Define Medical Evacuation Flashcards

1
Q

ATP 4-02.2

A

Medical Evacuation

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2
Q

What is the timely and effective movement of the wounded, injured, or ill to and between medical treatment facilities on dedicated and properly marked medical platforms with en route care provided by medical
personnel?

A

Medical evacuation

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3
Q

What is the care required to maintain the phased treatment initiated prior to evacuation and the
sustainment of the patient’s medical condition during evacuation?

A

Enroute care

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4
Q

What is the act of moving a sick, injured, wounded, or other person to obtain medical and/or dental treatment.

A

Patient movement

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5
Q

What is a sick, injured or wounded Soldier who receives medical care or treatment from medically trained personnel?

A

A patient

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6
Q

What support is requiring a force to support another
specific force and authorizing it to answer directly to the supported force’s request for assistance.

A

Direct Support

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7
Q

What support is a method of logistics, medical support, and personnel services in which support
relationships are determined by the location of the units requiring support?

A

Area Support

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8
Q

What will the following provide overall?

Minimizes mortality by rapidly and efficiently moving the sick, injured, and wounded to and between MTFs

  • Ensures continuum of care between roles of care
  • Serves as a force multiplier as it clears the battlefield
  • Builds the morale of Soldiers
  • Provides critical en route medical care
  • Provides economy of force
  • Provides connectivity of the AHS as appropriate to
    the Military Health System
A

Be An efficient and effective MEDEVAC system!

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9
Q

What are the following?

Acquire and locate

Treat and Stabilize

Intratheater Medical Evacuation

Emergency movement of medical
personnel, equipment, and supplies

A

Primary Tasks of MEDEVAC

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10
Q

What Provides a rapid response to acquire wounded, injured, and ill
personnel. Clear the battlefield of casualties and facilitate and enhance the tactical commander’s freedom of movement and maneuver. This task is performed by the medical evacuation crew of the evacuation platform?

A

Acquire and locate

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11
Q

What Maintains or improve the patient’s medical condition during
transport and provide en route care as required. This task is
performed by medical evacuation crewmembers and
providers when necessary.

A

Treat and Stabilize

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12
Q

What Provides rapid evacuation utilizing dedicated assets to the
most appropriate role of care. Provide a capability to crosslevel patients within the theater hospitals and to transport
patients being evacuated out of theater to staging facility prior to departure. This task is performed by the evacuation platforms in the medical company (ground ambulance) and
medical company (air ambulance)?

A

Intratheater Medical Evacuation

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13
Q

What Provides a rapid response for the emergency movement of
scarce medical resources throughout an operational
environment

A

Emergency movement of medical personnel, equipment, and supplies

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14
Q

What tools are the following?

Casualty Collection Point

Ambulance Exchange Point

A

Medical Evacuation Tools

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15
Q

A system consisting of one or more ambulance loading points, relay points, and when necessary, ambulance
control points, all echeloned forward from the principal group of
ambulances, the company location, or basic relay points as tactically
required?

A

Ambulance Shuttle System

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16
Q

A location that may or may not be staffed, where casualties are assembled for evacuation to a medical
treatment facility?

A

Casualty Collection Point

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17
Q

locations where a patient is transferred from one ambulance to another en route to a medical
treatment facility?

A

Ambulance Exchange Points

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18
Q

What are the following?

Ambulance Loading Point
Ambulance Relay Point
Ambulance Control Point

A

Ambulance Shuttle System

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19
Q

This is the point in the shuttle system where one or more ambulances are stationed ready to receive
patients for evacuation?

A

Ambulance Loading Point

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20
Q

This is a point in the shuttle system where
one or more empty ambulances are stationed to advance to a loading
point or to the next relay post to replace departed ambulances?

A

Ambulance Relay Point

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21
Q

A manned traffic regulating point, often
stationed at a crossroad or road junction, where ambulances are
directed to one of two or more directions to reach loading points and
medical treatment facilities.

A

Ambulance Control Point

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22
Q

What is is performed by
dedicated, medically equipped, and standardized MEDEVAC
platforms designed especially for the MEDEVAC mission to
provide en route care by trained medical professionals who
provide the timely, efficient movement and en route care of the wounded, injured, or ill persons from the battlefield or other locations to MTFs?

A

Medical evacuation (MEDEVAC)

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23
Q

What is the movement of
casualties aboard nonmedical vehicles or aircraft without en
route medical care?

A

Casualty evacuation (CASEVAC)

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24
Q

The movement of remains is an important logistical ___ function but is
NOT a task supported by MEDEVAC units or teams?

A

S4

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25
Q

What is the definition of medical evacuation?

A

Medical evacuation is the timely and effective movement of the
wounded, injured, or ill to and between medical treatment facilities on dedicated and properly marked medical platforms
with en route care provided by medical personnel.

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26
Q

Medical Evacuation support is provided on a _____ support and
_____ support basis?

A

Direct and Area

27
Q

What is a location where a patient is transferred from one ambulance to another en route to a medical treatment facility?

A

Ambulance Exchange Point (AXP).

28
Q

The following are:

Maneuver BN Medical Platoon Ambulance Squad

Evacuation Platoon: BSMC

Evacuation Platoon: MCAS

Medical Company: Ground Ambulance

Medical Company: Air Ambulance 15
HH-60

A

Medical Evacuation Resources

29
Q

What Provides ground ambulance, evacuation support from supported
infantry/armored companies or from POI back to a CCP or to the
Role 1?

A

Maneuver BN Medical Platoon Ambulance Squad

30
Q

What Evacuation platoons provide ground ambulance evacuation support from the supported BCT or from the POI to the supporting MTF?

A

Evacuation Platoon: BSMC

31
Q

What ambulance platoon performs ground MEDEVAC and en route
patient care for supported units, primarily in support of units at EAB?

A

Evacuation Platoon: MCAS

32
Q

What Provides MEDEVAC within the theater of operations. Normally
assigned or attached to the MMB or a MEDBDE (SPT) for mission
command. It is tactically located where it can best control its assets and execute its patient evacuation mission?

A

Medical Company: Ground Ambulance

33
Q

What Provides aeromedical evacuation support within the brigade and corps. Organic to the GSAB for mission command. Employed as
needed in the theater, corps, division, or EAB. It is tactically located where it can best control its assets and execute its patient evacuation mission?

A

Medical Company: Air Ambulance 15 HH-60

34
Q

What are the following:

  • Evacuation platforms must be capable of keeping pace with the supported unit.
  • Higher role of medical care assets supports forward and evacuates from the lower role or evacuation assets.
  • The patient’s medical condition is the overriding factor in determining the evacuation platform and destination MTF.
  • The air ambulance operates wherever needed on the battlefield, dependent on risk and METT-TC(I) factors.
  • Use of hardened armored MEDEVAC vehicles may be the
    vehicle of choice for some missions for short evacuation to an MTF or to a secure AXP for transfer to an air or wheeled ground ambulance.
A

Platform Considerations

35
Q

What are the following for:

Used for a patient evacuation from the POI/CCP to the
supporting BAS with follow-on evacuation to an AXP for further evacuation to the Medical Company, Brigade Support (BSMC).
* Also used to transfer a patient between MTFs within the AO and from an MTF to a patient staging system facility for further evacuation out of theater.
* The MCAS has organic evacuation assets and can
receive augmentation when required from the Medical Company, Ground Ambulance (MCGA).

A

Ground Medical Evacuation

36
Q

What is the following:

may fly as far forward as possible on the battlefield.

Although evacuation by air ambulance is the preferred means for all casualties, when high evacuation workloads exist, evacuation by air ambulance should be the primary means used for URGENT and URGENT-SURG patients.

The General Support Aviation Battalion (GSAB)/Combat Aviation Brigade (CAB) in coordination with the medical brigade, will position air ambulance assets where they can
best support the tactical commander’s plan through the timely and responsive evacuation.

A

Air Ambulances

37
Q

The following are considerations for?

Casualties requiring evacuation are prioritized to ensure the most
seriously injured or ill receive timely medical intervention consistent
with their medical condition.

As with medical treatment, the patient’s medical condition is the
only factor used to determine the evacuation precedence.

The decision to request a MEDEVAC and the level of evacuation precedence will be made by the senior medical personnel on scene, or senior military ranking officer if medical personnel are unavailable
based on the patient’s condition and the tactical situation.

The patient’s medical condition is the overriding factor in determining
the evacuation platform and destination facility.

A

Prioritization of Patients

38
Q

What are the following:

Priority I—URGENT
Priority IA—URGENT-SURG
Priority II—PRIORITY
Priority III—ROUTINE
Priority IV—CONVENIENCE

A

Categories of Evacuation Precedence

39
Q

What is assigned to emergency cases that should be evacuated as
soon as possible and within a maximum of one hour in order to save life, limb, or eyesight and to prevent complications of
serious illness and to avoid permanent disability?

A

Priority I—URGENT

40
Q

What Is assigned to patients that should be evacuated as soon as
possible and within a maximum of one hour who must receive far forward surgical intervention to save life, limb, or eyesight and stabilize for further evacuation?

A

Priority IA—URGENT-SURG

41
Q

What Is assigned to sick and wounded personnel requiring prompt medical care. This precedence is used when the individual
should be evacuated within four hours or if his medical condition could deteriorate to such a degree that he will
become an URGENT precedence, or whose requirements for
special treatment are not available locally, or who will suffer unnecessary pain or disability?

A

Priority II—PRIORITY

42
Q

What Is assigned to sick and wounded personnel requiring evacuation but whose condition is not expected to deteriorate significantly. The sick and wounded in this category should be evacuated within 24 hours?

A

Priority III—ROUTINE

43
Q

What Is assigned to patients for whom evacuation by medical
vehicle is a matter of medical convenience rather than necessity?

A

Priority IV—CONVENIENCE

44
Q

What are the following:

The 9-line MEDEVAC request provides a standardized message format that helps expedite the medical evacuation process.

The same format is used for both air and ground
MEDEVAC requests.

The 9-line MEDEVAC request should be transmitted using
secure communications for operational security.

Medical evacuation requests often are sent from the Point of Injury (POI), through intermediaries, such as higher headquarters, who then transmit the request up to the nearest MEDEVAC unit.

A

Medical Evacuation Requests

45
Q

What is the mission of the maneuver battalion ambulance squad?

A

Provide ground ambulance, evacuation support from supported
infantry/armored companies or from POI back to a CCP or to the
Role 1.

46
Q

What is the only factor used to determine medical evacuation precedence?

A

The patient’s medical condition.

47
Q

What is the mission of the Medical Company, Ground Ambulance?

A

Provides MEDEVAC within the theater of operations. Normally assigned or attached to the MMB or a MEDBDE (SPT) for mission
command. It is tactically located where it can best control its assets and execute its patient evacuation mission.

48
Q

What are the following:

Orders and the tactical situation METT-TC(I), dictate the location of
MEDEVAC assets in support of combat operations.

  • Medical evacuation planning which supports the AHS plan is an
    ongoing process, accomplished by medical operations elements at
    battalion, brigade, and EAB levels.
  • The AHS operations planning process must take under consideration
    all issues that could affect or influence HSS/FHP support for tactical
    operations.
  • En route medical care provided during MEDEVAC must be effective
    and continuous to prevent interruptions in the continuum of care.
A

Medical Evacuation Planning

49
Q

The medical commander must consider the basic tenets that influence the
employment of MEDEVAC assets. These factors include the patient’s medical condition:

  • Tactical commander’s plan
  • Enemy’s most likely course of action
  • Anticipated patient load
  • Expected areas of patient density
  • Availability of MEDEVAC resources
  • Availability, location, and type of supporting MTFs
  • Adherence to the Geneva Conventions
  • Airspace control plan
  • Obstacle plans
  • Fire support plan
  • Road network/dedicated MEDEVAC routes (contaminated and clean)
  • Weather conditions
A

MEDEVAC Mission Considerations

50
Q

What are the following:

Units with organic MEDEVAC assets have the primary responsibility for patient acquisition.

  • Units without organic ambulance assets are provided MEDEVAC support on an area support basis.
  • Units must develop techniques which facilitate the effective employment of their combat medics, enhance the ability to acquire patients in forward areas, and rapidly request MEDEVAC support.
  • The techniques developed should be included in the unit SOP and should
    include:
     Vehicle assignment for the organic medical personnel
     Vehicles designated to be used for casualty evacuation
     Procedures for requesting MEDEVAC support
     Role of the first sergeant, platoon sergeants, and combat lifesavers in
    MEDEVAC
A

Patient Acquisition

51
Q

The following factors should be considered when selecting what?:

  • Tactical mission
  • Coordinating evacuation plans and operations with the unit movement officer
  • Security of routes and security escort
  • Availability of routes
  • Physical characteristics of roads and cross-country routes
  • Requirements to traverse roads in urban areas
  • Traffic density
  • Time and distance factors
  • Proximity of routes subject to enemy fire
  • Lines of patient drift
  • Cover, concealment, and available defilade for moving and stationary vehicles
  • Obstacle plans
  • Fire support plan
A

Ambulance Route Selection

52
Q

What is the following:

EAB units without organic MEDEVAC resources will
require evacuation support on an area basis.

To ensure that these elements receive adequate support, the medical planner must include these requirements into
the OPLAN. Prior coordination is essential to ensure that the locations of CCPs, AXPs, and BASs are disseminated to these elements and that any unique support
requirements are included in the OPLAN.

A

Area MEDEVAC Support

53
Q

What is the following:

Whenever a patient is evacuated, medical items of equipment (blankets,
litters, and splints) remain with the patient. To prevent rapid and unnecessary depletion of supplies and equipment, the receiving Army element exchanges like non-serialized property with the transferring element.

Patient Movement Items (PMI) must be available to support the patient during
evacuation. Examples of PMI include, but are not limited to:
 Ventilators
 Patient monitors
 Pulse oximeters

These items will be available for exchange at the supporting aeromedical staging facilities.

A

Property Exchange

54
Q

During what is against a peer threat, units will
simultaneously conduct actions to seize, retain, and exploit the
initiative?

The complexity and lethality of the environment will require
MEDEVAC units to operate across multiple domains (air, land, maritime, space, and cyberspace), in a synchronized effort with the MTFs to clear the battlefield thereby sustaining the initiative of the maneuver commander.

Medical planners and commanders can mitigate problems by providing a plan that synchronizes MEDEVAC, CASEVAC, and
treatment capabilities, addresses constraints and limitations, and standardizes terms and procedures.

A

Large Scale Combat Operations

55
Q

What is the following for:

Injured or ill military working dogs may be evacuated on any
transportation means available. The using unit is responsible
for the evacuation of the animal.
* Use of dedicated MEDEVAC assets (air or ground ambulances)
is authorized based on mission priority and availability.
* When possible, the handler should accompany the animal
during the evacuation to ensure MEDEVAC personnel safety.
* Units requesting MEDEVAC for military working dogs should
include the location of veterinary treatment facilities or support
units in their request.

A

Evacuation of Military Working Dogs

56
Q

What is the following:

  • Sick, injured, and wounded detainees are treated and evacuated in military police channels when possible.
  • They must be physically segregated from U.S. and
    multinational patients.
  • Providing guards for the transport of detainees is NOT the responsibility of MEDEVACs units or the MTF. Guards for these
    detainees are provided according to the BCT, division or corps orders.
  • The U.S. provides the same standard of medical care for wounded, sick, and injured detainees as that given to U.S. and multinational Soldiers.
A

Medical Evacuation of Detainees

57
Q

When military working dogs are medically evacuated, who should
accompany the animal to ensure MEDEVAC personnel safety?

A

The animal’s handler

58
Q

Who has the primary responsibility for patient acquisition?

A
  • Units with organic MEDEVAC assets have the primary
    responsibility for patient acquisition.
  • Units without organic ambulance assets are provided MEDEVAC
    support on an area support basis.
59
Q

Are MEDEVAC units responsible for providing guards to transport
detainees?

A

No. Guards for these detainees are provided according to the BCT, division or corps orders.

60
Q

What policy establishes the length in days of the maximum period
of non-effectiveness (hospitalization and convalescence) that
patients may be held within the theater for treatment?

A patient who is not expected to be ready to return to duty within the number of days established in the theater evacuation policy is evacuated to the CONUS or other safe haven.

The time period established by the theater evacuation policy
starts on the date the patient is admitted to the first Role 3 hospital.

Exception to policy may be required for certain low density MOS specialty skills, or non-transportable patients.

A

Theater Evacuation Policy

61
Q

What do the following determine?

Nature of the operations
* Number and types of patients anticipated
* Evacuation means of patients from the theater to CONUS
* Availability of In-Theater Resources

A

Factors Determining the
Theater Evacuation Policy

62
Q
  • Results in fewer hospital beds required in the theater and
    a greater number of beds required elsewhere.
  • Creates a greater demand for intertheater USAF and
    intratheater evacuation resources.
  • Increases the requirements for replacements to meet the
    rapid personnel turnover which could be expected,
    especially in combat units.

Impact what?

A

Shorter Evacuation Policy

63
Q

Results in a greater accumulation of patients and a demand for a
larger AHS infrastructure.
* Increases the requirements for medical logistics and nonmedical
logistics support.
* Increases the requirements for hospitals, engineer support, and all
aspects of base development for deployed AHS force.
* Provides for a greater proportion of patients to RTD within the theater
and, thus, reduces the loss of experienced manpower.
* May decrease the demand on the intratheater evacuation assets and
system.

Impact what?

A

Longer Evacuation Policy:

64
Q

The following affect:

Nature of the operations

Number and types of patients anticipated

Evacuation means of patients from the theater to CONUS

Availability of In-Theater Resources

A

What are the factors that determine the theater evacuation policy