U.S. ARMY MEDICAL SUPPORT BY SGT FREDERICK, EVELYN CIVIL AFFAIRS TEAM 8041 MEDIC
AGENDA HOSPITAL LEVELS OF CARE TRAINING FOR ALL SOLDIERS: SELF AID, Tactical Combat Casualty Care (TCCC) MEDICS: REGULAR, FLIGHT, SPECIAL OPERATIONS MEDICAL SERGEANT MEDICAL EVACUATION
ROLE 1 ROLE 1 is care given and available at the time of injury. Care given at this level is typically provided by nonmedical personnel who are trained in advanced first-aid: self-aid, buddy-aid, CLS or by combat medics on site. ROLE 1 CARE at the Battalion Aid Station Triage, Treatment, and Evacuation Care can be provided by the Physician, Physician s Assistant, or the Medic. The intent is to either return the individual back to duty as soon as possible, or stabilize the casualty and evacuate to the next level of care. At this level, there are no holding or surgical capabilities.
ROLE 2 Basic primary care with increase capabilities over a Role 1. Basic emergency treatment Advanced Trauma Management Can deliver blood transfusions Limited X-ray, clinical laboratory, dental support, combat and operational stress control, and preventive medicine small scale surgical capabilities. A Role 2 has holding capabilities with limited bed space and is considered fully mobile. Role 2 medical treatment facilities are located within the treatment platoons of medical companies.
ROLE 2: FORWARD SURGICAL TEAM(FST) The FST provides a rapidly deployable immediate surgical capability, enabling patients to withstand further evacuation. Used for patients who need to be stabilized before long-distance medical transfers. Comprised of a 20-person team with 1 orthopedic surgeon, 3 general surgeons, 2 nurse anesthetists, and critical care nurses and technicians. Includes 2 operating tables for a maximum of 10 cases per day and a total of 30 operations within 72 hours. Transportable by ground, fixed wing, or helicopter; some FSTs are airborne deployable. Operational within 1 hour of arrival at the supported company.
ROLE 3 CARE The Role 3 provides a medical treatment facility staffed and equipped to deliver care to all categories of patients. This includes resuscitation, initial wound surgery, damage control surgery, and postoperative treatment. This role of care builds on the treatment provided at Role 2. Patients who are unable to tolerate and survive movement over long distances receive surgical care in a hospital as close to the supported unit as the tactical situation allows.
WHO S TRAINED? ALL SOLDIERS Self-aid Move to safety, Hemorrhage control: Tourniquet, Applied Pressure, etc. Tactical Combat Casualty Care- All Combatants (TCCC_AC) Intro to TCCC_CA Care under fire Tactical Field Care Tactical Evacuation Care Scenarios for practice
MEDICAL PERSONNEL Basic Medic EMT BASIC CERTIFIED FLIGHT MEDIC EMT BASIC CERTIFIED WITH A FLIGHT MEDIC COURSE. (By 2017, all flight medics are required to be Paramedic certified) SPECIAL OPERATIONS COMBAT MEDIC (SOCM)- 7 weeks of medical fundamentals, 7 weeks of trauma modules, 4 weeks of clinicals, 3 military medicine.
Medical Evacuation (MedEvac) Medical Evacuation is the movement of a casualty in a vehicle equipped with medical personnel and medical supplies used to treat a patient. (Land and Air) The casualty is picked up at an ambulance exchange point and taken to the nearest facility with more capabilities. The facility receiving the casualty is responsible for the medical evacuation of the casualty. (Role 2 and up) The vehicles used to performed medevacs are called medical evacuation vehicles or MEVs.
REQUESTING A MEDEVAC To request a medevac, we use 9 lines of information to request services. These 9 lines allow for the medevac vehicle to prepare for security, pickup, and delivery of every casualty. In order to have services activated, the first five lines MUST be given to the individual receiving the 9 line.
MEDEVAC VEHICLES Stryker M1133 MEV Casualty carrying capabilities 4 litters 6 Ambulatory 2litter/3 ambulatory EQUIPMENT FOR MOST MEVS O2 tanks Suction Spine boards Extra litters SKED s I.V. attachments NBC filtration system
Black Hawk Casualty Carrying Capacity 6 litter and 1 ambulatory 7 ambulatory Or 3 litters and one ambulatory ***Black Hawks bring in special extraction equipment upon request.
CASUALTY EVACUATION (CASEVAC) CASEVAC is a reference to the movement of casualties via nonmedical vehicles. CASEVAC is to move Soldiers with less severe injuries when medical evacuation assets are overwhelmed. CASEVAC is typically avoided if possible. It can take away from the mission at hand.
CASEVAC CASEVAC CAPABILITIES Carrying capacity varies with every vehicle. Medical resources are based on what can be made available.
Questions 8 April 2016 15
REFERENCES http://www.naemt.org/education/tccc/tccc-ac http://www.cs.amedd.army.mil/filedownloadpubli c.aspx?docid=1a73495d-1176-4638-9011-9e7f3c6017d8 ATP 4-25.13 CASUALTY EVACUATION ATP 4-02.2 MEDICAL EVACUATION