TRAINING SUPPORT PACKAGE (TSP)



TRAINING SUPPORT PACKAGE (TSP)

|TSP Number / Title |081-T-0101 / Request Medical Evacuation |

|Effective Date |02 Jan 2008 |

|Supersedes TSP(s) / |081-F-0101, 31 January 1997. |

|Lesson(s) |This lesson provides training materials to support the revised procedures and Medical Evacuation Request format |

| |in FM 4-02.2, Medical Evacuation, May 07. The task will be updated in the next SMCT revision. |

|TSP Users |Initial and/or sustainment training for E1/W1/O1. |

|Proponent |The proponent for this document is the Medical Department Center and School. |

|Improvement Comments |Users are invited to send comments and suggested improvements on DA Form 2028, Recommended Changes to |

| |Publications and Blank Forms. Completed forms, or equivalent response, will be mailed or attached to electronic|

| |e-mail and transmitted to: |

| | |

| |DEPARTMENT OF TRAINING SUPPORT |

| |ATTN MCCS HTI |

| |1750 GREELEY RD STE 135 |

| |FORT SAM HOUSTON, TX 78234-5078 |

| | |

| |Telephone (Comm): (210) 221-1546 |

| |Telephone (DSN): 471-1546 |

| |e-mail: richard.barcus@us.army.mil |

|Security Clearance / | Unclassified |

|Access | |

|Foreign Disclosure |FD5. This product/publication has been reviewed by the product developers in coordination with the USAMEDDC&S |

|Restrictions |foreign disclosure authority. This product is releasable to students from all requesting foreign countries |

| |without restrictions. |

PREFACE

|Purpose |This Training Support Package provides the instructor with a standardized lesson plan for presenting instruction|

| |for: |

| |Task Number Task Title |

| |Individual |

| |081-831-0101 Request Medical Evacuation |

This TSP

Contains

TABLE OF CONTENTS

PAGE

Preface 2

Lesson Section I Administrative Data 4

Section II Introduction 6

Terminal Learning Objective - 081-831-0101 / Request Medical Evacuation 6

Section III Presentation 8

Section IV Summary 14

Section V Student Evaluation 17

Appendix A - Viewgraph Masters A -1

Appendix B - Test(s) and Test Solution(s) (N/A) B -1

Appendix C - Practical Exercises and Solutions C -1

Appendix D - Student Handouts D -1

Request Medical Evacuation

081T0101 / Version R07

02 Jan 2008

SECTION I. ADMINISTRATIVE DATA

|All Courses Including | Course Number Version Course Title |

|This Lesson | |

|Task(s) |Task Number Task Title |

|Taught(*) or | |

|Supported |Individual |

| |081-831-0101 (*) Request Medical Evacuation |

|Reinforced Task(s) | Task Number Task Title |

|Academic Hours |The academic hours required to teach this lesson are as follows: |

| |Resident |

| |Hours/Methods |

| |1 hr 15 mins / Conference / Discussion |

| |20 mins / Practical Exercise (Performance) |

| |Test 0 hrs |

| |Test Review 0 hrs |

| |Total Hours: 1 hr 35 mins |

|Test Lesson Number | Hours Lesson No. |

| |Testing |

| |(to include test review) N/A |

|Prerequisite Lesson(s) | Lesson Number Lesson Title |

| |None |

|Clearance Access | |

| |Security Level: Unclassified |

| |Requirements: There are no clearance or access requirements for the lesson. |

|Foreign Disclosure | |

|Restrictions |FD5. This product/publication has been reviewed by the product developers in coordination with the USAMEDDC&S |

| |foreign disclosure authority. This product is releasable to students from all requesting foreign countries |

| |without restrictions. |

|References | | | |Additional Information |

| |Number |Title |Date | |

| |FM 4-02.2 |Medical Evacuation |08 May 2007 |para 4-7, 4-142; table 4-3 |

|Student Study |None. |

|Assignments | |

|Instructor Requirements| |

| |One primary instructor. |

| | |

|Additional Support | |Stu Ratio | | |

| |Name | |Qty |Man Hours |

|Personnel Requirements |None | | | |

|Equipment Required |Id |Stu Ratio |Instr | | | |

| |Name | |Ratio |Spt |Qty |Exp |

|for Instruction |None | | | | | |

| |* Before Id indicates a TADSS |

|Materials Required |Instructor Materials: |

| |Viewgraphs 0101-1 through 0101-11, Medical Evacuation Request format, and a secure communications system (can be|

| |simulated). Video tape TVT 8-297 (PIN 710559), Transmit a 9-Line Medical Evacuation Message, is optional (see |

| |summary). |

| | |

| |Student Materials: |

| |Pen or pencil and student handout 081T0101, MEDEVAC Request Example and Format. |

| | |

|Classroom, Training |CLASSROOM (MULTI MEDIA), GEN PURPOSE, 1500 SF, 30 PN |

|Area, and Range | |

|Requirements | |

|Ammunition Requirements| | |Stu Ratio |Instr Ratio |Spt Qty |

| |Id Name |Exp | | | |

| |None | | | | |

|Instructional Guidance |NOTE: Before presenting this lesson, instructors must thoroughly prepare by studying this lesson and identified |

| |reference material. |

| |Students should have already received training on radio communications procedures prior to this class. |

| | |

| |In the case of large classes, have additional personnel available to evaluate students on GO or NO-GO |

| |performance. For small group instruction, no additional personnel are needed. A scenario for the practical |

| |exercise oriented to the local area or to a geographical location chosen by the instructor may be developed by |

| |the instructor prior to the start of the lesson. (See the practical exercise located at appendix C.) |

| | |

|Proponent Lesson Plan |Name |Rank |Position |Date |

|Approvals |DOCTRINE LIT, DLD | | |01 Jun 2007 |

| |IND TNG PUBS, HT | | |01 Jun 2007 |

| | |

SECTION II. INTRODUCTION

Method of Instruction: Conference / Discussion

Instructor to Student Ratio is: 1:25

Time of Instruction: 5 mins

Media: -None-

|Motivator | |

| |NOTE: Show VGT 0101-1, Title. |

| | |

| |Medical evacuation is the timely, efficient movement and en route care by medical personnel of the wounded, |

| |injured, or ill persons from the battlefield and other locations to medical treatment facilities. |

| | |

| |Evacuation begins when medical personnel receive the injured or ill Soldier and continues as far rearward as the|

| |patient's medical condition warrants or the military situation requires. |

| | |

| |Procedures for requesting medical evacuation support must be institutionalized down to the unit level. The same|

| |format used to request aeromedical evacuation is also used for requesting ground evacuation. |

| | |

| |Procedural guidance and standardization of request procedures are taught in this lesson. |

| | |

|Terminal Learning | |

|Objective |NOTE: Inform the students of the following Terminal Learning Objective requirements. |

| |At the completion of this lesson, you [the student] will: |

| |Action: | |

| | |081-831-0101 / Request Medical Evacuation |

| |Conditions: | |

| | |You have a casualty requiring medical evacuation (MEDEVAC) and you will need a patient |

| | |pickup site. You will need operational communications equipment, MEDEVAC request format, and|

| | |unit signal operation instructions (SOI). |

| |Standards: | |

| | |Transmit a MEDEVAC request, providing all necessary information as quickly as possible. |

| | |Transmit, as a minimum, line numbers 1 through 5 during the initial contact with the |

| | |evacuation unit. Transmit lines 6 through 9 while the aircraft or vehicle is en route, if |

| | |not included during the initial contact. |

| | |

|Safety Requirements | |

| |None. |

| | |

|Risk Assessment Level | |

| |Low |

|Environmental | |

|Considerations |NOTE: It is the responsibility of all Soldiers and DA civilians to protect the environment from damage. |

| |NOTE: Add considerations that are applicable to your specific training location or installation. |

| | |

|Evaluation | |

| |A 20 minute performance evaluation (PE) will be administered at the end of this lesson. The practical exercise |

| |in Appendix C is used as the PE. |

| | |

| |NOTE: Inform the student how, when, and where performance of the TLO will be evaluated. Provide the length of |

| |the test or exercise and identify the minimum passing score. |

| | |

|Instructional Lead-In | |

| |None. |

| | |

SECTION III. PRESENTATION

1. Learning Step / Activity 1. Collect all applicable information needed for MEDEVAC request.

Method of Instruction: Conference / Discussion

Instructor to Student Ratio: 1:25

Time of Instruction: 10 mins

Media: Large Group Instruction

NOTE: Show VGT 0101-2, MEDEVAC Format.

NOTE: Tell the students: The medical evacuation request is used for requesting evacuation support for both air and ground ambulances. Before transmitting the request you must collect information for each of the nine lines and prepare it in the correct format. A copy of the MEDEVAC request format is in your handout.

a. Location of Pickup Site (Line 1). Obtain the grid coordinates of the pickup site (see task 071-329-1002, Determine the Grid Coordinates of a Point on a Military Map) from the unit leader or the grid map of the operational area.

This information is required so that the evacuation vehicle crew knows where to pick up the casualty and the unit personnel coordinating the evacuation mission can plan the route for the evacuation vehicle (if casualties must be picked up from more than one location).

b. Radio Frequency, Call Sign, and Suffix (Line 2). Obtain the radio frequency, call sign, and suffix of the signal operation instructions (SOI) from the radio telephone operator (RTO).

This information is required so that the evacuation vehicle crew can contact the requesting unit while en route to obtain additional information (for example, a change in situation, directions, or other information).

c. Number of Patients by Precedence (Line 3). Obtain this information, a part of the evaluation of the patients, from the medic or the senior person present.

This information is required by the unit controlling the evacuation vehicles in order to assist in prioritizing missions when more than one is received. The precedence provides the supporting medical unit and controlling headquarters with information that they can use to determine priorities for committing their evacuation assets. For this reason, correct assignment of a precedence cannot be overemphasized; overclassification remains a continuing problem. Overclassification wastes time and assets and could ultimately be the cause of a Soldier not receiving the care he needs. Patients will be picked up as soon as possible, consistent with available resources and pending missions.

d. Special Equipment Required (Line 4). Obtain this information, a part of the evaluation of the patients and the situation, from the medic or the senior person present. Equipment to be included in a MEDEVAC request is limited to a hoist, extraction equipment, and ventilator.

This information is required so that the equipment can be placed on board the evacuation vehicle prior to the start of the mission.

e. Number of Patients by Type (Line 5). Obtain information on the number of litter and ambulatory patients from the medic or the senior person present.

This information is required to determine the appropriate number of evacuation vehicles to be dispatched to the pickup site. The information is also needed to configure the vehicles to carry the patients requiring evacuation.

f. Security of Pickup Site (Wartime) (Line 6). Obtain this information, an evaluation of the situation, from the unit leader.

This information is required to assist the evacuation crew in assessing the situation and determining if assistance is required in accomplishing the mission. More definitive guidance can be furnished the evacuation vehicle while it is en route (for example, the specific location of the enemy would assist the crew in planning the approach).

NOTE: Tell the students: The format also shows information to be transmitted during peacetime for lines 6 and 9. We are training to wartime standards and you will NOT be evaluated on peacetime requirements.

g. Method of Marking Pickup Site (Line 7). This information, based on the situation and the availability of materials, is provided by the medic or senior person present.

The information is required to assist the evacuation aircraft crew in identifying the specific location of the pickup site. The color of the panels, smoke, or other markings should not be transmitted until the evacuation vehicle contacts the unit just prior to arrival. For security reasons, the crew should identify the color of the markings and the unit should verify the color.

h. Patient Nationality and Status (Line 8). The number of patients in each category need not be transmitted. Obtain this information from the medic or senior person present.

The information is required in planning for destination facilities and the need for guards. The unit requesting evacuation support should ensure that there is an English-speaking representative at the pickup site.

I. CBRN Contamination (Wartime) (Line 9). Obtain chemical, biological, radiological, and nuclear (CBRN) contamination information from the medic or senior person present. Include this line only when applicable.

This information is required to assist in planning for the mission. It is used to determine which evacuation vehicle will accomplish the mission and when it will be accomplished.

NOTE: Tell the students: Information concerning the vehicle to be used and the time of arrival can be obtained from the evacuation unit.

|NOTE: |Conduct a check on learning and summarize the learning activity. |

2. Learning Step / Activity 2. Record the gathered MEDEVAC information using authorized brevity codes as appropriate.

Method of Instruction: Conference / Discussion

Instructor to Student Ratio: 1:25

Time of Instruction: 15 mins

Media: Large Group Instruction

NOTE: Tell the students: During wartime, brevity codes must be used in preparing all medical evacuation requests. The authorized codes are provided in the MEDEVAC request format; they are also provided in the SOI. Use of locally devised brevity codes is not authorized. The brevity codes must be used in secure and nonsecure communications to keep the transmission as short as possible. If the unit preparing the request does not have access to secure communications, the medical evacuation request must be prepared in encrypted form. Encrypting is required for all information on the request with the exception of—

λ The medical evacuation line number identifier. This information is always transmitted in clear text.

λ The call sign and suffix (Line 2) which can be transmitted in clear text.

NOTE: Show VGT 0101-3, Location of Pickup Site.

a. Location of Pickup Site (Line 1). Record the grid zone letters and coordinates.

NOTE: Tell the students: When using DRYAD Numeral Cipher, the same SET line is used to encrypt both the grid zone letters and the coordinates (Line 1 of the request). To avoid misunderstanding, a statement should be made that the grid zone letters are included in the message. This must be accomplished unless the tactical standing operating procedures (TSOP) specifies that the DRYAD Numeral Cipher is to be used at all times.

NOTE: Show VGT 0101-4, Radio Frequency, Call Sign, and Suffix.

b. Radio Frequency, Call Sign, and Suffix (Line 2). Record the frequency of the radio at the pickup site, not a relay frequency. The call sign (and suffix if used) of the person to be contacted at the pickup site may be transmitted in the clear.

NOTE: Show VGT 0101-5, Number of Patients by Precedence.

c. Number of Patients by Precedence (Line 3). Report only applicable information using the brevity code(s) and amount(s).

NOTE: Tell the students: The brevity code precedes the description (A - Urgent) in the line number block under the information column. Therefore if you have one urgent casualty, you would record A1. If two or more categories must be reported in the same request, insert the word “BREAK” between each category. An example would be A1 BREAK D1.

λ A - URGENT (evacuate as soon as possible or within 2 hours).

λ B - URGENT SURGICAL (evacuate within 2 hours to the nearest surgical unit).

λ C - PRIORITY (evacuate promptly or within 4 hours).

λ D - ROUTINE (evacuate within 24 hours).

λ E - CONVENIENCE (medical convenience rather than necessity).

NOTE: Show VGT 0101-6, Special Equipment Required.

d. Special Equipment Required (Line 4). Record the type of special equipment needed.

λ A - None.

λ B - Hoist.

λ C - Extraction equipment.

λ D - Ventilator.

NOTE: Show VGT 0101-7, Number of Patients by Type.

e. Number of Patients by Type (Line 5). Report only applicable information using the brevity codes “L” and “A”. If requesting MEDEVAC for both types, insert the word "BREAK" between the litter entry and ambulatory entry.

λ L - (Litter) plus the number of patients.

λ A - (Ambulatory [sitting]) plus the number of patients.

NOTE: Show VGT 0101-8, Security of Pickup Site.

f. Security of Pickup Site (Wartime) (Line 6). Use one of the following brevity codes to transmit the information concerning pickup-site security.

λ N - No enemy troops in the area.

λ P - Possibly enemy troops in the area (approach with caution).

λ E - Enemy troops in the area (approach with caution).

λ X - Enemy troops in the area (armed escort required).

NOTE: Show VGT 0101-9, Method of Marking Pickup Site.

g. Method of Marking Pickup Site (Line 7). Record the appropriate brevity code(s) for the method of marking the pickup site.

λ A - Panels.

λ B - Pyrotechnic signal.

λ C - Smoke signal.

λ D - None.

λ E - Other.

NOTE: Show VGT 0101-10, Patient Nationality and Status.

h. Patient Nationality and Status (Line 8). Record only the applicable brevity codes.

λ A - U.S. military.

λ B - U.S. civilian.

λ C - Non-U.S. military.

λ D - Non-U.S. civilian.

λ E - Enemy Prisoner of War (EPW).

NOTE: Show VGT 0101-11, CBRN Contamination.

I. CBRN Contamination (Wartime) (Line 9). Record the appropriate brevity code(s) only if applicable.

λ C - Chemical.

λ B - Biological.

λ R - Radiological.

λ N - Nuclear.

|NOTE: |Conduct a check on learning and summarize the learning activity. |

3. Learning Step / Activity 3. Transmit the MEDEVAC request

Method of Instruction: Conference / Discussion

Instructor to Student Ratio: 1:25

Time of Instruction: 20 mins

Media: Large Group Instruction

a. The MEDEVAC request should be made by the most direct communication means to the unit that controls evacuation assets. The communication means and channels used depend on the situation (organization, communication means available, location on the battlefield, and distance between units).

NOTE: The primary and alternate channels to be used for requesting MEDEVAC are specified in the unit evacuation plan.

b. Contact the unit that controls the evacuation assets.

Under all wartime conditions, these requests are transmitted by secure means only. Therefore, the use of nonsecure communications dictates that the request be transmitted in encrypted form. Regardless of the type (secure or nonsecure) communication equipment used in transmission, it is necessary to--

(1) Make proper contact with the intended receiver. Information about the intended receiver is obtained from the senior leader present who in turn obtains the information from the unit SOP, comment in the SOI, briefing for the mission, and/or a paragraph in the unit operation order (OPORD).

NOTE: Remind the students about previous training on task 113-571-1022, ”Perform Voice Communications“.

(2) Use the effective call sign and frequency designators from the SOI.

(3) State the purpose of the radio message by providing the opening statement: "I have a MEDEVAC request, over." Wait 1 to 3 seconds for acknowledgment; if there is no answer or if contact is interrupted, repeat the statement, "I have a MEDEVAC request, over."

c. Transmit the MEDEVAC information in the proper sequence.

(1) State all item line numbers in clear text. The call sign and suffix (if used) in line 2 may also be transmitted in the clear.

(2) Transmit other required information using the appropriate brevity codes and format.

(3) Pronounce letters and numbers in accordance with appropriate radio telephone procedures.

(4) Transmit the required information as quickly as possible.

NOTE: Line numbers 1 through 5 of the request must always be transmitted during initial contact with the evacuation unit. Lines 6 through 9 may be transmitted while the aircraft or vehicle is en route.

(5) End the transmission by stating, "Over."

(6) Listen for an acknowledgment.

(7) After transmission and acknowledgment are accomplished, the transmitting operator must monitor the frequency for additional instructions or contact from the evacuation unit.

NOTE: Refer the students to the EXAMPLE MEDEVAC REQUEST located in their handout 081T0101. Remind the students that the example starts after initial contact is made with the unit controlling the evacuation; it is designed for use with a secure communication system.

NOTE: If an assistant is available, demonstrate this step by going through the entire procedure using the MEDEVAC request information. Have the assistant act as the evacuation unit contact.

|NOTE: |Conduct a check on learning and summarize the learning activity. |

4. Learning Step / Activity 4. Practical exercise and review

Method of Instruction: Practical Exercise (Performance)

Time of Instruction: 20 mins

Media: -None-

|NOTE: |See Section V and Appendix C for information on administration of the Practical Exercise. |

SECTION IV. SUMMARY

Method of Instruction: Conference / Discussion

Instructor to Student Ratio is: 1:25

Time of Instruction: 15 mins

Media: Large Group Instruction

|Check on Learning | |

| |Determine if the students have learned the material presented by soliciting student questions and explanations. |

| |Ask the students questions and correct misunderstandings. |

| | |

| |QUESTIONS & ANSWERS: |

| | |

| |1. When must the MEDEVAC request be encrypted? |

| | |

| |ANS: During wartime when using nonsecure communications. |

| | |

| |2. What information on the MEDEVAC Request Format does not require encryption transmission over nonsecure |

| |communications during wartime? |

| | |

| |ANS: The Line Number identifiers (line #1 - 9 of the MEDEVAC Request Format) and the call sign and suffix |

| |listed in the EXPLANATION column for line #2. |

| | |

| |3. Authorized brevity codes are obtained from what two sources? |

| | |

| |ANS: The unit SOI and the MEDEVAC Request Format. |

| | |

| |4. What procedure is used to pronounce the numbers and letters during transmission? |

| | |

| |ANS: Standard radio procedures. |

| | |

| |5. During wartime which lines of the MEDEVAC request are subject to brevity codes? |

| | |

| |ANS: Lines 3 through 9. |

| | |

| |6. With the exception of line numbers 1, 2, and 6, who normally provides the information required for the |

| |MEDEVAC request? |

| | |

| |ANS: Medic or Senior Person Present. |

| | |

| |7. The MEDEVAC Request Format differs in what two line item areas for peacetime and wartime? |

| | |

| |ANS: Line numbers 6 and 9. |

| | |

| |8. What line numbers, as a minimum, must be transmitted during intital contact with the evacuation unit? |

| | |

| |ANS: Line numbers 1 through 5. |

| | |

|Review / Summarize | |

|Lesson |NOTE: Video tape TVT 8-297 (PIN 710559), Transmit a 9-Line Medical Evacuation Message, length - 7 minutes, is |

| |optional but it does present the procedure and could be used in place of the summary with the check on learning |

| |following the showing. This tape is available through the Training and Audiovisual Support Center (TASC). |

| | |

| |1. Procedures for collecting information and requesting medical evacuation support must be institutionalized |

| |down to the unit level. Procedural guidance and standardization of information collection and request |

| |procedures are as follows: |

| | |

| |a. Collect all the information needed for a MEDEVAC request, line items 1 through 9. |

| | |

| |(1) Location of the pickup site (Line 1). |

| | |

| |(2) Radio frequency, call sign, and suffix (Line 2). |

| | |

| |(3) Number of patients by precedence (Line 3). |

| | |

| |(4) Special equipment required (Line 4). |

| | |

| |(5) Number of patients by type (Line 5). |

| | |

| |(6) Security of pickup site (Line 6). |

| | |

| |(7) Method of marking pickup site (Line 7). |

| | |

| |(8) Patient nationality and status (Line 8). |

| | |

| |(9) CBRN contamination (Line 9). |

| | |

| |b. Record the information using authorized brevity codes as appropriate. |

| | |

| |NOTE: Refer to learning step 2 for explanation of various brevity codes. Brevity codes are also available in |

| |the student handout 081T0101, MEDEVAC Request Example and Format. |

| | |

| |c. Contact the unit controlling evacuation. |

| | |

| |(1) Make proper contact with the intended receiver. |

| | |

| |(2) Use the effective call sign and frequency designators. |

| | |

| |d. State the purpose of the radio message in clear text. |

| | |

| |(1) Provide the opening statement: "I have a MEDEVAC request, over." |

| | |

| |(2) Wait 1 to 3 seconds for acknowledgment; if there is no answer or if contact is interrupted, repeat the |

| |statement, "I have a MEDEVAC request, over." |

| | |

| |e. Transmit MEDEVAC request information as quickly as possible. |

| | |

| |(1) State item line numbers in clear text. |

| | |

| |(2) Transmit all required MEDEVAC information using appropriate brevity codes . |

| | |

| |(3) End with "over." |

| | |

| |(4) Listen for acknowledgment. |

| | |

| |(5) Listen for additional instructions or contact. |

| | |

| |2. Remember that these steps must be performed exactly as presented and practiced during this lesson. Correct |

| |performance of this task could save a Soldier's life. |

SECTION V. STUDENT EVALUATION

|Testing Requirements |NOTE: Describe how the student must demonstrate accomplishment of the TLO. Refer student to the Student |

| |Evaluation Plan. |

| |1. Performance Exercise: |

| | |

| |a. This task may be evaluated during a training exercise involving a MEDEVAC vehicle, or it may be simulated by |

| |creating a scenario and providing the information as the student requests it. The instructor will develop and |

| |provide the scenario information for the student to use. (A sample scenario that can be used or modified is |

| |located in the "Solution" portion of Appendix C.) The instructor and/or assistants will act as the radio |

| |contact at the evacuation unit during transmission of the request. |

| | |

| |b. Tell the student to prepare and transmit a MEDEVAC request. The student is given an order to request |

| |MEDEVAC, a patient pickup site, secure operational communications system, and the MEDEVAC request format. |

| | |

| |c. The student transmits a MEDEVAC request and provides all necessary MEDEVAC request information. |

| | |

| |d. The instructor and/or qualified assistants (as appropriate) will use the Performance Evaluation sheet located|

| |at Appendix C to evaluate the Soldier's performance. Score the student GO if all the steps are passed. Score |

| |the student NO-GO if any steps are failed. The performance exercise must be completed with 100% accuracy. |

| | |

| |e. The time required to accomplish this practical exercise is based on one instructor with 25 students, in a |

| |classroom environment. The size of the class, location of training, and availability of qualified assistants |

| |are relevant to time requirements. |

| | |

| |2. Written Test: None. |

|Feedback Requirements |NOTE: Feedback is essential to effective learning. Schedule and provide feedback on the evaluation and any |

| |information to help answer students' questions about the test. Provide remedial training as needed. |

| | |

Appendix A - Viewgraph Masters

VIEWGRAPHS FOR LESSON 1: 081T0101 version R07

Terminal Learning Objective

VGT 0101-1 through 0101-11, PowerPoint Presentation

"c:\\asat\\asat_037\\037_253.ppt"

Appendix B - Test(s) and Test Solution(s) (N/A)

Appendix C - Practical Exercises and Solutions

PRACTICAL EXERCISE(S)/SOLUTION(S) FOR LESSON 1: 081T0101 version R07

PRACTICAL EXERCISE SHEET 1

|Title | Request Medical Evacuation Performance Exercise |

|Lesson Number / Title |081T0101 version R07 / Request Medical Evacuation |

|Introduction |The exercise you are about to participate in will evaluate how well you can carry out the requirements for |

| |requesting medical evacuation. |

|Motivator |Other Soldiers' lives could rest on your ability to correctly request MEDEVAC. You may some day be in a |

| |situation where one of your current classmates is a casualty and you may be the one who needs to request the |

| |MEDEVAC. |

|Terminal Learning |NOTE: The instructor should inform the students of the following Terminal Learning Objective covered by this |

|Objective |practical exercise. |

| |At the completion of this lesson, you [the student] will: |

| |Action: |081-831-0101 / Request Medical Evacuation |

| |Conditions: |You have a casualty requiring medical evacuation (MEDEVAC) and you will need a patient pickup |

| | |site. You will need operational communications equipment, MEDEVAC request format, and unit |

| | |signal operation instructions (SOI). |

| |Standards: |Transmit a MEDEVAC request, providing all necessary information as quickly as possible. |

| | |Transmit, as a minimum, line numbers 1 through 5 during the initial contact with the |

| | |evacuation unit. Transmit lines 6 through 9 while the aircraft or vehicle is en route, if not |

| | |included during the initial contact. |

| | |

|Safety Requirements |None. |

|Risk Assessment |Low |

|Environmental |NOTE: Add considerations that are applicable to your specific training location or installation. |

|Considerations | |

|Evaluation |1. The student may be evaluated during a training exercise involving a MEDEVAC vehicle, or he/she may be |

| |evaluated by creating a scenario with the instructor providing the information as the trainee requests it. (A |

| |sample scenario that can be used or modified is located in the "Solution" portion of this Appendix.) |

| | |

| |2. This is a performance evaluation which each student must complete with grading done on a GO or NO-GO basis |

| |and 100% accuracy is required to pass. |

|Instructional Lead-In |None. |

|Resource Requirements |Instructor Materials: |

| |Secure operational communications system (can be simulated), scenario information, and MEDEVAC Request Format. |

| | |

| |Student Materials: |

| |Pen or pencil and paper, secure operational communications system (can be simulated), instructor provided |

| |scenario information, and MEDEVAC Request Format. |

|Special Instructions |1. If there are instructor assistants available, divide the class equally by the number of assistants. Each |

| |instructor or instructor assistant will act as the radio contact at the evacuation unit. |

| | |

| |2. Provide each instructor or instructor assistant with the necessary number of practical exercise evaluation |

| |guides. |

| | |

| |3. Ensure the student has all student required materials. |

| | |

| |a. MEDEVAC Request Format. |

| | |

| |b. Pencil and paper. |

| | |

| |c. Secure operational communications system (can be simulated). |

| | |

| |d. Instructor provided scenario information. |

| | |

| |4. Read Terminal Learning Objective to students. |

| | |

| |5. Explain the grading of the exercise. |

| | |

| |a. GO or NO-GO. |

| | |

| |b. 100% correct is required. |

| | |

| |6. Allow time for the students to extract the information required from the instructor provided scenario and |

| |convert for use with the MEDEVAC request. |

|Procedures | |

This evaluation is to be accomplished for a wartime scenario using

a secure communication system (may be simulated).

GO NO GO

1. Collected all information needed for the MEDEVAC request

line items 1 through 9. ___ ____

2. Recorded the information using authorized brevity codes, as

appropriate. ___ ____

3. Contacted the unit controlling evacuation. ___ ____

4. Stated the purpose of the radio message in clear text. ___ ____

a. Stated, "I have a MEDEVAC request, over."

b. Waited 1 to 3 seconds for acknowledgment; if there was

no answer or if contact was interrupted, repeated the statement.

5. Transmitted the MEDEVAC request information. ___ ____

a. The request included all needed information in the

proper sequence for transmission.

b. Correct brevity codes were used.

c. Letters and numbers were pronounced IAW appropriate

radio telephone procedures.

d. Followed the procedure in the "explanation" column to

transmit other required information.

e. Ended the transmission by stating, "Over," and listened

for acknowledgment.

6. Kept the radio on and listened for additional instructions or

contact from the evacuation unit. ___ ____

|Feedback Requirements |If the student scores NO-GO, show what was done wrong and how to do it correctly. |

SOLUTION FOR

PRACTICAL EXERCISE SHEET 1

SAMPLE SCENARIO

Situation: You are participating in an exercise and you are located at grid coordinates EG 05959122 near the end of a dirt road in a flat area surrounded by swamps. You must request medical evacuation for two Soldiers from your unit. The call sign you use is X69 and the frequency is 36.90. One casualty has a shrapnel wound to the chest with difficulty breathing and the other has a fracture of the right arm. Medical personnel state that the first casualty needs a ventilator and immediate surgery and the other casualty is routine. Contact with the enemy has been limited for the past 8 hours but there may be some hostile troops in the area. No CBRN contamination has been detected in the area. Smoke will be used to mark the location.

SCENARIO SOLUTION

Line 1 EG 05959122

Line 2 36.90 "BREAK" X69

Line 3 B1"BREAK" D1

Line 4 D

Line 5 L1 “BREAK” A1

Line 6 P

Line 7 C

Line 8 A

Line 9 (Not needed -- no contamination)

Appendix D - Student Handouts

HANDOUTS FOR LESSON 1: 081T0101 version R07

Terminal Learning Objective

Handout 081T0101, MEDEVAC Request Example and Format

EXAMPLE MEDEVAC REQUEST

Situation: You are participating in a training exercise east of Fort Gordon, Georgia Military Reservation. You are the RATELO in operations and SGT Smith, call sign X69, frequency 36.90 is the RATELO of a subordinate unit. SGT Smith is located in a clearing at the edge of the tree line, grid coordinates LG70368730. SGT Smith calls you and asks that you request a MEDEVAC for him. He relays the following information: He has three burned Soldiers. Two are burned badly and he thinks they require immediate surgery; one needs a ventilator. The third Soldier is a priority precedence evacuation. All three Soldiers should be considered litter patients. SGT Smith’s unit will mark the LZ with smoke. Aggressor (enemy) troops are known to be in the area.

SPOKEN REQUEST:

NOTE: This example is based on using a secure communication system and starts at the point when contact is made. (Using communication procedures was covered in other training and is not covered here except for the MEDEVAC format.) The information used below is extracted from the above situation.

LINE 1 LG70368730

LINE 2 36.90 “BREAK” X69

LINE 3 B2 “BREAK” C1

LINE 4 D

LINE 5 L3

LINE 6 E

LINE 7 C

LINE 8 A3

LINE 9 (Not needed - - no contamination)

Procedures for Information Collection and MEDEVAC Request Preparation

| | | | | | |

| | | | |WHO | |

| | | |WHERE/HOW |NORMALLY | |

|LINE |ITEM |EXPLANATION |OBTAINED |PROVIDES |REASON |

| | | | | | |

|1 |Location |Encrypt the grid coordinates of the |From map |Unit leader(s) |Required so evacuation |

| |of pickup |pickup site. When using the DRYAD | | |vehicle knows where to pick |

| |site |Numeral Cipher, the same “SET” line | | |up patient. Also, so that |

| | |will be used to encrypt the grid zone| | |the unit coordinating the |

| | |letters and the coordinates. To | | |evacuation mission can plan |

| | |preclude misunderstanding, a | | |the route for the evacuation |

| | |statement is made that grid zone | | |vehicle (if the evacuation |

| | |letters are included in the message | | |vehicle must pick up from |

| | |(unless unit SOP specifies its use at| | |more than one location). |

| | |all times). | | | |

| | | | | | |

|2 |Radio |Encrypt the frequency of the radio at|From SOI |RTO |Required so that evacuation |

| |frequency, |the pickup site, not a relay | | |vehicle can contact |

| |call sign, |frequency. The call sign (and suffix| | |requesting unit while en |

| |and |if used) of person to be contacted at| | |route (obtain additional |

| |suffix |the pickup site may be transmitted in| | |information or change in |

| | |the clear. | | |situation or directions). |

| | | | | | |

|3 |Number |Report only applicable information |From evaluation |Medic or |Required by unit controlling |

| |of |and encrypt the brevity codes. |of patient(s) |senior person |vehicles to assist in |

| |patients by |A - URGENT | |present |prioritizing missions. |

| |precedence |B - URGENT-SURG | | | |

| | |C - PRIORITY | | | |

| | |D - ROUTINE | | | |

| | |E - CONVENIENCE | | | |

| | |If two or more categories must be | | | |

| | |reported in the same request, insert | | | |

| | |the word “BREAK” between each | | | |

| | |category. | | | |

| | | | | | |

|4 |Special |Encrypt the applicable brevity codes.|From evaluation |Medic or |Required so that the |

| |equipment |A - None |of patient/situation |senior person |equipment can be placed on |

| |required |B - Hoist | |present |board the evacuation vehicle |

| | |C - Extraction equipment | | |prior to the start of the |

| | |D - Ventilator | | |mission. |

| | | | | | |

|5 |Number of |Report only applicable information |From evaluation |Medic or |Required so that the |

| |patients |and encrypt the brevity code. If |of patient(s) |senior person |appropriate number of |

| |by type |requesting medical evacuation for | |present |evacuation vehicles may be |

| | |both types, insert the word “BREAK” | | |dispatched to the pickup |

| | |between the litter entry and | | |site. They should be |

| | |ambulatory entry. | | |configured to carry the |

| | |L + # of patients - Litter | | |patients requiring |

| | |A + # of patients - Ambulatory | | |evacuation. |

| | |(sitting) | | | |

| | | | | | |

|6 |Security |N - No enemy troops in area |From evaluation |Unit leader |Required to assist the |

| |of pickup |P - Possibly enemy troops in |of situation | |evacuation crew in assessing |

| |site |area (approach with | | |the situation and determining|

| |(wartime) |caution) | | |if assistance is required. |

| | |E - Enemy troops in area | | |More definitive guidance can |

| | |(approach with caution) | | |be furnished the evacuation |

| | |X - Enemy troops in area | | |vehicle while it is en route |

| | |(armed escort required) | | |(specific location of enemy |

| | | | | |to assist an aircraft in |

| | | | | |planning its approach). |

Procedures for Information Collection and MEDEVAC Request Preparation (continued)

| | | | | | |

| | | | |WHO | |

| | | |WHERE/HOW |NORMALLY | |

|LINE |ITEM |EXPLANATION |OBTAINED |PROVIDES |REASON |

| | | | | | |

|6 |Number |Specific information regarding |From evaluation |Medic or |Required to assist evacuation|

| |and type |patient wounds by type (gunshot or |of patient(s) |senior person |personnel in determining |

| |of wound, |shrapnel). Report serious | |present |treatment and special |

| |injury, or |bleeding, along with patient’s | | |equipment needed. |

| |illness |blood type, if known. | | | |

| |(peacetime) | | | | |

| | | | | | |

|7 |Method of |Encrypt the brevity codes. |Based on |Medic or |Required to assist the |

| |marking |A - Panels |situation and |senior person |evacuation crew in |

| |pickup site |B - Pyrotechnic signal |availability of |present |identifying the specific |

| | |C - Smoke signal |materials | |location of the pickup. Note|

| | |D - None | | |that the color of the panels |

| | |E - Other | | |or smoke should not be |

| | | | | |transmitted until the |

| | | | | |evacuation vehicle contacts |

| | | | | |the unit (just prior to its |

| | | | | |arrival). For security, the |

| | | | | |crew should identify the |

| | | | | |color and the unit verifies |

| | | | | |it. |

| | | | | | |

|8 |Patient |The number of patients in each |From evaluation |Medic or |Required to assist in |

| |nationality |category need not be transmitted. |of patient(s) |senior person |planning for destination |

| |and status |Encrypt only the applicable brevity| |present |facilities and need for |

| | |codes. | | |guards. Unit requesting |

| | |A - US military | | |support should ensure that |

| | |B - US citizen | | |there is an English-speaking |

| | |C - Non-US military | | |representative at the pickup |

| | |D - Non-US citizen | | |site. |

| | |E - Enemy prisoner of war | | | |

| | |(EPW) | | | |

| | | | | | |

|9 |CBRN con- |Include this line only when |From situation |Medic or |Required to assist in |

| |tamination |applicable. Encrypt the applicable| |senior person |planning for the mission |

| |(wartime) |brevity codes. | |present |(determine which evacuation |

| | |C - Chemical | | |vehicle will accomplish the |

| | |B - Biological | | |mission and when it will be |

| | |R - Radiological | | |accomplished). |

| | |N - Nuclear | | | |

| | | | | | |

|9 |Terrain |Include details of terrain features|From area |Personnel |Required to allow evacuation |

| |description |in and around proposed landing |survey |present |personnel to assess |

| |(peacetime) |site. If possible, describe | | |route/avenue of approach into|

| | |relationship of site to prominent | | |area. Of particular |

| | |terrain feature (lake, mountain, | | |importance if hoist operation|

| | |tower). | | |is required. |

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