Plan Presentation Plg Guidance 2/2017

MED SP PLAN

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Plan Presentation
MED SP PLAN Plg Guidance 2/2017

INTRODUCTION

Any member of the combat forces who becomes unfit to

perform his duty in the field due to injury or sickness is a
impediment to the efficiency of the forces and his presence
among the fighting troops tends to lower their morale. He
must therefore, be removed as speedily as possible to some
other place where he can be properly treated and restored
physically or otherwise disposed of according to the nature of
his wounds or disability. An efficient med sp plan which is
organized and administered greatly affects the combat
strength, mobility and morale of the Army.

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Plan Presentation
MED SP PLAN Plg Guidance 2/2017

AIM

• To provide med sp to the depl units incl the paramil

and aux forces during war by arranging rapid
collection, treatment and evac of cas from FDL upto
base hospital with own resources and ut of 20% of civ
resources for augmentation of own resources.

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Plan Presentation
MED SP PLAN Plg Guidance 2/2017

CONCEPT OF MED SP

Intimate med sp shall be provided to the depl tps. Normal log

affiliation will be maint. Resources will be cen con by ADMS
who may carry out nec gp and regp to cater for med sp
outside normal log affiliation. Regp of resources may also be
nec to cope up with the varying intensity of battle at different
places.

Fd Amb will be split up into MDS to provide med sp from within

DAA and ADS to provide med sp from within BAA or fwd
BAA.
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

CONCEPT OF MED SP

MST should provide sp from as far fwd as poss. Plg for hel evac
should be catered for.

Ut of 20% civ resources to augment own resources. Dist hosp,

UHCs, Med college will be used for CASEVAC. Union sub
centres can be turned into CAP, CCP or RAP

Students of army med colleges may be planned to meet the

reqr of addl AMC pers.
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

MEDICAL UNITS

• 4 × FD AMB
• CMH Alikadam
• CMH Ramu
• BGB Hosp
• 1 × Medical College Hosp
• Other Govt and Private medical institutes
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

CIVIL RESOURCES

• Ut of 20% civ resources to augment own resources. Dist hosp, UHCs,

Med college will be used for CASEVAC. Union sub centres and
community clinics can be turned into CAP, CCP or RAP

 13 UHCs – 31 beds each with minor OT cap.

(can be used as MDS)

 SADAR Hospital Cox’s Bazar – 250 beds with major OT cap.

(can be used as base hosp)

• 26 private hospitals – various cap

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Plan Presentation
MED SP PLAN Plg Guidance 2/2017

MEANING OF CAS

Death due to any cause including suicide and murder

Wound/injury sustained in aid of civil power

wound/injury from any other causes irrespective of whether the

individual concerned is placed on SIL or DIL list

Missing other than absent without leave or desertion

Placing on SIL or DIL list, transfer from one list to other and
removal there from

Transfer from one hosp to another whilst on SIL or DIL list

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

EVAC OF CAS

Majority of combat death occurs in the battlefield before

evacuation takes place.

80% of combat death occurs within first hour after injury

50% of combat deaths are a result of soldier bleeding of death

Of the 50% of combat deaths, 40% could have lived, had the
bleeding been stopped.
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

CHAIN OF EVAC OF CAS

FDL

CAP

RAP

CCP

ADS

CCP

MDS

CMH
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

FDL

Shell dressing/tourniquet

First aid

Temp Splint

Inj Morphine ( if reqr)

Auto Wpn & ammo removed

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

CAP
Splint/dressing adjusted/applied

First aid

Inj Morphine (if not given and reqr)

Evac to RAP

RAP
Inj Loading dose or antibiotic

Docus (AFW-3118A & AFW-3118)

Evac to ADS
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

ADS

Triage

Splint/ dressing adjusted/ applied

Drugs/ Injections

Docus

Tea

Evac to MDS (if reqr)

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Plan Presentation
MED SP PLAN Plg Guidance 2/2017

MDS
Triage & resuscitation

Definitive life and Iimb saving surgery (if reqr)

Blood Transfusion (if reqr)

Removal of pers wpn

Evac to CMH

CMH
Elective surgery Treatment

Docus

Hold the patient / Return to RFT Camp

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

BTL CAS EST

Total Manpower = 30326

Casualty during intense period = 5228

Casualty during normal period = 5475
Casualty during quiet period = 880

Total casualty 30 days = 11583 (of the total casualty 20% are
likely to be dead and evac has to be arng for rest 80%)
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

BTL CAS EST

 Approx KIA(20% of total cas) = 2317

Offr - 85
JCO - 91
OR - 2141

 Approx WIA(80% of total cas) = 9266

Offr - 339
JCO - 363
OR - 8564

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Plan Presentation
MED SP PLAN Plg Guidance 2/2017

PERCENTAGE OF LYING AND

SITTING PATIENT

The proportion of lying and sitting cases will be as under.

From To Lying Sitting

RAP ADS 25% 75% (some may be walking wounded)

Total WIA = 9266/ 30 days

Total lying = 2316

Total Sitting = 6950

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

PERCENT OF TPT OF INJURED TPS

proportion of walking, sitting and lying cases at different stage

of evac:

From To SB OR Amb Walk Sitting Lying

FDL ADS 35% 65%
ADS MDS 50% 50%
MDS Base Hosp 100%

Total WIA = 9266

SB or Amb = 3243

Walking = 6023
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

TPT REQUIREMENT

Carrying capacity will be as under:

Type of tpt Sitting case Lying case

Ambulance Car 08 04
Ambulance Jeep 02 02
Truck 1 Ton 06 02
Truck 3 Ton 12 06

Each Fd Amb is auth 12 Amb

Each Bde is auth 1 Fd Amb

Each Div is auth 3 Fd Amb

Total Amb = 12x4 = 48 (Add 69 Bde is att with 10 Div)

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

TPT

Type of veh MDS Incl 1x ADS 3x ADS Total

MST
Veh GS ¼ ton 02 - - 02
Veh GS 1 ton 02 02 06 08
Veh Amb ¾ Ton 03 03 09 12
Trk Veh 2 ½ Ton 04 01 03 07
Veh Blood Bank 01 - - 01
Motor Cycle 01 - - 01
Total = 13 06 18 31

Each Fd Amb is Auth = 31 Veh.

Each Div is Auth = 31x4 (Include 66 Bde) = 124 Veh

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

STATE OF AMB (CMH)

3x AMB = CMH RAMU (1X AMB Res)

1x AMB = CMH ALIKADAM

CAPABILITY OF ANSAR

Only taking medicine from upazilla health Complex.

Medical offr is not aval

No Amb is att to Ansar Bn

MED SP - BGB

O1x Hosp Satkania (60 Bed Hosp)

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

Coord Instrs

Evac Policy

Patients reqr treatment for less than 24 hr to be held by ADS.

MDS may hold patients max for 72 hr.

Base Hosp at RAMU & COX'S BAZAR can hold patients for
max 7-10 days.

Patients reqr treatment for more than 10 days to be evac to

CMH CTG or CMH DHAKA. Critically injured also may be
flown by air dir from RAMU and COX'S BAZAR to CMH CTG
or CMH DHAKA
Fd Amb are to coord with civ surgeon for requisition of civ amb
cars when needed.
Plan Presentation
MED SP PLAN Plg Guidance 2/2017

Coord Instrs
BLOOD COLLECTION

CO Fd Amb are resp to coord with the civ surgeon to collect

blood. Blood bank veh is to be ready at all times. Blood is to be
collected proportionately basing on the blood gp of the sldrs of
bdes / TF.

Local pop should also be motivated to donate blood.

Plan Presentation
MED SP PLAN Plg Guidance 2/2017

Coord Instrs
Med Stores

Adequate med stores are to be stocked by fd ambs.

Subsequent replen from AFMSD through CMH RAMU.

A lump sum amount of money would be given to CO Fd Amb

to purchase life saving drugs locally.
Plan Presentation Plg Guidance 2/2017

THANK YOU

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