MEDEVAC/CASEVAC/9 LINE MEDEVAC

What are the advantages to Aeromedical Evacuation?

1. Speed 2. Flexibility 3. Enroute 4. Comfort 5. Morale

Upon receipt of an Urgent MEDEVAC, how much time does the Aircrew have to launch?

15 Minutes

What is the optimum evacuation time for an Urgent MEDEVAC Request?

60 minutes "the golden hour"

AHS

Army Health System.

CCP

Casualty Collection Points

FLEXIBILITY

Changes in tactical plans or operations may require redistribution or reallocation of medical evacuation resources

CONTINUITY

En route medical care provided during medical evacuation must be effective and continuous to prevent interruptions in the continuum of care.

Priority I—URGENT

Is assigned to emergency cases that should be evacuated as soon as possible and within a maximum of 1 hour in order to save life, limb, or eyesight, to prevent complications of serious illness, or to avoid permanent disability.

Priority IV—CONVENIENCE

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

Priority IA—URGENT-SURG

Is assigned to patients who must receive far forward surgical intervention to save life and to stabilize them for further evacuation.

Priority III—ROUTINE

Is assigned to sick and wounded personnel requiring evacuation but whose condition is not expected to deteriorate significantly. The sick and wounded in this category should be evacuated within 24 hours.

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 4 hours or 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.

Line 1

Location of pickup site

What are the 2 methods used to evacuate casualties?

MEDEVAC & CASEVAC

FM 4-02.2

MEDICAL EVACUATION

MOBILITY

Medical evacuation assets must have the same mobility and survivability capability (such as armor protection) as the forces supported.

CONTROL

Medical planners must ensure medical control is exercised over the execution of ground medical evacuation operations and that medical influence (technical and operational supervision) is exercised over the execution of aeromedical evacuation (AE) operations.

Line 7

Method of Marking Pick-up Site A- Panels B- Pyrotechnic signal C- Smoke Signal D- None E- Other

MTF

Military Treatment Facility

MEDICAL EVACUATION (MEDEVAC)

Movement of casualties on medical ground/ air vehicles w. medical personnel on board

CASUALTY EVACUATION (CASEVAC)

Movement of casualties on non-medical vehicles with no medical personnel on board

Line 9

NBC Contamination N- Nuclear B- Biological C- Chemical

Line 3

Number of patients by precedence A-Urgent B-Urgent Surgical C-Priority D-Routine E-Convenience

CONFORMITY

Participating in the development of the OPLAN or the operation order (OPORD) ensures that the medical planner conforms to strategic, operational, and tactical plans.

Line 8

Patient nationality and status: A - US Military B - US Civilian C - Non-US Military D - Non-US Civilian E - EPW

Line 5

Patients by type A-Litter B-Ambulatory

4 phases of casevac

Prelaunch, ingress, extract, egress

Categories of evacuation precedence

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

Line 2

Radio frequency, call sign, and suffix

Roles of care

Role 1: first care given to military. immediate lifesaving. Role 2: advanced trauma management, continuation of resusitation started at role 1 Role 3: MTF staffed to help all categories of patients Role 4: A robust hospital. US base hospital or robust hospital over seas

Line 6

Security of Pick-up Site N- No enemy troop in area P- Possible enemy troops in area (Caution) E- Enemy troops in area (Caution) X- Enemy troops in area (Armed escort required)

Line 4

Special equipment required: A - None B - Hoist C - Extraction equipment D - Ventilator

PROXIMITY

The location of medical evacuation assets in support of combat operations is dictated by orders and the tactical situation (mission, enemy, terrain and weather, troops and support available, time available, and civil considerations [METT-TC]).

DA Form 3981

This form serves as written order for patient transfer by the attending physician

Three Movement Precedence

Urgent, Priority, Routine

AHS

a complex system of interrelated and interdependent systems which provides a continuum of medical treatment from the POI or wounding through successive roles of health care to definitive, rehabilitative, and convalescent care in the CONUS, as required.

MEDICAL EVACUATION SUPPORT FOR STABILITY OPERATIONS

• Civil control. • Civil security. • Provide essential services. • Support economic and infrastructure development. • Governance.

Casualty collection points should-

• Offer cover from enemy fires. • Be as far forward as the tactical situation permits. • Be identifiable by an unmistakable feature (natural or man-made). • Allow rapid turnaround of ambulances.