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Overall Classification: UNCLASSIFIED//FOR OFFICIAL USE ONLY
April 19, 2023
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 diver @ surface with difficult extraction)– Contact Coast Guard Op Duty Phone: 355-4905/4910 – Contact HSC-25 Qdeck (If Coast Guard unavailable): 355-4824 – Contact TOC Watch Officer/Duty Doc/Appropriate Chain of Command
• LAND (Air Transport from TOC BAS)– Contact Ambulance Dispatch and Fire Dept:– COMNAVMAR: 333-2092/93/94 and Fire: 117– EODMU5 duty chamber- 339-8163/7143– AAFB: 366-5284– Contact HSC-25 Qdeck: 366-6412/6410 – Contact TOC Watch Officer/Duty Doc/Appropriate Chain of Command
U//FOUO
MEDEVAC/CASEVAC PROCEDURES
•CASEVAC (GROUND TRANSPORT)
•COMNAVMAR–Ambulance Dispatch: 333-2092/93/94– 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.
99
.20/.15 min30 min
MCM/Diving/CIED OPS Site
LEV 1 Truma CenterNH Guam
CTU 76.3.5 TRICRAB Medical
BAS60 min
.30/.15 min
.30/.15 min
60 min
Medical Evacuation