Page 238 - 2022 Ranger Medic Handbook

Precombat Inspections. Every combat unit will conduct precombat inspections (PCIs) prior to launching on a mission.
PCI are conducted from the lowest leadership levels to the highest; no individual will be exempt.

PRE-COMBAT INSPECTIONS
■ Individual Rangers
É Ranger Bleeder Kits (BCKs)
É TQ on kit serviceable
■ Squad casualty response kit
É ARFR bag
É Evacuation equipment (Skedco, litters, etc.)
É Vehicle mounted aid bags
■ Ability to store and transport blood with proper cold-chain management
■ RMED individual equipment (weapon, NVG, radio, packing list, mission specific)
■ RMED aid bags (pack and/or reconfigure as required)
É Select appropriate aidbag system per mission requirements
É Ensure packing list IAW recommended Ranger Medic standards
■ Re-supply packages (pack and/or reconfigure per mission requirements)
É Reconfigure per mission specifics (ground, air, etc.)
É Utilize speedballs, bundles, or pull-off configured as required
É Pre-position as required with aircraft and vehicles or at staging base with BLOC and logistics teams
■ Evacuation assets (quads, vehicles, etc.)
■ Pre-mission conditions check with supporting MTF and evacuation assets

Sustained Combat Operations & Time-Sensitive Targets
When a unit is deployed and operating in a particular area of operations, several planning mechanisms will become more
streamlined and habitual. The casualty response brief will be minimized to essential changes of information. While still
covering the essential information, the brief will be tailored to a single slide within the overall OPORD or CONOP. This is
especially useful in time sensitive operations in which there may be only a few hours to minutes prior to launching the as-
sault force on the mission. It is best to maintain a single slide in which critical information is routinely updated. This allows
for making specific minimal changes based on the mission at hand.
Time Sensitive Targets (TST). The key to successful time sensitive target planning is maximizing coordination’s prior to
SECTION 7 sets, receiving hospital facilities and other unit planners.
the unfolding events. The medical planner should have already made face-to-face or phone contact with evacuation as-
The essentials of planning TST casualty response remains consistent with normal planning except that it is done rapidly
and heavily based on precoordinated activities. The planner must be well versed in the unit compressed planning se-
quence and use of appropriate computer software, communications capabilities and methods to check status of assets.
As soon as the unit receives the WARNORD of an upcoming mission, the medical planner must immediately initiate their
planning sequence of events. WARNORD briefs are usually conducted quickly upon receipt from the higher HQ or the unit
commander. The medical planner must be considered a key leader in the unit planning sequence for TST missions. Criti-
cal pieces of information are the target location, projected HLZs, and available evacuation and treatment facility assets.
Generally, the primary means of evacuation will be CASEVAC using the mission platforms used for infiltration and exfiltra-
tion. The alternate evacuation means will mostly be using the conventional assets from their bed down locations. However,
each mission must be tailored to available assets. Unless the unit is augmented, the receiving facility will be the nearest
Role 2 or higher capability within range of the target. The planner must be careful in selecting the receiving MTF while
considering distances, capabilities, and the current status of each facility. The planner must always establish a primary,
alternate, and perhaps a tertiary receiving facility. Ensure you have a good understanding of which facilities should receive
casualties with specific injuries such as head injuries or burns.

224 SECTION 7 MEDICAL PLANNING & CASUALTY COLLECTION OPERATIONS