UNCLASSIFED//FOUO UNIFIED STRENGTH Battlefield Casualty Evacuation Instruction Briefed By ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 1
UNCLASSIFED//FOUO UNIFIED STRENGTH Terminal Learning Objective • • Action: Evacuate the casualty. Conditions: Given a classroom and outdoor training area, an Aid bag with medical supplies, a litter and any modes of transportation, after treating a casualty in a tactical area of operations, you must transport the casualty away from the combat zone. Standards: Evacuate the casualty using any mode of transportation at hand while monitoring the casualty to determine any further treatment needed. Risk: Low. ARMY STRONG, STRONG EUROPE USAREUR FDO 191432 L FEB 2015 DMA
UNCLASSIFED//FOUO UNIFIED STRENGTH Tactical Evacuation Care • • Evacuation is the last phase of the three phases of TCCC. After all life threatening injuries have been found and treated and the patient is as stable as possible, prepare the casualty to be moved to – A safer place locally – A safer place further away from the combat zone – Or a higher echelon of care such as a medical treatment facility or a hospital ARMY STRONG, STRONG EUROPE USAREUR FDO 191432 L FEB 2015 DMA
UNCLASSIFED//FOUO UNIFIED STRENGTH Moving the Casualty Locally • • • Move the casualty out of the immediate area first. • Removing the wounded will avoid further injury to the casualty Consider the appropriate extraction method. – If possible enemy in the area or still under contact, use a drag method to keep a low silhouette. – If no enemy present at the moment, use a buddy carry to expedite movement of casualty. Take casualty to the last known safe location and ensure to continue engaging the enemy if necessary. ARMY STRONG, STRONG EUROPE USAREUR FDO 191432 L FEB 2015 DMA
UNCLASSIFED//FOUO UNIFIED STRENGTH One-Person Drag Crouch Weapon Ready ARMY STRONG, STRONG EUROPE USAREUR FDO 191432 L FEB 2015 DMA
UNCLASSIFED//FOUO UNIFIED STRENGTH Two-Person Drag Crouch Weapons Ready ARMY STRONG, STRONG EUROPE USAREUR FDO 191432 L FEB 2015 DMA
UNCLASSIFED//FOUO UNIFIED STRENGTH Fireman’s Carry CASUALTY: light without armor RESCUER: larger, stronger Weapon Hand Available ARMY STRONG, STRONG EUROPE USAREUR FDO 191432 L FEB 2015 DMA
UNCLASSIFED//FOUO UNIFIED STRENGTH Evacuating the Casualty ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 8
UNCLASSIFED//FOUO UNIFIED STRENGTH Considerations before Evacuation • Consider if casualty needs to be transported right away. – Will evacuation of casualty put you or others in immediate danger? – Is he/she going to die right now? Is it that serious of an injury? – Is it a safe time to evacuate the casualty? – What is the safest possible route? – What personnel are going/escorting the casualty? Do I need them? – What equipment could they take with them or bring back? ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 9
UNCLASSIFED//FOUO UNIFIED STRENGTH Preparing for Evacuation ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 10
UNCLASSIFED//FOUO UNIFIED STRENGTH Preparing for Evacuation • Choose who will escort the casualty. Ensure personnel has the capabilities to keep casualty alive en route if needed. – Aid bag / Supplies – Knowledgeable. Knows what to look for. – Can you afford to give him/her up as an escort because of other duties? (Handles radios, experienced in map reading, leadership capabilities, etc. ) ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 11
UNCLASSIFED//FOUO UNIFIED STRENGTH Preparing for Evacuation ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 12
UNCLASSIFED//FOUO UNIFIED STRENGTH During Evacuation • • • Be aware of surroundings during travel. If in a ground vehicle, anticipate an ambush down the road. Constantly monitor and reassure the casualty Reassess any treatment performed – Is bleeding control still effective? – Is he/she conscious or unconscious? – Is his/her airway still good? ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 13
UNCLASSIFED//FOUO UNIFIED STRENGTH During Evacuation ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 14
UNCLASSIFED//FOUO UNIFIED STRENGTH During Evacuation ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 15
UNCLASSIFED//FOUO UNIFIED STRENGTH During Evacuation • Breathing - If casualty is having trouble breathing, allow them to sit up. If not, reassess chest, back, neck and armpits to determine the problem. Ensure no constricting straps, clothing or interventions are emplaced around chest and abdomen. ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 16
UNCLASSIFED//FOUO UNIFIED STRENGTH Upon Arrival • As soon as you arrive, ensure you give a proper patient hand-off. It is important that you brief the next person – Who the casualty is. (Name, unit, outfit, etc. ) – What happened, at what time, and what injuries occurred – What treatment the casualty/casualties have received – Any documentation made on patient care ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 17
UNCLASSIFED//FOUO UNIFIED STRENGTH After Evacuation • • • Once you have given all necessary information to the next caregiver, you are done escorting the casualty. Consider any refitting you or others may need before returning to duty. – Replace any equipment used or lost for the next casualties. – Clean out casevac vehicle of any personal items belonging to previous casualty, garbage or unneeded items that take up too much space to make room for more casualties. – Refuel if possible. Return to your unit. ARMY STRONG, STRONG EUROPE CMAST USAREUR FDO 191432 L FEB 2015 DMA 18
UNCLASSIFED//FOUO UNIFIED STRENGTH Questions? 2/9/2018 ARMY STRONG, STRONG EUROPE USAREUR FDO 191432 L FEB 2015 DMA UNCLASSIFIED 19
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