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CBRN CASUALTY MANAGEMENT
Evacuation Platform Considerations
1. Evacuation of patients must continue even in a contaminated environment.
2. Clean and Dirty. It is necessary to plan for both clean and dirty platforms for evacuation.
a. Optimize the use of contaminated resources, medical or nonmedical, before employing
uncontaminated resources.
b. Once a vehicle or aircraft has entered a contaminated area, it is highly unlikely that it
will be able to be spared long enough to undergo a complete decontamination. Factors
include—contaminant, the tempo of the battle, and the resources available.
c. Contaminated vehicles (air and ground) will have restricted use and will be confined to a
contaminated environment until decontamination can occur.
3. Refuel
a. Consider the time it takes for refueling in a MASCAL situation, as well as the distance from
the objective to the DECON site and MTF.
b. Factor in any platform decontamination that may be necessary prior to arrival at the
refueling site.
c. WARM ZONE Forward Arming and Refueling Points may be necessary.
4. Preparation time (hasty vs. deliberate). Factor the time it takes to prepare the platform for a
hasty or deliberate CBRN mission.
5. Radiological Exposure Limitations:
a. Operational exposure guidance: MEDEVAC operations will establish operational exposure
guidelines by the appropriate Surgeon and Command, limiting radiation exposure to crews
by absorbed dosage.
b. The unit CBRN noncommissioned officer maintains radiation exposure records and makes
them available to the commander, staff, and surgeon.
6. Flying Hour Limitations:
a. Environmental Relative Factors (ERF) under Mission Oriented Protective Posture (MOPP)
3 and 4 limit flying hours to 3 hours per day, night, or combined modes of flight.
b. ERF extensions are limited on a case-by-case basis.
CBRN Landing Zones/Ambulance (Casualty) Exchange Points
1. Route coordination. Consider alternate routes; primary routes may be jammed or unavailable.
2. Consider the appropriate distance to accommodate aircraft rotor wash and the direction of
landing for Dirty LZs and Clean LZs at the DECON/CCP locations.
3. Environmental Considerations:
a. Wind
b. Terrain/Slope
c. Drainage (for DECON Sites)
d. Water Sources
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74 • SPECIAL POPULATIONS