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Enhancing AIREVAC Operational Efficiency in Danish Military Medical Evacuations

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This agenda outlines the operational and educational frameworks of SQN 690, the Danish AIREVAC unit. It focuses on the integration of medical personnel, including flight surgeons, nurses, and medics, to provide effective evacuation services. Training objectives emphasize adapting to high-stress environments collaboratively across professional and national boundaries. The structure of AIREVAC operations is discussed, alongside historical evacuations in various conflict zones and details on equipment used, such as C-130J and CL-604 aircraft. Continuous improvement in medical care during evacuations remains a top priority.

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Enhancing AIREVAC Operational Efficiency in Danish Military Medical Evacuations

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  1. SQN690 AIREVAC

  2. Agenda • SQN 690 • Danish AIREVAC – education • Danish AIREVAC – operations • Danish AIREVAC – the structures • Equipment

  3. SQN690 AIREVACOrganisation • Full time: • 1 Surgeon Commander – SQN Commander • 1 Surgeon Commander – Second in command • 1 Leader AECC • 1 Leader CSU • 2 Flight Medics • Reserve personnel: • 13 Flight Surgeons / Flight Medical Officers / Surgeons • 14 Flight Nurses • 18 Flight Medics

  4. Agenda • SQN 690 • Danish AIREVAC - EDUCATION • Danish AIREVAC – operations • Danish AIREVAC – the structures • Equipment

  5. Educational background • Basic military training • Flight surgeons • At least 2 years of specialist training for anesthesia and intensive care • Flight nurses • Specialists in anesthesia nursing or intensive care nursing • Flight medics • Paramedics

  6. Trainingobjectives • To utilize and integrate existing knowledge and skills to perform in an unfamiliar environment with potential unfamiliar stressors.

  7. Trainingobjectives • To utilize and integrate existing knowledge and skills to perform in an unfamiliar environment with potential unfamiliar stressors. • To corporate across professional and national boarders

  8. Trainingobjectives

  9. Trainingobjectives

  10. Trainingobjectives

  11. Trainingobjectives

  12. Trainingobjectives

  13. Trainingobjectives

  14. Trainingobjectives

  15. Trainingobjectives

  16. Trainingobjectives

  17. Agenda • SQN 690 • Danish AIREVAC – education • Danish AIREVAC – operations • Danish AIREVAC – the structures • Equipment

  18. Evacuation ex. Afghanistan AFGHANISTAN EUROPE Civ R4 Helmand Province Kabul Kandahar Camp Bastion Brize Norton Birmingham Ramstein Forward AE R3 Field Hospital AECC responcibility

  19. Forward AirEvac

  20. Camp Bastion

  21. RAF orUSAF

  22. ROYAL AIR FORCE C-17

  23. Birmingham

  24. Hercules C-130J

  25. Challenger CL-604

  26. Evacuation “short range” with Casualty Staging Unit (CSU) DENMARK TAOR Civ R4 R2LM Forward AE CSU AECC responcibility

  27. Arctic disaster evacuation with Casualty Staging Unit (CSU) Iceland Greenland Civ R3/R4 Cruise Ship Landing strip FW AE Forward Team Triage CSU+ Forward AE RW AE AECC responcibility

  28. Arctic disaster relief (exercise SAREX Greenland Sea 2012)

  29. Civil evacuation – Libya 2011

  30. AIREVAC operations: Total: 359 evacuations

  31. Agenda • SQN 690 • Danish AIREVAC – education • Danish AIREVAC – operations • Danish AIREVAC – the structures • Equipment

  32. Classical AIREVAC structure: SMO DETCO Chief Surgeon On duty Operative Command (HOK/SOK/FTK) Contact officer on duty (coordinating) Contact Surgeon Contact Officer Unit AECC AECO AE Team CCATT

  33. AIREVAC-REQUEST Tactical Command Duty Officer MISSION SMO / DETCO Chief Surgeon On duty TACDEN Duty Officer UNIT AECC SQN 721 Civil hospital Police MEDICAL FAMILY FLIGHT OPS. MEDICAL AIRCREW Ambulance Service ? MEDICAL AIRCREW MEDICAL CREW

  34. Gather initial medical information (MEDREP) Advice on medical aspects with regard to evacuation (fit for flight) Determine flight configuration Determine necessary medical capability for evacuation Staffing of CCATT Coordinate evacuation with tactical commands Coordinate evacuation with partnering AECC Arrange for transportation of patient from APOE to civil hospital Coordinate with and inform civil hospital Inform all other relevant entities (contact officers, Danish armed forces health service etc.) AECC/AECO tasks

  35. AECC considerations Type of aircraft (C-130J or CL-604) Flight time Altitude Landing facilities Weather issues en-route Transportation options (APOD - hospital), escort etc.

  36. Agenda • SQN 690 • Danish AIREVAC – education • Danish AIREVAC – operations • Danish AIREVAC – the structures • Equipment

  37. Hercules C-130J

  38. CAF/USAF Hercules C-130H

  39. Wartime configuration: Up to 97 stretchers... Peacetime configuration: 2 ambulances or.. 2 AE-modules or.. 1 AE-module and 1 ambulance or.. In combination with stretchers C130J Hercules

  40. C-130J Intensive Care AE Module (A+B)

  41. Intensive care set up

  42. Intensive care set up

  43. C-130J Intensive Care AE Module • Advantages: • Climate • Vibrations / noise • Supply (ox+220v) • Std. stretchers • Good working conditions • Contamination of plane…

  44. VW transporter synchro / MB Sprinter Intensive Care ambulances Currently 2+1 Door to door transportation C-130J Intensive Care Ambulance • Power supply 220 V AC + 12 V DC • Air condition • Noise/vibration

  45. Challenger CL-604

  46. Challenger CL-604

  47. Challenger CL-604

  48. Challenger CL-604

  49. SQN 690 (AIREVAC)Mission accomplished – every time…!

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