Page 264 - 2025 Ranger Medic Handbook

EQUIPMENT REQUIREMENTS MEDICAL COVERAGE DURING TACTICAL EXERCISES
S Standard Medical Equipment ■ Plan for all casualties to be evacuated to Level 1 or 2 Trauma
■ Rigid litter Centers ONLY.
■ Splint sets ■ If evacuation time to primary center is more than 20 minutes’
■ Oxygen/masks/BVM training is considered HIGH RISK.
■ Suction, mechanical & manual ■ Obtain PDSS Checklist from MEDO.
■ Mechanical traction splint ■ All casualties go through the tactical evacuation channels
unless life, limb or eyesight is threatened. A Ranger exercise
■ Vital signs monitor does not “go admin” unless absolutely required to save the
■ Litters injured Ranger.
■ Blankets/hypothermia management ■ All patients are treated to U.S. Standard of Care and unit
■ Trauma aid bag protocols.
■ Pain management ■ Vehicles do not enter or move on drop zones without DZSO
permission and notification of the tactical C2.
Special Equipment Considerations ■ Use of white lights during night operations will be minimized
■ Hot weather to patient care.
➢ Ice sheets ■ If possible, utilize the tactical unit’s capabilities to move casu-
➢ Fans (battery operated) alties to minimize impact on the ongoing exercise.
➢ Cold packs ■ Notify receiving medical facilities of incoming casualties and
■ Cold weather status.
➢ Rescue wraps/patient heaters ■ Keep training event OIC/NCOIC informed of patient status with
routine updates
➢ IV fluid warmer
■ Rescue ■ Vehicles do not enter or move on drop zones without DZSO
permission and notification of the tactical C2.
➢ High-angle rescue kit ■ Inform unit medical officers of casualties and status.
➢ Skedco
■ Blood products for high-risk training
PRE-COVERAGE INSPECTIONS
*NO RANGER IS EXEMPT FROM PCIs*
Inspect/Inventory Medical Equipment
Inventory IAW Hazardous Coverage Checklist
Function check all mechanical devices and monitors
Check battery charges
Inspect Vehicle(s)
■ PMCS of vehicle
■ Fuel level
■ Dispatch or rental agreement
■ Maps/routes posted
Support Equipment
■ ■ Communications equipment
SECTION 9 ■ ■ Night vision
Strobe lights/flashlights/headlamps
GPS
Rescue equipment
■
PRE-COVERAGE REHEARSALS
■ Drive routes to hospitals during daytime and nighttime. Determine/record time from training site to hospital.
Consider civilian traffic pattern interference on evacuation route.
■ Brief OIC, NCOIC, OPFOR, and role-players on medical coverage plan and actions. Specifically, CCP or
MEDEVAC locations and casualty notification/evacuation request procedures.
■ Conduct rehearsal of casualty movement in the exercise area and prep for evacuation.

250 SECTION 9 HAZARDOUS TRAINING MEDICAL COVERAGE