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Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
Evacuation Request Procedures
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Evacuation Request Procedures

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  • 1. Evacuation Request Procedures W-1/W-2 06 Mar 06 C191W021/1
  • 2. <ul><li>Given a simulated casualty or casualties with various injuries requiring medical care and evacuation to a medical treatment facility (MTF), describe the principles and procedures for requesting medical evacuation utilizing ground or air evacuation assets. Perform all measures IAW FM 8-10-6, Medical Evacuation in a Theater of Operations: Tactics, Techniques and Procedures and the tenets of Tactical Combat Casualty Care. </li></ul>Terminal Learning Objective W-1/W-2 06 Mar 06 C191W021/1
  • 3. <ul><li>Given a simulated casualty or casualties requiring emergency medical care and evacuation to a definitive medical treatment facility (MTF), describe the principles and procedures for collecting the required medical information and establishing the evacuation precedence IAW FM 8-10-6, Medical Evacuation in a Theater of Operations: Tactics, Techniques and Procedures and the tenets of Tactical Combat Casualty Care. </li></ul>Enabling Learning Objectives W-1/W-2 06 Mar 06 C191W021/1
  • 4. <ul><li>Given a simulated casualty or casualties requiring emergency medical care and evacuation to a definitive medical treatment facility (MTF), describe the procedures for preparing a medical evacuation request and demonstrate proficiency in transmitting the medical evacuation request using the proper format IAW FM 8-10-6, Medical Evacuation in a Theater of Operations: Tactics, Techniques and Procedures and the tenets of Tactical Combat Casualty Care. </li></ul>Enabling Learning Objectives W-1/W-2 06 Mar 06 C191W021/1
  • 5. <ul><li>Evacuation begins when medical personnel receive injured or ill soldiers and continues as far rearward as the casualty's medical condition warrants or the military situation requires. </li></ul><ul><li>Procedures for requesting medical evacuation support must be institutionalized down to the unit level. </li></ul>Introduction W-1/W-2 06 Mar 06 C191W021/1
  • 6. <ul><li>The same format used to request aeromedical evacuation is also used for requesting ground evacuation. </li></ul><ul><li>Procedural guidance and standardization of request procedures. </li></ul>Introduction W-1/W-2 06 Mar 06 C191W021/1
  • 7. <ul><li>Medical evacuation and assignment of medical evacuation precedence. </li></ul><ul><ul><li>Determination to request evacuation and precedence is made by the senior military person present </li></ul></ul><ul><ul><li>Decision based on advice of the senior medical person at the scene </li></ul></ul><ul><ul><li>Assignment of a medical evacuation precedence is necessary </li></ul></ul>Evacuation Request Procedures W-1/W-2 06 Mar 06 C191W021/1
  • 8. W-1/W-2 06 Mar 06 C191W021/1
  • 9. <ul><li>The precedence assigned to casualty(ies) provides the supporting medical unit and controlling headquarters: </li></ul><ul><ul><li>Priorities for committing their evacuation assets </li></ul></ul><ul><ul><li>Validated information in controlling the flow </li></ul></ul>Evacuation Request Procedures W-1/W-2 06 Mar 06 C191W021/1
  • 10. Evacuation Request Procedures W-1/W-2 06 Mar 06 C191W021/1
  • 11. <ul><li>Overclassification remains a continuing problem: </li></ul><ul><ul><li>Patients will be picked up as soon as possible, when properly classified </li></ul></ul>Evacuation Request Procedures W-1/W-2 06 Mar 06 C191W021/1
  • 12. <ul><li>Overclassification remains a continuing problem: </li></ul><ul><ul><li>Pick up consistent with available resources and pending missions </li></ul></ul><ul><ul><li>Casualties in greatest need evacuated first and receive necessary care required to help ensure their survival </li></ul></ul>Evacuation Request Procedures W-1/W-2 06 Mar 06 C191W021/1
  • 13. W-1/W-2 06 Mar 06 C191W021/1
  • 14. Precedence and Criteria <ul><li>Priority I : Urgent </li></ul><ul><li>Priority IA : Urgent - Surgical </li></ul><ul><li>Priority II : Priority </li></ul><ul><li>Priority III : Routine </li></ul><ul><li>Priority IV : Convenience </li></ul>W-1/W-2 06 Mar 06 C191W021/1
  • 15. Precedence and Criteria W-1/W-2 06 Mar 06 C191W021/1
  • 16. <ul><li>Use of non-medical vehicles or aircraft of opportunity. </li></ul><ul><li>No medical resources are available. </li></ul><ul><li>Should be augmented by soldier medic or CLS. </li></ul>CASEVAC W-1/W-2 06 Mar 06 C191W021/1
  • 17. <ul><li>Unit requesting evacuation prepares for and assist's during evacuation. </li></ul><ul><ul><li>Ensuring safe and successful evacuation </li></ul></ul><ul><ul><li>English-speaking representative at pickup site </li></ul></ul><ul><ul><li>Ensuring casualty(ies) are ready for pickup </li></ul></ul><ul><ul><li>Move patients to safest aircraft approach/ departure point </li></ul></ul><ul><ul><li>Receiving backhauled medical supplies </li></ul></ul><ul><ul><li>Familiar with principles of rotary-wing operations </li></ul></ul>Unit Responsibilities W-1/W-2 06 Mar 06 C191W021/1
  • 18. <ul><li>Units must: </li></ul><ul><ul><li>Select and prepare the pick-up zone (PZ)/ landing zone (LZ) </li></ul></ul><ul><ul><li>Commands regarding approach loading and unloading from the pilot and crew chief </li></ul></ul>Unit Responsibilities W-1/W-2 06 Mar 06 C191W021/1
  • 19. <ul><li>Units must: </li></ul><ul><ul><li>Brief pilot on the position of enemy troops </li></ul></ul><ul><ul><li>Qualified soldier guides the helicopter in the landing site </li></ul></ul><ul><ul><li>Mark friendly positions when armed helicopter escort is provided </li></ul></ul>Unit Responsibilities W-1/W-2 06 Mar 06 C191W021/1
  • 20. W-1/W-2 06 Mar 06 C191W021/1
  • 21. <ul><ul><li>Line 1: Location of Pick-up site </li></ul></ul><ul><ul><ul><li>Not necessary to encrypt grid coordinates when using secure communications equipment or channel skipping equipment </li></ul></ul></ul><ul><ul><ul><li>Preclude misunderstanding, state that grid zone letters are included in the message </li></ul></ul></ul><ul><ul><ul><li>Obtain grid coordinates of the pickup site from the grid map of the operational area </li></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 22. W-1/W-2 06 Mar 06 C191W021/1
  • 23. <ul><ul><li>Line 2: Radio Frequency, Call-Sign & Suffix </li></ul></ul><ul><ul><li>Send frequency of the radio at the PZ, not a relay frequency </li></ul></ul><ul><ul><li>Call signs (and suffix if used) on the person to be contacted at the PZ may be transmitted in the clear </li></ul></ul><ul><ul><li>Obtain radio frequency, call sign, and suffix of signal operation instructions from the SOI, ANCD or RTO </li></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 24. <ul><ul><li>Line 3: Number of Patients by Precedence </li></ul></ul><ul><ul><li>Report only applicable information and use the appropriate amount(s) and brevity code(s) </li></ul></ul><ul><ul><ul><li>A : Urgent </li></ul></ul></ul><ul><ul><ul><li>B : Urgent-Surgical </li></ul></ul></ul><ul><ul><ul><li>C : Priority </li></ul></ul></ul><ul><ul><ul><li>D : Routine </li></ul></ul></ul><ul><ul><ul><li>E : Convenience </li></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 25. W-1/W-2 06 Mar 06 C191W021/1
  • 26. <ul><ul><li>Line 4: Special Equipment Required </li></ul></ul><ul><ul><li>Types of equipment and their brevity code(s) </li></ul></ul><ul><ul><ul><li>A : None </li></ul></ul></ul><ul><ul><ul><li>B : Hoist </li></ul></ul></ul><ul><ul><ul><li>C : Extraction Equipment </li></ul></ul></ul><ul><ul><ul><li>D : Ventilator </li></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 27. <ul><ul><li>Line 5: Number of Patients by Type </li></ul></ul><ul><ul><ul><li>Report only applicable information </li></ul></ul></ul><ul><ul><ul><li>If requesting MEDEVAC for both types, insert the word “break&quot; between the litter entry and ambulatory entry </li></ul></ul></ul><ul><ul><ul><ul><li>L : Litter, plus the number of patients </li></ul></ul></ul></ul><ul><ul><ul><ul><li>A : Ambulatory (sitting), plus the number of patients </li></ul></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 28.   W-1/W-2 06 Mar 06 C191W021/1
  • 29. <ul><ul><li>Line 6: Security of Pick-up Site ( wartime ) </li></ul></ul><ul><ul><li>This information is used during wartime </li></ul></ul><ul><ul><ul><li>N : No enemy troops in the area </li></ul></ul></ul><ul><ul><ul><li>P : Possibly enemy troops in the area (approach with caution) </li></ul></ul></ul><ul><ul><ul><li>E : Enemy troops in the area (approach with caution) </li></ul></ul></ul><ul><ul><ul><li>X : Enemy troops in the area (armed escort required) </li></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 30. W-1/W-2 06 Mar 06 C191W021/1
  • 31. <ul><ul><li>Line 7: Method of Marking Pickup Site </li></ul></ul><ul><ul><ul><li>A : Panels </li></ul></ul></ul><ul><ul><ul><li>B : Pyrotechnic signal </li></ul></ul></ul><ul><ul><ul><li>C : Smoke signal </li></ul></ul></ul><ul><ul><ul><li>D : None </li></ul></ul></ul><ul><ul><ul><li>E : Other </li></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 32. W-1/W-2 06 Mar 06 C191W021/1
  • 33.   W-1/W-2 06 Mar 06 C191W021/1
  • 34. <ul><ul><li>Line 8: Patient Nationality and Status </li></ul></ul><ul><ul><ul><li>A : U.S. Military </li></ul></ul></ul><ul><ul><ul><li>B : U.S. Civilian </li></ul></ul></ul><ul><ul><ul><li>C : Non-U.S. Military </li></ul></ul></ul><ul><ul><ul><li>D : Non-U.S. Civilian </li></ul></ul></ul><ul><ul><ul><li>E : Enemy Prisoner of War (EPW) </li></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 35.   W-1/W-2 06 Mar 06 C191W021/1
  • 36. <ul><ul><li>Line 9: NBC Contamination ( wartime ) </li></ul></ul><ul><ul><ul><li>N : Nuclear </li></ul></ul></ul><ul><ul><ul><li>B : Biological </li></ul></ul></ul><ul><ul><ul><li>C : Chemical </li></ul></ul></ul>9-Line Medevac Request W-1/W-2 06 Mar 06 C191W021/1
  • 37.   W-1/W-2 06 Mar 06 C191W021/1
  • 38. Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 39. <ul><li>During wartime, brevity codes must be used </li></ul><ul><ul><li>Use brevity codes listed in FM 8-10-6, Evacuation Request Procedures </li></ul></ul><ul><ul><li>Locally devised codes are authorized </li></ul></ul><ul><ul><li>If the unit preparing the request does not have access to secure communications, the medical evacuation request must be encrypted </li></ul></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 40. <ul><li>Information on the form must be encrypted except: </li></ul><ul><ul><li>Medical evacuation line number identifier </li></ul></ul><ul><ul><li>Call sign and suffix (Line 2) which can be transmitted in clear text during peacetime, two line number items (Lines 6 and 9) will change </li></ul></ul><ul><li>There are more detailed procedures for use of the peacetime request </li></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 41. W-1/W-2 06 Mar 06 C191W021/1
  • 42. <ul><li>Radio communications: </li></ul><ul><ul><li>Transmission security: no transmissions will be made if it is not authorized by the proper authority </li></ul></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 43. <ul><li>Forbidden practices : </li></ul><ul><ul><ul><li>Violation of radio silence </li></ul></ul></ul><ul><ul><ul><li>Unofficial conversation </li></ul></ul></ul><ul><ul><ul><li>Transmission on a directed net without permission </li></ul></ul></ul><ul><ul><ul><li>Excessive tuning and testing </li></ul></ul></ul><ul><ul><ul><li>Transmission of the operator's personal sign or name </li></ul></ul></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 44. <ul><li>Forbidden practices cont’d : </li></ul><ul><ul><ul><li>Unauthorized use of plain language </li></ul></ul></ul><ul><ul><ul><li>Use of other than authorized PROWORDs </li></ul></ul></ul><ul><ul><ul><li>Association of classified call signs and addressing groups with unclassified call signs </li></ul></ul></ul><ul><ul><ul><li>Profane, indecent or obscene language </li></ul></ul></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 45. <ul><li>Call signs: </li></ul><ul><ul><li>Two forms of call signs </li></ul></ul><ul><ul><ul><li>Complete call signs: A2D28 </li></ul></ul></ul><ul><ul><ul><li>Abbreviated call signs: D28 </li></ul></ul></ul><ul><ul><li>Complete call signs consist of a “letter-number- letter” combination and a suffix </li></ul></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 46. <ul><li>Letters: </li></ul><ul><ul><li>Special techniques have been developed for pronouncing letters and numerals </li></ul></ul><ul><ul><li>Phonetic alphabet and phonetic numerals </li></ul></ul><ul><ul><li>Phonetic alphabet is also used for the transmission of encrypted messages </li></ul></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 47. <ul><li>Numbers: </li></ul><ul><ul><li>Spoken digit by digit, except that exact multiples of thousands </li></ul></ul><ul><ul><li>Date-time group (DTG) is always spoken digit by digit, followed by the time zone indication </li></ul></ul><ul><ul><li>Map coordinates and call sign suffixes also are spoken digit by digit </li></ul></ul>Prepare a Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 48. W-1/W-2 06 Mar 06 C191W021/1
  • 49. Types of Medical Evacuation Request Formats and Procedures W-1/W-2 06 Mar 06 C191W021/1
  • 50. <ul><li>The medical evacuation request is used for requesting evacuation support from: </li></ul><ul><ul><li>Air ambulances </li></ul></ul><ul><ul><li>Ground ambulances </li></ul></ul><ul><li>Two established medical evacuation request formats: </li></ul><ul><ul><li>Wartime </li></ul></ul><ul><ul><li>Peacetime </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 51. <ul><li>Differences between wartime and peacetime medical evacuation request formats: </li></ul><ul><ul><li>Line 6 (Security of pickup site) changes to “ Number and type of wound, injury or Illness .” </li></ul></ul><ul><ul><li>Line 9 (NBC contamination) changes to “ Description of terrain .” </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 52. <ul><li>Differences in security between wartime and peacetime in requesting procedures: </li></ul><ul><ul><li>Under all non-wartime conditions, the safety of U.S. military and civilian personnel outweigh the need for security </li></ul></ul><ul><ul><li>During wartime, the rapid evacuation of patients must be weighed against the importance of unit survivability </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 53. <ul><li>Transmit the request: </li></ul><ul><ul><li>Made by the most direct communications means to the medical unit </li></ul></ul><ul><ul><li>Communications means and channels used depend on the situation </li></ul></ul><ul><ul><li>Primary and alternate channels to be used are specified in the unit’s evacuation plan </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 54. <ul><li>Security transmissions: </li></ul><ul><ul><li>Under all wartime conditions, these requests are transmitted by secure means only </li></ul></ul><ul><ul><li>Non-secure communications dictate that the request be transmitted in an encrypted form </li></ul></ul><ul><ul><li>Regardless of the type (secure or non-secure) of communications equipment used in transmission </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 55. <ul><li>Receiver acknowledgement: after the appropriate opening statement is made, the transmitting operator: </li></ul><ul><ul><li>Breaks for acknowledgment </li></ul></ul><ul><ul><li>Authentication by the receiving or transmitting unit should always be done in accordance with the Tactical Standing Operating Procedures (TSOP) </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 56. <ul><li>Clear text and encrypted transmissions: </li></ul><ul><ul><li>If secure communications equipment is used in transmission </li></ul></ul><ul><li>Letter and numeral pronunciation: </li></ul><ul><ul><li>Letters and numbers pronounced according to standard radio procedure </li></ul></ul><ul><ul><li>Give Line Number Identifier , followed by applicable information </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 57. W-1/W-2 06 Mar 06 C191W021/1
  • 58. <ul><li>Transmit the request: </li></ul><ul><ul><li>Medical evacuation request line numbers 1-5 </li></ul></ul><ul><ul><ul><li>Line numbers 1-5 must be transmitted first </li></ul></ul></ul><ul><ul><ul><li>Allows evacuation unit to begin mission without delay </li></ul></ul></ul><ul><ul><ul><li>Lines 6-9 should be transmitted as soon as possible </li></ul></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 59. <ul><li>Monitoring requirements: </li></ul><ul><ul><li>After transmission and authentication, monitor the frequency continuously </li></ul></ul><ul><ul><li>Wait for additional information </li></ul></ul><ul><ul><li>Relay contact information from the evacuation vehicles </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 60. <ul><li>Relay requests: </li></ul><ul><ul><li>Transmit in encrypted form </li></ul></ul><ul><ul><li>Regardless of the method of transmission, ensure the relayed information is the exact information originally received </li></ul></ul><ul><ul><li>Transmit by secure means </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 61. <ul><li>Relay requests cont’d: </li></ul><ul><ul><li>Radio call sign and frequency relayed (Line 2 of the request) should be that of the requesting unit and not that of the relaying unit </li></ul></ul><ul><ul><li>Intermediate headquarters or units relaying requests will monitor the frequency specified in Line 2 </li></ul></ul>Medical Evacuation Request W-1/W-2 06 Mar 06 C191W021/1
  • 62. <ul><li>State: “I have a Medevac request.” </li></ul><ul><ul><li>Line 1 : YH 256389 </li></ul></ul><ul><ul><li>Line 2 : 31625 ” Break ” 8 Juliet 39 </li></ul></ul><ul><ul><li>Line 3 : A3 ” Break ” D1 </li></ul></ul><ul><ul><li>Line 4 : A </li></ul></ul><ul><ul><li>Line 5 : L3 “ Break ” A1 </li></ul></ul><ul><ul><li>Line 6 : P </li></ul></ul><ul><ul><li>Line 7 : C </li></ul></ul><ul><ul><li>Line 8 : A ” Break ” E </li></ul></ul>W-1/W-2 06 Mar 06 C191W021/1
  • 63. W-1/W-2 06 Mar 06 C191W021/1
  • 64. <ul><li>Identified the procedures for requesting medical evacuation support. </li></ul><ul><li>Same format used to request aeromedical evacuation is also used for requesting ground evacuation. </li></ul><ul><li>Procedural guidance and standardization of request procedures and should now be able to apply the knowledge in the field. </li></ul>W-1/W-2 06 Mar 06 C191W021/1 Summary
  • 65. W-1/W-2 06 Mar 06 C191W021/1 Questions?

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