Aeromedical Evacuation Procedures

Task- Instruct Cadets in proper Aeromedevec procedures according to FM 4-02.2, FM 8-10-6, FM 90-4. Condition: Given a standard PowerPoint presentation, ROTC Classroom, and highly motivated cadets prepared to learn. Standards: Cadets will receive a block of instruction then perform a practical exercise.

Definitions
Medical Evacuation (MEDEVAC): Movement and en route care by medical personnel of wounded, injured, or ill persons from the battlefield and/or other locations to Medical Treatment Facilities (MTF.) Casualty Evacuation (CASEVAC): Movement of casualties aboard non-medical vehicles or aircraft. Casualties transported in this manner do not receive en route medical care. Mass Casualty (MASCAL): Any large number of casualties produced in a very short period of time that exceeds unit support capabilities. Aeromedical Evacuation (AEROMEDEVAC): Medical evacuation via aircraft.

Advantages of aeromedical evacuation

Timely treatment, contributing to saving lives and reducing permanent disability Movement of patients over relatively long distances in short periods of time Movement of patients over terrain where ground evacuation would be difficult or impossible. Fewer and less frequent movement of MTFs. Patients moved directly to the MTF best equipped to deal with their condition

Basic aeromedevac missions/capabilities

Delivery of whole blood and biologicals Air-crash rescue support Movement of medical personnel and supplies Evacuation of selected casualties

Patient Classification
Litter- Head, neck, or back injury. Unconscious or unable to walk. Ambulatory- Able to walk under own power (walking wounded)

History
OH-13 Sioux The Angel of Mercy Disadvantages:
No in-flight treatment Casualties exposed to the elements and enemy fire

AEROMEDEVAC Assets
UH 60Q
5 red cross marking
ACL Normal: 3 litters, 4 ambulatory ACL Prior Notification: 6 litters and 1 ambulatory or 7 ambulatory

AEROMEDEVAC Assets contd

CH-47 Primary use: Mass casualty evacuation when used for Aeromedical evacuation Identifiable marks: None ACL: 24 litters and 1 ambulatory or 31 ambulatory

Methods of Casualty Extraction

Sit-down method has a suitable landing zone Hoist method does not have a suitable landing zone

Special Equipment
High Performance Utility Hoist Jungle Forest Penetrator SKED Rescue System Basic Ridged Litter Kendricks Extrication Device

Patient Classification
Priority I- URGENT Immediate evacuation is necessary to save LIFE, LIMB, or EYESIGHT within TWO hours. Priority II- URGENT SURGICAL Must receive far forward surgical intervention to save life and stabilize for further evacuation. Priority III- PRIORITY Evacuation is required as soon as possible. LIFE, LIMB, or EYESIGHT is not in immediate danger. Evacuation should be within FOUR hours. Priority IV CONVENIENCE Evacuation is not urgent or priority, but it is required so as not to endanger the accomplishment of the unit tactical mission.

Nine Line Request for AEROMEDEVAC

Line 1: Location of pick up site. (grid location) Line 2: Radio frequency, call sign and suffix Line 3: Number of patients by precedence Line 4: Special Equipment needed Line 5: Number of patients by type of casualty Line 6: COMBAT Security of pick-up site Line 6: PEACETIME wounds, injuries, and illness Line 7: Method of marking pick-up site Line 8: Casualty Nationality and status Line 9: COMBAT NBC contamination Line 9: PEACETIME Description of pick up site

 Any Questions?

Practical Exercise
Prepare a 9-line request for the following scenario.

 You are the squad leader on a STX lane. You have just conducted a squad attack on OBJ Ramrod vic. Grid EG !!!!!!!! After you have completed actions on the objective you determine you have three casualties that need evacuation. One of your riflemen was shot in the chest and is bleeding profusely. Your Bravo team automatic rifleman dislocated his shoulder and sustained a deep cut on his forearm from which he is bleeding. You have a friendly foreign national with you who has sustained multiple gunshots to the abdomen and left leg.

 You are on the primary aid and litter team and are responsible for creating a MEDEVAC request. You have just stepped off from the Line of Departure when your point pan falls and sprains his ankle. He cannot walk and your squad is moving to conduct a point ambush at OBJ Mudbones vic. Grid EG !!!!!!!!. Your AA is located at EG !!!!!!!!

 You are on the primary aid and litter team and are responsible for preparing the MEDEVAC request. Your squad moved 400m directly to the grid north of the patrol base located at EG !!!!!!!! When you came under heavy fire from 2-3 enemy. After maneuvering and establishing security, you determine you have the following casualties: your ATL has sustained a gunshot wound to his neck, one other member of alpha team was shot in the leg, and a captured EPW sustained 100 gunshots to his head and chest. Yes he is still alive.

References
FM 90-4 Air Assault Operations FM 8-10-6 Medical Evacuation in a Theater of Operations FM 4-02.2 Medical Evacuation