Overall Classification: UNCLASSIFIED//FOR OFFICIAL USE ONLY

April 19, 2023

TRI-CRAB 14

LT Kuhn, HMC Smith, HM2 Egly, HM3 Ramirez, HM3 Burnett

U//FOUO

Medical Issues

•Medical Support of high-risk operations:– Priority in support of AIR Operations– Priority in support of DIVE Operations

•Remote coverage of exercises/drills

• Sick Call

• PLT OICs responsible for personnel and need for further medical screening/evaluation.

U//FOUO

Medical Evacuation from Air Ops Site

•Medical Personnel on Scene will Triage Casualty

•Critical or Urgent–HSC-25 MEDEVAC to USNH Guam

•Routine–Medical Support Vehicle to USNH Guam or BAS

U//FOUO

Medical Evacuation from Training Site

•Controller decision (White Cell/PLT OIC)–With or without consulting EOD Medical

•Urgent–Military Ambulance transport to USNH Guam –HSC-25 MEDEVAC to USNH Guam

•Routine– Transport to TOC BAS for Medical Evaluation–Duty vehicle to USNH Guam

U//FOUO

Diving Casualty

• Diving Supervisor will identify diving casualty

• Diving Supervisor will contact TOC Watch Officer

• TOC Watch Officer will contact DMO/COMNAVMAR Chamber/Appropriate Chain of Command

• Real– Diving Sup will transport Dive Casualty to appropriate pre-staged MEDEVAC

vehicle – Dive Casualty will be transported to EODMU5 Chamber– DMO will meet casualty either at vehicle/chamber to initiate treatment

• Drill– White Cell will run the drill.– Diving Sup will transport Dive Casualty to appropriate pre-staged MEDEVAC

vehicle– Dive Casualty will be transported to : TOC BAS/TRCS– DMO will meet casualty either at vehicle/chamber to initiate treatment

U//FOUO

MEDEVAC/CASEVAC PROCEDURES

• MEDEVAC (AIR TRANSPORT)– If conducting Air Operations, HSC-25 will be on site and respond with SAR – If Air transport required, and HSC-25 is not on site:

• WATER (Lost personnel at sea, Unconscious diver @ surface with difficult extraction)– Contact Coast Guard Op Duty Phone: 355-4905/4910 – Contact HSC-25 Qdeck (If Coast Guard unavailable): 355-4824 – Contact TOC Watch Officer/Duty Doc/Appropriate Chain of Command

• LAND (Air Transport from TOC BAS)– Contact Ambulance Dispatch and Fire Dept:– COMNAVMAR: 333-2092/93/94 and Fire: 117– EODMU5 duty chamber- 339-8163/7143– AAFB: 366-5284– Contact HSC-25 Qdeck: 366-6412/6410 – Contact TOC Watch Officer/Duty Doc/Appropriate Chain of Command

U//FOUO

MEDEVAC/CASEVAC PROCEDURES

•CASEVAC (GROUND TRANSPORT)

•COMNAVMAR–Ambulance Dispatch: 333-2092/93/94– Fire Dept: 117–Contact TOC Watch Officer/Duty Doc/Appropriate Chain of Command

• TOC–Contact Duty Doc who will coordinate care

U//FOUO

MEDEVAC/CASEVAC PROCEDURES

• MEDEVAC COMMS PLAN:– SUBJ: MEDEVAC REQUEST (DESIGNATE ACTUAL OR SCENARIO)– LINE 1: LOCATION OF PICK-UP: GPS COORDINATES//– LINE 2: UNIT VHF FREQUENCY AND CALL SIGN//– LINE 3: PATIENT CATEGORY: A-URGENT (EXT < 2 HRS), B-URGENT SURG (EXT <

2 HRS), C – PRIORITY (EXT < 4 HRS), D – ROUTINE (EXT < 24HRS), E - CONVENIENCE//

– LINE 4: SPECIAL EQUIPMENT REQUIRED: A - NONE, B – HOIST, C - JUNGLE PENETRATOR//

– LINE 5: NUMBER OF PATIENTS BY TYPE: LITTER + # PTS, AMBULATORY + # PTS//

– LINE 6: SECURITY AT PICK-UP SITE: N-NONE, P- POSSIBLE ENEMY TROOPS IN AREA (APPR W/ CAUTION), E – ENEMY TROOPS IN AREA (APPR W/ CAUTION), X – ENEMY TROOPS IN AREA (ARMED ESCORT REQD)//

– LINE 7: NUMBER AND TYPE OF WOUND OR INJURY//– LINE 8: METHOD OF MARKING AT PICK-UP SITE: A – PANELS, B – PYROTECHNIC

SIGNALS, C – SMOKE, D – NONE, E - OTHER//– LINE 9: PATIENT NATIONALITY AND STATUS: A – US MILITARY, B – US CIVILIAN,

C-NON US MILITARY, D-NON US CIVILIAN, E-EPW//– LINE 10: NBC CONTAMINATION//– LINE 11: BRIEF DESCRIPTION OF TERRAIN AND LANDMARKS//

U//FOUO

• ALL casualty coordination through TOC.

• Minor Injury: EOD/Corpsman evaluate/treat on site.

• Major Injury: EOD/Corpsman stabilize on site. Call in 9-line MEDEVAC or call civilian transport(ambulance). Transport to closest proper medical center per TOC directions.

99

.20/.15 min30 min

MCM/Diving/CIED OPS Site

LEV 1 Truma CenterNH Guam

CTU 76.3.5 TRICRAB Medical

BAS60 min

.30/.15 min

.30/.15 min

60 min

Medical Evacuation

U//FOUO

Geography

TOC/BASE

USNH

U//FOUO

• Google map

Geography

TRIPLE PAD

TRICRAB BASE

U//FOUO

Sick Call

•Routine Sick Call @ BAS: 0700-0900– Emergent Sick Call: Contact Duty Doc– 24/7: HMC Smith: 488-1871– 24/7: HM2 Egly: 489-2503

•Chamber:–Dive locker: 339-2719–Duty MDV: ???-????–Duty DMO: ???-????