Not all NATO nations utilise these definitions. Medical Evacuation Definitions and Resources The movement of patients by air has been an important component of military medical health systems for nearly years. With the advent of passenger sscort cargo planes, patients have been regularly moved by fixed wing aeroplanes FW within theatres of operations and from theatres of operations back to the home base. Command, Control and Co-ordination C3.
Right Escort The medical escort must always match the clinical need of the patient to prevent deterioration en route. The final element of the TACEVAC plan is to consider the whole patient population and determine how emplaning rules should be adjusted for multi-national forces, indigenous security forces and local civilians.
Medical Evacuation Definitions and Resources The movement of patients by air excort been an important component of military medical health systems for nearly years. FW TACEVAC usually has higher volume and established mechanisms for patient escort but is more complex esccort organise because of the requirement to co-ordinate across service component boundaries and also across layers in the chain of command.
The person s filling this function must understand all of the TACEVAC capabilities including ground available to support the clinical requirement.
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Command, Control and Co-ordination C3. It is usually of smaller capacity and shorter range.
This advocates ten minutes to airway and bleeding control, one hour to be reached by MEDEVAC with skilled first aid and two hours to surgery. This will normally require a Senior Non Commissioned Officer or officer with aeromedical evacuation training. This requires a clearly deated Hospital Evacuation Co-ordination Officer who acts as the interface between the referring escort, the hospital clinical director, the hospital commanding officer and the in-theatre, controlling military headquarters.
Right Patient No different to civilian practice, the TACEVAC requesting process is initiated by a formal referral from the attending clinician in the donor facility to a nominated clinician in the receiving one. This will not denude capability for routine moves and allow for better planning as it will provide a regular outlet of patients for facilities.
The ECO should have sufficient clinical knowledge to understand the implications of clinical details entered into the PMR in the assessment of time, escort and destination for the patient. The exact methodology for their employment is currently being developed. Most current systems are based on re-allocating RW or FW aircraft from other transport tasks.
This is especially important for transfers from R2 to R3 for specialist care such as neurosurgery and ophthalmic surgery. They may be supported by Subject Matter Experts SMEs for each specific type of Aeromedical Evacuation AE capability but practical experience has shown that SMEs do not replace the generic function unless they have been given this specific task.
A of local solutions have been developed. Not all NATO nations utilise these definitions. RW tends to be more responsive because control is usually delegated to tactical commanders.
The requirement for the casualty to reach primary surgery within four hours needs to be revalidated in order to set the minimum time requirement for TACEVAC. The use of intensive care teams is not always possible on all types of aircraft because of the requirement for medical equipment to be tested for airworthiness on each specific aircraft. The level of care can be adjusted from the highest level rw a doctor-led intensive care team down to escot flight medic for routine patients.
Once the transfer has been agreed the sending MTF completes a PMR, a comprehensive summary of the medical condition of the patient, which allows confirmation of clinical details between hospitals and validation by the medical emplaning authority. This might require delegation of PMR validation to the emplaning medical team. These clinical timelines need to be balanced with operational constraints, especially when considering TACEVAC for specialist care such as neurosurgery or ophthalmology if the size of the population at risk does not justify deployment of specialist teams.
This is satisfactory for a demand-led, low volume system but may need to change for a high-volume, scheduled system as the confirmation of the scheduled TACEVAC manifest should be done as late as possible. They also require sufficient operational understanding to match the airframe to the clinical requirement.
With the advent of passenger and cargo planes, fs have been regularly moved by fixed wing aeroplanes FW within theatres of operations and from theatres of operations back to the home base. This ensures that bed management, patient regulation and transfer from airfield to Medical Treatment Facilities MTFs are properly co-ordinated. Building on the foundation of existing doctrine, evidence from accumulated experience and that published in peer reviewed literature, the medical planning timelines for MEDEVAC have been changed to the Guidelines.