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MEDEVAC FOR MEDICAL STAFF

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

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  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) SOP’s

  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 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.

  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 > 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.

  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”.

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