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Casualty Evacuation

Oct 27, 2014

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081-831-1054 (SL2) Evacuate Casualties

What are the Conditions?You are a soldier deployed to a unit in a forward area. There are casualties that must be evacuated to receive medical aid. These casualties have had self-aid or buddy-aid applied. A military vehicle (ground vehicle or rotary-wing aircraft) is available. You may have a litter and straps (or materials to improvise them) to secure the casualty and other soldiers available to assist in the evacuation.

What is the Task?

To transport the casualties to medical aid or a pickup site using an appropriate carry or, if other soldiers are available, by litter. The litter must be loaded onto a military vehicle (ground vehicle or rotary-wing aircraft) without dropping or causing further injury to the casualty.

What are the Performance Steps?1. Request medical evacuation. (See Task 081-8310101.)2. Transport a casualty using the one and two man carries. (See STP 21-1-SMCT, Task 081-831-1046.) 3. Move a casualty, if necessary, using a four-man litter squad. 4. Load casualties onto a military vehicle.

081-831-0101 (SL2) - Requesting Medical EvacuationStandards: Transmitted a MEDEVAC request, providing all necessary information within 25 seconds. Transmitting at a minimum, line numbers 1 through 5 during the initial contact with the evacuation unit. And then transmitting lines 6 through 9 while the aircraft or vehicle was en route, if not included during initial contact.

Steps to Request Medical Evacuation1. Collect all applicable information needed for the MEDEVAC request. a. Determine the grid coordinates for the pickup site. b. Obtain radio frequency, call sign, and suffix. c. Obtain the number of patients and precedence. d. Determine the type of special equipment required. e. Determine the number and type (litter or ambulatory) of patients. f. Determine the security of the pickup site. g. Determine how the pickup site will be marked. h. Determine patient nationality and status. i. Obtain pickup site nuclear, biological, and chemical (NBC*) contamination information normally obtained from the senior person or medic. (*Note: NBC line 9 information is only included when contamination exists.)

Steps to Request Medical Evacuation (Cont.)2. Record the gathered MEDEVAC information using the authorized brevity codes. (See table 081-831-0101-1.) a. Location of pickup site (line 1). (See STP 21-1-SMCT, Task 071-329-1006.) b. Radio frequency, call sign, and suffix (line 2). (See STP 21-1-SMCT, Task 113637-2001.) c. Numbers of patients by precedence (line 3). d. Special equipment required (line 4).

e. Number of patients by type (line 5).f. Security of pickup site (line 6). g. Method of marking pickup site (line 7).

h. Patient nationality and status (line 8).i. NBC contamination (line 9).

Steps to Request Medical Evacuation (Cont.)3. Transmit the MEDEVAC request. (Part A) a. Contact the unit that controls the evacuation assets. 3. Transmit the MEDEVAC request. (Part B) b. Transmit the MEDEVAC information in the proper sequence.

(1) Make proper contact with the intended receiver.(2) Use effective call sign and frequency assignments from the SOI. (3) Give the following in the clear "I HAVE A MEDEVAC REQUEST"; wait one to three seconds for response. If no response, repeat the statement.

(1) State all line item numbers in clear text. The call sign and suffix (if needed) in line 2 may be transmitted in the clear.(2) Follow the procedure provided in the explanation column of the MEDEVAC request format to transmit other required information. (3) Pronounce letters and numbers in accordance with appropriate radiotelephone procedures. (4) Take no longer than 25 seconds to transmit.

(5) End the transmission by stating "OVER."(6) Keep the radio on and listen for additional instructions or contact from the evacuation unit.

Line 1- Location of Pickup SiteExplanation: Encrypt the grid coordinates of the pickup site. When using the DRYAD Numeral Cipher, the same "SET" line will be used to encrypt the grid zone letters and the coordinates. To preclude misunderstanding, a statement is made that grid zone letters are included in the message (unless unit SOP specifies its use at all times).

Where to/How to Obtain: From Map

Reason: Required so evacuation vehicle knows where to pick up patient. Also, so the unit coordinating the evacuation mission can plan the route for the evacuation vehicle (if the evacuation vehicle must pick up from more than one location).

Providers:

Unit Leader(s)

Line 2 - Radio Frequency, Call Sign, and SuffixExplanation: Encrypt the frequency of the radio at the pickup site, not a relay frequency. The call sign (and suffix if used) of person to be contacted at the pickup site may be transmitted in the clear. Where to/How to Obtain: From SOI

Reason: Required so evacuation vehicle can contact requesting unit while en route (obtain additional information or change in situation or directions).

Providers:

RTO

Line 3 - Number of Patients by PrecedenceExplanation:Report only applicable information and encrypt the brevity codes:A - Urgent. B - Urgent-Surgical. C - Priority. D - Routine.

Where to/How to Obtain: From Evaluation of Patient(s)

Providers: Medic or Senior Person Present

E - Convenience.

If two or more categories must be reported in the same request, insert the word "BREAK" between each category.

Reason: Required by unit controlling the evacuation vehicles to assist in prioritizing missions

Line 4 - Special Equipment RequiredExplanation:Encrypt the applicable brevity codes:A - None. B - Hoist. C - Extraction equipment. D - Ventilator.

Where to/How to Obtain:From Evaluation of Patient/Situation

Providers:Medic or Senior Person Present

Reason:Required so equipment can be placed on board evacuation vehicle prior to the start of mission.

Line 5 - Number of Patients by TypeWhere to/How to Obtain:From Evaluation of Patient/Situation

Reason:Required so appropriate number of evacuation vehicles may be dispatched to pickup site. They should be configured to carry patients requiring evacuation.

Providers:Medic or Senior Person Present

Explanation:Report only applicable information and encrypt the brevity code. If requesting MEDEVAC for both types, insert the word "BREAK" between the litter entry and ambulatory entry.

L+# of Patient - LitterA+# of Patient - Ambulatory (sitting)

Line 6 - Security of Pickup Site (Wartime)Explanation:N - No enemy troops in area. 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).

Reason:Required to assist the evacuation crew in assessing the situation and determining if assistance is required. More definitive guidance can be furnished the

evacuation vehicle while it is en route (specific

Where to/How to Obtain:From Evaluation of Situation

location or enemy to assist an aircraft in planning its approach).

Providers:Unit Leader

Line 6 - Number and Type of Wound, Injury, or Illness (Peacetime)Where to/How to Obtain:From Evaluation of Patient

Explanation:Specific information regarding patient wounds by type

Providers:Medic or Senior Person Present

(gunshot or shrapnel). Report serious bleeding,along with patient blood type, if known.

Reason:Required to assist evacuation personnel in determining treatment and special equipment needed.

Line 7 - Method of Marking Pickup SiteExplanation:Encrypt the brevity codes. A - Panels. B - Pyrotechnic signal. C - Smoke signal.

Where to/How to Obtain:Based on Situation and Availability of Materials

Reason:Required to assist the evacuation crew in identifying the specific

Providers:Medic or Senior Person Present

location of the pickup. Note that thecolor of the panels or smoke should not be transmitted until the evacuation vehicle contacts the unit

D - None.E - Other.

(just prior to its arrival). For security,the crew should identify the color and the unit should verify it.

Line 8 - Patient Nationality and StatusExplanation:The number of patients in each category need not be transmitted. Encrypt only the applicable brevity codes. A - U.S. military. B - U.S. civilian. C - Non-U.S. military. D - Non-U.S. civilian. E - EPW

Reason:Required to assist in planning for destination facilities and need for

guards. Unit requesting supportshould ensure there is an Englishspeaking representative at the pickup site.

Where to/How to Obtain:From Evaluation of Patient

Providers:Medic or Senior Person Present

Line 9 - NBC Contamination (Wartime)Explanation:Include this line only when applicable. Encrypt the applicable brevity codes. N - Nuclear. B - Biological. C - Chemical.

Where to/How to Obtain:From Situation

Providers:Medic or Senior Person Present

Reason:Required to assist in planning for the mission. (Determine which evacuation vehicle will accomplish the mission and when it will be accomplished.)

Line 9 - Terrain Description (Peacetime)Reason:Required to allow evacuation personnel to assess route/avenue

of approach into area. Of particular

Where to/How to Obtain:From Area Survey

importance if hoist operation is required.

Providers:Explanation:Include details of terrain features in and around proposed landing site. If possible, describe relationship of site to prominent terrain feature (lake, mountain, tower). Personnel at site

Transporting a Casualty Using 1 & 2 Man Carriesa. Fireman's carry. Use for an unconscious or severely injured casualty. c. Arms carry. Use for sh