Overall Classification: UNCLASSIFIED//FOR OFFICIAL USE ONLY 8 September 2015 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 surface with difficult extraction) –Contact Coast Guard Op Duty Phone: /4910 –Contact HSC-25 Qdeck (If Coast Guard unavailable): –Contact TOC Watch Officer/Duty Doc/Appropriate Chain of Command LAND (Air Transport from TOC BAS) –Contact Ambulance Dispatch and Fire Dept: –COMNAVMAR: /93/94 and Fire: 117 –EODMU5 duty chamber /7143 –AAFB: –Contact HSC-25 Qdeck: /6410 –Contact TOC Watch Officer/Duty Doc/Appropriate Chain of Command

U//FOUO MEDEVAC/CASEVAC PROCEDURES CASEVAC (GROUND TRANSPORT) COMNAVMAR –Ambulance Dispatch: /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 /.15 min 30 min MCM/Diving/CIED OPS Site LEV 1 Truma Center NH Guam CTU TRICRAB Medical BAS 60 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 BAS: –Emergent Sick Call: Contact Duty Doc –24/7: HMC Smith: –24/7: HM2 Egly: Chamber: –Dive locker: –Duty MDV: ???-???? –Duty DMO: ???-????