ATP-5-0-2-1 Staff Reference Guide Volume 1 Download
Page 307 of 440
Sustainment Planning Factors 07 December 2020 ATP 5-0.2-1 291 CASUALTY REPORTING G-190. For purposes of casualty reporting, a casualty is defined as any person lost to an organization that has been declared deceased, duty status-whereabouts unknown, excused absence-whereabouts unknown, missing, injured, or ill. Commanders at all echelons are responsible for timely reporting of casualties to superiors and casualty assistance centers in their AOs. The casualty assistance center is usually associated with mortuary affairs for deceased personnel but also manages reporting of evacuated injured and ill personnel. Release of information for casualties of any disposition is governed by AR 360-1 (see AR 638-8 for more details). Categories of casualties are detailed in table G-29. Table G-29. Types of casualties Type Description Not seriously ill/injured (NSI) Injuries or illness not threatening life, limb, or eyesight. May or may not require hospitalization. Medical authority classifies as less severe than SI. Seriously ill/injured (SI) Injuries or illness threatening life, limb or eyesight. Requires medical attention, and medical authority declares that death is possible, but not likely, within 72 hours or the severity of the injury is such that it is permanent and life altering. Very seriously ill/injured (VSI) Injuries or illness causing loss of limb or eyesight or likely to cause loss of life. Medical authority declares it more likely than not that death will occur within 72 hours. Duty status-whereabouts unknown (DUSTWUN) Unknown whereabouts of personnel while on duty. Is a transitory or temporary casualty status. Excused absence-whereabouts unknown (EAWUN) Unknown whereabouts of personnel while on leave or excused absence. Missing Unknown whereabouts of personnel after initial search conducted (following DUSTWUN or EAWUN report unless situation compels a missing status on the initial casualty report (such as kidnapping or loss of accountability during kinetic operations (missing in action)) Deceased A casualty status applicable to a person who is either known to have died, determined to have died on the basis of conclusive evidence, or declared dead on the basis of a presumptive finding of death. The recovery of remains is not a prerequisite to determining or declaring a person deceased. MEDICAL AND CASUALTY EVACUATION PROCESS G-191. The first person to see a Soldier is their buddy. Buddy care stabilizes a casualty until a combat lifesaver can attend. When combat lifesaver care is exhausted, the combat medic provides tactical casualty care in the field. When a casualty needs to be evacuated, the combat medic requests evacuation using the 9- line MEDEVAC request. G-192. Evacuation occurs based on the category (priority) of the casualty, availability of assets, and other factors such as terrain or enemy. The first unit in the evacuation chain is normally the ambulance squad. The ambulance squad evacuates to the nearest MTF or casualty collection point. The patient is further evacuated, as necessary and by priority, by either ground or air evacuation. The scheme of evacuation generally follows the same path as medical care capability. Figure G-9 on page 292 depicts a notional patient flow during MEDEVAC and CASEVAC. Table G-30 on page 292 details evacuation priorities. G-193. Some considerations for evacuation planning are— Proximity of medical assets. Role 1 treatment area support. Route reconnaissance and rehearsals. Aid station and ambulance exchange point (AXP) layout and markings.