FM 8-10-6 Medical Evacuation in a Theater of Operations.pdf

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FM 8-10-6
MEDICAL EVACUATION
IN A THEATER OF
OPERATIONS
TACTICS, TECHNIQUES, AND PROCEDURES
HEADQUARTERS, DEPARTMENT OF THE ARMY
DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited.
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*FM 8-10-6
FIELD MANUAL
DEPARTMENT OF THE ARMY
WASHINGTON, DC, 14 APRIL 2000
HEADQUARTERS
MEDICAL EVACUATION IN A THEATER OF OPERATIONS
TACTICS, TECHNIQUES, AND PROCEDURES
TABLE OF CONTENTS
Page
PREFACE .........................................................................................................
xi
CHAPTER
1. INTRODUCTION TO THE COMBAT HEALTH SUPPORT
SYSTEM AND MEDICAL EVACUATION .............................. 1-1
1-1. General ................................................................................. 1-1
1-2. Threat ................................................................................... 1-1
1-3. Medical Threat and Medical Intelligence ......................................... 1-2
1-4. Medical Evacuation Versus Casualty Evacuation ............................... 1-3
1-5. Theater Evacuation Policy ........................................................... 1-4
1-6. Factors Determining the Evacuation Policy ...................................... 1-6
1-7. Impact of Evacuation Policy on Combat Health Support Requirements ..... 1-6
1-8. Adjustments to the Evacuation Policy ............................................. 1-7
1-9. Planning for Combat Health Support .............................................. 1-7
1-10. Echelons of Medical Care ........................................................... 1-8
1-11. Principles of Combat Health Support Operations ............................... 1-10
1-12. Army Medical Department Battlefield Rules ..................................... 1-11
1-13. Mandated Medical Evacuation Support ........................................... 1-12
CHAPTER
2. ECHELONS I AND II MEDICAL EVACUATIO N ......................... 2-1
2-1. General ................................................................................. 2-1
2-2. Echelon I (Unit Level) Medical Evacuation ...................................... 2-1
2-3. Echelon II Medical Evacuation in the Division .................................. 2-4
2-4. Echelons I and II Medical Evacuation in the Corps ............................. 2-5
CHAPTER
3. CORPS AND ECHELONS ABOVE CORPS MEDICAL
EVACUATION UNITS ........................................................ 3-1
Section
I. Medical Evacuation Battalion ..................................................... 3-1
3-1. General ................................................................................. 3-1
3-2. Assignment ............................................................................. 3-1
DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited.
*This publication supersedes FM 8-10-6, 31 October 1991.
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Page
3-3.
Mission and Capabilities ..........................................................
3-1
3-4.
Organization and Functions ......................................................
3-2
Section
II.
Medical Company, Ground Ambulance .....................................
3-5
3-5.
General ...............................................................................
3-5
3-6.
Assignment ..........................................................................
3-5
3-7.
Mission, Capabilities, and Limitations .........................................
3-5
3-8.
Organization and Functions ......................................................
3-6
Section
III.
Medical Company, Air Ambulance ...........................................
3-8
3-9.
General ...............................................................................
3-8
3-10.
Assignment ..........................................................................
3-8
3-11.
Mission and Capabilities ..........................................................
3-8
3-12.
Organization and Functions ......................................................
3-9
CHAPTER
4.
THE MEDICAL EVACUATION SYSTEM ................................
4-1
4-1.
General ...............................................................................
4-1
4-2.
Medical Evacuation ................................................................
4-2
4-3.
Basic Considerations in Medical Evacuation Operations ....................
4-4
4-4.
Property Exchange and Patient Movement Items ............................. 4-12
4-5.
Medical Evacuation Tools ........................................................ 4-12
4-6.
Medical Evacuation Support for Combat Forces in the Offense
and Defense ...................................................................... 4-15
4-7.
Medical Evacuation Support for Choices of Maneuver and Enabling
Operations ........................................................................ 4-20
4-8.
Medical Evacuation Support in Stability Operations ......................... 4-23
4-9.
Medical Evacuation Support in Support Operations ......................... 4-25
4-10.
Medical Evacuation of Enemy Prisoners of War ............................. 4-26
4-11.
Evacuation and Disposition of Remains ........................................ 4-27
4-12.
Aeromedical Evacuation Operations ............................................ 4-27
4-13.
Evacuation of Military Working Dogs ......................................... 4-29
CHAPTER
5.
MEDICAL EVACUATION IN SPECIFIC ENVIRONMENTS ........
5-1
5-1.
General ...............................................................................
5-1
5-2.
Mountain Operations ..............................................................
5-1
5-3.
Jungle Operations ..................................................................
5-5
5-4.
Desert Operations ..................................................................
5-7
5-5.
Extreme Cold Weather Operations .............................................. 5-15
5-6.
Medical Evacuation in a Nuclear, Biological, or Chemical
Environment ..................................................................... 5-17
5-7.
Naval Operations ................................................................... 5-19
5-8.
Airborne and Air Assault Operations ........................................... 5-21
5-9.
Army Special Operations Forces ................................................ 5-22
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5-10.
Military Operations on Urbanized Terrain .................................... 5-22
5-11.
Cross-Forward Line of Own Troops Operations ............................. 5-36
5-12.
Combat Search and Rescue Operations ........................................ 5-38
5-13.
Minefield Operations .............................................................. 5-38
CHAPTER
6.
MEDICAL REGULATING
6-1.
General...............................................................................
6-1
6-2.
Purposes of Medical Regulating .................................................
6-1
6-3.
Medical Regulating Terminology ...............................................
6-1
6-4.
Medical Regulating from the Division ..........................................
6-4
6-5.
Medical Regulating Within the Combat Zone .................................
6-6
6-6.
Medical Regulating from the Combat Zone to Echelons Above Corps ...
6-7
6-7.
Medical Regulating Within Echelons Above Corps ..........................
6-8
6-8.
Intertheater Medical Regulating .................................................
6-8
6-9.
Mobile Aeromedical Staging Facility ...........................................
6-9
6-10.
Limitations of the United States Air Force Theater Aeromedical
Evacuation System .............................................................. 6-10
6-11.
Originating Medical Facilitys Responsibilities ............................... 6-10
6-12.
Medical Regulating for Army Special Operations Forces ................... 6-11
CHAPTER
7.
EVACUATION REQUEST PROCEDURES
7-1.
General...............................................................................
7-1
7-2.
Unit Evacuation Plan ..............................................................
7-1
7-3.
Determination to Request Medical Evacuation and Assignment
of Medical Evacuation Precedence ..........................................
7-1
7-4.
Unit Responsibilities in Evacuation .............................................
7-2
7-5.
Types of Medical Evacuation Request Formats and Procedures ...........
7-3
7-6.
Collection of Medical Evacuation Information ................................
7-3
7-7.
Preparation of the Medical Evacuation Request ..............................
7-4
7-8.
Transmission of the Request .....................................................
7-4
7-9.
Relaying Requests ..................................................................
7-6
CHAPTER
8.
MANUAL EVACUATION
8-1.
General...............................................................................
8-1
8-2.
Casualty Handling .................................................................
8-1
8-3.
General Rules for Bearers ........................................................
8-2
8-4.
Manual Carries .....................................................................
8-2
8-5.
Casualty Positioning ...............................................................
8-3
8-6.
Categories of Manual Carries ....................................................
8-4
8-7.
Special Manual Evacuation Techniques ........................................ 8-25
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8-8.
Evacuation from the Bradley Infantry Fighting Vehicle ..................... 8-35
8-10.
Minefield Extraction ............................................................... 8-39
CHAPTER
9.
LITTER EVACUATION .......................................................
9-1
9-1.
General ...............................................................................
9-1
9-2.
Types of Litters .....................................................................
9-1
9-3.
Dressed Litter .......................................................................
9-9
9-4.
Using Patient Securing Straps .................................................... 9-12
9-5.
General Rules for Litter Bearers ................................................ 9-12
9-6.
Use of Spine Boards and the Kendricks Extrication Device ................ 9-13
9-7.
Travois ............................................................................... 9-18
9-8.
Packsaddle Litter ................................................................... 9-19
9-9.
Litter Evacuation in Mountain Operations ..................................... 9-20
9-10.
Techniques for Litter Evacuation in Mountain Operations .................. 9-20
9-11.
Types of Litters for Mountain Operations ..................................... 9-20
9-12.
Methods of Litter Evacuation in Mountain Operations ...................... 9-21
9-13.
Horizontal Hauling Line .......................................................... 9-25
CHAPTER
10.
EVACUATION PLATFORMS ................................................ 10-1
Section
I.
Army Ground Ambulances ..................................................... 10-1
10-1.
General ............................................................................... 10-1
10-2.
Ground Ambulances ............................................................... 10-1
10-3.
Ambulance Driver ................................................................. 10-2
10-4.
Medical Aidman .................................................................... 10-3
10-5.
Ambulance Loading and Unloading ............................................ 10-3
10-6.
Truck, Ambulances, 4x4, Utility, M996 and M997 ......................... 10-4
10-7.
Truck, Ambulance, 1 1/4 Ton, 4x4, M1010 .................................. 10-15
10-8.
Truck, Ambulance, 1 1/4 Ton, 6x6, M792 ................................... 10-15
10-9.
Buses (Ambulances) ............................................................... 10-17
10-10.
Carrier, Personnel, Full Tracked, Armored, M113, T113E2 .............. 10-19
Section
II.
Nonmedical Vehicles Used for Casualty Evacuation or Medical
Evacuation ...................................................................... 10-20
10-11.
General ............................................................................... 10-20
10-12.
Casualty Transport and Patient Evacuation in a Mass Casualty
Situation .......................................................................... 10-20
10-13.
Truck, Cargo/Troop Carrier, 1 1 / 4 , 4x4, M998 (Four-Man
Configuration) ................................................................... 10-24
10-14.
/ 4 Ton, 4x4, M998 (Two-Man
Configuration) ................................................................... 10-25
1
iv
8-9.
Rules for Surviving Minefields and Acquiring Casualties .................. 8-42
Truck, Cargo/Troop Carrier, 1
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