U.S. ARMY MEDICAL SUPPORT

BY SGT FREDERICK, EVELYN

CIVIL AFFAIRS TEAM 8041 MEDIC

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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

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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.

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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.

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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.

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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.

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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

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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.

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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.

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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.

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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

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***Black Hawks bring in

special extraction equipment upon request.

Black Hawk Casualty Carrying Capacity • 6 litter and 1 ambulatory • 7 ambulatory • Or 3 litters and one

ambulatory

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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.

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CASEVAC

CASEVAC CAPABILITIES • Carrying capacity

varies with every vehicle.

• Medical resources are based on what can be made available.

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Questions

8 April 2016 UNCLASSIFIED//FOUO 15

REFERENCES

• http://www.naemt.org/education/TCCC/tccc-ac

• http://www.cs.amedd.army.mil/FileDownloadpublic.aspx?docid=1a73495d-1176-4638-9011-9e7f3c6017d8

• ATP 4-25.13 CASUALTY EVACUATION

• ATP 4-02.2 MEDICAL EVACUATION

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