Part 4 Aeromed Evacs

The reference manual is

ATP 4-02.2

What is MEDEVAC

Medical evacuation (for something to be considered MEDEVAC it must have a vehicle specifically meant for medevac - red cross marking - and medical professionals on board)

What is CASEVAC

Casualty evacuation (occurs in NONMEDICAL VEHICLES and does not have medical professionals)

What is MASCAS/MASCAL

Mass casualty, when there are more casualties than support capabilities and it occurs in a short period of time

What is MTF

Medical treatment facility

Brief history of aeromed evacs

First army MEDEVAC was OH-13 Sioux during Korean War, nicknamed angel of mercy

Five key advantages of aeromed evacs

1) timely treatment

2) movement of pax over long distances in short periods of time

3) movement of patients over restrictive terrain

4) patients can be moved directly to an MTF that can best treat them

5) allows for fewer and less frequent movement of MTFs

Four basic aeromed missions/capabilities (DAME)

D - delivery of whole blood and biological

A - air crash rescue

M - movement of medical personnel and supplies

E - evac of selected casualties

Four key types of aeromed aircraft

1) LUH-72A

2) HH-60M

3) UH-60Q

4) CH-47

How many red cross markings does LUH-72A have

Four

Number of LUH-72A crew

Four - pilot, copilot, crew chief, in flight medic

LUH-72A ACL

Two litters with one medic or five ambulatory

LUH-72A loading sequence

Litters loaded side by side to the rear, ambulatory is loaded through the cargo door

How many red cross markings does HH-60M have

Five

Number of HH-60M crew

Four - pilot, copilot, crew chief, in flight medic

HH-60M ACL for normal configuration and prior notification

Normal config = four litters and one ambulatory

Prior notif = six litters or six ambulatory

HH-60M loading sequence

Ambulatory patients are loaded either first or last, litter patients are loaded from top to bottom in Z pattern

MOST SERIOUSLY INJURED ARE LOADED LAST AND UNLOADED FIRST

What are some updated pieces of equipment that the HH-60M has

Air conditioning, oxygen generating system, trauma suction, patient vital monitoring systems, and a crew bubble window

How many red cross markings does the UH-60Q have

Five

Number of UH-60Q crew

Four - pilot, copilot, crew chief, in flight medic

UH-60Q ACL for normal config and prior notif

Normal config = four litters and one ambulatory

Prior notif = six litters and one ambulatory or seven ambulatory WITHOUT HOIST, three litters and one ambulatory or four ambulatory WITH HOIST

UH-60Q loading sequence

Ambulatory patients are loaded either first or last, litter patients are loaded from top to bottom in Z pattern

MOST SERIOUSLY INJURED ARE LOADED LAST AND UNLOADED FIRST

What are some updated pieces of equipment that the UH-60Q has

Oxygen generating system, NVG compatibility, environmental control system, medical equipment, and patient monitoring equipment

Primary use of CH-47 for aeromed

Mascal evac

How many red cross markings does the CH-47 have

Zero

Number of CH-47 crew

Four - pilot, copilot, crew chief, in flight engineer

CH-47 ACL

24 litter and one ambulatory or 31 ambulatory

Medic to casualty ratio for CH-47

One medic for every six casualties

CH-47 loading sequence

Ambulatory patients are loaded either first or last, litter patients are loaded from top to bottom in Z pattern

MOST SERIOUSLY INJURED ARE LOADED LAST AND UNLOADED FIRST

What does the CH-47 require if it is used in a mascal role

An armed escort

What is the CH-47 normal config for ambulatory and litter patients

16 ambulatory, 12 litter

Two key methods of casualty extraction

1) sit down method (use when there is a suitable landing zone)

2) hoist method (use when there is not a suitable landing zone)

Four key types of special medevac equipment

1) high performance uitlity hoist

2) jungle forest penetrator

3) basic rigged litter

4) sked rescue system

Tensile strength of high performance utility hoist

600 lbs

Hoist cable tensile strength of high performance utility hoist

600 lbs

Hoist cable length of high performance utility hoist

256 ft (only 250 ft is usable)

Slow speed of high performance utility hoist

600 lbs at a rate of 125 ft per min

Fast speed of high performance utility hoist

300 lbs at a rate of 250 ft per min

Primary use of jungle forest penetrator

Evac of casualties through thick vegetation

Tensile strength of jungle forest penetrator

600 lbs

Jungle forest penetrator ACL

Three ambulatory casualties

Primary use of basic rigged litter

Ground evacuation (USE FOR SIT DOWN MISSIONS)

Tensile strength of basic rigged litter

400 lbs

Basic rigged litter ACL

One

Primary use of sked rescue system

Ground/water evac (can use for either sit down or hoist mission)

Tensile strength of sked rescue system

400 lbs

Sked rescue system ACL

One

Line one of nine line

Location of pickup site (USE GRID LOCATION)

Line two of nine line

Radio frequency and call sign/suffix (OF THE REQUESTING UNIT)

Line three of nine line

Number of patients by precedence

1 = urgent (1 hr)

2 = priority (4 hr)

3 = routine (24 hr)

4 = convenience

Line four of nine line

Special equipment needed

A = none

B = hoist

C = extraction equipment

D = ventilator

Line five of nine line

Number of patients by type of casualty (litter/ambulatory)

L + num of litter patients

A + num of ambulatory patients

Litter vs ambulatory

Litter = cannot walk

Ambulatory = can walk

Line six of nine line during wartime/peacetime

Wartime = security of pickup site (N = no enemy troops, P = possible enemy troops, E = enemy troops in area, X = armed escort needed)

Peacetime = number and type of wounds, injuries, and illness

Line seven of nine line

Method of marking pickup site

A = panels

B = pyrotechnic signal

C = smoke

D = none

E = other

Line eight of nine line

Casualty nationality and status

A = us military

B = us civilian

C = non us military

D = non us civilian

E = enemy POW

Line nine of nine line during wartime/peacetime

Wartime = CBRN contamination (C = chemical, B = biological, R = radiological, N = nuclear)

Peacetime = terrain description (GIVE KEY TERRAIN)

Who do you contact during wartime/peacetime

Wartime = medevac units

Peacetime = range control