Combat Health Support COMPANY LEVEL CASUALTY EVACUATION Infantry Officer’s Basic Course

Combat Health Support Action I dentify components and basic planning considerations of company level medical evacuation. Condition Be able to describe the doctrinal methods of casualty evacuation and the components of Combat Health Support System IAW FM 8-55 and FM Standard S erving as an infantry company commander or battalion/brigade staff officer, prepare a medical annex for an OPORD. Terminal Learning Objective

Combat Health Support MAJORITY OF COMBAT DEATHS OCCUR ON THE BATTLEFIELD BEFORE EVACUATION TAKES PLACE 80% OF COMBAT DEATHS OCCUR WITHIN FIRST HOUR AFTER INITIAL INJURY 50% OF COMBAT DEATHS ARE AS A RESULT OF THE SOLDIER BLEEDING TO DEATH 40% OF THESE 50% COULD HAVE LIVED HAD THE BLEEDING BEEN STOPPED BELLAMY STUDY

Combat Health Support Safety Requirements: The potential building evacuation Risk Assessment: Low. Environmental Considerations: None. Administrative Information

Combat Health Support Action Review concept of combat health support within a theater of operations. Condition Given a practical exercise with a tactical scenario, FM 8-55 and FM , in a classroom setting. Standard The student properly describes medical support at the brigade and division level, to include:  Discuss Echelon of Care  Describe medical units within a theater of operations Enabling Learning Objective A

Combat Health Support ECHELONS OF CHS BNAID STATION (ECHELON I) FSMC/MSMC (Clr Stn) (BSA) FSMC/MSMC (Clr Stn) (BSA) FSMC/MSMC (Clr Stn) (BSA) Hospitals CSH *FST (ECHELON III FSMC/MSMC (Clr Stn) ((ECHELON II) CBT MEDIC CBT LIFESAVER FIELD HOSPITALS GEN HOSPITALS Hospitals CSH *FST (ECHELON III FSMC/MSMC (Clr Stn) ((ECHELON II) FSMC/MSMC (Clr Stn) (ECHELON II) BNAID STATION (ECHELON I) ARMY MED CENs ARMY MEDDACs FIELD HOSPITALS GEN HOSPITALS Hospitals CSH *FST (ECHELON III FSMC/MSMC (Clr Stn) ((ECHELON II) DEFINIITIVE AND RESTORATIVE CARE RESUSCITATIVE SURGERY DEFINITIVE CARE RESUSCITATIVE SURGERY EMT & ATM BEGINNING RESUSCITATION EMT & ATM EMERGENCY MEDICAL TMT ATM EMT FIRST AID SELF-AID BUDDY AID BN LEVEL BDE/DIV LEVEL CORPS LEVEL EAC LEVEL CONUS

Combat Health Support BAS XX XXXX BAS MSMC DSA FST FLD GEN FLD Evac BN CSH XXX XXXXXX ECHELONS OF COMBAT HEALTH SUPPORT FSMC BSA FSMC BSA FSMC BSA BAS X

Combat Health Support Action Describe medical support and evacuation at the company level. Condition Given a written/oral test or a practical exercise with a tactical scenario and FM 8-55 and FM , in a classroom setting. Standard The student properly describes medical support at the company level, to include discussing Immediate Far Forward Care and Medical Evacuation Enabling Learning Objective B

Combat Health Support CHS LIFESAVING MEASURES SELF-AID BUDDY AID COMBAT LIFESAVER COMBAT MEDIC TREATMENT TEAM

Combat Health Support SELF/ BUDDY AID COMMON TRAINING TASK LEVEL 10 (TRAINED/ TESTED AT HOME STATION) ALLOWS SOLDIERS WITH MINOR INJURIES TO “KEEP UP THE FIRE” REDUCES STRESS ON CLS/ COMBAT MEDICS TTP: HAVE MEDICS INSTRUCT SOLDIERS!

Combat Health Support WHAT IS A COMBAT LIFESAVER? WHAT IS A COMBAT LIFESAVER? NON-MEDICAL MEMBER OF SQUAD OR CREW SELECTED BY COMPANY CDR TRAINED, EVALUATED & CERTIFIED IN MEDICAL SKILLS EXPERTISE BEYOND BASIC FIRST AID

Combat Health Support WHAT IS A COMBAT LIFESAVER? WHAT IS A COMBAT LIFESAVER? COMBAT MULTIPLIER

Combat Health Support COMBAT LIFESAVER’S ROLE ADDITIONAL LIFESAVING EXPERTISE AT THE SQUAD/CREW LEVEL EXTENSION OF THE PLATOON MEDIC USES SKILLS & EQUIPMENT CONSISTENT WITH HIS SECONDARY MISSION PRIMARY MOS IS FIRST RESPONSIBILITY

Combat Health Support COMPANY MEDICAL ASSETS 1 x COMBAT LIFESAVER PER TEAM/ CBT SYSTEM 1 X 91W10 COMBAT MEDIC PER PLATOON (PLATOON MEDIC) 1 x 91W20 COMBAT MEDIC PER COMPANY (COMPANY MEDIC)

Combat Health Support COMBAT MEDICS IN YOUR COMPANY ASSIGNED TO MED PLT/ ATTACHED TO YOU AID BAG/ M-9/ TA-50 TRIAGE AND EMT TO SICK AND WOUNDED MANAGES MEDEVAC/ CASEVAC INITIATES FMC MEDICAL SME FOR COMPANY COMMANDER MANAGES CLASS VIII FOR MISSIONS AND CLS BAG RESUPPLY MONITORS FIELD SANITATION

Combat Health Support MEDIC’S ROLE PLT MEDIC (TRAUMA SPECIALIST) COLLOCATES WITH PSG MOVES FORWARD TO CASUALTY INTITIAL MEDICAL CARE/ FMC CASUALTY EVACED TO CCP COMPANY MEDIC COLLOCATES WITH 1SG STABALIZES FOR EVACUATION NOTIFIES BAS (9 LINE) MANAGES BAS ASSETS FORWARD OVERALL IN CHARGE OF CCP

Combat Health Support Battalion Aid Station

Combat Health Support

MEDEVAC

Combat Health Support EVACUATION TERMS MEDEVAC- EVACUATION PLATFORM IS STANDARD (MEDICAL TYPE VEHICLE) CASEVAC- EVACUATION PLATFORM IS NON- STANDARD (NOT A MEDICAL TYPE VEHICLE) AXP- AMBULANCE EXCHANGE POINT. CCP- CASUALTY COLLECTION POINT.

Combat Health Support

RSOV:

Combat Health Support AIR MEDICAL EVAC Should be the primary means of moving an urgent casualty off of the battlefield CASEVAC operations include battlefield pick-up of casualties & movement to BSA or subsequent treatment facilities CASEVAC differs from MEDEVAC in that MEDEVAC provides casualties with medical care enroute.

Combat Health Support

Primary Air Ambulance for Combat CBT CONFIG 4 L/ 1 A, 2 L/4 A, 0 L/7 A High CAP 6 L/ 1 A, 3 L/4 A, 0 L/ 7 A UH-60Q Medical Air Ambulance Special Equipment, Hoist, O2

Combat Health Support

Six Litter Nine Ambulatory Three Litter and Four Ambulatory

Combat Health Support

AIR CASEVAC (CH-47) CAPACITY: 24 LITTER 31 AMBULATORY SEVERAL COMBINATIONS OF MIXED LOADS

Combat Health Support

Action Describe evacuation operations with in company from Point of Injury to Battalion Aid Station for offensive and defensive operations. Condition Given a practical exercise with a tactical scenario with FM 8-55 and FM , in a classroom setting. Standard The student properly describes basic concept of casualty evacuation within a company. Enabling Learning Objective C

Combat Health Support EVAC OPERATIONS ECHELON I POI PLT CCPCO CCP FAS MAS MED PLT SELF AID BUDDY AID CLS PSG- EVAC PLT MEDIC INITIAL TX FMC 1SG- EVAC CO MEDIC STABALIZE STANDARD MEDO- EVAC MD/ PA ATM/ ATLS CALL 9-LINE MEDO- EVAC

Combat Health Support TTPs/ LESSONS LEARNED CLS- MAXIUMIZE TRAININED PERSONNEL MAKE CASEVAC A BATTLE DRILL TRAIN AT HOME STATION REHEARSAL CASEVAC BETTER UTILIZATION OF MEDICS KNOW THE BN MEDICAL PLAN

Combat Health Support OEF/ OIF LESSONS LEARNED IMPROVE Not enough CLS Bags Missed categorized patients Heavy dependence of air evac platforms due to long LOCs Class VIII resupply SUSTAIN MEDIC proficiency Far Forward Care Security

Combat Health Support Action Identify components and basic planning considerations of the Combat Health Support System. Condition Describe the doctrinal method of casualty evacuation and the components of Combat Health Support System at the brigade and battalion level. Standard Given a written/oral test without references, or acting as an infantry company commander or battalion task force staff officer, given a practical exercise with a tactical scenario, FM 8-55, and FM in a classroom setting. Terminal Learning Objective

Combat Health Support Questions ?