Full Answer
What is the triage and evacuation subcourse?
This subcourse describes procedures for evacuating casualties to a medical treatment facility or to a point where they can be picked up by an evacuation vehicle and transported to a medical treatment facility. Subcourse Components: This subcourse consists of six lessons. The lessons are as follows: Lesson 1, Triage and Evacuation Flow.
What is triage in the military?
Triage, a medical term derived from the French word "trier", is the practical process of sorting casualties to rationally allocate limited resources. In combat settings with limited medical resources and long transportation times, triage is challenging since the objectives are to avoid overcrowding … Triage in military settings
How do military treatment facilities evacuate patients?
Military treatment facilities can call in a medical evacuation mission request to any supporting medical evacuation asset for URGENT and PRIORITY missions, however MTFs that need to clear beds will coordinate mass patient movements through CJTF G-3 air for possible USAF support. (page number) (CLASSIFICATION)
When four litter casualties are to be transported the casualties are?
When four litter casualties are to be transported, load the casualties in the following order. (1) Upper right berth (least seriously injured casualty). (2) Lower right berth. (3) Upper left berth. (4) Lower left berth (most seriously injured casualty).
What is a military ambulance exchange point?
AMBULANCE EXCHANGE POINT. A position where patients are exchanged from one evacuation platform to another is designated as an Ambulance Exchange Point.
What are the 3 phases of TCCC?
TCCC-All Combatants (TCCC-AC) is training for first responders and non- medical personnel. TCCC training is performed in three phases: Care under fire (CUF), tactical field care (TFC), and tactical evacuation care (TEC) (for more information, see Chapter 2, Tactical Combat Casualty Care Phases of Care).
How many litters can a medical evacuation vehicle carry?
The medical evacuation vehicle can evacuate four litter patients or six ambulatory patients while its crew of three medics provides basic medical care.
What is the forward most medically staffed treatment location organic to a maneuver battalion?
In the United States Army and Marine Corps, a battalion aid station is a medical section within a battalion's support company. As such, it is the forwardmost medically staffed treatment location.
Where do you place an NCD?
How to perform NCD. The site for a needle chest decompression is the second intercostal space on the midclavicular line, just lateral to the nipple line.
How long can a tourniquet be left on TCCC?
-The tourniquet is not being used to control bleeding from an amputation. Convert tourniquets in less than 2 hours if bleeding can be controlled with other means.
How do you carry a litter in the army?
Position the casualty on his back with his arms at his side. Place the litter (standard or improvised) near and parallel to the casualty. Two litter bearers kneel on one knee by the casualty's side (opposite side from litter). One bearer slips his arms under the casualty's back and waist.
What is a 5 line military?
The five paragraphs can be remembered with the acronym SMEAC: "S" Situation, "M" Mission, "E" Execution, "A" Administration/Logistics, "C" Command/Signal. There are a number of subtypes of these field orders, based on knowledge patterns specific to individual military branches.
What is an army litter?
Without a doubt one of the most useful tools for combat medics and military personnel involved in the first echelon of medical evacuation was the US Army Litter. A Litter is a Stretcher, carried by two or four bearers, for evacuation of sick and wounded.
How many medics are in a battalion?
thirty medicsMedics in World War II were the front line of battlefield medicine. In the American army, a battalion of some 400 to 500 men typically would have about thirty medics or aidmen; although sometimes attrition made that number much smaller.
What is a Role 2 medical facility?
Role 2, or limited hospital capability, consists of advanced damage control resuscitation and surgery provided by small, mobile, forward-positioned medical treatment facilities and surgical teams.
How many beds does a role 2 have?
They provide a wide range of health service support to include radiology, diagnostic laboratory, dental, behavioral health, and gyneco- logic services as well as ground evacuation and patient hold- ing (40 beds) for up to 72 hours.
What is the purpose of triage in the military?
Triage, a medical term derived from the French word "trier", is the practical process of sorting casualties to rationally allocate limited resources.
What is triage in medical terms?
Triage, a medical term derived from the French word "trier", is the practical process of sorting casualties to rationally allocate limited resources. In combat settings with limited medical resources and long transportation times, triage is challenging since the objectives are to avoid overcrowding ….
What is triage in military?
Triage means sorting. Triage is used to determine the sequence in which casualties are to be treated in order to maximize the number of survivors and to return to duty those soldiers with minor wounds. Triage is also used to determine the sequence in which casualties are to be evacuated. Triage is a continuous process that is performed at each medical treatment facility (MTF) through which the casualties pass. The goal of successful triage is to do the most good for the most people. Triage is usually performed by the most senior medical person available.
When a medic is triaging casualties in a chemical environment (chemical agents are being used), the triage
When a medic is triaging casualties in a chemical environment (chemical agents are being used), the triage categories change somewhat. In a chemical environment, casualties are triaged as being immediate, chemical immediate, delayed, minimal, or expectant and are treated in that order. Signs and symptoms of chemical agent poisoning are described in subcourse MD0534, Treating Chemical Agent Casualties in the Field.
What are the six health care modules?
The modules are the combat medic, treatment squad, ambulance squad, patient-holding squad, area support squad, and the forward surgical team (FST). The FST is organic to the airborne/air assault divisions and the ACR (light) and functions as an Echelon II asset. These health care modules form medical platoons, companies, and battalions. The modular design of Echelons I and II medical treatment assets allows for the rapid tailoring of agile, mobile emergency medical treatment (EMT), advanced trauma management (ATM), sick call, emergency and sustaining dental support, essential laboratory and x-ray services, and holding for patients awaiting evacuation or return to duty (RTD) within 72 hours.
What is the Air Land Battle doctrine?
The AirLand Battle doctrine, which is the Army's basic operational concept, involves preparing for an integrated battlefield in which conventional air and land weapons, nuclear weapons, biological weapons, chemical weapons, and directed energy (laser) weapons may be used. Military commanders will rely upon medical resources to treat, evacuate, and (when possible) return soldiers to duty. In the initial phases of battle, the soldiers who are evacuated, treated, and returned to duty may provide the tactical commander with his only source of trained combat replacements.
Who developed the Army's evacuation system?
The forerunner of today's evacuation system was developed by Dr. Letterman during the American Civil War. Today's evacuation system provides a continuous system of evacuation beginning at the point of injury and extending all the way to military and nonmilitary hospitals within the United States. The evacuation system relies upon the use of manual and litter carries, ground and air ambulances, non-medical vehicles which can be used to transport casualties, United States Air Force (USAF) fixed wing aircraft, and US Navy vessels to transport casualties to facilities where they can receive the appropriate care.
How many beds are there in Echelon III?
Echelon III hospitalization includes the 296- bed combat support hospital (CSH) with attached FST’s. The CSH manages all types of patients and is normally employed in the corps forward and rear areas. The corps FST is usually attached to a corps hospital unless it is operationally deployed forward. The FST provides urgent, initial surgery and continued postoperative care of patients for approximately 6 hours. The FST provides additional surgical capability when attached to a CSH; however, its primary function is to provide Echelon II CHS within a division.
Introduction
Although much of this book focuses on preparing for combat trauma care at the individual provider level, the most critical training for a UNIT to prepare to handle combat casualties is triage and mass casualty management.
Resources
While security may not seem to be a direct medical responsibility, it is always your concern, since the current asymmetric battlefield entails risk at all echelons of care, from aid station to theater hospital. Ongoing enemy action at the scene will force limited “care under fire” response.
Rehearsal
Analyze and plan for the mission, engaging all stakeholders to choreograph a shared response that remains flexible enough to match unique events. (See Fig. 2.1 for simple plan template.) The MASCAL mnemonic (minimize chaos, assess, safety, communication, alert, and lost) is a great starting point and guide (Fig. 2.2 ).
Response
Successful trauma response hinges on effective communication and use of available resources. Employ elements of your MASCAL plan with every injured patient to exercise procedures and to develop “muscle memory” for bigger events.