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MEDEVAC FOR MEDICAL STAFF UH60 BLACKHAWK 112 TH 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

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medevac for medical staff

MEDEVAC FOR MEDICAL STAFF

UH60 BLACKHAWK

112TH MEDCO(AA)

SGT Mark Urquhart

outline
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
References
  • FM 8-10-6 Medical Evacuation in the Theatre of Operations
  • 112th MEDCO (AA) SOP’s
blackhawk load options
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
medevac vs casavac
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
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
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.
physical size limitations
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
“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
“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”.