MEDEVAC FOR MEDICAL STAFF UH60 BLACKHAWK 112 TH MEDCO(AA) SGT Mark Urquhart

OUTLINE BLACKHAWK load options MEDEVAC vs. CASAVAC In-flight interventions and limitations Physical size limitations Total “transfer time” vs. “flight time” “written orders” vs. “standing orders”

References FM Medical Evacuation in the Theatre of Operations 112 th MEDCO (AA) SOP’s

BLACKHAWK load options 6 litter + 1 ambulatory 3 litter + 4 ambulatory 7 ambulatory SUBTRACT 1 AMBULATORY WHEN PARAMEDIC or MD or PAC or PULMONOLOGIST or RRT or RN MUST ACCOMPANY PATIENTS

Questions ?

MEDEVAC vs. CASAVAC Medevac includes “in-flight medical interventions”. Reduce recovery time and mortality. Casavac is just “scoop and swoop”. A survivors flight.

In-flight interventions and limitations Propaq = continuous Invasive and non-invasive V/S monitoring with printable trends for 1 patient. Alaris triple channel IV pump = 3 pumped drugs to one patient or 1 pumped drug to 3 patients. Impact Ventilator = A/C, SIMV, CPAP for 1 patient. Impact Aspirator = 1 non-intermittent suction patient.

In-flight interventions and limitations con’t. Physio-Control L/P 10 with Pacer = Defibrillation, ECG Monitoring, or TCP for 1 patient. Oxygen= 2 “D” cylinders for delivery to 2 patients. AMBU BVM= to manually ventilate a 2 nd patient in-flight. Multiple splinting options.

Questions ?

Physical Size Limitations No wider than the litter. No longer than the litter. No more than 16 inches above the bottom of the litter feet. Similar concept as the box at the airport that your carry on luggage has to fit through.

“Total Transfer Time” vs. “Flight Time”. Flight Time > KAF +/- 12 min. Total transfer time = From the sending MTF bed > the receiving MTF bed. MTF > ambulance > drive to the helipad > load the helicopter > fly to KAF > unload the helicopter 2 litters per ambulance load > to the MTF > unload the ambulance > to the treatment area in the MTF = +/- 30 min.

“Written Orders” vs. “Standing Orders” Can do either but must be pre-arranged. Written orders for drugs, drips,chest drains, ventilator settings,V/S trends etc. The “Standing Order” may read “no written orders required during a MASCAL”.