MODES OF EVAC OF CAS

TRANSPORT USED FOR

CAS EVAC
FDL TO RAP: * REGIMENTAL
STRETCHER BEARERS
*MODIFIED JEEPS
*APC
RAP TO ADS: * STRETCHER BEARERS
* AMB CARS
* MULES
* APCS
* HELICOPTERS
 TRANSPORT USED FOR
CAS EVAC
• ADS TO FSC:
• AMB CARS
• SECOND LINE TRANSPORT
• HELICOPTERS
• FSC TO GH / MH
• AMB CARS(AMB PL ASC, CORP FD AMB)
• RETURNING GS VEHICLES.
 TRANSPORT USED FOR
CAS EVAC
• GH TO REARWARDS:

• ARMY TRANSPORT BY RAIL / ROAD

• BY AIR
• BY WATER ROUTE
 STRETCHERS
STRETCHER LIGHT WEIGHT FOLDING.
• AUTH TO FIELD AMBULANCE
• LENGTH 2.25 M
• WT 7 KGS
• LENGTH OF CANVAS 1.80 MTRS
• WIDTH OF THE CANVAS IS 0.6 MTRS
• 10 CM ABOVE GROUND
 STRETCHERS
BASKET STRETCHER.
• USED FOR EVACUATING CASUALTIES IN
SNOW
• HELICOPTER WINCHING OPERATIONS
EITHER VERTICALLY OR HORIZONTALLY
PARAGAURD STRETCHERS
• FOLDABLE
• CAN BE TAKEN IN BACKPACK
• MOUNTAINOUS TERRAIN
 STRETCHERS
NEIL ROBERTSON STRETCHER.
• EXTRICATION OF CASUALTIES FROM NARROW
SPACES
• FLEXIBLE PROTECTIVE CASE
• ROPE HANDLES
• STRAPPING OF HEAD
SCOOP STRETCHER
• LIGHT WEIGHT FOLDING STRETCHER
• CAN BE PLACED WITHOUT SHIFTING
CASUALTIES
• CAN BE MOVED IN NARROW AREAS
• LENGTH ADJUSTABLE
 CAPABILITIES
STRETCHER BEARERS
1. DAY - 3KM/H
PLUS 1 HOUR FOR 1000 FT CLIMB
OR 1500 DESCENT
AVERAGE 2 Km/H
2. NIGHT-2KM/H (AVG 1KM/H)
PLUS 1 HOUR FOR 1000 FT CLIMB
OR 1500 DESCENT
AVERAGE 1 Km/H
 CAPABILITIES
MULES
SAME AS THAT OF STRETCHER
BEARER SQUAD
OTHERWISE 4KM/H

AMBULANCE CARS
• AMB CARS AND MT- 16 TO 20 KM/HR
• LOADING/UNLOADING –15 TO 30 MIN
AT EACH END.
 CARRIAGE OF CAS BY MT
CARRYING CAPACITY
TPT SITTING LYING MIXED
STRETCHER 4 1 2+ 1
FITTED JEEP

LIGHT AMB 4 2 1+2

NISSAN

AMB ONE TON 8 4 4+2

NISSAN
 CARRIAGE OF CAS BY MT

• TPT SITTING LYING MIXED

STRETCHER 8 2 2+ 4
FITTED 1TON GS

THREE TON GS
STRETCHER 18-21 6 6+8
FITTED
LOADING AND UNLOADING
LOADING
• LEFT UPPER
• RIGHT UPPER
• LEFT LOWER
• RIGHT LOWER
UNLOADING
• RIGHT LOWER
• LEFT LOWER
• RIGHT UPPER
• LEFT UPPER
 LIMITATION IN EVACUATION OF
CASUALTIES BY AIR
• AIR SUPERIORITY
• LANDING GROUNDS
• AIR CRAFT AVAILABILITY
• REGULARITY OF SORTIES
• WEATHER
• TYPES OF CASUALITIES
• FAULTY BRIEFING
• COMMUNICATION DELAY
 CAS EVAC BY IAF AC

• RESPONSIBILITY:-
– IAF -RESPONSIBLE FROM THE TIME PATIENT
RECEIVED FOR AEROMEDICAL EVACUATION
UPTO WHEN THEY LEAVE IAF MED UNIT.

• CIRCUMSTANCES OF AIR EVAC;

– FWD AREAS TO BASE HOSP
– ERRANDS OF MERCY- PARA 9 OF AFI 49/71.
– LIFE SAVING MEASURE- 109 TR.
 5
MI 8
CARRYING CAPACITY
12 OF
AIR CRAFTS
1
AIRCRAFT 24 MED ASST SITTING
STRETCHER
MI CHEETAH
17 - - 3
12
CHETAK 2 1 5
MI 8 12 1 1 24
MI 17 12 24 1 24
MI MI
26 26 60 3 82
60
AN 32 24 3 50
3
AVRO 21 2 40
82
IL 76 80 3 225
AN 32
 ADVANTAGES OF AIR
EVAC
• OVERCOMES ADVERSE TERRAIN.
• ENABLES EARLY INSTITUTION OF DEFINITIVE
TREATMENT
• SAVES SKILLED MANPOWER
• SPEED
• MORALE
• AVOIDANCE OF INFECTION
• ECONOMY
• SAFETY
• COMFORT
 RESPONSIBILITY OF OC
C.A.E.U
• Reception at air fd.
• Sorting and classification.
• Holding at base 24-48 h (max 30
cas at a time).
• Resuscitation facilities and surg
/ med aid.
• Loading of cas in the ac.
• In flt nursing.
• Brief army med units.
 CLASSIFICATION
• AUTH PERS : OFFRS / CADETS /
AIRMAN / RATINGS / AND JCO OR
OF ARMED FORCES AND DSC
PERS.
• CLASS I : NEURO PSY PATIENTS.
• I A - FRANKLY DISTURBED - RESTRAINT
SUPERVISION AND SEDATION NEEDED.
• I B - MAY REACT BADLY TO AIR TRAVEL
AND ENDANGER THE SAFETY.
• I C - COOPERATIVE / RELIABLE UNDER
OBS.
 CLASSIFICATION - Contd..
• CL 2 - STRETCHER PATIENT.
– 2A - UNABLE TO MOVE AT ALL.
– 2B - CAN MOVE IN EMERGENCY.
• CL 3 - WALKING PATIENT - MINOR
ATTENTION.
• CL4 - NO TREATMENT ENROUTE &
CAN TRAVEL UNATTENDED.
 PRIORITIES OF
EVACUATION
• Pi - quickest transfer as life saving
measure or to avoid serious
disability.
• PII - patients adversely affected
unless speedily evacuated & for early
spec - treatment.
• PIII - immediate local treatment
available but progress faster by air.
• PIV - mov by air - convenient.
 RESPONSIBILITY

• FITNES FOR AIR EVAC - OC CAEU /

SMO / PMO / COMD /DGMS (AIR) AS
APPLICABLE.
• IN FLT NUR TEAM ARRANGEMENTS:
- OC CAEU / SMO / PMO CONCERNED
AND DGMS AIR IF ASKED FOR BY AIR
HQ.
 DOCUMENTATION

• DESPATCHING HOSP PREPARES

SIX COPIES OF NOMINAL ROLL
GIVING THE FOLLOWING INFO:-
– UNIT
– TRADE
– DISEASE
– LYING / SITING
– DIET
– TREATMENT
THANKS