-sited with _______

Role 1 or Role 2.

Unit Level MEDEVAC 7. Air Ambulances •It may be nec. to skip RoC when •a pt's condition would benefit from going directly to a ______ MTF & •the tac. Sit. permits.

Role 3

Medical Evacuation Requests 7- method of marking site ITEM EXPLANATION C -

Smoke signal

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) WHO NORMALLY PROVIDES

Unit leader- wartime medic or senior personnel- peacetime Lines 3, 4, 5, 6 (peacetime), 7, 8, 9 (wartime) are all provided by Medic or senior person present

Unit Level MEDEVAC 2. Patient Acquisition Who has the primary responsibility for patient acquisition.

Units with organic MEDEVAC assets

Unit Level MEDEVAC 5. Area MEDEVAC Support •EAB units without organic MEDEVAC resources will require evacuation support -•on an _____ basis.

area (2 types of support! direct and area!) (•Medical evacuation on an area basis is required at all roles in the AHS system.)

Unit Level MEDEVAC 2. Patient Acquisition •Units without organic ambulance assets •are provided MEDEVAC support on an _____ support basis. •Units must develop techniques which A. facilitate the effective employment of their combat medics, B. enhance the ability to acquire patients in forward areas, and C. rapidly request MEDEVAC support.

area (2 types of support!) direct and area

MEDEVAC Support for ARSOF Planning factors to consider when planning MEDEVAC support to ARSOF includes— •Small unit and _____ AHS capability •Remote operational areas and _____ evacuation routes •Medical evacuation, medical ______ and patient tracking requires -•an understanding of ______ of ARSOF missions. (•During evacuation, they must account for -•any sensitive items and documents that the ARSOF pt possesses.)

austere long regulating sensitivity

Evacuation of Military Working Dogs •Injured or ill military working dogs may be evacuated on any transportation means _____. •The using unit is responsible for the evacuation of the animal. •Use of dedicated MEDEVAC assets (air or ground ambulances) is authorized based on -•mission priority and -•availability. •When possible, the handler should accompany the animal during the evacuation to -•ensure MEDEVAC personnel safety. •Units requesting MEDEVAC for military working dogs should include -•the location of veterinary treatment facilities or support units in their request.

available

Medical Evacuation Requests 5- Number of patients by TYPE ITEM EXPLANATION Report only applicable information and encrypt the _____ code. If requesting MEDEVAC for both types, insert the word "BREAK" between the litter entry and ambulatory entry. L + # of patients - Litter A + # of patients - Ambulatory (sitting)

brevity

Medical Evacuation Requests 5- Number of patients by TYPE REASON Required so that the appropriate number of evacuation vehicles may be dispatched to the pickup site. They should be _______ to carry the patients requiring evacuation

configured

Prioritization of Patients •Casualties requiring evacuation are prioritized to ensure the •most seriously injured or ill •receive timely medical intervention ______ with their medical condition. •As with medical treatment, the patient's medical condition is the only factor used to determine the evacuation precedence.

consistent

Unit Level MEDEVAC 4. Ambulance Team Duties Specific duties of the ambulance team are to— • Maintain ____ with supported elements. • Find and collect the wounded. • Administer tactical combat casualty care (TCCC). • Initiate or complete the Department of Defense (DD) Form _____(Tactical Combat Casualty Care Card). • Evacuate patients to the BAS. • Direct or guide _____ patients to the BAS. • Resupply company/_____ medics. • Serve as ______ in medical channels. • Perform _________ from Role 1 MTF to Role 2 MTF or the higher role of medical care.

contact 1380 ambulatory platoon messengers route reconnaissance

Categories of Evacuation Precedence Which one happens as a matter of convenience?

convenience lol

Medical Evacuation Requests 7- method of marking site REASON Required to assist the evacuation crew in identifying the specific location of the pickup. Note that the color of the panels or smoke should not be transmitted until the evacuation vehicle contacts the unit (just prior to its arrival). For security, the ______ should identify the color and the _____ verifies it.

crew unit

Medical Evacuation of Detainees When detainees are evacuated through medical channels, medical personnel— •Report this action through medical channels to -•detainee operations medical _____ and -•the next higher headquarters. •Request disposition instructions from the MEDBDE (SPT) patient movement branch.

director

Categories of Evacuation Precedence: Priority I—URGENT •Is assigned to emergency cases that should be evacuated as soon as possible and within a maximum of one hour in order to •save life, limb, or eyesight and •prevent complications of serious illness and •avoid permanent _______.

disability

Property Exchange •With United States Air Force (USAF) aeromedical evacuation operations, •specific medical equipment and _____ supplies designated as -•Patient Movement Items (PMI) must be available to support the patient during the evacuation. •Examples of PMI include— • Ventilators. • Patient _____. • Pulse oximeters. •These items will be available for exchange at the supporting aeromedical staging facilities.

durable monitors

Unit Level MEDEVAC 7. Air Ambulances •The GSAB air ambulances provide the BSMC commander •flexibility and •agility •in the emergency movement of -•tx teams and -•medical _____. (•to the forward battle area.) •It also provides emer. movement of -•Class VIII, -•blood, & -blood _____.

equip products

Medical Evacuation Requests Why should The 9-line MEDEVAC request be transmitted using secure communications?

for operational security.

Platform Considerations •Higher role of medical care assets •supports _____ and •evacuates from the lower role or evacuation assets. •The patient's medical condition is the overriding factor in determining the evacuation platform and destination MTF. •The air ambulance operates wherever needed on the battlefield, dependent on risk and METT-TC factors. •Use of hardened armored MEDEVAC vehicles may be the vehicle of choice for some missions for •short evacuation to an MTF or •to a secure AXP •for transfer to an air or wheeled ground ambulance.

forward

Medical Evacuation Requests Specific procedures, ______, and security requirements for transmittal of MEDEVAC requests are delineated through the orders process and are made a part of the unit/command standard operating procedures (SOPs). In all circumstances, along with the patient's condition, the operational situation, _____, weather conditions, enemy threat and availability of assets are considered when determining whether to send a ground or air ambulance.

frequencies terrain

Medical Evacuation Requests line 2- radio freq, call sign, and suffix where/how obtained?

from automated net control device or other approved means

Platform Considerations •Use of _____ armored MEDEVAC vehicles may be the vehicle of choice for some missions for •____ evacuation to an MTF or •to a secure AXP for transfer to an ____ or wheeled ground ambulance.

hardened short air

Prioritization of Patients •Assignment of a MEDEVAC precedence is necessary. •The precedence -provides the supporting medical unit and controlling _______ with: -information that is used in determining priorities for committing their evacuation ______.

headquarters assets

Medical Evacuation Requests •Medical evacuation requests often are sent from •the Point of Injury (POI), •through _______, such as higher HQ, •who then transmit the request up to the _______ MEDEVAC unit.

intermediaries nearest

Evacuation of Military Working Dogs •Units requesting MEDEVAC for military working dogs should include -•the _____ of veterinary treatment facilities or support units in their request.

location

Prioritization of Patients •The decision to •request a MEDEVAC and •the level of evacuation precedence will be made by -•the senior ________ on scene, or -•senior military ranking officer (•IF medical personnel are unavailable based on the -•patient's condition and -•the ______ situation.)

medical personnel tactical

Unit Level MEDEVAC 5. Area MEDEVAC Support •To ensure that these elements receive adequate support, •the ________ must include these requirements into the OPLAN. •Prior coordination is essential to ensure that -•the locations of CCPs, AXPs, and BASs are disseminated to these elements and -• that any unique support requirements are included in the OPLAN.

medical planner

Unit Level MEDEVAC 3. Ambulance Route Selection •Tactical mission • Coordinating evac plans and operations with the unit ______ officer • Security of routes and security escort • ______ of routes • Physical characteristics of roads and cross-country routes (to include _____ obstacles) • Requirements to traverse roads in urban areas and •potential obstructions from rubble and debris •Traffic density • Time and distance factors • Proximity of possible routes •to areas that may be subject to enemy fire • Lines of patient drift • Cover, concealment, and available defilade for moving and stationary vehicles • Obstacle plans • Fire support plan •(to ensure MEDEVAC assets are not dispatched onto routes and at the times affected by the fire support mission)

movement Availability natural

Unit Level MEDEVAC 2. Patient Acquisition •Units with _____ MEDEVAC assets •have the primary responsibility for patient acquisition.

organic

Platform Considerations ********•The _________ is the overriding factor in determining the evacuation platform and destination MTF. •The air ambulance operates wherever needed on the battlefield, dependent on risk and METT-TC factors. •Use of hardened armored MEDEVAC vehicles may be the vehicle of choice for some missions for •short evacuation to an MTF or •to a secure AXP •for transfer to an air or wheeled ground ambulance.

patient's medical condition

Prioritization of Patients ********As with medical treatment, the _________ is the only factor used to determine the evacuation precedence.

patient's medical condition

Evacuation of Military Working Dogs •Use of dedicated MEDEVAC assets (air or ground ambulances) is authorized based on -•mission _____ and -•availability. •When possible, the handler should accompany the animal during the evacuation to -•ensure MEDEVAC personnel ______.

priority safety

Medical Evacuation Requests 6- Security of pick up site (wartime). OR number and type of wound, injury, or illness (peacetime) REASON (peacetime)

required to assist evac personnel in determining special equipment needed

Unit Level MEDEVAC 1. MEDEVAC Mission Considerations: •The accumulation of casualties •_____ unit movement and •lowers morale. •These influences are prevented through •organized and timely evacuation from _____ areas.

restricts forward

Medical Evacuation of Detainees •The U.S. provides the _______ of medical care for wounded, sick, and injured detainees •as that given to U.S. and multinational Soldiers.

same standard

Platform Considerations •Evacuation platforms must be capable of keeping pace with the _______ unit. •Higher role of medical care assets •supports forward and •evacuates from the lower role or evacuation assets. •The patient's medical condition is the overriding factor in determining the evacuation platform and destination MTF. •The air ambulance operates wherever needed on the battlefield, dependent on risk and METT-TC factors. •Use of hardened armored MEDEVAC vehicles may be the vehicle of choice for some missions for •short evacuation to an MTF or •to a secure AXP •for transfer to an air or wheeled ground ambulance.

supported

Ground Medical Evacuation This figure provides an example of a request from the POI for ground evacuation. The patient is a PRIORITY precedence patient requiring evacuation from the POI/CCP to the supporting BAS (Role 1 MTF) with follow-on evacuation to an AXP for further evacuation to the medical company (brigade support battalion) (BSMC) (Role 2 MTF) (just like it said on previous slide/index card) If during evacuation the patient's medical condition deteriorates and their MEDEVAC precedence increases, an air ambulance asset could be requested. If the patient requires evacuation to a Role 3 MTF it can be accomplished by either an air or ground ambulance (GA) depending on the evacuation precedence and _____ situation.

tactical

•The General Support Aviation Battalion (GSAB)/Combat Aviation Brigade (CAB) •in coordination with the medical brigade, •will position air ambulance assets where they can best support the _____ commander's plan through the timely and ______ evacuation.

tactical responsive

Medical Evacuation Requests 9. CBRN contamination (wartime) OR terrain description (peacetime) WHERE/ HOW OBTAINED

war: From situation peace: from area survey

Medical Evacuation Requests 9. CBRN contamination (wartime) OR terrain description (peacetime) WHO NORMALLY PROVIDES

war: Medic or senior person present peace: personnel present Lines 3, 4, 5, 6 (peacetime), 7, 8, 9 (wartime) are all provided by Medic or senior person present

Medical Evacuation Requests 9. CBRN contamination (wartime) OR terrain description (peacetime)

war: REASON Required to assist in planning for the mission (determine which evacuation vehicle will accomplish the mission and when it will be accomplished) peace: required to allow evac personnel to assess route/avenue of approach into area. of particular importance if hoist op is required