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 7 Method of marking pickup site A - PANELS BPYROTECHNICS

2 Frequency/Call sign of pickup site 3 Number of patients by precedence A - URGENT C - PRIORITY D - ROUTINE

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

Special equipment A - NONE

B - HOIST
C - EXTRACTION EQUIPMENT D - VENTILATOR 5 Number of patients by type L + # LITTER A + # AMBULATORY

Security of pickup site

N - NO ENEMY P - POSSIBLE ENEMY E - ENEMY IN AREA X - ARMED ESCORT NEEDED

B - BIOLOGICAL
C CHEMICAL

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