MEDEVAC FOR MEDICAL STAFF

1
MEDEVAC FOR MEDICAL STAFF

• UH60 BLACKHAWK
• 112TH MEDCO(AA)
• SGT Mark Urquhart

2
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

3
References

• FM 8-10-6 Medical Evacuation in the Theatre of
  Operations
• 112th MEDCO (AA) SOPs

4
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

5
Questions

• ?

6
MEDEVAC vs. CASAVAC

• Medevac includes in-flight medical
  interventions. Reduce recovery time and
  mortality.
• Casavac is just scoop and swoop. A survivors
  flight.

7
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.

8
In-flight interventions and limitations cont.

• 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 2nd patient
  in-flight.
• Multiple splinting options.

9
Questions

• ?

10
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.

11
Total Transfer Time vs. Flight Time.

• Flight Time gt KAF /- 12 min.
• Total transfer time From the sending MTF bed gt
  the receiving MTF bed.
• MTF gt ambulance gt drive to the helipad gt load the
  helicopter gt fly to KAF gt unload the helicopter 2
  litters per ambulance load gt to the MTF gt unload
  the ambulance gt to the treatment area in the MTF
  /- 30 min.

12
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.