MEDEVAC EVACUATION 1. What is the primary function of the ambulance team? Ground ambulance teams provide medical evacuation from the POI to supporting MTFs while ensuring the continuity of care en route. The primary goal of MEDEVAC is to minimize mortality (the Died of Wounds (DOW) percentage) by rapidly and efficiently moving the sick and wounded to a medical treatment facility 2. What is the primary function of preventive medicine section? The PVNTMED section assigned to medical companies has a primary responsibility for supervising the unit’s PVNTMED program as described in AR 40-5.
The section ensures measures are implemented to protect personnel against food, water, and arthropod borne diseases, as well as environmental injuries. Provides advice and consultation in the area of health threat assessment, FHP, environmental sanitation, epidemiology, sanitary engineering, and pest management. ?? ?? Assists the higher headquarters in determining requirements for medical intelligence assessments, particularly with respect to CBRN and disease prevalence.
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Coordinates with supporting veterinary teams for conducting and implementing food safety and quality assurance surveillance and assisting in food borne and zoonotic disease surveillance and control. 3. What are the means by which commanders express their visualization, commander’s intent, and decisions? They focus on results the commander expects to achieve. This provides the basis for ensuring that medical evacuation operations are comprehensively planned, synchronized, responsive, and ensure a seamless continuum of care. 4. What are medical evacuation planning considerations?
Medical evacuation planning considerations, although essentially the same at all levels of command, may entail a broader scope, complexity, and detail at the higher levels of command due to the coordination and synchronization requirements which exist across command lines and service or multinational boundaries. METT-TC Mission Based on the type of operation: ???????????????? Define trigger points for changes in the evacuation support plan. ???????????????? Develop a concept of operations for all of the corps evacuation resources. Enemy Define the level or air-to-air threat and the hreat faced by ground evacuation resources and the impact of this threat on the overall evacuation plan. This will be a major consideration in dictating which means of evacuation will be the primary means. Terrain and weather Define the types of terrain in the theater and use information as a major consideration in dictating the primary means of evacuation (ground or air in each sector) and any factors that may impair evacuation efforts. Troops and support a. Disseminate locations of facilities used in evacuation, MTFs, MASFs, and aerial ports of ebarkation (APOD). b. Disseminate the capabilities and availability of joint evacuation assets and how to request their assistance. c. Collect contact information from all evacuation units, assemble and publish for theater use. d. Standardize a mandatory evacuation mission data collection format and collection method and schedule. Time Available a. Define the acceptable limits of evacuation time based on the distance from evacuation units. b. Determine the proper allocation of resources to support the entire theater requirements. c.
Plan for trigger points (in time or distance) for changes in the evacuation plan to occur. d. Define phases of the operation that reflect the commander’s intent. Major changes in evacuation coverage usually occur when changes occur in the operational tempo (OPTEMPO). e. Define briefing levels for launch authority. Consider developing a uniform theater wide aviation risk assessment sheet. Civil Considerations a. Based on the HSS/FHP estimate and plan, determine requirements for the evacuation of HN civilians and others. b. Define and disseminate protocols and procedures for evacuating civilians. . Allocate resources to support this mission, when directed. 5. It is essential that the evacuation plan for all combat operations be well planned, coordinated, and disseminated. In designing the medical evacuation plan, the medical planner should consider the following: 6. Define ambulance loading point, Relay point and control points. The ambulance Loading point is a point in the shuttle system where one or more ambulances are stationed ready to receive patients for evacuation. Relay point is a point in the shuttle system where one or more empty ambulances are stationed.
They are ready to advance to a loading point or to the next relay post to replace an ambulance that has moved from it. As a control measure, relay points are generally numbered from front to rear. Control points consists of a Soldier (from the ambulance company or platoon) stationed at a crossroad or road junction where ambulances may take one more directions to reach loading points. The Soldier, knowing from which location each loaded ambulance has come, directs empty ambulances returning from the sustainment area. The need for control points is dictated by the situation. Generally, they are more necessary in forward areas. 7.
What is the overriding factor in determining the evacuation platform and destination facility? The patient’s medical condition is the overriding factor in determining the evacuation platform and destination facility. 8. Name and describe categories of evacuation precedence? Categories of evacuation precedence Priority I—URGENT Is assigned to emergency cases that should be evacuated as soon as possible and within a maximum of 1 hour in order to save life, limb, or eyesight, to prevent complications of serious illness, or to avoid permanent disability. Priority IA—URGENT-SURG Is assigned to patients who must receive far forward urgical intervention to save life and to stabilize them for further evacuation. Priority II—PRIORITY Is assigned to sick and wounded personnel requiring prompt medical care. This precedence is used when the individual should be evacuated within 4 hours or 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. Priority III—ROUTINE 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. Priority IV—CONVENIENCE Is assigned to patients for whom evacuation by medical platform is a matter of medical convenience rather than necessity. 9. What is meant by joint interconnectivity? When directed by the GCC, Army evacuation assets may be used to evacuate patients from the other services or may be placed in direct support of other service, allied, or coalition units participating in the operation.
Prior to the initiation of the operation, communications, and procedural issues should be synchronized to ensure the seamless execution of the operation. Interoperability issues can result in slower response times and may adversely affect medical evacuation operations. 10. The following factors should be considered when selecting ambulance routes: 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 (to include natural obstacles).