Page 100 - 2021 Advanced Ranger First Responder Handbook

EQUIPMENT REQUIREMENTS MEDICAL COVERAGE DURING TACTICAL EXERCISES
Standard Medical Equipment ■ Plan for all casualties to be evacuated to Level 1 or 2
■ Rigid litter trauma centers ONLY
■ Splint sets ■ If evacuation time to primary center is more than 20
minutes, training is considered HIGH RISK
■ Oxygen/masks/BVM
■ Obtain pre-deployment site survey (PDSS) Checklist
■ Suction, mechanical, and manual from MEDO
■ Mechanical traction splint ■ All casualties go through the tactical evacuation channels
■ Vital signs monitor unless life, limb, or eyesight is threatened. A Ranger
exercise does not “go admin” unless absolutely required
■ Litters
to save the injured Ranger
■ Blankets/hypothermia management
■ All patients are treated to US standard of care and unit
■ Trauma aid bag protocols
■ Pain management ■ Vehicles do not enter or move on drop zones without
Special Equipment Considerations Drop Zone Safety Officers permission and notification
of the tactical C2
■ Hot weather
➢ Ice sheets ■ Use of white lights during night operations will be
➢ Fans (battery operated) minimized to patient care
➢ Cold packs ■ If possible, use the tactical unit’s capabilities to move
casualties to minimize impact on the ongoing exercise
■ Cold weather
➢ Rescue wraps/patient heaters ■ Notify receiving medical facilities of incoming casualties
➢ IV fluid warmer and status
■ Keep training event OIC/NCOIC informed of patient status
■ Rescue with routine updates
➢ High-angle rescue kit
➢ Skedco ■ Inform unit medical officers of casualties and status
■ 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
■ Strobe lights/flashlights/headlamps
■ Night vision
■ GPS
■ Rescue equipment
PRECOVERAGE 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
MISC ■ 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

90 SECTION 7 MISCELLANEOUS PROTOCOLS