ATP-4-90 Brigade Support Battalion Download

Medical Support 18 June 2020 8-3 tactical plan, the enemy situation, operational pace, and other mission variables. Medical personnel treat and stabilize all patients, some of whom can return to duty within 72 hours. Medical personnel stabilize patients requiring a higher level of care to withstand evacuation to a higher-level medical treatment facility. Medical evacuation is the responsibility of the higher role of care. For example, The BCT organic Role 1 medics evacuate casualties from the point of injury, casualty collection point, or patient collection point to the battalion aid station. The Role 2 medical treatment facility from the BSMC provides medical evacuation from the battalion aid station to the BSMC. Planners may array medical units in the area of operations in various combinations and configurations based on mission and operational variables. Medical planners may coordinate and synchronize evacuation to various medical treatment facilities within their respective roles of care in an area of operations if needed. The Role 3 medical treatment facility is responsible for coordinating medical evacuation from Role 2 even when it lacks organic evacuation assets. The supporting multifunctional medical battalion or medical brigade coordinates for an echelon above brigade ground ambulance company. A ground ambulance company may be attached or assigned to the multifunctional medical battalion for support in the BCT area of operations. The ground ambulance company provides medical evacuation support to Role 3 medical treatment facility. See ATP 4-02.2, Medical Evacuation for medical evacuation/casualty evacuation information. When considering the evacuation plan to support offensive tasks, the BSB SPO medical planner must consider the disposition of friendly forces and the enemy's capabilities that will influence the patient workload, evacuation time, and distance factors. The analysis of the forecasted patient workload and other mission variables determine the allocation of medical resources and the location or relocation of medical treatment facilities. As operations achieve success, the areas of casualty density move away from the supporting facilities. This causes the routes of medical evacuation to lengthen. The SPO medical operations officer anticipates casualties to exceed organic medical evacuation capability. As such, the medical evacuation plan includes the use of non-standard evacuation platforms to meet the medical evacuation capacity. Considerations for medical evacuation operations include the following:  Location of BSMC assets in the BSA and forward.  Terrain and location of maneuver battalion aid stations.  Air medical evacuation corridors (including ADA threat identification) and ambulance exchange points.  Triage of patients and patient load.  Transportation assets, either casualty evacuation or medical evacuation, available.  Requirement for security during movement.  Time and means available to remove patients from the battlefield.  Integration of evacuation routes and obstacle plans.  Medical evacuation routes congestion due to movement of troops and materiel.  Coordinating movements of maneuver force especially during offensive operations.  Movements at night or during periods of limited visibility.  C2 as well as communications disruptions.  Including ambulances on the priority list for movement.  Refugee movement that may impede medical evacuation missions.  Maintaining readiness of aircraft and ground ambulances.  Shortfalls in evacuation capabilities across the BCT. Medical evacuation plans at each battalion include placing medics and ground evacuation assets with company trains and locating casualty collection points at the company level. The BCT surgeon and BSB medical planners consider must assume the primary means of both MEDEVAC and CASEVAC is via ground modes. The BCT and maneuver battalion S4 assist the BSB SPO plan CASEVAC to deal with mass casualty events. While air evacuation is the preferred method of evacuating critical injuries, planners cannot consider it the primary method. Doing so may limit the planning for more likely ground casualty evacuation and ground medical evacuation by tracked or wheeled vehicles. Air evacuation may be limited based on the ATP 4-90