Tactical Evacuation Care “Who’s cah we gonna take?”
After we have completed our casualty assessment and it is time to move our casualty we have now progressed to Tactical Evacuation Care or TACEVAC. The main goal of this stage is the successful transportation and handoff to a medical facility. Whether that be a Guerilla hospital indigenous to your group, or one in your area run by people that support your cause is of little concern at this time (follow-on care is an important part of the discussion to have your own guerilla hospital set up). The main concern is that you can take your casualties to a place and not have to worry about them becoming prisoners to the opposing force.
The guidelines for TEC are very similar to those of TFC and CUF. We are following MARCH as we continue to treat our casualties. The only thing that changes is doctrinally medevac medics (for flight anyway which is what most of the doctrine is focused on) are paramedics and have a higher level of care or scope of practice that they are able to provide to the casualties. For us though our treatments will remain the same as we continue to reassess and trend vitals. The best treatment for our casualties is the speed of the evacuation platform. This brings us to our next discussion. “Who’s cah we gonna take?”
The selections of evac platform will primarily be decided by location, and what you have available. Dense forests with thick vegetation preventing you from getting a full-size vehicle along the path? Maybe a side by side is the answer. Have you taken the time to pre-plan evacuation routes properly with link-up points accessible by trucks? Maybe the F-250 is the vehicle you desire. Maybe you have done all you can at your location and need to evacuate them to a facility with more capabilities at your farmhouse? Well if that route includes paved roads with increased speeds, maybe a panel van modified to fit multiple casualties inside would work better for your role. Whatever the platform is, make sure it can fit your casualty and you with enough room for you to properly reassess as you move towards your treatment facility. It doesn’t have to be comfortable, you just need to be able to move around your casualty.
Have you given any thought to moving casualties once they’ve been stabilized?
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On the F250-ish option, a bed cover gives shelter from the elements, as well as a bit of privacy. If possible, take advantage of any rear windows into the cab to communicate with vehicle boss and/or driver. Full length bed is 8 feet, and the space between the wheel wells is 4 feet. How slippery is the bed of the truck when wet? Consider rhino lining or skateboard tape for extra traction. Consider taping up any key information like dosages, etc to the inside of the bed cover, or have a cheat sheet stored with your supplies. If you want to consider hanging fluids, maybe a preposition mount inside the vehicle’s enclosed space would be helpful.
That is absolutely true! Having some way to secure the casualties so they don’t roll around is important.
And the cheat sheets this is huge. Can’t be expected to remember everything.
Wow, good food for thought – definitely applicable stuff that I’d never have considered. Thanks for the info!