Transcript medevac for medical staff

MEDEVAC FOR
MEDICAL STAFF
UH60 BLACKHAWK
112TH 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 8-10-6 Medical Evacuation in the
Theatre of Operations
112th 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 2nd
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”.