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CASEVAC
Casualty evacuation, also known as CASEVAC or by the callsign Dustoff or colloquially Dust Off, is a military term for the emergency patient evacuation of casualties from a combat zone. Casevac can be done by both ground and air. "DUSTOFF" is the callsign specific to U.S. Army Air Ambulance units. CASEVACs by air today are almost exclusively done by helicopter, a practice begun on a small scale toward the end of World War II; before that, STOL aircraft, such as the Fieseler Fi 156 or Piper J-3 were used. The primary difference between a CASEVAC and a medical evacuation (MEDEVAC) is that a MEDEVAC uses a standardized and dedicated vehicle providing en route care, while a CASEVAC uses non-standardized and non-dedicated vehicles that may or may not provide en route care. CASEVACs are commonly referred to as "a lift/flight of opportunity". If a corpsman/medic on the ground calls for a CASEVAC, the closest available unit with space could be called to assist, regardless of its med ...
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Battlefield Medicine
Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine. Chronology of battlefield medical advances * During Alexander the Great’s military campaigns in the fourth century BC, tourniquets were used to stanch the bleeding of wounded soldiers. Romans used them to control bleeding, especially during amputations. These tourniquets were narrow straps made of bronze, using only leather for comfort. * An early stretcher, likely made of wicker over a frame, appears in a manuscript from c.1380. Simple stretchers were common with militaries right through the middle of the 20th ...
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Boeing Vertol CH-46 Sea Knight
The Boeing Vertol CH-46 Sea Knight is a medium-lift tandem-rotor transport helicopter powered by twin turboshaft engines. It was designed by Vertol and manufactured by Boeing Vertol following Vertol's acquisition by Boeing. Development of the Sea Knight, which was originally designated by the firm as the Vertol Model 107, commenced during 1956. It was envisioned as a successor to the first generation of rotorcraft, such as the H-21 "Flying Banana", that had been powered by piston engines; in its place, the V-107 made use of the emergent turboshaft engine. On 22 April 1958, the V-107 prototype performed its maiden flight. During June 1958, the US Army awarded a contract for the construction of ten production-standard aircraft, designated as the YHC-1A, based on the V-107; this initial order was later cut down to three YHC-1As though. During 1961, the US Marine Corps (USMC), which had been studying its requirements for a medium-lift, twin-turbine cargo/troop assault helic ...
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Military Medicine
The term military medicine has a number of potential connotations. It may mean: *A medical specialty, specifically a branch of occupational medicine attending to the medical risks and needs (both preventive and interventional) of soldiers, sailors and other service members. This disparate arena has historically involved the prevention and treatment of infectious diseases (especially tropical diseases), and, in the 20th Century, the ergonomics and health effects of operating military-specific machines and equipment such as submarines, tanks, helicopters and airplanes. Undersea and aviation medicine can be understood as subspecialties of military medicine, or in any case originated as such. Few countries certify or recognize "military medicine" as a formal speciality or subspeciality in its own right. * The planning and practice of the surgical management of mass battlefield casualties and the logistical and administrative considerations of establishing and operating c ...
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Patient Evacuation
Casualty movement is the collective term for the techniques used to move a casualty from the initial location (street, home, workplace, wilderness, battlefield) to the ambulance. In wilderness or combat conditions, it may first be necessary to stabilize the patient prior to moving them to avoid causing further injury. In such situations, evacuation may involve carrying the victim some distance on improvised stretchers, a travois, or other improvised carrying gear. Spinal immobilization is necessary if there is a likelihood of head or spinal injury. Once the patient is ready to be moved, the first step is the casualty lifting, to put him/her on a stretcher or litter (rescue basket). The final step is the patient transfer from the stretcher to the hospital bed. The use of wheeled stretchers, usually used in most developed emergency services, does not need much explanation, except that great care must be taken in order to avoid aggravating an unstable trauma. See also * CASEVAC * ...
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Air Ambulance
Air medical services is a comprehensive term covering the use of air transportation, aeroplane or helicopter, to move patients to and from healthcare facilities and accident scenes. Personnel provide comprehensive prehospital and emergency and critical care to all types of patients during aeromedical evacuation or rescue operations aboard helicopter and propeller aircraft or jet aircraft. The use of air transport to provide medical evacuation on the battlefield dates to World War I, but its role was expanded dramatically during the Korean and Vietnam wars. Later on, aircraft began to be used for the civilian emergency medical services. Helicopters can bring specialist care to the scene and transport patients to specialist hospitals, especially for major trauma cases. Fixed-wing aircraft are used for long-distance transport. In some remote areas, air medical services deliver non-emergency healthcare such as general practitioner appointments. An example of this is the Royal F ...
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Emergency Medical Services
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use squad cars, motorcycles, aircraft, or boats. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue services. As a first re ...
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Medical Evacuation
Medical evacuation, often shortened to medevac or medivac, is the timely and efficient movement and en route care provided by medical personnel to wounded being evacuated from a battlefield, to injured patients being evacuated from the scene of an accident to receiving medical facilities, or to patients at a rural hospital requiring urgent care at a better-equipped facility using medically equipped air ambulances, especially helicopters. Examples include civilian EMS vehicles, civilian aeromedical helicopter services, and military air ambulances. This term also covers the transfer of patients from the battlefield to a treatment facility or from one treatment facility to another by medical personnel, such as from a local hospital to a trauma center. History The first medical transport by air was recorded in Serbia in the autumn of 1915 during First World War. One of the ill soldiers in that first medical transport was Milan Rastislav Štefánik, a Slovak pilot-volunteer who w ...
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Aeromedical Evacuation
Aeromedical evacuation (AE) usually refers to the use of military transport aircraft to carry wounded personnel. The first recorded British ambulance flight took place in 1917 in the Sinai peninsula some 30 miles south of El Arish when a Royal Aircraft Factory B.E.2c flew out a soldier in the Imperial Camel Corps who had been shot in the ankle during the raid on Bir el Hassana. The flight took 45 minutes; the same journey by land would have taken some 3 days. In the 1920s several aeromedical services, both official and unofficial, started up in various parts of the world. Aircraft were still primitive at the time, with limited capabilities, and the efforts received mixed reviews. Development of the idea continued. France and the United Kingdom used fully organized aeromedical evacuation services during the African and Middle Eastern colonial wars of the 1920s. In 1920, the British, while suppressing the " Mad Mullah" in Somaliland, used an Airco DH.9A fitted out as an air ambu ...
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Tactical Combat Casualty Care
Tactical Combat Casualty Care (TCCC or TC3) are the United States military guidelines for Major trauma, trauma life support in Battlefield medicine, prehospital combat medicine, designed to reduce preventable deaths while maintaining operation success. The TCCC guidelines are routinely updated and published by the Committee on Tactical Combat Casualty Care (CoTCCC), which is part of the Defense Committees on Trauma (DCoT) division of the Defense Health Agency (DHA). TCCC was designed in the 1990s for the United States Special Operations Command, Special Operations Command medical community. Originally a joint United States Naval Special Warfare Command, Naval Special Warfare Command and Special Operations Medical Research & Development initiative, CoTCCC developed combat-appropriate and evidence-based trauma care based on injury patterns of previous conflicts. The original TCCC corpus was published in a Military Medicine (journal), Military Medicine supplement in 1996. TCCC has ...
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QuikClot
QuikClot is a brand of hemostatic wound dressing, that contains an agent that promotes blood clotting. It is primarily used by militaries and law enforcement to treat hemorrhaging from trauma. History Using zeolite as a clotting agent was discovered by Frank Hursey (Z-Medica co-founder) in 1984. Following the September 11 attacks the US armed forces conducted a series of tests comparing different antihemorrhagic technologies, in which QuikClot got the best score. Following these tests, the US armed forces approved its use in Afghanistan and Iraq. Zeolite The original formulation of the first generation product contained the active ingredient zeolite, which promoted blood clotting. The zeolite reaction with blood was exothermic, releasing heat during the clotting process, which could cause second degree burns. Because of this, the product was not available for retail and was only used in emergency scenarios, such as in combat. Newer zeolite formulas come pre-hydrated, whi ...
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Tourniquet
A tourniquet is a device that is used to apply pressure to a limb or extremity in order to stop the flow of blood. It may be used in emergencies, in surgery, or in post-operative rehabilitation. A simple tourniquet can be made from a stick and a rope, but the use of makeshift tourniquets has been reduced over time due to their ineffectiveness compared to a commercial and professional tourniquet. This may stem the flow of blood, but side effects such as soft tissue damage and nerve damage may occur. Types There are three types of tourniquets: surgical tourniquets, emergency tourniquets, and rehabilitation tourniquets. Surgical tourniquets Silicone ring tourniquets, or elastic ring tourniquets, are self-contained mechanical devices that do not require any electricity, wires or tubes. The tourniquet comes in a variety of sizes. To determine the correct product size, the patient's limb circumference at the desired occlusion location should be measured, as well as their bl ...
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