Page 13 - JSOM Summer 2022

FIGURE 2 The Strait of Hormuz and the Gulf of Oman FIGURE 4 Hangar Bay of an Arleigh Burke Class Guided Missile
Destroyer

(Portable Atlas Copyright — Free Image) (US Navy Photo)

o Casualty 7 has no visible external bleeding or injuries,
but complains of abdominal pain.
o Casualty 8 has no visible external bleeding or injuries
FIGURE 3 Flight Deck of an Arleigh Burke Class Guided Missile but is in severe respiratory distress.
(US Navy Photo by Mass Communication Specialist 3rd Class Keia Randall)
Destroyer during a Vertical Replenishment from an MH-60S
Helicopter o Casualty 9 was observed to be struggling to stay on the
surface of the water with no lifejacket donned and was
rescued by the Search and Rescue (SAR) swimmer on
the rescue boat. He appears to be in moderate respira-
tory distress.

Additional Operational Considerations and Information
– The destroyer had ample warning of the UAV approach
and went to Battle Stations and General Quarters (GQ).
Therefore, as noted above, all but one of the sailors recov-
ered from the water were wearing lifejackets, since that is
required when the crew is at GQ.
– A security survey of the nearby airspace after the missile
strike reveals no additional drones or other non-friendly
aircraft. No unfriendly surface craft are noted in the vicin-
ity of the destroyer.
– The CRTS in this scenario is an Amphibious Assault Ship
o Casualty 1 has severe left leg pain and a left leg injury (LHA). (Figure 5) It is steaming 100 nautical miles (nm)
with blood saturating his left trouser leg. east of the DDG, also in the Gulf of Oman. (Note that
o Casualty 2 has sustained severe burns over most of the a nautical mile is equal to 1.15 land-measured or statute
posterior surface of his body. He is awake and alert. miles.)
o Casualty 3 suffered a fall after the explosion and has severe – There is a 15-person Fleet Surgical Team (FST) embarked
pain in her lower back, her right hip, and her right leg. on the LHA. A Fleet Surgical Team typically has one gen-
o Casualty 4 was found unconscious shortly after the ex- eral surgeon, a family medicine or internal medicine phy-
plosion. He has a large laceration of his left frontotem- sician, a certified registered nurse anesthetist, an operating
poral scalp with moderate bleeding. He is now awake, room nurse, a critical care nurse, two surgical technicians,
but confused. a psychiatrist, two laboratory technicians, a respiratory
o Casualty 5 was rescued from a burning space. She has FIGURE 5 Amphibious Assault Ship – USS America (LHA-6)
extensive burns and her clothes are mostly burned off.
She is awake and in moderate pain.
– Approximately 30 minutes later, the IDC receives four
more casualties who have been recovered from the water
by the RHIBs. Casualties 6–8 went into the water at the
time of the missile strike on the ship. They were all wear-
ing lifejackets and were floating in the water at the time of
the second missile explosion. Casualty 9 did not go into
the water until after the second missile explosion, and thus (US Marine Corps Photo by Lance Cpl. Dana Beesley
was not exposed to the blast wave from the underwater ex-
plosion. For reasons that are unclear, however, he was not
wearing his lifejacket when he entered the water.
o Casualty 6 has no visible external bleeding or injuries.
He was unconscious when recovered from the water,
but is now regaining consciousness.

TCCC Maritime Scenario: Shipboard Missile Strike | 11