Page 252 - 2022 Ranger Medic Handbook
P. 252

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 & 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: o ER phone line
           ➢   ER 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 covering the event. Must be familiar with training area and evacua-
           tion 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
    SECTION 8  ■   Equipment
              FM radios or installation “brick” radios
           ➢
              Cellphone
           ➢
         ■   Radio nets & 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
         ■   Establish speed dials / specific channels
           ➢   Receiving medical facilities and evacuation assets


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