Page 99 - 2021 Advanced Ranger First Responder Handbook

HAZARDOUS TRAINING MEDICAL COVERAGE PLANNING
Maps & Route Recons
■ Request/purchase/acquire appropriate maps of training areas, adjacent military installations, and cities
■ Conduct map and ground recon of training areas (specifically key entrance and exit points)
■ Identify hospitals/fire/EMS locations
Identify Special Coverage Considerations
■ Weather
■ Animals
■ Plants
■ Terrain hazards (high angle or high altitude)
Identify Hospitals
■ Primary and alternate evacuation hospital (one should be a Level 1 Trauma Center)
■ Conduct hospital site survey and face-to-face
■ Determine hospital communications:
➢ ED phone line
➢ ED ambulance line
➢ Patient admin phone line
➢ Security line phone line
■ Determine routes and directions to hospitals
■ Where are special injuries evacuated?
➢ Neurosurgical
➢ Burns
➢ Trauma centers
• Level 1 (Neurosurgeon on staff 24 hours)
• Level 2 (Neurosurgeon on call, but not on site 24/7)
Vehicle Requirements
■ Driver: A dedicated driver – NOT the medic/ARFR covering the event. Must be familiar with training area and
evacuation routes.
■ Ambulance: A dedicated, climate controlled, covered vehicle capable of carrying at least 1 litter. The vehicle
must provide environmental control and adequate space for medical equipment. Mark vehicle as appropriate
(ambulance symbols or lights).
➢ Optimal vehicles:
• Van (15PAX only)
• Large SUV (Expedition, Tahoe, etc.)
• FLA (M996/M997)
➢ Suboptimal vehicles
• Open HMMWV/GMV
• MEDSOV (tactical operations only – not for admin coverage)
• Small SUV (Explorer, Durango, Cherokee, etc.) or small van (7PAX)
Communication Requirements
■ Equipment
➢ FM radios or installation “brick” radios
➢ Cell phone
■ Radio nets and frequencies
➢ Administrative coverage (DZSO Net)
➢ Exercise/target control or observer/controller nets
➢ Tactical nets
■ En route evacuation communications
➢ Cellphone to notify receiving facilities
➢ Borrowed local radios MISC
■ Establish speed dials/specific channels
➢ Receiving medical facilities and evacuation assets

2021 ADVANCED RANGER FIRST RESPONDER HANDBOOK 89