Page 233 - 2022 Ranger Medic Handbook

Issue Initial Medical Planning Guidance to Subordinates. Medical planners should constantly disseminate information
to subordinate elements and junior Medics. Information provided should be as comprehensive as possible consistent with
operational security considerations. Planning guidance should include the medical threat, medical assets, copies of higher
OPORDs/OPLANs, and information that will assist subordinates with medical planning at their level. Guidance from above
helps junior Medics better prepare themselves and their equipment for tactical operations.
Determine Casualty Flow from Target to Hospitalization. The tactical Medic will always have a detailed understanding
of the casualty flow up to two levels above themselves, including patient regulating, casualty accountability, and hospi-
talization requirements. Furthermore, casualty flow is planned from the point-of-injury all the way back to admission to a
Continental United States (CONUS) medical facility. However, in an established combat theater, a casualty may be admit-
ted, treated and even released from an intermediate facility between the battlefield and CONUS.

CASUALTY FLOW CONSIDERATIONS
■ Where will the unit’s casualties be evacuated to?
■ Will evacuation be conducted by ground or air (or water) assets to a casualty collection point?
■ How will evacuation be conducted to casualty transload points?
■ What are the distances and times of travel?
■ Will expected casualties be able to make it that far? If not, what parts of the plan need to be adjusted?
■ Who will evacuate the casualties (unit, frequency, callsigns)?
■ Will medical assets be properly positioned to ensure continuity of care?

Determine Key Locations. Key locations for medical assets are determined based upon the casualty estimation and the SECTION 7
commander’s tactical assault plan.
DETERMINE KEY LOCATIONS
■ Based on your casualty estimation and the tactical assault plan…
É Where should the CCP be located?
É Where should patient exchanges be located? (CEP, CCP, HLZ, AXP)
É Where are the projected blocking positions, fighting positions, etc…?
É Where is the CP/TOC?
É Who is in charge of each key location?
É Primary and alternate locations?
É What are the ground movement routes?
É What are the main and alternate routes (BLOC/supply bundles)?
É Is there a decompression plan (e.g.., STRATEVAC) to sustain patient holding capacity for the MTF?
É Do the fuel capacities of the evacuation assets support the plan (confirm with S3/G3 air on FARP require-
ments).

2022 RANGER MEDIC HANDBOOK 219