Page 150 - JSOM Fall 2019
P. 150

(photo left) PJs                                                                                                                                  (photo left) Triage through the cabin (in addition to outside for
                                         prep to leave                                                                                                                                     ejected casualties) included identification of alive or dead and
                                         the ground.                                                                                                                                       the critical (alpha) or noncritical litter-bound (bravo). Here, a PJ
                                                         (photo right) PJ ascends                                                                                                          arrives to the co-pilot and assesses for life and triage category.
                                                                  to the victim.


















                                                                                                                                                (photo right) Helo cabin with casualties.
                                                                                                                                                     For this exercise we used a mix of
                                                                                                                                                          mannikins and role players.


                                                                                                                                        (photo right) After the
                                                                                                                                  casualties are gathered in the
                                                                                                                                 CCP, the lead medic delegates
                                                                                                                                   PJs to care for the casualties.
                                                                                                                                     The critical patients are in
                                                         (photo above) PJ managing                                                   the foreground, noncritical
                                                         the pulley system on the                                                 litter-bound patients not seen
                                                         main lowering line.                                                          to the right, and walking
                                                                                                                                  wounded are in the back. The
                                                                                                                                   deceased are at the edge of
                                                                                                                                   the structure, out of sight of
                                                                                                                                            their teammates.
                                                            (photo right) After the PJ
                                                           gets the suspended victim
                                                           in the litter, he performs a                                              (photo right below) After
                                                             brief primary survey and                                                treatment and packaging
                                                            packages the patient and                                               in the CCP, the patients are
                                                                     litter to lower.                                              lined up in order of loading
                                                                                                                                   for tactical evacuation. The
                                                                                                                                 three casualties on the tarmac
                                                         (photo left) Lead rangers                                                   will be the first to go; the
                                                         review proper packaging                                                   casualties in the foreground
                                                         for the PJs before going                                                  are on deck for the second
                                                         off the ground.                                                              vehicle. In this exercise,
                                                                                                                                 four vehicles were needed for
                                                                                                                                 12 casualties. Casualties were
                                                                                                                                     moved out of the shelter
                                                                                                                                       based on vehicle ETA.





                                                         (photo right) Attending
                                                           the patient and litter
                                                              during the lower.



        NY PJs from the 103rd Rescue Squadron performed joint training with the                                                                                  PJ Mass Casualty Training: Downed Helo
       Mohonk Preserve climbing rangers in the Shawanagunk Mountains. The PJs                                                       Mass casualty training by the numbers. This exercise simulated a helicopter crash with 12 victims. The emphasis
      practiced the basic skills needed for high-angle rescue: litter management for a                                             of this 3-hour exercise was accountability, proper triage, patient movement, CCP organization and management,
            suspended patient, pick offs, and edge management of the litter.                                                       package for exfil, and line up for exfil. The PJ Medical and Trauma Protocols (MTPs) were accomplished in the CCP.
           Photos compliments of Jasmine Davids, Mohonk Preserve.                                                                                         Photos compliments of Daniel H. Farrell, SrA, NYANG,
                                                                                                                                                                   Photojournalist, 106th Rescue Wing.
   145   146   147   148   149   150   151   152   153   154   155